CERTIFICATE OF INSURANCE (164)
:::SSA CUSSANS
FLORIDA JONSTRUCTION, COMMERCE and Il~DUSTRY
SELF INSURERS FUND
P.O. Box 1616
Sarasota, Florida 34230-1616
8/03,
REe!:I
CLEARWATER FIN. DEPT.
l( 4748
TER FL 34616
AUG 8
tify thatRoD GERS BROTHERS SERV ICES.
1731 CLtARWATER LARGO ROAD
CLEARWATER FL 33515
CITY (
to the provisions of the Florida Worker's Compensation Act,
EMPLm
100.OOO.0(
:he payment of compensation by insuring their risk with the soo.ooo.O(
100.000.0(
NSTRUCTION, COMMERCE AND INDUSTRY SELF INSURERS FUND.
IS SUBJECT TO CANCELLATION WITH 30 DAYS NOTICE TO INSUF
1(: FLORIDA EMPLOYERS INSURANCE SERVICE CORP.
p.o. Box 25248
SARASOTA, FL 342n-2248
813-957-0140
>5 - 001
Respectfull~
~? dJ"
MBER: 11891 - 001 - 001
E: 1/01/88
JE: 12/31/88