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I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 1 oth day of April_....._, 2017 <br />1Wae4- 1<eC�Jery Sc,s --erns <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Carol Pollok - Controller <br />Printed Name and Title <br />Subscribed and sworn to before me this Ilk day of , 201 q <br />My Commission ExpiresG <br />Notary Publi <br />County of Residence <br />TRACY LYNN WENCKA <br />MY Commission Expires <br />August 21, 2018 <br />Version 8 — 02/25/14 <br />