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Contractor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the perforinance 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 />(I.C. 5-16-8-1). 1 hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products made in the United States on this project if awarded. I <br />understand I have an affmnative duty to notify the City in my bid that my proposal does not <br />include the use of steel vroducts or foun roducts made in the United States. I understand it is <br />the price of United States made steel or foundry is unreasonable. 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 A, day ofUkL. 20 <br />ftj <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20__ / <br />My Commission Expires. — <br />Notary Public <br />County of Residence <br />Non -Collusion Non-Debarinent Affidavit Non Imn Form 2016 <br />