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G. Concrete Development
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RFP No. 19-10-01 Bella Vista Park Dock Reconstruct
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G. Concrete Development
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Last modified
11/7/2019 10:35:34 AM
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11/7/2019 10:35:31 AM
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ti <br /> of SUNNr <br /> CONTRACTOR ANTI-BOYCOTT CERTIFICATION <br /> �`or <br /> "�•�� [PURSUANT TO FLORIDA STATUTE § 215.4725] <br /> I, ' .c 4,f,11) yu , on behalf of derue,4.P2 ..52--c/049?,--152-c41 <br /> Print Name Company Name <br /> P Y <br /> certifies that( . Oem-e iczt4 , - does not: <br /> an <br /> P Y <br /> Com Name <br /> 1. Participate in a boycott of and <br /> P Y Israel; <br /> 2. Is not on the Scrutinized Companies that Boycott Israel list; and <br /> 3. Is not on <br /> the Scrutinized Companies with Activities in Sudan List; and <br /> P <br /> 4. Is not on the Scrutinized ut nized ComP anies with Activities in the Iran Petroleum <br /> m <br /> Energy Sector List; and <br /> 5. Has not P engaged in business operations in Cuba Syria. <br /> S ria. <br /> Signature w <br /> • <br /> Title <br /> 1( J 17 <br /> Date <br />
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