Form ID

Publication date

Location of premises

Certificate

Experimac Renovations & Fit Up

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Experimac Canada
Address of Owner
7566 Howard Avenue, Amherstburg, ON N0R 1J0
Name of Contractor
Fortis Construction Group Inc.
Address of Contractor
3070 Jefferson Blvd, Windsor, ON N8T 3G9
Name of Certifier
Stephen Berrill
Address of Certifier
Architectural Design Associates Inc., Architect, 1670 Mercer

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

Experimac Canada, 3060 Howard Avenue, Unit P17, Windsor, ON N8X 3Y8