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1 A l t ur I'LL/Kluq IMPORTANT <br /> EPARTMENT OF FINANCIAL SERVICES <br /> IVISION OF WORKERS' COMPENSATION . '+ Pursuan. to Chapter 440.05(14), F.S., an officer of a corporation who <br /> CONSTRUCTION INDUSTRY k.•' '- 0 elects exemption from this chapter by filing a certificate of election <br /> ERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA ; 1/ L under ' this section may not recover benefits or compensation under this <br /> IORKERS' COMPENSATION LAW es — D chapter. <br /> FFECTIVE: 07/17/2009 EXPIRATION DATE: 07/17/2011 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be <br /> 'ERSON: CHARLES B MCLEMORE H exempt... Apply only within the scope of the business or trade listed on <br /> EIN: 2089689914 R the. notice of election to be exempt. <br /> IUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt <br /> AIR TECH SERVICES INC and certificates of election to be exempt shall be subject •to revocation <br /> P 0 cox 1120 if, at any time after the filing of the notice or the issuance of the <br /> ZEPHYRHILLS, FL 33539 certificate, the person named on the notice or certificate no longer meets <br /> the requirements of this section for issuance of a certificate. The <br /> ,„ department shall revoke a certificate at any time for failure of the <br /> ;COPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this <br /> 1- Ci..TIFIED AC CONTRACTOR Section. - f t <br /> QUESTIONS? (850) 413 - 1609 <br /> . . <br />