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EpdvTjho!Fowfmpqf!JE;!2193E418.88DB.5943.:22G.914D7G:28845EpdvTjho!Fowfmpqf!JE;!ED64EEGG.2G1:.5:C6.C4CB.73549671:658 <br /> <br />EXHIBIT E <br /> <br />SCRUTINIZED COMPANY CERTIFICATE <br /> <br /> <br />I, Michael R. Boss, representing MBR Construction, Inc., am over 18 years of age, have <br />personal knowledge of the facts stated below and I am an owner, officer, director, principal <br />shareholder and/or I am otherwise authorized to bind the forgoing person or business entity <br />to a contract. <br /> <br />I hereby acknowledge that a company is ineligible to, and may not, bid on, submit a proposal for, <br />or enter into or renew a contract with an agency or local governmental entity for goods or services <br />if at the time of bidding or submitting a proposal for a new contract or renewal of an existing <br />contract or executing a new contract, the company: <br /> <br />!is on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725, <br />or is engaged in a boycott of Israel; or <br /> <br />!is on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies <br />with Activities in the Iran Petroleum Energy Sector List, created pursuant to s. 215.473, or <br />is engaged in business operations in Cuba or Syria, and the bid, proposal or contract is for <br />goods or services of one million dollars or more. <br /> <br />I hereby represent and certify that the forgoing named person or business entity is not on the <br />Scrutinized Companies that Boycott Israel List or participating in a boycott of Israel; and, for bids, <br />proposals or contracts for goods or services on one million dollars or more, that Proposer is not on <br />the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with <br />Activities in the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or <br />Syria. <br /> <br /> <br /> <br />By: ____________________________ ____________________________20___ <br /> Signature Date <br /> <br /> Michael R. Boss <br /> President <br /> <br />Federal Employer Identification Number: 65-0373938 <br /> <br />MBR Construction, Inc. <br />1020 NW 41 Street <br />Fort Lauderdale, Florida 33309 <br /> <br />