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products orlfoundry products made in the United States on this project if awarded. I understand I <br />have an affi ative 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 <br />works are true and co <br />Dated this <br />NIf HOLE LEANN JONES <br />Notary Public - Seal <br />La Porte County - State of Indiana <br />Commission Number NP0728706 <br />My Commission Expires Sep 13, 2028 <br />penalties of perjury that the facts and information contained in the foregoing bid for public <br />4±i- day of 2(1?-6— <br />Contractor/Bid r (Firm) <br />- kldjkb� <br />Si ature of ContractorBidder or Its Agent <br />KIA VC:1)1 (�Me-,(-- <br />Printed Name and Title <br />Subscribed and sworn to before me this day of , 20 <br />My Commission Exp es <br />Notary Public <br />County of Residence �fk'pct cl� <br />Version 9/29/2021 1 1 Page - 11 Public Works Quote <br />