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(21-08-01) Utility Undergrounding Conversion for Golden Shores
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Ferreira Construction
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Last modified
9/28/2021 4:57:31 PM
Creation date
9/28/2021 4:54:52 PM
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Template:
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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C4 SUNNY ,f�Fse <br />F � <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />e''9T`f\OR�V 44h <br />Cit of SUM '�G <br />[PURSUANT TO FLORIDA STATUTE § 215.47251 <br />_ , onbehalf of anny Garcia Ferreira Construction Southern Division Co., Inc. <br />I, D_ , <br />Print Name Company Name <br />Ferreira Construction Southern Division Co., Inc. <br />certifies that 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"gperations in Cuba or Syria. <br />Signature r <br />Vice President <br />Title <br />09/21/2021 <br />Date <br />0 ,.S 4 n <br />
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