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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 peijury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br />Dated this 13 day of December 20 16 <br />Insitufoim Technologies USA, LLC <br />Contractor/Bidder (7* <br />% t� <br />SigWature of Contractor/Bidder or Its Agent <br />Tana Lause, Contracting & Attesting Officer <br />Printed Name and Title <br />Subscribed and sworn to before me this 13 day of December 2016 <br />My CommissionExpires 1l10V / ' Ul8 f <br />Notary Public <br />County of Residence <br />a.aa . C..-v 4fle jr <br />FDE61 r\ K. JFlSPLR <br />NOYary Pu61ic -Nat=uy Seal <br />STATE Ot= MISSCURI <br />St Charles County <br />My Comrission Expires: Nay. 17, 2018 <br />Commission !6 1R9E�5�t4 <br />cPc:.�c��ry�-:ycr-c�crac�STc^ <br />Version 10/18/2016 Page -18 Public Works Quote <br />