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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 handicap, <br />national origin or ancestry. Breach of this provision may be regarded as material breach of <br />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 L.- day ofLk;,,\ 20 <br />Signa <br />_ture of Con�tracctor/Bidder or Its Agent <br />E <br />Printed Name and Title <br />it <br />Subscribed and sworn to before me this o�??'�klay of �( ,� _ , 20 /41 <br />My Commission Expires n. a C v�.� �l LC �L� L/ <br />Notary Public <br />County of Residencey <br />v <br />F-Nan-Collusion Non -Debarment Affidavit Non Iran Form 2012 <br />