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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 54* * day of 20t7 <br />Subscribed and sworn to before me this 5 " <br />My Commission Expires - el/.�?7`/o: �0v14 <br />County of Residence <br />Rwmlaw <br />Contractor/Bidder (1~ ir1 <br />Sittiature of1Contracfor/bidder or Its Agefit <br />Lj 4- k1 <br />Printed Naing and Title <br />_ day of S L , 20 / 7 <br />aa-&4�� r "iL W-) <br />Notary Public <br />PATRICIA A BOWERS <br />Notary Public Seal State of Indiana <br />ELKHART County <br />My Commission Expires o4124=24 <br />Version 10118/2016 Page - 26 Public Works Quote <br />