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,VNNY Itf•. ' <br />f\ <br />u x <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />hl l•�l. I�pF\� ��' <br />C,•• 01 tuN 'NO <br />(PURSUANT TO FLORIDA STATUTE § 215.1351 <br />I,, on behalf of <br />Print Name Company Name <br />certifies that c�.& , does 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 />,�.e2 I <br />ignature <br />0 <br />Title <br />Date <br />201 <br />65 Green Facility, Inc. Bid # 24-01-01 <br />