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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 tine <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 />�>k>K <br />t 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 ?fl_ day of/ 20Z <br />�1111i lli��i IwItJQ!'G�l_RO1 <br />Notary N if*, $late of Indiana <br />=z: .n; <br />SEAL; <br />'. +r <br />$LJasophGounty <br />corn lesion # $29,62 <br />-.,� ,H • •*'p ��`` <br />My Commlaslon41$ee <br />r�EF ���-A"ZY 20,0 <br />Printed Natne and Title <br />Subscribed and sworn to before me this . day of G , 2016 <br />My Connniission Expires ? <br />Notary Public <br />County of Residence tf%_ mrs/// <br />Version 10/31/2017 Page -10 Public Works Quote <br />