Form ID

Publication date

Location of premises

Certificate

Replacement and associated repairs of Roof Sections 102, 103, 104 and 201 per Fishburn Specification dated July 2004

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grand Erie District School Board
Address of Owner
349 Erie Ave., Brantford, ON N3T 5V3
Name of Contractor
Roque Roofing Inc.
Address of Contractor
3 Clark Ave., Hamilton, ON L8L 5J7
Name of Certifier
Fishburn Building Sciences Group Inc.
Address of Certifier
15391 Steeles Ave., Hornby ON L0P 1E0

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

Grand Erie District School Board, 349 Erie Avenue, Brantford, ON N3T 5V3