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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. <br />Dated this T2th day of June 20 1 E3 <br />Subscribed and sworn to before me this 12th <br />My Commission Expires <br />3/6/24 <br />County of Residence <br />HRP CONSTRUCTIOX.-INC. <br />Signature of Contractor/Bidder or Its Agent <br />Matthew D. Cain, President <br />Printed Name and Title <br />day of June —, 20 1 B <br />NotaryPublilir Cindy Vanheste <br />St. Joseph <br />Version 10117/2016 Contractor's Bid for IPublic Works - 6 <br />