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"oliablk <br /> • <br /> CONTRACTOR ANTI-BOYCOTT CERTIFICATION • _ <br /> OF PO <br /> [PURSUANT TO FLORIDA ST:0'0TE§215.4;725] <br /> 1211)nIS lCifaanc)on behalf o -1 (le • <br /> Print Name COmpany Name <br /> g <br /> certifies th, g n kmit does not: <br /> Company Name <br /> 1-. Participate in a boycott of Israel; and <br /> 2. Is not on the Scrutinized Companies thatpoycott Israel list; and <br /> 3. Is not on the Scrutinized Companies with Activities in Sudan List; and <br /> 1 <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 $ya. <br /> • <br /> Signature <br /> Title <br /> /) V/ <br /> Date <br /> ATTACHMENT 4B" <br />