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understand I have an affirmative duty to notify the City in my bid that my proposal does not <br />include the use of steel products or foundry products made in the United States, I understand it is <br />my sole obligation and responsibility to provide a justification to the City, subject to review and <br />approval, why the cost of United States made steel or foundry products is unreasonable. Prior to <br />award and upon submission of bid which does not use steel products or foundry products made <br />in the United States, the City, through its director of public works, shall snake a determination if <br />the price of United States made steel or foundry is unreasonable. 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 P-( day of , 20& <br />-c <br />Cost 4dder (Firm) <br />3 <br />Signature of Contractor/Bidder or Its Agent <br />�h! <br />Printed Name and'title <br />Subscribed and sworn to before me this L St <br />My Commission Expires M(AICYl 15, 1024 <br />County of Residence <br />A11111AGAK HORNBERGER <br />U&I <br />Notary Pub11c - State of Indlsns <br />fi- -t Joseph County <br />Emyl, <br />ommission Expires Mar 15, 2024-1 <br />day of M G y , 20 1 b <br />r }� <br />Notary Pu I c <br />Version 10/18/2016 Page - 5 Public Works Quote <br />