Laserfiche WebLink
yVpNY• <br /> Ifs f <br /> • = CONTRACTOR ANTI-B®YC®TT CERTIFICATION <br /> °I [PURSUANT TO FLORIDA STATUTE.§287.135] _.14 <br /> ti <br /> I gyp - t.. nbehalf of 'KC,1 11 <br /> vui!LJItXOI <br /> Company <br /> Print Name Name <br /> nL 1 l �.. <br /> certifies that does not: <br /> Company Name <br /> 1. bo Participate in a colt of Israel; and <br /> P Y <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 /> %A* <br /> %i - 11?"C- E— <br /> Title <br /> l <br /> Date <br /> • <br /> Attachment "B" <br />