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One CBI, LLC
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Last modified
3/13/2019 3:20:04 PM
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3/13/2019 3:17:39 PM
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04 ,�,NNY SIF <br />1`` CONTRACTOR ANTI -BOYCOTT CERTIFICATION <br />,V, [PURSUANT TO FLORIDA STATUTE § 215.47251 <br />I, S4e^^ \LJ -A, on behalf of (WN1_ <br />Print Name Company Name <br />certifies that C' (JL C.3 _jr, , LLL 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 />Signature <br />Sot.e-1 <br />Title <br />Date f <br />8of8 <br />
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