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(21-08-01) Utility Undergrounding Conversion for Golden Shores
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Rohl Global Networks
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Last modified
9/28/2021 4:53:19 PM
Creation date
9/28/2021 4:49:48 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Golden Shores Utility Undergrounding
Bid No. (xx-xx-xx)
21-08-01
Project Type (Bid, RFP, RFQ)
Bid
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OSUNN Y_IS(FB <br />m <br />f 0 4 CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />P <br />R <br />O•F FLO •° <br />[PURSUANT TO FLORIDA STATUTE § 215.4725] <br />SzJc64A V_ , on behalf of ' ,oO 6EIo6_` 1�.Jqrke, L P , <br />Print Name Company Name <br />certifies that ot f) U 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 />/._ Wim. <br />i�� <br />y' c- Vre5O'dQe, ,� <br />Title <br />-7/a <br />Date <br />Anf19 <br />
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