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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 22nd day of Oct. , 20 18 <br />Brown & Brown General Contractors, Inc. <br />ContractorlB' der (Firm) <br />Signature of Contractor idder or Its Agent <br />Eric Brown. President <br />Printed Name and Title <br />Subscribed and sworn to before me this T22nd day of October , 20 18 <br />My Commission Expires 3/19/2019 <br />Notary Public <br />County of Residence St. Joseph Co.. Indiana <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />