Form ID

Publication date

Location of premises

Certificate

Roof Restoration

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
BGIS as agent for and on behalf of BMO
Address of Owner
55 Bloor St. W., 9th Floor, Toronto, ON M4W 1A6
Name of Contractor
Specified Roofing Contractors Inc
Address of Contractor
99 Englehard Dr. Aurora, ON L4G 3V1
Name of Certifier
BGIS - Professional Services Group
Address of Certifier
4175 - 14th Avenue, Suite 300, Markham, ON L3R 0J2

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

BGIS, 55 Bloor St. W., 9th Floor, Toronto, Ontario M4W 1A6