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<br /> <br />...'.....'...~..~.... <br />/f",~~~-r!:..LJ{ <br /> <br />,~.,.., <br /> <br />c,c='f., <br /> <br />~." " ",. <br />"_J i f~~-:::''''3-; <br /> <br />. <br /> <br />07-26-2007 <br /> <br />AlEX SINK STATE OF FLORIDA <br />CHlEFFlNANClALOFl-'1CER DEPARTMENT OF FINANCIAL SERVICES <br />DIVISION OF WORKERs- COMPENSATION <br />* * CERTIFICATE OF ELECTION TO BE EXu.T FROM RORIDA WOHlERS CIMlENSATION LAW * * <br />CONSTRUCTION INDUSTRY EXEMPTION <br /> <br />This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. <br /> <br />EFFECTIVE DATE: <br /> <br />PERSON: <br />FEIN: 593239071 <br />BUSINESS NAME AND ADDRESS: <br />COMPLETE PROTECTION LLC <br />PO BOX 757 <br />HOMOSASSA SPRINGS <br /> <br />08/26/2007 <br />SCALZI <br /> <br />EXPIRATION DATE: 08/25/2009 <br />TIMOTHY <br /> <br />FL <br /> <br />34447 <br /> <br />SCOPES OF BUSINESS OR TRADE: <br />1- ALARM I SECURITY INSTALLATION <br /> <br />IMPORTANT, Pursulat to Chlpter 440 - 054141. F,5" I. officer 01 I carporltiaa wha eleClS exe.lo. Irom this chlp.er by liliog I certificate aI electi.. ....r lIIis <br />section mlY not recov.r beaelils Dr cap.lsati.. ....r this chlpter. Pursulnt to Chillier 44lI,D5UZl. F .5.. Cenilicetes 01 el.clion to be exe.pL, ....., _I, willll. tire <br />scope 01 the busi.ess or nlde Iisl.d 01 tire Htle. 01 election to b. exempl. PursuI.t to DllIter 440,05031, F.S., Notices of election to be ...... aN c.RiJiclI.s 0/ <br />Ilecllol 10 be ex.mpt sholl b. subj.ct I. r...cetil. ii, It Iny tim. liter th. Iiling 01 tire _ic. Dr lbe issulnce 01 Ih. c.rtiliclle, the ,.rSllll '-4 II file IDlic. or <br />ceniliclte I. longer millS Ihe require.HIS .1 lIIis S.Cliol lor issuI.ce 01 a certiflute, TIle "PlrtlllAt shall revoke a cenjficate II oa, 11_ /. Iii... II tire perSllll <br />na..d on thl! certiliclte 10 meet the reqllir_s II lIIis seclion. <br /> <br />n\.,r_"K'J rCDY'CIf"ATr nc CI crTIn&. Tn DC CVD.o-r or".,....n nn n,.. <br /> <br />QUESTIONS? 1851>> 4 <br />