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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 12th day of June 2018 <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 Kuhns, Project .._Engineer <br />Printed Name and Title <br />12thday,of June 12018 <br />LZ C <br />Notary Public <br />County of Residence <br />Berrien <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 <br />