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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 the <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 />I 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 day of 20 Al <br />L;'or t��act Bidder (limn) <br />Signature of ContractorMidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this 13 day of °� 20 19 <br />My Commission Expires <br />No Publi <br />County of Residence RAI— rn9n� VAN lJ R 0-1 <br />E <br />0% Notary Public, State of lndiw'ia <br />fAN `"' <br />Elkhart County <br />'• + <br />Commission N 705447 <br />My Commission Expires <br />ra uww <br />November 02„ 2025 <br />Version 1/17/2019 Page - 10 Public Works Quote <br />