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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 9 day of , 2016 <br />Contractor/Bidder (Firm) <br />Si ature of Co ctor/Bidder or Its Agent <br />W4 A ` 64'& Aaa a a -a r <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20j-t <br />KENO 6ER�SC� <br />My Commission Expires a2, lq;zLf � ;ana <br />Notary Pu lic Public . Slate o <br />floil h Gounkv A 2024 <br />St ,loseP Tres Feb <br />County of Residence mmisslon �xP <br />Version 10/31/2017 Page - 11 Public Works Quote <br />