Form ID

Publication date

Location of premises

Certificate

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Activa Holdings Inc.
Address of Owner
735 Bridge Street West, Waterloo, ON N2V 2H1.
Name of Contractor
H. Kerr Construction Limited.
Address of Contractor
Box 1058, Wingham, Ont. N0G 2W0.
Name of Certifier
Planning and Engineering Initiatives Ltd.
Address of Certifier
379 Queen Street South, Kitchener, ON N2G 1W6.

Identification of Premises

Blocks 4, 5 and 12, Registered Plan 1639, City of Waterloo.