Form ID

Publication date

Location of premises

Certificate

Various concrete removals and repairs within the reservoir structure to repair voids. Repair existing four sumps to sound concrete and repour new concrete. Remove existing epoxy coating on 750mm and 1500mm diameter butterfly valves and install new epoxy coating system

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of London Regional Water Supply
Address of Owner
235 North Centre Road, Suite 200, London, ON N5X 4E7
Name of Contractor
BGL Contractors Corp.
Address of Contractor
608 Colby Drive, Waterloo, ON N2V 1A2
Name of Certifier
Matthew Hartfiel, P. Eng., GM BluePlan Engineering Limited
Address of Certifier
235 North Centre Road, Suite 103, London, ON N5X 4E7

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

City of London - City Clerks Office, 300 Dufferin Avenue, London, Ontario, N6B 1Z2