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PLEASE CUT OUT TNE CARD 9ELOW AND RETAIN FOR FUTURE REFERENCE <br /> STATE OF FLQRiDA IMPORTANT <br /> UEPARTMENT OF fINANCIAL SERVICES <br /> pry�� pp yyp�s ppMPENSpT10N Pursuant m t:f�epter 440.051141, F.S., an of ficer of a uuporation who <br /> CONSTRIJCTIQN I1�1�STRV � etects exemption from this cAepter by filing s certificate of election <br /> CERTIRICATE oF B.ECTtON TO � EXEMPT FROM FLORlDA •� L under this section may not recaver benefits o� compensstion under this <br /> wo�uc�s co�snn� uw p � <br /> EFFECTIVE: O!i/15/Z008 EXPIRATION DATE: 09/15/2011 pursuant to Chapter 440.05112), F.S., Certificates of eleetion to be <br /> PERSOI�k RONALD J MClNJl�iLIN H ezempt... appty on{y withi�. the scope of thc business or vede listed on <br /> FEII1k Z0075d7Z4 R the notice of election to be exempt <br /> BUSINESS NAME A1VD ADDRESS: � Pursuent to Ch�ter 440.05(13l, F.S., Notices of alection to be exempt <br /> PARADISE WATERfALLS & EFPECTS LlC and eertificates af alection to be exempt shs11 be subject to revocation <br /> �oa snaov ix if, at any time aher tl�e filing of the natice or tAe issuance o4 dte <br /> �oncw000, F� 32750 certificate, tlie person na�ned on the notice or cettificate no lonper meets <br /> the �equiremeMS of tAis section for iss+mnce of a certificete. The <br /> Aep�rdne�rt s1r14 revoke a certificate ert �y time for failure of the <br /> SCOPE OF BUSII�SS OR TRADE person mrned m� the certificate ta meet the requirements nf this <br /> 1- PONDS/WATERFAIL INSTAtI � <br /> QUESTIUNS? {85D1 4 t 3-1609 <br /> CUT HERE <br /> PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCf <br /> nAr� °F �'°RU�" IMPORTANT <br /> �nrtrM� oF Fnreurcu� s�tvicEs <br /> Dh/tsbN oF WoRK6RS' C0111P0�SA'T1oN O Pursuent to Chapter 440.05114), F.S., en officer ot a corpor�tion who <br /> CONSTRlIC7'ION INDtlSTRY elecu examption from this chepte� by filing a certificate of election <br /> �n�� ������PT �� ��� L under this section may not recuver benefits or c ensation under Mis <br /> WORKERS' COMIPENSATfON IJtW °� <br /> D chapur. <br /> EFFECTIVE 09/1S/2008 EXPIRATION DATE: 09/1S/ 11 Pursuent to Ct�epter 44Q05(121, F.$., Certificates of election to be <br /> PERSON: BREt�[T MCLAU6iiLIN � H exempt.. apply only within the scope of the business or vade listed on <br /> FEIN: 2007'J�0744 �� R the notice of elaction to be exempt <br /> BUSINESS NAhAE AND ADDRESS: E Pwsuent to Chapter 44Q.05{131, F.S., Notices of election to be exempt <br /> PARADISE WATERFAIIS $ EFFECTS LLC ifld certificates of G�GCLI011 ZO bE EXERI� shall be Si�)CC1 t0 revocation <br /> ioa SHADY LN if, at any time after tf►e filinp of the notice or Me issuance of ffie <br /> LONGWOOD, FL 327b0 certificate, Ute person named on the natice or certificate no longer meets <br /> the requirements of this section for issu�ce of a certificate. The <br /> departme�rt shell revoke a certificate at any time for failure of the <br /> SCOPE OF BUSII�SS OR TRADE person named on the certificate to meet the reqnirements of this <br /> 1- POROSfWATERfALI INSTALL SBCti01L <br /> QUESTIONS? (850) 413-1609 <br /> CUT HERE <br /> * Carry bottom portion on the job, keep upper portion for your reaords. <br /> WC-25T CERTIFICATE QF ELECTION TO BE EXEMPT REYISED 09-06 <br /> � <br />