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My Commission Expires r ! 112, <br />County of Residence <br />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 5 k day of 20-�Jg <br />oc . <br />Contractor/Bidder (Firm) <br />Signature of ntractor/Bidder or Its Agent <br />u4 i C' ma'n o-ry <br />Printed t4arne and Title <br />-L- <br />Subscribed and sworn to before me this IZISY da of 20� <br />PA I D-J P-46Ck UM-) <br />Notary P blic <br />CRYSTAL P FERGUSON <br />Notary Public - Seal <br />St Joseph County - State of Indiana <br />Commission Number 712413 <br />{ My Commission Expires Apr 12, 2026 <br />m <br />Version 10/18/2016 Page - 5 Public Works Quote <br />