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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 12th day of Dec. 2017 <br />Ritschard Bros., Inc. <br />Mntractor/Bidder (Firth) <br />-L <br />Signature of Contractor/Bidder or Its Agent <br />Rachelle Z. Dolniak, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 12th <br />My Commission Expires <br />$/25��tttttttrli�� <br />Coanty at Tk4sQJTj � `. Joseph <br />',,1INM <br />1111111t1�,,` <br />Version 10/17/2018 Contractor's Bid for Public Works - 6 <br />