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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 />" <br />Dated this day of 20 <br />Contractor/Bidder(Firm)W <br />Sigtl' ture of Contrac r/Bidder or Its Agent <br />p <br />Printed Name and title <br />Subscribed and sworn to before me this zsav, day of ..:.......w__ , 20„ <br />My Commission Expires " <br />Notary Public <br />County of Residence -mm <br />ASSAGAIt HORNOERGER <br />Seal <br />Notary Public • State of Indiana <br />St Joseph County <br />My Commission Expires Mar 15, 2024 <br />Version 4/2/2019 Page - 10 Public Works Quote <br />