Laserfiche WebLink
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 />1, 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 />*a* <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 />th <br />Dated this r D day of Ed2,, 20 1-7- <br />Lio keIL3 C1fX/�oi�$ion <br />Contractor/Bidder <br />((LFiirrm) <br />S��- i of ContractorB or Its Agent <br />d Name 5r.6illi I� <br />Printeand itle <br />Subscribed and sworn to before me this / C-"/i da <br />My Commission Expires _ 1 2 b 1 <br />County of Residence I�S <br />ANGELA q SURLEIGH <br />Caneral Notary <br />Staff of Nebraska <br />MY Com� toaExpirn May 17. 2017 <br />Non -Collusion Non•neM meet Affidavit Non I=Pomi <br />