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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 26th day of Nov , 20 18 <br />Brown & Brown General Contractors Inc. <br />Contractor/ `dder (Firm) <br />Signature of Contractor/Bidder of Its Agent <br />Br' n Presi <br />Printed Name and Title <br />Subscribed and sworn to before me this 26th day of Nov. , 20 18 <br />My Commission Expires, 3/1/2019 <br />Notary Pulpic <br />County of Residence St. Joseph Co. Indiana <br />ftoedt + Allen Rov <br />Notary Public <br />SEAL <br />t, Jamphw County„ atatt' <br />MV (toTli lselon Expiios M' <br />t' Inmieslon Wrnbw <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />