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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, 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 />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 />** 41 <br />I hereby affirm under the penalties of I)eJury that the facts and information contained in the foregoing bid for <br />public works are trite and correct. <br />Dated this 13TH day of February, 20 18 <br />1 — — <br />Martell Electric, LLC <br />tr for/laid <br />r (F ityn) <br />gIz , <br />ro orUont6otKfh3idder or Its Agent <br />Jennifer M. Brown- President <br />Printed Name and Title <br />Subscribed and sworn to before acre this 13—TH day of Februiary . ................. . . . 2018 <br />My Commission Expires 2/28/2023 <br />County of Residence <br />Q. W N1 - "M1111 .1m 'm Oft. 4fa, I NW-11& 1'V"""/""`� <br />R M A BAUMN <br />N <br />Si J( q)h Colwn tv <br />$bM <br />iY 663604 <br />IV! Y C's <br />Onmwy <br />Non -Collusion Non-Debument Affidovit Non Iran Form <br />Notary PUbl is <br />St. Joseph <br />