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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 t�''>� day ofl��n�'i', 20 1 b- <br />Contractor/Bidder (Firm) <br />S' nature of Contractor/Bidder s Agent <br /><1 f1� i)Ln Wi��� <br />Printed Name and Title <br />rh 3Subscribed and sworn to before me this y of L4f f lr T 20 <br />My Commission Expires <br />otary Pub is <br />County of Residence 0( <br />JENNA NICOLE KUBIAK <br />Seal <br />Notary Public - State of Indiana <br />St Joseph County <br />My Commission Expires Mar 7, 2024 <br />Version 10/18/2016 Page - 12 Public Works Quote <br />