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- CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE § 215.47251 <br />I, SIM SI-2YrCl , onbehalfof QD'(1'i1 OM O W Yl M M, <br />Print Name Company'Name <br />certifies that CDiY1 VCh fffln?1 tV1Y10uft • does not: <br />mpany game <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 />Msickw � <br />Title <br />Date <br />�T6 23O -02 <br />