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may result in forfeiture of contractual payments. <br />Um <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 day of', <br />4eA"1C <br />ContN'actor/Bidder .�rm r <br />+ wwWWW <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this V d al' <br />My Commission Expires v V,� , yl "... <br />Notary ubl is Ap" f ova e <br />County of Residence <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />