Form ID

Publication date

Location of premises

Certificate

Formwork at the Northgate Square Mall Expansion Project/Wal-Mart Project

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
North Bay Plaza Limited
Address of Owner
5460 Yonge Street, Suite 204, Toronto, ON M2N 6K7
Name of Contractor
Premform Limited
Address of Contractor
63 Progress Court, Unit 3, Brampton, ON L6S 5X2
Name of Certifier
Steven D. Sklar - Senior Project Manager (as Construction Manager)
Address of Certifier
185 Adesso Drive, Concord, ON L4K 3C4

Identification of Premises

1500 Fisher Street - North Bay, ON