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676 BAYWAY BLVD , FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ' NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 a�o,� � o,ao�y ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A•PROPERTY OWNER INFORMATION Fa Insuranoe Comparry Use: BUILDING OWNER'S NAME Policy Number ROGERS BEACH DEVELOPMENT, INC UNIT No. 2 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 676 BAYWAY BOULEVARD C��. STATE ZIP CODE CLEARWATER FLORIDA ��6� PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descxiption,etc.) Lot 2,MOORINGS TOWNHOMES II P.B.126,PGS.7&79 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type); ( ##°-##'-##.##" or ##.##�l##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)fNFORMATION B1.NFIP COMMUNITY NAN�&C�VIMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 PiNELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of flooding) ��-p007 D AUGUST 19,1991 JULY 2,1992 AE EL11.0 610.Indcate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_ 612 Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) •C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction' �Finished Construdion ; 'A new Elevation Certificate will be required when construction of the building is compiete. C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram . accurately represents the buiiding,provide a sketch or photograph.) C3.Elevations-Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AWA1 A30,ARIAH,ARIAO Complete items C3:a-i below accorciing to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided a the Comments area of Section D or Section G,as appropnate,to document the datum conversion. Datum NAVD 1929 ConversionlComments N/A �y �M1 . Elevation reference mark used LP-15, EL.=4.981 Does the elevation reference mark used appear on the FIRM? ❑Yes �No a �, ' !�,� o a)Top of bottan floor(induding basement or endosure) 6.83 . FT ft.(m) � � "���,r''��'��� '�'� : j o b)Top of next higherfloor 16.3 . FT ft.(m) � � . �t� ��+ t` ,. �; ,. �� , ,�� o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o r ,. � mrs ' ' o d)attached garage(top of block) 6.83 . FT ft.m ��� ,� �' � f � � � E C`.. M.�`j;- �x W N.',... ♦r�. � A,f . � �"Y�... o e)Lowest elevation of machinery andlor equipment �3'` �§,�,.; �;� t�� ��,� k servicing the building(ELEVATOR EQUIPMENT) 11.3 . FT ft.(m) �� �, ,.� �-� �:rv� ' o fl Lawest adjacent(finished)grade(LAG) 6.6 . FT ft.(m) �y ° �,�'9.� r��;,,�"� � �`�,r{ �,,. o g)Highest adjacent(finished)grade(HAG) 6.7 . Ff ft.(m) � ' -: � �`��"'� � o h)No.of permanent openings(flood vents)within 1 ft.above adj�ent grade 14 `-' ����"�` � J . N'.-,�.' o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. ' SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to ceRify elevation information. I certi€y that fhe informafion in Secfions A,-B;and C on fhis cerfiScate represents my best efforts fo inferpret the dafa available. !understand fhaf any false statement may be punrshable by fine or imprisonmenf under 18 U.S. Code,Secfion 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 • TITLE �` COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE _ _._ , 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE - 12I09N4 (727)834�140 FEMA Form 81-31.Januarv 2003 See reverse_side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance company use: � BUILDING STREET ADDRESS(Indudirg Apt,Uni�Suite,and/or Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number ` 676 BAYWAY BOULEVARD UNIT No.2 �� STATE ZIP CODE Com n NAIC Number CLEARWATER FLORIDA 33767 �y SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevatior�;;ertificate for(1)community offidal,(2)insurance agent/company,and(3)building owner. COMMENTS AIC UNITS ON THE TOP OF THE ROOF ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificafe is intended for use as supporting information for a LOMA or LOMR-F, Se�tion C must be completed. E1.Building Diagram Number_(Select the building diagram most simitar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the buiiding,provide a sketch or photograph.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(checic one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjaoent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment seroiang the building is _ft.(m)_in.(cm)�above or ❑beiow(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO oniy: If no flood depth number is available,is the top of the bottom floor elevated in acxordance with the communi�'s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative�who compietes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfatemenfs in Secfions A,B,C,and E ere corred to fhe besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ' , ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) ?he local.official who is authonzed by f�jM�br.ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Cer6ficate. Cpmplet�"the a��licabl�ite��sj and sign below. G1.�],Ths.informafion in Secfion G was{aken from other documentation that has been signed and embossed by a ficensed surveyor,engineer,or architect who is authonzed by state e - or local lavvt�certify elevati�n inforrpation. (Indicate the source and date of the elevation data in the Comments area below.) G2.D A commur�itg offia�t+om�d Sec�ion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The fo�o�ving informatiorF(I�ern�(�34-G9)is provided for communiiy floodplain management purposes. G4.PERMfT NEJNI6ER�-- G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLiANCE/OCCUPANCY ISSUED G7.This permit has been issued for.�New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the buildng is: ._ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: Datum: LOCAL OFFICIAL'S NAME T�TLE �1 COMMUNITY NAME TELEPHONE E f SIGNATURE DATE i 1 0 2004 • COMMENTS � � SVCis � ❑Check here if atta men s. FEMA Form 81-31,January 2003 Repiaces all previous editions ,:. . __ �,�,.,�- _ , FEDERAL EMERGENCY MANAGEMENT AGENCY ' - • NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 aoo� -_ oao�,y ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. •� SECTION A•PROPERTY OWNER INFORMATION Fa Insuranoe Canparry Use: BUILDING OWNER'S NAME Policy Number ROGERS BEACH DEVELOPMENT, INC UNIT No.2 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 676 BAYWAY BOULEVARD CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 2,MOORINGS TOWNHOMES II P.B.126,PGS.78-79 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,ff necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or #/#.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Otlier: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAtv�&CONVv1UNITY NUMBER 62 COUNIY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL " 87.FIRM PANEL 69.B�ASE FLOOD ELEVATION(S) NUMBER B5.SUFFUC B6.FIRM INDEX D TE EFFECTIVI�RE)p9ED DATE 88.ROOD ZONE(S) (Zaie A0,use depth of flood'ng) 125096-0007 D JU �L'1 2 AE EL.11.0 610.tndicate the souroe af the Base Flood Elevaatiion(BFE)data ase flood depth ent in 9. ❑FIS Prafile �F►RM ❑Communiiy Determined ❑Other(Desaibe):_ 611.Indicate the devatia�datum used for the BFE in 89:�IJGVD 1929 ❑NAVD 1988 ❑Other(Descnbe): 612.Is the buildng located in a Ccastal Barrier Resources System(CBRS)area or Otherwise Proted�Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVAT�ON INFORMATION(SURVEY REQUIRED) • 1C1.Building elevations are based on:�ConsUucclion Drawings' ❑Building Under Conshuction' �Fnished Construction � 'A new Elevation Certificate will be required when construction of the buil�ng is complete. C2.Build�ng Diagram Number 7 (Select the building dagram most similar to the buiiding for which this cerfif'�cate is being completed-see pages 6 and 7. If no diagram aocurately represents the bui�ing,provide a sketch or photograph.) C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AWAH,AWAO Complete Items C3.-a�below according to the buildng dagram speafied in Item C2.State the datum used.If the datum is d'rfferent from the datum used for the BFE in Sec6on B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of _ _ _- __ _ _ _ _ Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1929 ConversioNCanments N/A '• ���"'� x,��+� .�r, . �. Elevation referer�ce mark used 1P-15, EL=4.981 Does fhe elevation reference marlc used appear on the FIRM? ❑Yes �No ,r.+ , ����� �. o a)Top of bottom floor(induding basement or enclosure) 6.83 . FT ft.(m) � ;;�'�, s ` '�'�'����� . o b)Top of next higher floor 16.3 . FT ft.(m) � ��� � Y (n q y' f'. o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) „ �,; :: �£ � £ 0 0,,,, o �attached garage(top of blodc) 6.83 . FT ft.(m) E�; ' � '�$f,� f `,.r'- o e)Lowest elevation of machinery and/or equipment W"%'{ . g « ;, � .�"`s. _; �a,. servicing the building(ELEVATOR EQUIPMEN� 11.3 . FT ft.{m) ��,"f �F � . o fl Lowest�acent(finished)grade(LAG) 6.6 . FT ft.(m) z� .'�,' � a� `�` o g)Highest�acent(finished)grade(HAG) 6.7 . Ff ft.(m) � � �,- p o h)No.of permanent openings(floa!vents)within 1 ft.above adjacent grade 14 ° `k, J r�, ` o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. ' .�,� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 cerfify that the information in Secfions A,S,and C on this certificate represents my best efforts to interpret the dafa available. 1 undersfand thaf any false sfatement may be punishable by fine or imprisonmer�f under 18 U.S.Code,Section 1001. CERTIFIER'S NAME UCENSE NUMBER BRUCE A.KLEIN p�s 5052 ) TITLE . COMPANY NAME PRESIDENT - KLEIN&STAUB SURVEYING,INC. ADDRESS CIIY STATE ZJP CODE 8016 Old Couniy Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE - 1?J09N4 (72�834�140 IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance comPany use: BUILDING STREET ADDRESS(Indudirg Apt,Unh,Suite,and/or Bidg.No.)Of2 P.O.ROUTE AND BOX N0. Pdi�y Number 676 BAYWAY BOULEVARD UNIT No.2 ' C CLEARWATER STA� �P�E ComPany NAIC Number FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevati��:;ertific�te fa(1)canmunity official,(2)insurance agent/company,and(3)building owner. ' COMMENTS AIC UNITS ON THE TOP OF THE ROOF ❑Chedc here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BF�,compiete Items E1 through E4. If the Elevatiai Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which fhis certifica(e is being canpleted—see pages 6 and 7. if no diagram accurately represents the building,provide a sketch or photograph.) F2.The iop of the bottan floa(indudng basement or endosure)of fhe building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjac�ent grade. (Use natur�l grade,'rf available). E3.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(eleva6on b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade..Complete items C3.h and C3.i on front of form. E4.The top of the platfam of machinery and/a equipment servidng the building is _ft.(m)_in.(cm)Q above or ❑below(c�edc one)the highest adacent grade. (Use natural grade,'rf av�lable). E5.For Zone AO oniy: If no flood depth number is available,is the top of the bottom floor elevated in accordance wifh the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The loc�offiaal must certiiy this ir�amaation in Sec6on G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION The Properiy owner or owners authorized representative•who compides Sections A,B,C(Items C3.h and C3.i oniy),and E for Zone A(without a FEMA-issued or community- issued BF�or Zone AO must sign here. The statemerr(s in Secfions A,8,C,arxi E are correcf to f�e best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY � STATE ZJP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments - SECTION G-COMMUNITY INFORMATION(OPTIONAL) The locai offic7al who is authorized by I�or ordinance to administer the cornmunitys floodplain management ordin�ce can complete Sections A,B,C(or E),and G of this Elevation Certificate. Compiei�the ap,�'�cabl�iterr�(s)�d sign below. G1.[]The.i��famation in S9ction G',vas�aken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state - or loc�laiwlo cerfify elevati�n information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A c�mmur�ity�ffxaa'�om�ed S�ion E for a buil�ng located'm Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.Q The fo�b�ving informatiori(Itenis 64-G9)is provided for communiiy floodplan management purposes. G4.PERMIT Nt11v�ER� _ G5. DATE PERMIT►SSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for:�New Construction ❑Substantial Improvement G8.Eleva�on of as-built lowest floor(r�luding basemenf)of the bui�ing is: ._ft.(m) Datum: G9.BFE or(in Zone AO)depih af floodng at U�e buiiding�te is: Datum: LOCAL OFFICIAL'S NAME TITLE � COMMUNITY NAME TELEPHONE f f SIGNATURE DATE �� C 1 0 2004 . COMMENTS � � 1 T SUCi.S ' ❑Check here if atta men s FEMA Form 81-31,January 2003 Replaces ali previous editions < � � �$��l�c�� CITY OF CLEARWATER . � ,��,, � � � p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT 919� �`Q` POST OFFICE BOX 474H� CLFARWATER� FLO�uDn 33758-4748 q�'E � MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,Fco�uDn 33756 TE�rxorrE(72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME POIiCy Numbef A2.BUILDING STREET ADDRESS(inGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:0 GPS(Type): (##°-##'-##.##" or ##.�°) ❑ NAD 1927 ❑ NAD 1983 ❑USGS Quad Map❑Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION .NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8•FLOOD ZONE(S) �Zone AO,use depth of flooding) 8-18-1992 8-19-91 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe) 611. �ndicate elevation datum used for BFE in 89:❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources S stem CBRS area or Othenr�ise Protected Area OPA? ❑Yes ❑No Desi nation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings" ❑Building Under Construction• ❑Finished Construction 'A new Elevation CeRificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1 ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community Official: �vation certificates shall be maintained by the community and copies with the attached memo made availab/e by request Fw�rrx H►san�,MAYOR GEORGE N.CRE7'EKOS,COUNCIIIv1EMRER JOIIN DORAN,COUNCILMEMBER , PAUL F.GI}3SON,COUNCILMEMRER � CARIEN A.PE'I'ERSEN,COUNCILMEMBER ��EQUAL EMPLOYMENT AND AFFIItMATIVE ACTION EMPLOYER�� �