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may result in forfeiture of contractual payments. <br />I here -by 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 19 day ofl2ecembe 4017 <br />Subscribed and sworn to before me this <br />My Commission Expires 07/25/2020 <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert P. Kuhns, P.E. Project Engi er <br />Printed Name and Title <br />19 day of December / ,, 1 2017 <br />J(, e- Pi, K -r,, Y-a <br />Notary Public <br />County of Residence Berrien Count.y <br />r <br />� \�� Is <br />P <br />e l'Y <br />Z <br />M <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />