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Contractor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex, gender <br />expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of <br />this provision may be regarded as material breach of contract. <br />I, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or foundry products made in the United States <br />(I.C. 5-16-5-1). I hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products on this project if awarded. I understand that violations <br />hereunder may result in forfeiture of contractual payments. <br />I hereby affirm under the penalties of pot' that the facts and information contained in the foregoing bid for <br />public works are true and correct,, <br />Dated this dof T , 20 YI <br />_`--�Z, <br />�A NilY pR @ASEL u <br />nature of ContractorlBidde • rat` Agent <br />NOWY , 8WO Of Indlanro <br />►YONimy Ccun4y (-v �2 �PSiCQQ�I L tD <br />ECOMMI�n E treo OCt 1, 2024 <br />Printed Naine and Title <br />Subscribed and sworn to before me this. 1,1_1 <br />My Commission Expires � 0 i _aoaL� <br />County of Residence <br />Non -Collusion Non-Dabarnient Affidavit Non Iran Form <br />