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EXHIBIT C <br />Contractor's Affidavit <br />When the prospective Contractor is unable to certify to any of the statements below, it shall <br />attach an explanation to this Affidavit. <br />CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, <br />CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT <br />ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT <br />AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR <br />FOUNDRY PRODUCTS <br />(Must be completed for all quotes and bids. Please type or print) <br />STATE OF <br />SS: <br />..._ .................................. COUNTY ) <br />The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of <br />perjury that: <br />1. Contractor has not, nor has any other member, representative, or agent of the firm, <br />company, corporation or partnership represented by him, entered into any <br />combination, collusion or agreement with any person relative to the price to be bid <br />by anyone at such letting nor to prevent any person from bidding nor to induce <br />anyone to refrain from bidding, and that this bid is made without reference to any <br />other bid and without any agreement, understanding or combination with any other <br />person in reference to such bidding. Contractor further says that no person or <br />persons, firms, or corporation has, have or will receive directly or indirectly, any <br />rebate, fee, gift, commission or thing of value on account of such sale; and <br />1 Contractor certifies by submission of this proposal that neither contractor nor any <br />of its principals are presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from participation in this transaction <br />by any Federal department or agency; and <br />3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged <br />in investment activities in Iran. <br />a. For purposes of this Certification, "Iran" means the government of Iran and <br />any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § <br />5-22-16.5-5, as amended from time -to -time. <br />b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a <br />Contractor is engaged in investment activities in Iran if either: <br />