Form ID

Publication date

Location of premises

Certificate

Contract No. 2002-008 Maple Grove/Fisher Mills Road Watermain, Beaverdale Road to Scott Road

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo
Address of Owner
150 Frederick Street, Kitchener, ON N2G 4J3
Name of Contractor
Omega Contractors
Address of Contractor
4104 Breck Ave., London, ON N6L 1B5
Name of Certifier
Regional Municipality of Waterloo
Address of Certifier
150 Frederick Street, Kitchener, ON N2G 4J3

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

Clerks Office, Regional Municipality of Waterloo (Address as above)