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o`� NNY IsEJs <br />y,t CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE § 215.47251 <br />I, 4W 1 on behalf of LIWIAl *rteLd9^)M t4 Ll� <br />Print Name Company Name <br />certifies that 6a 4�-Ojwy�i14f — 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 />Sigff�ture <br />Title <br />/_9 9 lltc� AC53 <br />Date <br />