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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 snake 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 day of_DleC ., 20 1 <br />Subscribed and sworn to before me this <br />My Commission Expires <br />— ------ --�COunty of Residence <br />•o Y°�•,� s""g'''' <br />t <br />JACKIE M WADE <br />MOt.4Ay •; <br />St. Joseph County <br />FAL <br />My Commissfon Expires <br />May 12, 2019 <br />U.S S`gn eaaPe.r J ) O C . <br />Contract Bidder (Firm) '� <br />Signature of Contractor/Bidder or Its Agent <br />Je -T' — ice S; d e <br />Printed Na and Title <br />' da of e 0-1f�4-20 1� <br />a ary Public <br />Version 1013112017 Page - 11 Public Works Quote <br />