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S`,IIIY I�IR <br />J <br />Ui `12 <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />ll'URSUANT TO FLORIDA STATUTE § 287.1351 <br />I, � U�O�— , on behalf of ���u <br />Print Name Company Name <br />certifies that l Q"M_t� L • L&4, A does not: <br />Company Name �U7 <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 />y Z,� <br />Title <br />Date <br />