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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 r c day of 1 o , 201"/ <br />-Kd �Z —! `? <br />Contractor/Bidder (Firm) <br />.cam-cs,t <br />Signature C nt ctorlBidder o lts Agent <br />llev,.;,? ::�Lkfv) Q <br />Printed Name and Title <br />� ff <br />Subscribed and sworn to before me this da o 1 <br />r <br />My Commission Expires ,7` 16 - Do;) 1 i <br />Notary Public <br />County of Residence <br />Richard Brian Parker <br />St. Joseph County <br />My Commission Expires <br />° July 16, 2021 <br />Version 10/18/2016 Page -11 Public Works Quote <br />