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6 'l M1' 4i <br />n <br />`} CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />yr 48+J•f�+ <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 />sloes 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 />