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Conti -actor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex handicap, <br />national origin or ancestry. Breach of this provision may be regarded as material breach of <br />contract. <br />1, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or Foundry products made in the United States <br />(LC. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products On this, project if awarded. I understand that violations <br />hereunder may result in forfeiture of contractual payments. <br />I 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 day of Ve-C, 20 -7 <br />Contractor/Bidder (Firm) <br />li�g�e <br />nature of Contractor/Bidder or Its Agent <br />4 VP,3�L I:L <br />Printed N 'Title <br />rinted Name and <br />Subscribed and sworn to before nic this day of 20 <br />My Commission Expires <br />Notary Public <br />County of Residence <br />F-Non-Cullusion Non -Debarment Affidavit Non [ran Form 2012 <br />