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orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material <br />breach of contract. <br />I, the undersigned bidder or agent as contractor on a public works project, understand my statutory <br />obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 <br />hereby certify that I and all subcontractors employed by me for this project will use steel products or <br />foundry products made in the United States on this project if awarded. I understand I have an <br />affirmative duty to notify the City in my bid that my proposal does not include the use of steel products <br />orfoundry products made in the United States. I understand it is my sole obligation and responsibility to <br />provide a justification to the City, subject to review and approval, why the cost of United States made <br />steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not <br />use steel products or foundry products made in the United States, the City, through its director of public <br />works, shall make a determination if the price of United States made steel or foundry is unreasonable. I <br />understand that violations hereunder may result in forfeiture of contractual payments. <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 />Dated this _ day of .�O.r 207 <br />lie4ff <br />Con ractor/Bidd (Firm) <br />Signature of Co I <br />tractor/Bidder or Its Agent <br />a/wo zy- L!&*_f , &&"'4 <br />Printed Name and Title <br />Subscribed and sworn to before me this <br />My Commission Expires <br />Ja �OD73 <br />County of Residence <br />Jessica K. Kitchens <br />Notary Public <br />SEAL <br />,:k1an County, State of Inuiana <br />MY t OMMission Expires November 20, 20ko <br />Commission No 673M <br />Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 <br />