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srvF <br /> ;,' ,oma <br /> J' ri <br /> , .. >,,; <br /> COD WE <br /> JIMMY PATRONIS <br /> CHIEF FINANICAL OFFICER STATE OF FLORIDA <br /> DEPARTMENT OF FINANCIAL SERVICES <br /> DIVISION OF WORKERS' COMPENSATION <br /> ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW <br /> NON-CONSTRUCTION INDUSTRY EXEMPTION <br /> This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. <br /> EFFECTIVE DATE: 4/10/2017 EXPIRATION DATE: 4/10/2019 <br /> PERSON: HAWKINS WILLIAM J II <br /> FEIN: 263552466 <br /> BUSINESS NAME AND ADDRESS: <br /> ENTERPRISE DATA SOLUTIONS INC <br /> 826 21ST AVE N , <br /> ST PETERSBURG FL 33701 <br /> SCOPE OF BUSINESS OR TRADE: <br /> Auditors,Accountant or <br /> Computer System Designers or <br /> Programmer-Traveling <br /> IMPORTANT: Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under <br /> this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply <br /> only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13),F.S.,Notices of election to be <br /> exempt and certificates of 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 <br /> person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a <br /> certificate at any time for failure of the person named on the certificate to meet the requirements of this section. <br /> DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 <br />