Form ID

Publication date

Location of premises

Certificate

Clean and repair existing damage to flexible membrane cover and remove and dispose of all sediment from between flexible membrane cover and membrane liner, including sediment adhering to underside of flexible membrane cover, of Springbank Reservior #2. Contract amended to replace flexible membrane cover by Change Order No. 1

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the City of London, Environmental Services Department
Address of Owner
300 Dufferin Avenue PO Box 5035, London, ON N6A 4L9
Name of Contractor
Garnet Services Inc.
Address of Contractor
1930 Blue Heron Drive, London, ON N6H 5M8.
Name of Certifier
R.V. Anderson Associates Limited
Address of Certifier
920 Commissioners Road East, Suite 202, London, ON N5Z 3J1

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

The Corporation of the City of London, Environmental Services Department, Administrative Services Division