Form ID

Publication date

Location of premises

Certificate

Building 101 Roof Repair, Section G

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Hamilton Port Authority
Address of Owner
605 James St. N., Hamilton, ON
Name of Contractor
Roque Roofing
Address of Contractor
3 Clark Ave., Hamilton, ON L8L 5J7
Name of Certifier
Bill Fitzgerald, P.Eng.
Address of Certifier
as owner

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

HPA Offices