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violations hereunder may result in forfeiture of contractual payments. <br />1 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 25th day of April, 2017 <br />5elge Construction Co.,.Inc. <br />Contractor/Bidder (Firm) <br />,,Sirnature of Contractor/Bidder or Its Agent <br />Justin E. Butler Director — Business <br />Printed Name and Title Operations <br />Subscribed and sworn to before me this 25th day of April 2017 <br />l <br />My Commission Expires 07/25/2020 (f-' <br />Notary Public Vicki Priest <br />1`,1�1li1! n If, <br />County of Residence Berrien Oc)untY r,��i`��,�,;;,• <br />N `NQTARY`"�''" <br />PUBLIC <br />s [p MY COMMISSION <br />EXPIRES <br />, j°•. 7-25 2020 d�C7 6 <br />�i Z��'• <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 <br />