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Iranian Government Affidavit <br />Niblock Excavating Inc. , to comply with the requirements of Indiana Code 5-22-16.5, affirms under <br />(Contractor) <br />the penalties of perjury that it does not deal with the Government of Iran. <br />The Contractor shall require its sub -contractors, who perform work under this Contract, to certify to the Contractor that the <br />sub -contractor does not knowingly deal with the Government of Iran. The Contractor agrees to maintain this certification <br />throughout the duration of the term of a contract with a sub -consultant. <br />Dated; 25., 2018 <br />STATE OF Indiana <br />COUNTY OF Elkhart <br />} <br />)SS: <br />Signature:_ <br />Printed Name; ock <br />Title: President <br />Company; NjU0cl Excavating Inc.,.. <br />Address: _ PO Box 211. Bristol, Indiana 46507 <br />Before me, a Notary Public in and for said County and State, personally appeared <br />Gary Niblock as <br />(Name) <br />President <br />(Title) <br />of Niblock Excavating Inc. <br />(Company) <br />who acknowledged the execution of the foregoing instrument, and who, having been duly sworn, stated that any <br />representations therein contained are true. <br />WITNESS my hand and Notarial Seal this 25t1dK of Sept 20 18 <br />My Commission Expires: Signature; I AA <br />Sept 30, 2025 Printed: Julie rawford <br />County of Residence: NO ARY PUBLIC <br />Elkhart <br />