Form ID

Publication date

Location of premises

Certificate

Fall Protection Implementation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Region of Waterloo
Address of Owner
20 Weber Street East, 3rd Floor, Kitchener, ON N2H 1C3
Name of Contractor
Bestco Construction (2005) Ltd.
Address of Contractor
1382 Sandhill Drive, Ancaster, ON L9G 4V5
Name of Certifier
MTE Consultants Inc.
Address of Certifier
1016 Sutton Drive, Unit A, Burlington, ON L7L 2K9

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

20 Weber Street East, 3rd Floor, Kitchener, ON N2H 1C3