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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 emp.l.oyinent, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex, gender <br />expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of <br />this provision may be regarded as material breach of contract, <br />I, the undersigned biddet or agent as cotttractor 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), I 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 aNvard.ed. I understand that violations <br />hereunder play result in forfeiture of contractual payments. <br />:F J: <br />I Hereby affirm midu the penalties of perjury that the facts and iriformatim Contained in the foregoing bid for <br />public works are trUe and correct, <br />Dated this day or_�, 241 <br />IA" 11).i`i� -'I`!G <br />Con i�olor/!;jdde� (l irm) � <br />Signature fJContractor/Bidder or Its Agent <br />Printed Name and Title <br />--Y-�/� <br />Subscribed ailcf sworn to before ale this clay- f "t' j;.%i'I , 20 /. <br />My Commission Expires <br />Notary Public . <br />Counly of Residence <br />- !. --- - <br />Non-[:oilaision Non-Uebatmenc Affidavit Non lieu Form <br />