Form ID

Publication date

Location of premises

Certificate

Traffic Coating Repairs

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Consilium Club
Address of Owner
68 and 88 Corporate Drive, Scarborough
Name of Contractor
Maxim Group General Contracting Limited
Address of Contractor
56 Gordon Collins Drive, Gormley
Name of Certifier
Sense Engineering Ltd.
Address of Certifier
10 Greensborough Village Circle, Unit 15, Markham

Identification of Premises

Block Number 12143-0001 (LT) Lot Number 121431488 (LT)