Laserfiche WebLink
0 tyV'NY rsCC I <br /> n_ <br /> V, CONTRACTOR ANTI—BOYCOTT CERTIFICATION <br /> [PURSUANT TO FLORIDA STATUTE§215.4725] <br /> , on behalf of <br /> Print Name Company Name <br /> certifies that does not: <br /> Company Name <br /> 1. Participate in a boycott of Israel; and <br /> 2. Is not on the Scrutinized Companies that Boycott Israel 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 /> Signature <br /> Title <br /> Date <br /> a <br /> 8of8 <br />