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CONTRACTOR ANTI-BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE § 215.135] <br />I, ___________________, on behalf of _________________________, <br />Print Name Company Name <br />certifies that___________________________ 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 />________________________________ <br />Signature <br />________________________________ <br />Title <br />________________________________ <br />Date