Scrutinized_Company_Certification-FILLABLE.pdf
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- Solicitation number
- 2025-06
- Issued by
- Manatee County, Florida
About this file
This document is a Scrutinized Company Certification form required by Florida Statutes (215.4725, 215.473, and 287.135), created by the State Board of Administration. The certification requires a company to affirm that it is not listed on various scrutinized companies lists and is not engaged in specific business activities deemed problematic by the state.
The certification specifically requires companies to confirm they are not: 1) participating in a boycott of Israel, 2) conducting business with Sudan under certain specified conditions (such as having material business relationships involving government projects, military equipment, or being complicit in the Darfur genocide), 3) involved in Iran's petroleum energy sector through significant business relationships or investments, and 4) conducting business operations in Cuba or Syria. Companies must sign and date the form, affirming their compliance, and can reference the scrutinized companies list maintained by the State Board of Administration at http://www.sbafla.com/.
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Text version
Scrutinized Company Certification
I hereby swear and affirm that as if the date below this company is not listed on a Scrutinized Companies list created pursuant to 215.4725, 215.473, or 287.135, Florida Statutes. Pursuant to 287.135, Florida Statutes I further affirm that:
1. This company is not participating in a boycott of Israel such that is not refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli-controlled territories, in a discriminatory manner.
2. This Company does not appear on the Scrutinized Companies with Activities in Sudan List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Sudan or a government-created project involving oil related, mineral extraction, or power generation activities, or
b. Have a material business relationship involving the supply of military equipment, or
c. Impart minimal benefit to disadvantaged citizens that are typically located in the geographic periphery of Sudan, or
d. Have been complicit in the genocidal campaign in Darfur.
3. This Company does not appear on the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List where the State Board of Administration has established the following criteria:
a. Have a material business relationship with the government of Iran or a government-created project involving oil related or mineral extraction activities, or
b. Have made material investments with the effect of significantly enhancing Iran ‘s petroleum sector.
4. This Company is not engaged in business operations in Cuba or Syria.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
The scrutinized company list is maintained by the State Board of Administration and available at http://www.sbafla.com/ http://www.sbafla.com/
| Name and Title of Contractors Authorized Official: |
| Date: |
File details come from the government source that posted it. Updated .