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Qualifier Certificati®n Informati®n <br />CDPR2307 - Qualifier Certification Information <br />CERT NBR: 9523 QUALIFIER: 9523 MANCIt_, JR., DON <br />CLASS CODE: 9560 GRADING/PAVING (COMMERCIAL), UNLIMITED( <br />STATE NBR: COUNTY COMP CARD9523 <br />STATE EXP LIAB EXP WC EXP ORIG ISSD <br />2/4/2018 12/31/2017 <br />, <br />RENEWAL <br />DBA: MANCIUS TRACTOR SERVICE, INC. WC EXEMPT: N <br />ADDRESS 8530 SW JAYME WAY <br />CITY: PALM CITY FL 34990 <br />PHONE: (772)288-0951 FAX: (772)288-0983. <br />EXPIRES <br />7/31/2018 <br />OL EXEMPT: N <br />NOTE: This competency card, issued by the Indian River County/City of Vero Beach Building Department, <br />authorizes work for the class code stated, for the unincorporated areas of Indian River County and the City of Vero <br />Beach only, it does not authorize work for the City of Sebastian, Indian River Shores, Town of Orchid, or the City of <br />Felismere. <br />It is the contractor's responsibility to maintain this card In a current status by providing Certificates of Insurance, <br />current address and telephone number information, and renewing this card annually as required. <br />Indian River County Contractor Licensing <br />180127th Street, Vero Beach, FL 32960 <br />(772) 567-8000 Ext. 1800 <br />RADING/PAVING (COMMERCIAL_), UNLIMITED CONTRACTO <br />Cert Nbr:9523 Exp:7/31/2018 Status:ACTIVE <br />State Nbr: Exp: <br />MANC1128 TRACTOR SERVICE, INC. O <br />MANCIL, JR., DON <br />8530 SW JAYME WAY <br />PALM CITY FL 34990 <br />Signed: <br />