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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, understated 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). 1 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 />* *A V <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 S41, day of � brwn�20 17 <br />con otor V'il•rn/� <br />Signature of Contractor/Bidder or Its Agent <br />`JGo-r-r A. MZLLeA -PAC'Atr <br />Printed Name and Title <br />Subscribed and sworn to before me this dO1A day of DEB / , 20 /7 <br />My Commission Expires 1&,I✓. / % M/ 7 <br />7 <br />County of Residence <br />Noo-Collusion Non -Debarment Affidavit Non Iran Form <br />Notary Public <br />/G IZ4/r/ <br />KATHERINE T. STRAUS <br />a Notary Public, State of Indiana <br />Hamilton County <br />My Commission Expires <br />u. July 19, 2017 <br />