Form ID

Publication date

Location of premises

Certificate

Harvester Road Office Facility, Contract 03-01 Cast-in-Place Concrete

Date certificate signed:

Participants

Name of Owner
Gennum Corporation
Address of Owner
970 Fraser Drive Burlington ON L7R 3Y3
Name of Contractor
Canform Structures Limited
Address of Contractor
397 Humberline Drive, Unit #1, Rexdale, ON M9W 5T5
Name of Certifier
Adrian Pembroke, UMA Projects (CM) Ltd.
Address of Certifier
5080 Commerce Blvd., Mississauga, ON L4W 4P2

Identification of Premises

Con 3 SDS Pt Lot 8 RP 20R9760 Parts 1, 2