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have an affirmative duty to notify the City in my bid that my proposal does not include the use of <br />steel products or foundry products made in the United States. I understand it is my sole obligation <br />and responsibility to provide a justification to the City, subject to review and approval, why the <br />cost of United States made steel or foundry products is unreasonable. Prior to award and upon <br />submission of bid which does not use steel products or foundry products made in the United States, <br />the City, through its director of public works, shall make a determination if the price of United <br />States made steel or foundry is unreasonable. I understand that violations hereunder may result in <br />forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public <br />works are true and correct. <br />Dated this 22"d day of November 2016 <br />•""' I Ziolkowski Construction Inc <br />°c,-.-• T9,,• Contractor/Bidder(Finn) <br />o-C��oA•'GO• <br />:0 <br />J : SEAL --I = Signature of Contractor/Bidder or Its Agent <br />o:• ; o= <br />%:�: <br />Bill Favors. President <br />%,�•-• •• •+S',, Printed Name and Title <br />VDi.A + <br />Subscribed and sworn to before me this 22' day of November 2016 <br />My Commission Expires March 1, 2020 <br />Shannon Reidenbach - Notary Public <br />County of Residence St Joseph <br />E <br />HANNONHEIDENBACHNotary Public- SealState of Indianamission Expires Mar 1, 2020 <br />Version 10/18/2016 Page - 10 Public Works Quote <br />