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have an affirmative duty to notify the City in my bid that my proposal does not include the use of <br />steel products or foundry products made in the United States. I understand it is my sole obligation <br />and responsibility to provide a justification to the City, subject to review and approval, why the <br />cost of United States made steel or foundry products is unreasonable. Prior to award and upon <br />submission of bid which does not use steel products or foundry products made in the United States, <br />the City, through its director of public works, shall make a determination if the price of United <br />States made steel or foundry is unreasonable. I understand that violations hereunder may result in <br />forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing quote for <br />public works are true and correct. <br />Dated this day of A6, 20 ( 9 <br />Contractor/Bid (Firm) <br />JANEE M TOWNER <br />NOTARY PUBLIC <br />i <br />SEAL <br />ELKHART COUNTY, STATE OF INDIANA <br />MY COMMISSION EXPIRES FEBRUARY 12, 2026 <br />COMMISSION NO.710399 <br />Si�11 a ure of Contractor/Bidder or Its Agent <br />Pool <br />M60R .....................m. <br />Printed Name and Title' <br />Subscribed and sworn to before me this day of 20(9 <br />My Commission Expires-„ ��o 1���loJ�M/L <br />Not ry Public <br />County of Residence &W�l............... -- <br />Version 4/2/2019 Page - 10 Public Works Quote <br />