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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 />1, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or foundry 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 under 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 pL day of , 20 }�/o <br />Mews <br />Contr4ct9f/Bidder_(Firm) <br />JAMIE R. MILLER <br />,_ <br />o•"""��'., <br />``••g��.e ��; Notary Public, state of Indiana <br />igna u -e of Con , "ctor/Bidder or Its Agent <br />Elkhart County <br />SEAL, Commission # 670197 <br />My Commission Expirese� <br />July 09, 2023 <br />Piinte me and Title <br />Subscribed and sworn to before me this "Y day A Vim, 20�, <br />My Commission Expires 7- 9 -a2oo23 - ,AX.0 ' <br />No ryPublic County of Residence e— kkQr"l <br />Non -Collusion Non -Debarment Affidavit Non Iran Farm <br />