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workers' compensation insurance coverage as required by law. The PCCLB must be named as certificate holder and the address, 12600 Belcher Road, Suite 102, Largo, FL 33773, included on the insurance certificate. Certificates must be faxed or mailed to this Board at the address listed below. Certificates may also be e-mailed to cbenedic@pinellascounty.org. The following information is required: 1. Original application signed by the State-certified contractor and signature notarized. 2. Copy of yo.

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