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—f, <br />ul u I <br />_ CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />• f � � p` �+U 4` <br />"+Y Us SCJ I+ <br />[PURSUANT TO FLORIDA STATUTE § 215.135] <br />� r <br />C1, on behalf of <br />Print Name Company Name z <br />certifies that k, b. M ,("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 />Signature <br />Title <br />Date <br />