Laserfiche WebLink
ti°NNY-�S�Rr <br />w Bm <br />'n <br />u t x <br />C•�� O/ tiU�� r� <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />[]PURSUANT TO FLORIDA STATUTE § 287.1351 <br />1L.\es sVAA , on behalf of Payi,��� <br />Print Name Company Name <br />certifies that` QN08g ,' !% \tea Ver- • 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 />X�g /"", <br />gnature <br />Vi! <br />Title <br />I kir QOa <br />Date <br />