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pt4y Ii< <br />F <br />u x <br />CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />''f Rt of au4t t..o <br />[PURSUANT TO FLORIDA STATUTE § 215.1351 <br />J)U4 , on behalf of SSE, , o ;nom. �mr, <br />Print Name Company Name <br />certifies that 4s oc � , �,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 />, � a- UJI'to-V <br />Signature <br />Title <br />Dat <br />