Form ID

Publication date

Location of premises

Certificate

Contract No. 99-212 Grading, Drainage, Granular Base andd Hot Mix Paving Hwy 71 from 5.6 km north of Sioux Narrows southerly for 23.3 km excluding 1.6 km in Sioux Narrows including work at Old Woman Lake Culvert 12.8 km north of Sioux Narows Length 21.7 km

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, Regional Construction Office, 61
Name of Contractor
Gamble Construction
Address of Contractor
351 Kennedy St., Dryden, ON P8N 2Z2

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