Form ID

Publication date

Location of premises

Certificate

Re-roofing Work

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Home First Society
Address of Owner
90 Shuter Street, 2nd Floor, Toronto, ON M5B 2K6
Name of Contractor
Provincial Roofing & Sheet Metal Co. Ltd.
Address of Contractor
176 Creditstone Road, Unit 10, Concord, ON L4K 1P2
Name of Certifier
CMS Building Consultants Inc.
Address of Certifier
1080 Tapscott Road, Unit 28, Scarborough, ON M1X 1E7

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

90 Shuter Street, 2nd Floor, Toronto, ON M5B 2K6