My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
W-9 form
SIBFL
>
City Clerk
>
Bids-RFQ-RFP
>
ITB
>
(24-07-01) Construction of Intracoastal Sports Park
>
NUNEZ CONSTRUCTION
>
W-9 form
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/11/2024 11:43:16 AM
Creation date
9/11/2024 11:40:19 AM
Metadata
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ti}Kgr st <br />ct �r <br />u 'x <br />r t <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />c„ <br />[PURSUANT TO FLORIDA STATUTE § 215.4725] <br />I, &Ild QS M Nunez , on behalf of A111t7tZ, <br />Print Name Company Name <br />certifies that 1411022 67,r75bVt- 7yn /r7j, 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 />Signature <br />Title <br />use 2� <br />DateJ <br />
The URL can be used to link to this page
Your browser does not support the video tag.