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Addendum 1 to the <br />CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT FFIDAVIT, CERTIFICATION <br />REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- <br />DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL <br />PRODUCTS OR FOUNDRY PRODUCTS ("Affidavit") <br />Siemens Industry, Inc., Building Technologies Division modifies the Affidavit as follows, where the terms of the <br />Affidavit conflict with or differ from those of this Addendum the provisions of this Addendum will control: <br />1. Modify paragraph 3 as follows: "3. Contractor has not, nor has any successor to, ^^F ^^ affiliate -Of, <br />Contractor, engaged m investment activities in Iran. <br />a. For purposes of this Certification, "Iran" means the government of Iran and any agency or <br />instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22- 16.5-5, as amended from <br />time -to -time. <br />As provided by Ind. Code § 5-22- 16.5-8, as amended from time -to -time, a Contractor is <br />engaged in investment activities in Iran if either: <br />1. Contractor, or its successor OF its affiliate, provides goods or services of twenty <br />million dollars ($20,000,000) or more in value in the energy sector of Iran; or <br />11. Contractor, Q its successor OFitS affiliate is a financial institution that extends twenty <br />million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or <br />more, if that person will (i) use the credit to provides goods and services in..." <br />2. Add new paragraph 8 to the Affidavit, providing as follows: "Siemens Industi Inc. Building Technologies <br />Division is making the representations in this Affidavit solely on its own behalf and not on behalf of any of its <br />affiliates. Please see the attached disclosure statement incorporated by reference herein." <br />3. The following provision is deleted in its entirety as follows: "r, the undersigned b.iddeF OF age <br />as—gent-Fdeter on a ub,li oFk-pFgjeet, tmd@Fstand my statutery obligations to the , f st^^ <br />preduets or- foundry products made in the t4iited States (LQ 5 16 9 1). 1 hereby certify that 1 and a4 <br />sH4eontfaetors employed by me fbi- this projeet will uso steel preduets or foundry products on thi <br />projeet if awarded. 1 under -stand that violations hereunder- may result in forfeiture of Contractual <br />The parties agree that this addendum modifies the Agreement between the parties and is incorporated therein by this <br />reference. <br />Siemens Indus , Inc., Building Technologies Division <br />Name• C.G�L(.! b.-J � �j <br />Title: Vj f e re, 5 i wen <br />Date: r <br />W, <br />CARMEN J FERRANDO <br />••`'ter <br />,, .• �;,.•• �� �•, <br />NOTARY PUBLIC <br />STATE OF INDIANA <br />_ <br />JOHNSON COUNTY <br />s �•,' <br />S• w.` <br />GOMM.#666262 <br />v"►��••• <br />COMM, EXPIRES 0"2-2024 <br />161-a,6"i �? <br />