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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 />I, 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 of �, 2off <br />Contra I idder Fir <br />a <br />L <br />Si e f Contract / idder t its Agent <br />3 01-k <br />Subscribed and sworn to before me this <br />My Commission Expires�� <br />County of Residence <br />F-Nan-Collusion Nan -Debarment AfFdavil Non ]ran Form 2012 <br />-Omw)e�, Cyin7rAla, <br />1 <br />Printed ame and Title <br />day of J6(n , 20`� <br />Notary Public MIRIAM 1 SANCHEZZ JOA DE FERRERAS <br />t Notary Public — State of Indiana <br />E[ Y/ha Elkhart County <br />Tres Feb 21, 2025 <br />