Laserfiche WebLink
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, 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 /G 't' day of tfk.,"t/t 20 / 1 <br />Health Sciences. Inc. <br />of Contractor/Bidder or Its Agent <br />,'Judith Albrecht, Assistant Secretary <br />Printed Name and Title <br />Subscribed and sworn to before me this 1� day o n fLL[ h , 20f2 <br />My Commission Expires v Y 20 ` <br />No • Public p <br />County of Residence fA r <br />ap,""ruir Julia A. Hamilton <br />NOTAgY NOTARY PUBLIC <br />�•� State of Connecticut <br />>Pueu�,cv$ My Commission Expires <br />�p CONN�� August 31, 2018 <br />Non-CalNsion Non -Debarment Affidavit Non Iran Form <br />