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Contractor 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 />(I.C. 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 off COIL, 20 <br />A <br />V) <br />Contractor/Bidder (Firm� <br />"-, JZ <br />gignature of Contras car lBidder or Its Agent <br />TLLW, It? <br />Printed Name and Title <br />Subscribed and sworn to before me this <br />My Commission ExpiresLLW-K,i:1.4 <br />County of Residence <br />F-Non-Coflusion Non-Debannent Affidavit Non Iran Form 2012 <br />day of p &I't U�t (i �' 1, 20 <br />Notary Public U V <br />— ARY-C-� <br />Seal <br />Notary Public - =Slate of Indiana <br />7 f I <br />St Joseph, County <br />My Commission Expires Dec 12, 2024 <br />