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Contractor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex, gender <br />expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of <br />this provision may be regarded as material breach of contract. <br />1, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or foundry products made in the United States <br />(I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products on this project if awarded. I understand that violations <br />hereunder may result in forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for <br />public works are true and correct. <br />Dated this 0`e'— day of, 20 1 (o <br />Col�tor/Bidder (Firm) <br />SiFftVM5r/BidderorftsAgeirt <br />Rliinn�rI��WS�I iv��Et tlYt I� <br />•:ai�e'-•. <br />LORY L. TIMMER <br />St. JOW county <br />My Commission Expires <br />••: <br />tsntber23,2017 <br />Printed Name and Title <br />Subscribed and sworn to before me this-� day of AAatAS , 20�p <br />My Commission Expires t Y 3 ( °y%�i'��� <br />No r ubhc <br />County of Residence - <br />Non -Collusion Non-Debnnneat Affidavit Non Iran Fomi <br />