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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 J/, 20N <br />UNDA J GILRGY <br />Notary <br />Public, State of irrrs#na <br />" <br />'jSEAL; <br />St. Joseph County <br />*`. a <br />Commi#lion#629'V62 <br />My Commission ExpVres <br />August31,2019 <br />YItl,Xp NfilYhta <br />Contr'akorl <br />Signatur of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this -2JA0 day of . 20 <br />My Commission Expires <br />Notary Public <br />County of Residence cr <br />Version 10/31/2017 Page - 11 Public Works Quote <br />