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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 />I, 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 2 day of , 20& <br />Contractor�jdde{ (Firm) t� <br />or Its Agent <br />and <br />Subscribed and sworn to before me this �` N� da Se�T 20� b <br />My Commission Expires '7' j a2ba3 <br />No ublic <br />County of Residence F t kGr� <br />,. 1.t'Fo%. <br />JAMIE R. MILLER <br />uoun�: iN9ra, <br />y Vuah', S"te or Indiana <br />_+--'+- <br />' SEAL <br />Elkhart County <br />COmmisslan # 670197 <br />i r�niui%� <br />MY Gom mission Expires <br />July 09, 2023 <br />Nan -Collusion Nan -Debarment Affidavit Nan Iron Form <br />