Form ID

Publication date

Location of premises

Certificate

Roof Replacement Job #0204CP5210.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Public Works & Government Services Canada.
Address of Owner
457 Richmond Street, London, Ont.
Name of Contractor
Cardinal Roofing & Sheet Metal Inc.
Address of Contractor
RR #1, 1670 Rosslyn Road, Thunder Bay, ON P7C 4T9
Name of Certifier
JML Engineering Ltd.
Address of Certifier
105 Villa St., 2nd Floor, Thunder Bay, Ont. P7A 7W5.

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

Brookfield LePage Johnson Controls, Facility Management Services, 457 Richmond St., 6th Floor, London, Ont. N6A 3K3.