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o�SUNNY iy�FSe <br />v <br />` . n <br />y = CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />SOP <br />tB DD) R <br />�iF ' Flo n�04�P <br />Y OF SUN <br />(PURSUANT TO FLORIDA STATUTE § 287.1351 <br />I, , on behalf of , <br />Print Name Company Name <br />certifies that <br />Company Name <br />1. Participate in a boycott of Israel; and <br />does 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 />