Form ID

Publication date

Location of premises

Certificate

Regional Municipality of Waterloo Contract No. 2004-020: Reconstruction of existing two lanes of pavement and construction of two new lanes of pavement to urban standards with 5 m median and curb and gutters Installation of storm sewers Installation of noise wall Rehabilitation of existing bridge over Balzer Creek Construction of new bridge over Balzer Creek Construction of sidewalks along each side of the roadway Landscaping along the right-of-way

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo
Address of Owner
Transportation and Environmental Services Dept., Design and
Name of Contractor
Bel-Air Excavating & Grading Limited
Address of Contractor
1321 Cedar Creek Road, RR #4, Cambridge, ON N1R 5S5
Name of Certifier
Giffels Associates Limited
Address of Certifier
30 International Boulevard Toronto, ON M9W 5P3

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

As above