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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• 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 I'Zr4 day of*,_, 20_Jf <br />ContractorBidder (Firm) <br />ignatrn'e of Cont/ ractor/ ' der or Its Agent <br />Y �''ll cs n yr JG 1. Oe 14,Jq f U!%i'c )10i1 <br />Printed Name and 'Pirtle <br />Subscribed and sworn to before me this 3 day o l , 201 0 <br />My Commission Expires (4 '� _ ZJ -- <br />No ry P blic <br />County of Residence , ;`!""°'•'%;:_ FRED U. HARRIS, JR <br />Joseph County <br />My Commission Expires <br />June 9,2024 <br />Nan -Collusion Non -Debarment Affidavit Non Iran Fomr <br />