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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 />Subscribed and sworn to before me this <br />My Commission Expires 3/1 /201 <br />Brown & Brown General Contractors Inc. <br />Contractor/ idcler t <br />C <br />Signature of Contractor/Fodder or Its Agent <br />Brown.Eric r <br />Printed Name and Title <br />26th day of Nov. , 20 18 <br />County of Residence St. Joseph Co. Indiana <br />Bradley Allen Romine <br />Notary Public <br />SEAL <br />St. Joseph County, State of Indiana <br />My Commission Expires March 01, 2019 <br />Commission Numben 62464 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />