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SuperSports of Broward
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(22-12-02) Sports Officiating and Scorekeeping Services for Youth Athletic Leagues
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SuperSports of Broward
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1/12/2023 11:33:05 AM
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SUNNY 15�F� <br />v� tix <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />0 <br />P <br />M1� � • F L O \ y\' <br />[PURSUANT TO FLORIDA STATUTE § 215.47251 <br />LQtt+ -H SPA, on behalf of <br />Print Name tomOny Name <br />certifies that - IS `& "es 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 />/ Rno <br />Title <br />�v <br />Date <br />
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