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orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material <br />breach of contract. <br />1, the undersigned bidder or agent as contractor on a public works project, understand my statutory <br />obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). 1 <br />hereby certify that I and all subcontractors employed by me for this project will use steel products or <br />foundry products made in the United States on this project if awarded. I understand I have an <br />affirmative duty to notify the City in my bid that my proposal does not include the use of steel products <br />or foundry products made in the Un,ited States. l understand it is my sole obligation and responsibility to <br />provide a justification to the City, subject to review and approval, why the cost of United States made <br />steel or fou ndry products is unreasonable, Prior to award and upon submission of bid which does not <br />use steel products or foundry products made in the United States, the City, through its director of public <br />works, shall make a determination if the price of United States made steel or foundry is unreasonable. I <br />understand that violations hereunder may result in forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury thiat the facts and information contained in the foregoing bid for <br />public works are true and correct. <br />Dated this /104;1 day of 20_ <br />C 'tttn�irm) &­ZJ/ on ra5p4/Biddert( irml <br />XWMY, 'I, <br />W" "LORYLTIMMER <br />NOTARY% 1; <br />— * St, Joseph County <br />%'u 001 MY COMMi88ion Explres <br />September 23,2025 <br />of Contractor/Bidder or lts <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20—L$ <br />U <br />My Commission Expires �Iqck, �,S ZbOS <br />Not ry ublic La �Lj t— <br />J L . -M�Ovvlcr <br />County of Residence 1, 1 <br />Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 <br />