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make a determination if the price of United States made steel or foundry is unreasonable. I understand that <br />violations 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 <br />for public works are,true and correct. r <br />Dated this 99 day of�'-, ZO ` <br />Contractor/Bidder (Firm) <br />wu`• <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to b ore me this day of , 20� <br />My Commission Expires <br />Nota P c <br />County of Residence 4 � <br />Theresa A. Suseiand <br />Notary Public of Michigan <br />Berrien County <br />Expires O5/O8/2O <br />Acting In the County of <br />Project No. 117-081 Contractor's Bid for Public Works - 6 <br />