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otS�NNt fj�Rfs <br />-- CONTRACTOR ANTI-BOYCOTTCERTIFICATION <br />ytC �l. FI��fOQ `yam <br />Tr O. fVN �N <br />(PURSUANT TO FLORIDA STATUTE § 215.1351 <br />on behalf of <br />Print Name Co `party Name <br />certifies thatL �' -(-e6 does not: <br />ompany Name <br />L 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 inSudan List; and <br />4. Is not on the Scrutinized Companies with Activities in the Iran Terrorism <br />Sectors List; ' and <br />5. Has not engaged in business operations m Cuba or Syria. <br />Signature <br />Date <br />