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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../J l,k day of , 20 J <br />c'�' of Contractor/Bid <br />Sig <br />rt�i3tur . ractor/Bid r or. Its gent ° <br />Printed Name and Title <br />Subscribed and sworn to before me this 444'� day of 1 ",a- - J, 20—LB <br />My Commission Expires as A oa `f Crv. <br />Notary Public <br />County of Residence �� 1'(^�cr In11 I A, ......................... <br />111IV <br />w` w'r,;rws , <br />ora <br />EOORAkf t"Ni' N KLOS WSKt <br />Notary pubjn, 'antrr <br />p, <br />�.�_...: r'sktarto <br />SEAI a« <br />or 7n �r¢rra ry <br />C M1I14Ty' <br />Ctrrrrota��fssyo� � 681151 <br />f.t+w�r <br />�rreerroAwr+�+�' <br />rvlW Commission Ex Pires <br />1oroh 281 2024 <br />Non -Collusion Non -Debarment Affidavit Non Iran Form 2016 <br />