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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 foimdry products made in the United States <br />(I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products on this project if awarded. I understand that violations <br />hereunder may result in forfeiture of contractual payments. <br />I hereby affirm tinder the penalties of perjury that the facts and information contained in the foregoing bid for <br />public works are true and correct. <br />Dated this Z day of�, 20 <br />11`f Old fow-ryl /3y,-y) <br />ContractraYBidder (Firm) <br />LORY L. TIMMER �7 <br />SL Joseph County i ire of Contractor/Bidder or Its Agent <br />! �^ <br />d' ^..g., My Commissim Expires <br />id ;a. September 23,2017 a 1. c. ?L':✓iUG,t <br />Printed Name and Title <br />Subscribed and sworn to before me this 2"4 day of S{�, 20J <br />My Commission Expire Not ly uubtli�c f <br />County of Residence <br />Nan -Collusion Non -Debarment Affidavit Non Iran Form <br />