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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 />1, 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. 1 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 day of 20_L <br />pLOR^YLL...,T.I/M��M��EµR� <br />i 1piMY.•_ JL Joseph Co" <br />My Commission Expires <br />lie tember2312017 <br />yan w1OWSlci. zi4- e •D <br />Printed Name and Title <br />Subscribed and sworn to before the this AOi day of2014o <br />My Commission <br />County of Residence `0 Jd SCjQ� <br />Non -Collusion Non -Debarment Affidavit Non Lan Form <br />