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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 0 I day of PIQU , 2017 <br />,�� l <br />Contractor/Bidder (Firm) <br />?- && —�1�11 <br />Sinatur'e of h'actoi/Bidder or Its Agent <br />,?I ka v f o;5 rpt , r <br />Printed Name and Title <br />Subscribed and sworn to before me this -77 TN day of 166�0 3E , 20 1-1 <br />My Commission Expires ' I zlZo2,o- _ <br />County of Residence <br />-4-LW <br />Notary ublic <br />.6r. j �` 4 <br />}„40"10, <br />KELLY M HAIMBAUGH <br />Notary Public:, State of Indiana <br />5t- Joset,h County <br />Con mission R 632698 <br />A)- <br />� es <br />My Go nission Exp <br />b�U <br />Version 10/31/2017 Page - 11 Public Works Quote <br />