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have an affirmative duty to notify the City in my bid that ttly proposal does not include the use of <br />steel products or foundry products made in tile United States. I understand it is my sole obligation <br />and responsibility to provide a justification to tile 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 of 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 (Jay of 20 <br />6D kyiml 1, LC <br />Contl-actor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Printed Narne and Title <br />Subscribed and sworn to before nic this day of 20 <br />My Commission Expires . . ...... . <br />-Y- — — I �- <br />Notary 6WI, <br />C01111ty of Residence 6'xrl <br />EiR,YAN P. SOUSLEY <br />"'0 Pub <br />"Oh" Public - State of Indiana <br />SEAL <br />C C MIS, S1, <br />ornmIssion Number. 682764 <br />M My C; mm s5i, <br />y Commission Expires April 9,2024 <br />Version 10/3112017 <br />Page - 10 Public Works Quote <br />