Form ID

Publication date

Location of premises

Certificate

Roof replacement of Roof Area 501 as per drawings and specifications provided by Buss Roof Inspection Services Inc.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hamilton-Wentworth District School Board
Address of Owner
100 Main Street West, PO Box 2558, Hamilton, ON L8N 3L1
Name of Contractor
B&G Roofing and Sheet Metal Inc.
Address of Contractor
6 Macallum St., Hamilton, ON L8L 4E8
Name of Certifier
Buss Roof Inspection Services Inc.
Address of Certifier
368 Sherman Ave. North, Hamilton, ON L8L 6N7

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

Hamilton-Wentworth District School Board - 100 Main Street West, PO Box 2558, Hamilton, ON L8N 3L1