Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BGIS (Brookfield Global Integrated Solutions) as agent for & on behalf of CIBC
Address of Owner
1 Toronto Street, Suite 216, Toronto, ON M5C 2V6
Name of Contractor
Specified Roofing Inc.
Address of Contractor
99 Engelhard Dr. Aurora, ON L4V 3V1
Name of Certifier
David Narain of BGIS
Address of Certifier
4175-14th Avenue, Markham, ON L3R 0J2

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

BGIS, 1 Toronto Street, Suite 216, Toronto, Ontario M5C 2V6, attn: Iwona Szkudlarek