Form ID

Publication date

Location of premises

Certificate

Addition of building extension, underground reservoir, modifications to existing building, installation of water treatment equipment including underground backwash tank and associated civil, mechanical, electrical and control modifications, excluded from this certificate is the supply and installation of septic holding tank, washroom fixtures and related plumbing and electrical works

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
H2 Ontario Water Treatment and Distribution Inc.
Address of Contractor
PO Box 69, Shakespeare, ON N0B 2P0
Name of Certifier
CH2M HILL Canada Limited
Address of Certifier
180 King St. S., Suite 600, Waterloo, ON N2J 1P8

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

150 Frederick Street, Kitchener, ON N2G 4J3