Form ID

Publication date

Location of premises

Certificate

Roof Replacement (excluding duct wrap replacement on the lower roof area)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Wilfrid Laurier University
Address of Owner
75 University Ave. W. Waterloo, ON N2L 3C5
Name of Contractor
Josh Beerepoot, BML Roofing Systems Inc.
Address of Contractor
15 Ryan Place, Unit 3, Brantford, ON N3S 7S1
Name of Certifier
Dave Neal, H.Dipl.T., RRO, Pretium Engineering Inc.
Address of Certifier
4903 Thomas Alton Blvd., Suite 201, Burlington, ON L7M 0W8

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

Wilfrid Laurier University, 75 University Ave. W. Waterloo, ON, N2L 3C5