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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 19th _. day of Dec. , 20 18 <br />Subscribed and sworn to before me this 19th <br />My Commission Expires 3/1 /2019 <br />Brown & Brown General Contractors, Inc. <br />Contra tor/14id'der (Fit - <br />Signature caAontract4r Bidder or is Agent <br />Eric Brown„ President <br />Printed Name and Title <br />day of Dec. , 20 18 <br />r <br />Notary Publ„ <br />County of Residence St. Joseph !Qp,, I <br />Bradley,Allen Romine <br />Notary Public <br />SEAL <br />%Joseph County, State of Indiana <br />My Commission Expires March 01, 2019 <br />Commission Number: 624649 <br />