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- m e,, . <br /> 1 : 11 9 Nr <br /> 1 -- 04 -24 -2008 • <br /> Goo woo' <br /> ALEX SINK STATE OF FLORIDA <br /> CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES <br /> DIVISION OF WORKERS' COMPENSATION <br /> * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * <br /> CONSTRUCTION INDUSTRY EXEMPTION <br /> This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. <br /> EFFECTIVE DATE: 04/24/2008 EXPIRATION DATE: 04/24/2010 <br /> PERSON: HOYLMAN DEAN <br /> FEIN: 200689835 <br /> BUSINESS NAME AND ADDRESS: <br /> RESCUE 1 FIRE SAFETY SERVICES INC <br /> 2736 22ND STREET N <br /> SAINT PETERSBURG FL 33713 <br /> SCOPES OF BUSINESS OR TRADE: <br /> 1- FIRE EXTINGUISHER SERVICE <br /> IMPORTANT: Pursuant to Chapter 440. 05414), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this <br /> section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the <br /> scope of the business or trade listed on the Notice of election to be exempt. Pursuant to Chapter 440.05413), F.S., Notices of election to be exempt and certificates of <br /> election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the p named on the notice or <br /> certificate No longer meets the requirements of this section for issuance of a certificate. The department shell revoke • certificate at any time for failure of the person <br /> named on the certificate to meet the requirements of this section. <br /> DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? (850) 413-16 <br /> • <br />