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2) Contracting with companies, for goods or services over $1,000,000.00 that are <br />on either the Scrutinized Companies with activities in the Iran Petroleum Energy <br />Sector List, created pursuant to s. 215.473, or are engaged in business operations in <br />Syria. <br />As the person authorized to sign on behalf of the Contractor, I hereby certify that <br />the company identified above in the section entitled "Contractor Name" does not <br />participate in any boycott of Israel, is not listed on the Scrutinized Companies that <br />Boycott Israel List, is not listed on either the Scrutinized Companies with activities <br />in the Iran Petroleum Energy Sector List, and is not engaged in business operations <br />in Syria. I understand that pursuant to section 287.135, Florida Statutes, the <br />submission of a false certification may subject the company to civil penalties, <br />attorney's fees, and/or costs. I further understand that any contract with the City for <br />goods or services may be terminated at the option of the City if the company is <br />found to have submitted a false certification or has been placed on the Scrutinized <br />Companies with Activities in Sudan list or the Scrutinized Companies with <br />Activities in the Iran Petroleum Energy Sector List. <br />T"(. M-ekku.frn Unnri�nbi imr,,,�n <br />COMPANY NAME <br />0 <br />"4U <br />SIGNATURE <br />PRINT NAME <br />Q rt S't ren } <br />TITLE <br />