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"'V « <br />LORY L. TIMMER <br />St Joseph County <br />My OoMmisslori'EXPIMS <br />September 23.2025 <br />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 pubdlic 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 ain <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 fouindry 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. l <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_L6 <br />I)W4, Al—.1- (2 1rkk)1J.,W-kJ _7h�cry­ <br />Con tractor/Bidder (Firm) I <br />e7 <br />Sign 91e of Contractor/Bidder or Its Agent <br />ZY,�ryles A. ))4u:,oJ1e_r gy-ee-, nivec+or <br />Printed Name and Title <br />Subscribed and sworn to before me this day of " (;;4UAU&� , 20 <br />My Commission Expires <br />Not ®ry ublic <br />County of Residence &sa2 <br />X <br />Non-ColIusion Non -Debarment Affidavit Non Iran Form 2016 <br />