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
Atlas-Apex Roofing Inc.
Address of Contractor
65 Disco Rd, Etobicoke, ON M9W 1M2
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