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CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />[PURSUANT TO FLORIDA STATUTE $ 215.47251 <br />I,J� V-- on behalf of <br />Print Name Company Name <br />certifies that \ �`'� �oes not: <br />Company Name <br />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 />Ku�(94 A. <br />Title <br />Date <br />