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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 />I, 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 />(I,C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me 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 , day of_, 20 / 9 <br />i <br />t l p 0 ..'e i��oi,"/l <br />Firm) <br />Signaturrrrctor/Flidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this f " day ofj rmm ' LMt,V� , 20,.,_ <br />My Commission Expires Ala/t,�r-Notary Pu4 <br />County of Residence <br />ARY C. BRAZINSKY <br />Seal' <br />Notary Public State of Indiana <br />St Joseph County <br />My Commission Expires Dec 12, 2024 <br />Non -Collusion Non -Debarment Anidavit Non Iron Form <br />