Form ID

Publication date

Location of premises

Certificate

Contract # 2005-2011 For Roadside Safety Improvements

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty The Queen in Right of Ontario as represented by the Minister of Transportation
Address of Owner
Ministry of Transportation, 1201 Wilson Ave., 2nd Floor, Bui
Name of Contractor
Francis Powell and Company Limited
Address of Contractor
180 Ram Forest Road, Gormley, ON L0G 1G0

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

Director, Legal Services Branch, 1st Floor, West Tower, 1201 Wilson Avenue, Downsview, Ontario M3M 1J8