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1 <br /> 130 Contract Forms RFP—No.19-07-02 RFP--No.19-07-02 Contract Forms 131 I <br /> CONT RACTOR ANT[=BOYCOTT CERTIFICATION <br /> (2.::) <br /> IPU1LSUANT TO FLORIDA STATUTE§21.i7251 <br /> L 'f 4,60 k ic*F Oil behSlfofJa &yCttkye <br /> Print Name Company <br /> ctrtitiesthat ••,....\GICOS"2�1'�.� r.i <br /> f '- .v does not: <br /> -- - company Name :. _ ' <br /> I. pariicipate in a boycott of Israel;and <br /> 2.is not on the Scrutinized Companies that BOyeini Israel list and <br /> 3:Is;not on the Scrutinized Companies"with Actis ttics in Sudan List;and <br /> 4..Is not on the Scrutinised Companies-tnith Activities.in the Iron Petrolcuin <br /> :Energy'SPetor`Liat;and' <br /> 5. Has not.cngagcd in business operations in Oita or Syria. <br /> 'Signature•' <br /> _*ttgnI <br /> 11 Tide - () - — <br /> ..1u(i-.(a , 24.(4 .. <br /> Dace . <br /> nACOS.. c....,V. .<o... <,...,vt o <br />