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yVNHY f" <br />s <br />O4 e� <br />u ti _a n <br />\ CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE § 215.47251 <br />on behalf of <br />Print Name Compan04ame <br />certifies that nr(`lt4l1 �i1G11 YI �: t;u1'f 1 Uir 1'�1 G' does not: <br />C mpany ame <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 />pti'-eXl.M <br />Title <br />Date <br />��-� 23 0S-0 2 ?� <br />