Form ID

Publication date

Location of premises

Certificate

Contract SSB-035505, MTO Ref. No. 2002-4262, Hot Mix Patching HL3 and Granular A Shouldering, Highway 62

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
50 Monck Street, Box 300, Bancroft, ON K0L 1C0
Name of Contractor
Cruickshank Construction Limited
Address of Contractor
55 Rigney Street, Kingston, ON K7K 6Z3
Name of Certifier
Robert Robinson, Engineerig Services Supervisor (A)
Address of Certifier
50 Monck Street, Box 300, Bancroft, ON K0L 1C0

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

Director, Legal Services Office, Main Floor, East Building, 1201 Wilson Avenue, Downsview, ON M3M 1J8