Laserfiche WebLink
�� CONTRACTOR ANTI—BOYCOTT CERTIFICATVc�DI� <br />°""" [PURSUANT TO FLORIDA STATUTE § 215.4725] <br />I, �De� 0 /�,onbehalfof /�(%i (�y%rUG�0�1„�i�G <br />Print Name Company Name <br />certifies that //G���y�r�/GrOh��yG 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 />Signature <br />/�res��e� t <br />Title <br />q,1��202 � <br />Date <br />Rnf17 <br />