Form ID

Publication date

Location of premises

Certificate

Roadways, Parking Areas & Walkway Rehabilitation.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Chair of the Management Board of Cabinet.
Address of Owner
Manager, Contract Administration, Design Services Branch, On
Name of Contractor
Associated Paving Company Ltd.
Address of Contractor
RR #2, Winston Churchill Blvd., Mississauga, ON L5M 2B2.
Name of Certifier
John Innes
Address of Certifier
Ontario Realty Corporation, 625 Church St., 3rd Floor, Toron

Office to which claim for lien must be given to preserve lien

Director, Legal Services Branch, Management Board Secretariat, 7 Queens Park Crescent, Room 228, Frost Building South, Queens Park, Toronto, ON M7A 1Z5.