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tr �1 <br /> W.: CONTRACTOR ANTI-BOYCOTT CERTIFICATION <br /> c'n•,,m [PURSUANT TO FLORIDA STATUTE§315,47251 <br /> I, ( 0 v, bkeLiJ , on behalf of?ice 5 PS (zAaeic;Q. . <br /> Print Name Company Name <br /> certifies that t-lc e s 4p( u.s t.o ae Q a-c , 9.A.does not; <br /> Company Name . <br /> 1. Participate in a boycott of Israel; and <br /> 2". Is not on the Scrutinized Companies that BoycottIsrael list;and <br /> 3. Is not on the Scrutinized Companies with Activities in Sudan List; and <br /> 4. Is not on the Scrutinized Companies with Activities in the Iran Petroleum <br /> Energy Sector List; and <br /> 5. Has not engaged in business operations in Cuba or Syria. <br /> • <br /> C /f /-111011r <br /> Signature <br /> Title <br /> Date <br /> ATTACHMENT "C" <br /> I <br />