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ttitlig°4° • <br /> M 05 -18 -2009 <br /> ALEX SINK <br /> TATE OF FLORIDA <br /> CHIEF FINANCIAL OFFICER DEPARTME 11T OF FINANCIAL SERVICES <br /> 1'!1VISION C ! WORKERS' COMPENSATION <br /> * * CERTIFICATE OF ,ELECTION TO BE E)I :MPT FROM FLORIDA WORKERS' 'COMPENSATION LAW * * <br /> CONSTRUCTION INDUSTRY EXEMPTION <br /> This certifies that the individual listed below has a scted to be exempt from Florida Workers' Compensation law. <br /> EFFECTIVE DATE 05/18/2009 E.:PIRATION DATE 05/18/2011 <br /> PERSON: PREL,ASEM FEL,IX <br /> D <br /> FEIN: 200358581 <br /> BUSINESS NAME AND ADDRESS: <br /> . METRO AIR TECH INC <br /> 435 N. ORANGE BLOSSOM TRAIL <br /> ORLANDO FL 32805 <br /> SCOPES OF BUSINESS OR TRADE: <br /> • <br /> 1- CERTIFIED AC CONTRACTOR <br /> IMPORTANT: Pursuant to Chapter 448 05114), F.S., an officer of a a <br /> semfoit-esey not recover beedits or a Ter floe elects exeAptipa from I by filing a eer of election newer this <br /> mpcosatl0e cooler this chapter. Par= 10 Chapter 44 pter 440.05(12►. F.S., CerCertificates of alectt exa <br /> to be ere <br /> scope of the business or trade listed on the notice of election to be axe, me 44a <br /> Pursuant to a as apply only ifi c 14 <br /> elections to be exempt shall be subject to revocation if at any time after ! a filing of thethe issuance of r b certificate. the person named and on Ike Lie or <br /> certificate so longer meets the requirements of this section for Iuuuca of certificate. The department shell revoke a certificate at any them 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 -1 <br /> PLEASE CUT OUT THE CARD B LOW AND RETAIN FOR FUTURE REFERENCE <br /> STATE OF FLORIDA <br /> DEPARTMENT OF FINANCIAL SERVICES I <br /> DIVISION OF WORKERS' COMPENSATION F IMPORTANT • <br /> CONSTRUCTION I OMP EN - r, (� Pursuant to Chapter 440.05(14), F.S.; alt officer of a corporation who <br /> CONSTRU r ELECTION TO 8E EXEMPT FROM FLORIDA elects exemption from this chapter by film <br /> CE ORKERS (FICA E O FE ECTIO N LAW f L under this section may not recover benefits or certificate <br /> ompensation under this <br /> EFFECTIVE 05/18/2009 EXPIRATION DATE: 05/18i :011 D chapter. <br /> PERSON FELIX D PREGASEN H Pu soma Chapter ter 440.05(12L F S, Certificates of election to be <br /> FEIN 200358581 ems. apply only within the scope of the business or trade listed on <br /> E the notice of election to be exempt. <br /> BUSINESS NAME AND ADDRESS: R <br /> ttEra AIR TECH INC E Pursuant to Chapter 440.05(13). FS.,. Notices of election to be exempt <br /> N. 435 O It TEC BLOSSOM TRA0. and certificates of election to be exempt shall be subject to revocation <br /> ORLANDO, Ft 32005 if, at any lime after the filing of the notice or the issuance of the . <br /> certificate, the person named an the notice or certificate no longer meets <br /> the requirements of this section for issuance of a certificate. Th <br /> SCOPE OF BUSINESS OR TRADE shall revoke a certificate at any time for failure of the <br /> t- CERTIFIED AC CONTRACTOR person named on the certificate to meet the requirements of this <br /> section. <br /> QUESTIONS? (850) 413 -1609 <br /> CUT HERE <br /> Carry bottom portion• on the lob, keep upper portion for your records. - <br /> • <br /> #IC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 <br />