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have an affirmative duty to notify the City in my bid that my proposal does not include the use of <br />steel products or foundry products made in the United States. I understand it is my sole obligation <br />and responsibility to provide a justification to the City, subject to review and approval, why the <br />cost of United States made steel or foundry products is unreasonable_ Prior to award and upon <br />submission of bid which does not use steel products or foundry products made in the United States, <br />the City, through its director of public works, shall make a determination if the price of United <br />States made steel. or foundry is unreasonable. I understand that violations hereunder may result in <br />forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br />Dated this day of , 2a - <br />I eC e <br />Contractor/Bidder (E' ) <br />Sig ure of C n a r/Sidder or nt <br />eom -ker-ilte—c o-0 ,e� <br />Printed Name and Title <br />Subscribed and sworn to before me this �._ day of � 2013- <br />My Commission Expires -- O 3 4i <br />Notary Public <br />�r <br />County of Residence <br />Dale A. Bacon <br />St. Joseph County <br />My Commission Expires <br />4 February 1, 2024 <br />Version 10/31/2017 Page - 11 Public Works Quote <br />