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Address: Address:
Telephone: Telephone:
Fax: Fax:
Attention: Attention:
Contract no:
Contract title:
Insert appropriate wording depending upon which form of contract is utilized. Modify in
accordingly when the certificate issued in respect of a portion of the works. (Delete options
that are not required)
Note: In some of the short forms of contract, where no employer’s representative has been appointed, the employer
as an addressee needs to be removed.
COMPLETION CERTIFICATE
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Signature: Name: Date:
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Signature: Name: Date:
COMPLETION CERTIFICATE
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Signature: Name: Date:
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Signature: Name: Date:
Engineer
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Signature: Name: Date:
Employer
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Signature: Name: Date:
Engineer
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Signature: Name: Date:
Employer
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Signature: Name: Date:
Principal Agent
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Agent
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Signature: Name: Date:
Engineer