Form ID

Publication date

Location of premises

Certificate

Replacement and associated repairs of Roof Sections 101 and 201 per Fishburn Specification dated April 2004

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hamilton-Wentworth District School Board
Address of Owner
100 Main Street West, Hamilton, ON L8N 3L1
Name of Contractor
Roque Roofing & Sheet Metal Inc.
Address of Contractor
3 Clark Ave., Hamilton, ON L8L 5J7
Name of Certifier
Fishburn Building Sciences Group Inc.
Address of Certifier
15391 Steeles Ave., Hornby ON L0P 1E0

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

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