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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 27th day of Nov ___ 2018 <br />Selge Construction Co. Inc- <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert Kuhns, Project En ineer <br />Printed Name and Title <br />Subscribed and sworn to before me this 27th day of 1+i V�r_ e T .. O—AB <br />My Commission Expires 07/2/'2020 <br />Notary Public <br />County of Residence Berrien <br />���,ww�sa�awumramr�sr,�,� <br />mm �: <br />4c� z <br />Version 7/20/2018 Contractors Bid for Public Works- 6 <br />