Form ID

Publication date

Location of premises

Certificate

Contract 1 Pond Cleaning and Sediment Removal (up to and including CPR No. 1)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Heathwood Homes (Jefferson) Limited
Address of Owner
245 Yorkland Blvd., Suite 100, Willowdale, ON M2J 4W9
Name of Contractor
1677233 Ontario Limited o/a PGI Contracting
Address of Contractor
1-69 Ram Forest Road, Unit 1, Gormley, ON L4A 2G7
Name of Certifier
David Schaeffer Engineering Ltd.
Address of Certifier
600 Alden Road, Suite 500, Markham, ON L3R 0E7

Identification of Premises

19T(R)-12008