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orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material <br />breach of contract. <br />1, 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 />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 '2 4ti day of Vla ✓ 20 17 <br />Subscribed and sworn to before me this W � !' <br />My Commission Expires <br />6.3Q--�3 <br />County of Residence <br />Non -Collusion Non -Debarment Affidavit Non [ran Form 2016 <br />4-166 uJra,r(s"s CG,rFa unr �y ac�ve�c�!',� eh <br />o• usq ftrs , .i'" <br />Contr or Bidd (Fi <br />Signature of Contractor/Bidder or Its Agent <br />r <br />--' k,, II o /,a Yt'or, <br />Printed Name and Title <br />day of /11 c3 v e - 6 e,-, 20 1 -7 <br />Notary Public <br />9�-..J n se tv 1, <br />;; YP <br />ER <br />CHARLES M.7nE <br />' vq <br />St. Joseph y <br />;. sue. <br />My Commissil[as <br />June 30, <br />