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Contractor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex, gender <br />expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of <br />this provision may be regarded as material breach of contract. <br />1, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or foundry products made in the United States <br />(LC. 5-16-8-1). 1 hereby certify that I and all subcontractors employed. by nee for this project will <br />use steel products or foundry products on this project if awarded. I understand that violations <br />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 , &,," y of f 20 .� <br />t.,untractol/liiddew (Firm) <br />S Ilc ra actor/l3iddcr or Its Agent <br />Printed Name <br />r� <br />and Tit e <br />Subscribed and sworn to before me this b1h— day of ,, 2O-8 <br />My Commission Expires l-q <br />..a ----- p-z)blot Ir Yublic <br />y <br />County of Residence t .a. _m,____— <br />J@Illlif@f MW <br />Notary PLW State of Ohio <br />My Conr"m Expires 09.20.2020 <br />Non -Collusion Non -Debarment Affidavit Non tran Form <br />