Form ID

Publication date

Location of premises

Certificate

Roof Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Conseil scolaire de district du Centre-Sud Ouest
Address of Owner
1 Vanier Dr., Suite 101, Welland, ON L3B 1A1
Name of Contractor
King Koating Roofing Inc.
Address of Contractor
41 Peelar Road, Concord, Ont. L4K 1A3.
Name of Certifier
Gerald R. Genge Building Consultants Inc.
Address of Certifier
26 Hedge Rd., RR 2, Sutton West, ON L0E 1H0

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

1 Vanier Dr., Suite 101, Welland, ON L3B 1A1