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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 <br />for public works are true and correct. <br />Dated this 27th day of June 2017 <br />LaPorte Construction Co,, Inc, <br />Con o • Bidder ir) <br />Signature of Contractor/Bidder or Its Agent <br />Lori 5chrad, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 27th day of June , 2017 <br />My Commission Expires 01/24/24 _ _._. __ <br />No ublie , Jason R, D -Iaven <br />County of Residence LaPorte <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 Addendum 1 <br />