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DocuSign Envelope ID: C327FODO-D8DF-4343-B5DB-90853D1ED8AA <br />Exhibit A - RFP E-03-22 <br />REQUESTED INFORMATION BELOW IS ON THE ATTRIBUTES TAB FOR THE RFP IN THE <br />EBID SYSTEM. PROVIDE THIS INFORMATION ELECTRONICALLY. <br />VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS <br />Respondent Vendor Name: <br />Vendor FEIN: <br />Section 287.135, Florida Statutes, prohibits agencies from contracting with companies, for <br />goods or services over $1,000,000, that are on either the Scrutinized Companies with Activities <br />in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector <br />List or is engaged in business operations in Cuba or Syria. <br />As the person authorized to sign on behalf of Respondent, I hereby certify that the company <br />identified above is not listed on either the Scrutinized Companies with Activities in Sudan List or <br />the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or is <br />engaged in business operations in Cuba or Syria. I understand that pursuant to section <br />287.135, Florida Statutes, the submission of a false certification may subject company to civil <br />penalties, attorney's fees, and/or costs. <br />Certified By (include Name and Title): <br />22 <br />