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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 11 th dav of Dp�e�cmbe 18 <br />go_ <br />—Selge Construction Co., Inc. <br />Contractor/Bidder (Finn) <br />Signature of Contractor/Bidder or Its Agent <br />Robert Kuhns, Project Engineer <br />Printed Name and Title <br />Subscribed and sworn to before me this 11 th day of Decmeber 2018 <br />ka <br />My Commission Expires 07/25/2020 <br />L4:A, �-- <br />Notary Public Vicki A. Priest <br />County of Residence Berrien <br />011111 It to I) <br />"0 <br />my GcmwsstoN 1 Z Z4 <br />F <br />0 <br />rolfw ItW%% <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />