Form ID

Publication date

Location of premises

Certificate

Interior Alterations to St. Margaret Catholic Elementary School

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Waterloo Catholic District School Board
Address of Owner
480 Dutton Drive, Waterloo, ON N2L 4C6
Name of Contractor
Gordner Construction Ltd.
Address of Contractor
1478 Queen's Blvd, Kitchener, ON N2M 1E2
Name of Certifier
MartinSimmons Architects Inc.
Address of Certifier
200-113 Breithaupt Street, Kitchener, ON N2H 5G9

Identification of Premises

210 Cowan Blvd, Cambridge, Ontario N1T 1V4

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

See Part A