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have an affirmative duty to notify the City in my bid that my proposal does not include the use of <br />steel products or foundry products made in the United States. I understand it is my sole obligation <br />and responsibility to provide a justification to the City, subject to review and approval, why the <br />cost of United States made steel or foundry products is unreasonable. Prior to award and upon <br />submission of bid which does not use steel products or foundry products made in the United States, <br />the City, through its director of public works, shall make a determination if the price of United <br />States made steel or foundry is unreasonable. I understand that violations hereunder may result in <br />forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br />Dated this 1J i day of -1-& <br />l��tt,QERitw .l�Av/5 ELECTR>�,�tc • <br />Contractor/Bidder (Firm) <br />Sy nature of C actorBidder or Its Agent <br />.?oNnf A- Qn?JIrn I71TC5/1 NT <br />Printed Name and Title <br />Subscribed and sworn to before me this ZIsr day of h69F r�B�E/Q, 20j� <br />My Commission Expires zci <br />Notary <br />County of Residence Sr -Ja EoM <br />aT"Eo KELLY M HAIMBAUGH <br />>` "••"• �. Notary Public, state of Indiana <br />'Cx St. Joseph County <br />Commission M 632698 <br />p. <br />My Commission Expires <br />;;o�r(;;;:`°�� February 02, 2020 <br />Version 10/18/2016 Page - 10 Public Works Quote <br />