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(19-11-01) Prof Eng and Arch Srvcs Ped Bridge REVISED
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Perkins
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1/14/2020 3:19:50 PM
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1/14/2020 3:18:59 PM
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CONTRACTOR ANTI-BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE § 215.4725] <br />I, ___________________, 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 />________________________________ <br />Signature <br />________________________________ <br />Title <br />________________________________ <br />Date <br />8 of 8 <br />Lawrence Kline Perkins & Will Architects, Inc. <br />Perkins & Will Architects, Inc. <br />Principal, Managing Director <br />1/10/2020 <br />111 <br />City of Sunny Isles | Request for Qualifications No. 19-11-01
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