Certificate of Completion

issued in terms of 9.0 or 10.0 of the

JBCC Minor Works Agreement

Employer

Contractor

Works

Site

The Agent hereby certifies that:

Practical Completion (yes/no)

Final Completion (yes/no)

was achieved on (date)

Signed by the Principal Agent

as agent for the Employer

Signature

Date Name of firm

JBCC Series 2000 Code 2188 © August 2007