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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 penury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br />Dated this r93 day of—//O 200 <br />ContrAor/Bj#der(Fiyfn) <br />of)Cont1adlor7Wdder or Its <br />�,&� L <br />Printed Narr6e and Title <br />Subscribed and sworn to before me this day of lC Q , 20 / 77 <br />My Commission Expires O11R44/— G2 <br />Notary Public <br />County of Residence <br />El- KHAe r <br />PATRtCIA A BOWERS <br />Notary Public Seal State of Indiana <br />ELKHART County <br />My Comm€ssbn Expires 04/24/2024 <br />Version 10/18/2016 Page -16 Public Works Quote <br />