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A & A DRAINAGE & VAC SERVICES INC <br />13846 NW 14TH ST <br />PEMBROKE PINES, FL 33028 <br />IS PROVIDING WORKERS' COMPENSATION THROUGH <br />FLORIDA CITRUS, BUSINESS & INDUSTRIES FUND <br />POLICY NO.: 39751 <br />EFFECTIVE DATE: 04/01/10 <br />CLAIMS REPRESENTATIVE: <br />UNITED SELF INSURED SERVICES <br />P.O. BOX 616648 <br />ORLANDO, FL 32861 -6648 <br />1 (800) 444 -9098 <br />This label contains important details about your <br />workers' compensation insurance policy. Please <br />place it over the old sticker on the workers' <br />compensation ( "broken arm ") poster that you <br />received when you first became insured with <br />FCBI /FUBA Workers' Comp. You are required <br />by law to display this poster at your place <br />of business. <br />39751 <br />