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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 1 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 United States. I 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 foundry 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 that the facts and information contained in the foregoing bid for <br />public works are true and correct. <br />Dated this day of 20 <br />.1 <br />Contractor/Bidder ( <br />Signature of Co ractor/Bidder or Its Agent <br />r <br />Printed Name and Title <br />Subscribed and swM <br />orntof before <br />�me this <br />% I � day of /' LL <br />My Commission Expires " �" `—U . <br />Notafi P bllc <br />;,jssica K. Kitchens <br />Notary Public County of Residence <br />SEAL <br />LH1knart Gounty, State of Indiana <br />Gommission Expires November 20, 2023 <br />"0mmission No 673938 <br />Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 <br />