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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-I). I hereby certify that 1 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 affirmative duty to notify the City in my bid that my proposal does not <br />include the use of steel products or foundry products made in the United States. I understand it is <br />my sole obligation and responsibility to provide a justification to the City, subject to review and <br />approval, why the cost of United States made steel or foundry products is unreasonable. Prior to <br />award and upon submission of bid which does not use steel products or foundry products made <br />in the United States, the City, through its director of public works, shall make a determination if <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, t <br />Dated this lu -n4 day of ly`V , 201'S 1 <br />Con(racl er,(Firm) <br />h WA I "DANCH, <br />bllc - Seal•i ., "Signature of Contractor/Bidder or Its Agent, m <br />\� JJ <br />StJosephC untilt Ike 46vot"V' — V I[��CIG1C�i(/1 <br />Ih+ylnrtrlWon xplr�estlovlt32ps printed Name and Title <br />Subscribed and sworn to before me this —IC3,14 play of v.A , 201�_ <br />My Commission Expires I...�Z.Z .. l��G ��✓t".� <br />Nt, (al•y Purl l <br />County of Residence � X .�LAI Y) ' Lc" Yx' <br />Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 <br />