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<br />Version 03/15/2023 Page - 18 Public Works Quote <br />I, the undersigned bidder or agent as contractor on a public works project, understand my statutory <br />obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- <br />8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel <br />products or foundry products made in the United States on this project if awarded. I understand I <br />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 />*** <br /> <br /> <br /> <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br /> <br />Dated this day of , 20__ <br /> <br /> <br /> Contractor/Bidder (Firm) <br /> <br /> <br /> Signature of Contractor/Bidder or Its Agent <br /> <br /> <br /> Printed Name and Title <br /> <br /> <br /> <br /> Subscribed and sworn to before me this day of , 20 <br /> <br />My Commission Expires <br /> Notary Public <br /> <br /> County of Residence <br />23rd May 23 <br /> Larson-Danielson Construction Company, Inc. <br />X <br />Brian T. Larson, President <br />23rd May 23 <br />9/8/23 X <br />Michele C. Dzielinski <br />LaPorte <br />LARSON-DANIELSON <br />CONSTRUCTION CO., INC. <br />S T A TE OF <br />INDIA AN <br />SEAL <br />C orporate <br />UBL <br />P <br />I <br />CYRATON <br />F I N D IANAOET <br />A <br />TS NOTARY <br />SEAL <br />MICHELE CECILIA DZIELINSKILa Porte CountyMy Commission ExpiresSeptember 8, 2023