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orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material <br />breach of contract. <br />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. 5-16-8-1). 1 <br />hereby certify that I and all subcontractors employed by me for this project will use steel products or <br />foundry products made in the United States on this project if awarded. I understand I have an <br />affirmative duty to notify the City in my bid that my proposal does not include the use of steel products <br />or foundry products made in the United States. I understand it is my sole obligation and responsibility to <br />provide a justification to the City, subject to review and approval, why the cost of United States made <br />steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not <br />use steel products or foundry products made in the United States, the City, through its director of public <br />works, shall make a determination if the price of United States made steel or foundry is unreasonable. I <br />understand that violations 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 c� 7 ( day ofsJ,x n. , 20 /7 <br />9a kl, k'' f F0 K 9"'M a n rf's n F ISf, �osc� h <br />Contr cto r/Bidd er.(Firm) CG t*n• <br />Signature of Cclractor/Bid'der or Its Agent <br />�Ja' 126 R a'-5j �kP c-(t V e <br />Printed Name and Title <br />f'�ecfo✓ <br />Subscribed and sworn to before me this o 3' `t day of \icc� 20 /7 <br />My Commission Expires VunC �4 2,0Z3 <br />County of Residence <br />Non -Collusion Nan -Debarment Affidavit Non Iran Form 2016 <br />Notary Public <br />'Jz,.Scap 4 . <br />ELENA FLYNN <br />;t. Joseph County <br />EEEz—_ <br />Nly Commission Expires <br />June 4, 2023 <br />