Form ID

Publication date

Location of premises

Certificate

Roof Replacement

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Grey Standard Condominium Corporation #48
Address of Owner
Percel Inc., 10126 Highway 26 East, Suite 2, Collingwood, ON L9Y 3Z1
Name of Contractor
AM Roofing Simcoe-Bluewater Ltd.
Address of Contractor
9485 Beachwood Road, Collingwood, ON L9Y 0X2
Name of Certifier
Remy Consulting Engineers Ltd.
Address of Certifier
75 Westmore Drive, Toronto, ON M9V 3Y6

Identification of Premises

GSCC No. 48 170 Snowbridge Way, Blue Mountains Ontario L9Y 0V1 PIN 409198

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

Percel Inc., 10126 Highway 26 East, Suite 2, Collingwood, Ontario L9Y 3Z1