Form ID

Publication date

Location of premises

Certificate

Roof Replacement Ministry of Transportation, 623 James St. S., Thunder Bay, ON

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Her Majesty the Queen in Right of Ontario as represented by the Management Board of Secretariat
Address of Owner
Director Contract Management Branch, Management Board Secret
Name of Contractor
Cardinal Roofing & Sheet Metal Inc.
Address of Contractor
1670 Rosslyn Road, Thunder Bay, ON P7C 4T9
Name of Certifier
James W. Woods
Address of Certifier
#103-421 James Street South, Thunder Bay, ON

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

Director of Legal Services, Management Board, Secretariat, Ferguson Block, Queens Park, Toronto, ON M7A 1N3