Laserfiche WebLink
Contractor agrees not to discriminate against or intimidate any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any matter <br />directly or indirectly related to employment, because of race, religion, color, sex, gender <br />expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of <br />this provision may be regarded as material breach of contract. <br />I, the undersigned bidder or agent as contractor on a public works project, understand my <br />statutory obligations to the use of steel products or foundry products made in the United States <br />(I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will <br />use steel products or foundry products on this project if awarded. I understand that violations <br />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/ day of,IZ-1, 20 <br />Contractor/Bidder (1{irm <br />Sign,At ire of Co °actor/bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this _ day of 6c4, 20,�-Q <br />My Cornmission Expires, _ it i..... :.. � .. ._..... y <br />Notary Public <br />w. <br />County of Residence_ ITw..- ,........ <br />BRIAN A. WUJCIK <br />SEAL COMMISSION Numbor 0715473 <br />MY COMMInion Expires <br />OF 10 Auoud 27, 2025 <br />Non -Collusion Non-Debannent Affidavit Non rran Form <br />