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)rtify to any of the statements below, it shall attach an <br />NON -DEBARMENT AFFIDAVIT, _ CERTIFICATION <br />MPLOYMENT ELIGIBILITY VERIFICATION, NOW <br />'IFICATION OF USE OF UNITED ,STATES STEEL <br />e type or print) <br />on his/her/its oath, affirms under the penalties of perjury <br />ether member, representative, or agent of the firm, company, <br />ented by him, entered into any, combination, collusion or <br />r to the price to be bid by anyone at such :letting nor to prevent <br />luce anyone to refrain from bidding, and that this bid is made <br />and without any agreement, understanding or combination with <br />ich'bidding. Contractor further says that no person or persons, <br />or will receive directly; or indirectly, any rebate, fee, gift, <br />count of such sale; and <br />of this proposal that neither contractor nor any of its principals <br />d, (proposed for debarment, declared ineligible, or voluntarily <br />,ansaction by any Federal department or agency; and <br />r successor to, nor an affiliate of, Contractor, engaged in <br />ration, "Iran" means the government of Iran and any agency or <br />is otherwise defined at .Ind. Code § 5-22-16.5-5, as amended <br />§ 5-22-16.5 8, as amended from time -to -time, a Contractor is <br />vities in Iran if either: <br />:cessor or its affiliate; rprovides goods or services of twenty <br />,000,000) or more in value in the energy sector of Iran; or <br />;cessor or its affiliate, is a financial institution that extends <br />rs($20,000,000) or more in credit to another person for forty- <br />iore, if that person will'(i) use the credit to provides goods and <br />:rgy sector in Iran; and ,(ii) at the time the financial institution <br />i person identified on list published by the Indiana Department <br />nploy or contract with an unauthorized alien, nor retain any <br />n that the Contractor subsequently learns is an unauthorized <br />ie/it shall enroll in and verify the work eligibility status of all of <br />s through the E-Verify Program as defined by I.C. 22-5-1.7-3. <br />ollment and participation in the E-Verify Program is included <br />yid for Public Works 4 <br />