Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo - Facilities Management
Address of Owner
150 Frederick Street, Kitchener, ON N2G 4J3
Name of Contractor
Semple-Gooder Roofing Limited
Address of Contractor
1365 Martingrove Road, Toronto, ON M9W 4X7
Name of Certifier
Trow Associates Inc.
Address of Certifier
85 Edwin Street, Kitchener, ON N2H 4N7

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

Regional Municipality of Waterloo - Facilities Management, 150 Frederick Street, Waterloo, ON N2G 4J3