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I, the undersigned bidder or agent as contractor on a public works project, understand my statutory <br />obligations to the use of steel products or foundry products made in the United States (I.C. 5-16- <br />8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel <br />products or foundry products made in the United States on this project if awarded. I understand I <br />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 />Asa <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this �` day of , 20 <br />JN <br />Printed Name and Title <br />Subscribed and sworn to before me this! ( day of gyp' ✓J— 20� <br />My Commission Expires �� rI A4, �) <br />Nota& Public /- <br />County of Residence <br />KELLY ANN LANG <br />NOTARY PUBLIC — OFFICIAL SEAL <br />State of Indiana, LaPorte County <br />My Commission Expires: October 26, 202 <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 <br />