Form ID

Publication date

Location of premises

Certificate

HVAC Upgrade

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wilfrid Laurier University
Address of Owner
75 University Ave. W., Waterloo, ON
Name of Contractor
Velocity Mechanical Inc.
Address of Contractor
176 Forfar Ave., Unit B, Kitchener, ON N2B 3A1
Name of Certifier
Mr. Clyde Burgess, Project Manager, - DEI & Associates Inc.
Address of Certifier
55 Northland Rd., Waterloo, ON N2V 1Y8

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

Wilfrid Laurier University - 75 University West, Waterloo