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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 peijury that the facts and information contained in the foregoing bid for <br />public works are true and correct. <br />Dated this 1_� day of, 20_( <br />Contr V or! idder (Firm) <br />Si fire actor/Bidder or Its g t <br />Nancy J Gn:mbowicz <br />Notary Public Seal State of Indiana _ <br />St Joseph County 1 �•✓ - <br />My Commission Expires 07/16/2a23 Printed Name and Title <br />Subscribed and sworn to before me this day of e&g -VSi , 20 %re <br />My Commission Expires <br />Noiar <br />County of Residence , �%. jD i% �/7t <br />Non-Cornsion Nan-DebamientAffrdavit Non Iran Form <br />