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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 ZZ day of 1 <br />_Ven;wk ,20/7 <br />Northern Construction Services, Corp. <br />Contractor/Bi dqjqr (Firm <br />of Contractor/B <br />Daniel L. Kulwj4i, Jr., President <br />Printed Name and Title <br />Subscribed and sworn to before me this day of ry 20 <br />"j <br />My Commission Expires C 11 bL,�,,O <br />Notary Public <br />County of Residence <br />DEBORAH J. LANDIS <br />NOTARY PUBLIC, STATE OF MI <br />COUNTY OF VAN BUREN <br />MY COMMISSION EXPIRES Sep 15, 2023 <br />ACTING IN COUNTY OF C,S,,, S) <br />Version 10/17/2016 Contractor's Bid for Public Works, - 6 <br />