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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 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 tinder 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 I Up_ day of , 20 U p <br />Contractor/�Pidder Qrm <br />A... <br />Signaturre o Contractor/Bidder or Its Agent <br />Printed fTainc and Tide <br />Subscribed and sworn to before me this — JQ day of <br />My Commission Expires <br />County of Residence <br />Non -Collusion Non-DebarmentAffidavi[ Non Imn Fonn <br />201LP <br />Public <br />MY COMMISSION EXPIREDUNTY JU Y 06, 2017 <br />