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S:7HY t� <br /> .. ,r CONTRACTOR ANTI-BOYCOTT CERTIFICATION <br /> p�q wA 1.M9 <br /> [PURSUANT TO FLORIDA STATUTE§2L5,47251 <br /> , 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 Boycotilsrael 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 /> • <br /> Title <br /> Date <br /> ATTACHMENT "B" <br />