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0�SV NNYI Fib <br />V x <br />� P <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />F'9al • F L 0- <br />C�lY of SUN ^�o SWe <br />[PURSUANT TO FLORIDA STATUTE § 287.1351 <br />on behalf of , <br />Print Name Company Name <br />certifies that <br />Company Name <br />1. Participate in a boycott of Israel; and <br />does not: <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 />Signature <br />Title <br />Date <br />