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SUNNY ls[E <br />04 toT <br />u _ <br />"r. CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />cr`°""" •" [PURSUANT TO FLORIDA STATUTE § 215.47251 <br />I, , on behalf of <br />Print Name Company Name <br />certifies that <br />Company Name <br />1. Participate in a boycott of Israel; and <br />does not: <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 />Date <br />