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a�SVN lIY If1eJ0 <br />u �x <br />-- CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />i',��t ft ORS 1 <br />t �r� O. iuN n5'O <br />[PURSUANT TO FLORIDA STATUTE § 215.1351 <br />on behalf of %SAUC---Os(.cS <br />Print Name Company Name <br />certifies that J� '� ASS 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 Terrorism <br />Sectors List; and <br />5. Has not engaged in business operations in Cuba or Syria. <br />4,�� ij� i--sz <br />Signature <br />�r--esjd-�- <br />Title <br />3 11 b' � <br />Date <br />