Form ID

Publication date

Location of premises

Certificate

Installation of Stage Ia works, including storm sewer, sanitary sewer, watermain, related appurtenances, rear yard drywall structures (where applicable), retaining wall (on Vaughan Street), builder's road on Vaughan Street (Sta. 0+280 and Sta. 0+560 to Sta. 0+640), builder's road on Zess Court (Sta. 0+000 to Sta. 0+180) and base asphalt on Vaughan Street (Sta. 0+280 to 0+560), base asphalt on Heritage Drive (Sta. 0+100 to Sta. 0+245) and base aspahlt on Revell Drive (Sta. 0+100 to Sta. 0+480), City of Guelph Contract No. 2-0615

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Corporation of the City of Guelph
Address of Owner
59 Carden Street, Guelph, ON N1H 3A1
Name of Contractor
United Contracting (London)
Address of Contractor
2940 Dingman Dr, London, ON N6N 1G4
Name of Certifier
Angela Kroetsch, B.Sc. (Eng), Gamsby and Mannerow Limited
Address of Certifier
Suite 210, 255 Woodlawn Road West, Guelph, ON N1H 8J1

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

Corporation of the City of Guelph, Attention