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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 OLP m day of�.,,., 20-7 <br />C tra tor/Bidder (Firm) <br />Siva tor, <br />a ContractorBi der or Its Agent <br />rimed Name and Title <br />Subscribed and sworn to before me this dtP' day of f"em , 2D E7 <br />My Commission Expires y' <br />isl <br />Notary Public <br />County of Residence % ;.��`t�� o'% ELICIAA. LMNARD <br />a y Publit, Stat¢ of 1ndiVAA <br />KOTAA�� <br />684989 <br />Sf A4 t <br />�• m C.GiTtmlB�StOtl_-(: %f31Te5.,•` <br />kot <br />Version 10/18/2016 Page -10 Public Works Quote <br />