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may result in forfeiture of contractual payments. <br />e <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 ol',,,� "° red 2019 <br />Subscribed and sworn to before me this a' - <br />My Commission Expires �h Ic a - � <br />County of Residence <br />AIA 010A A,J�� C <br />ont�•�c�t�ar�°L clue° �rm�a� . ��' t" <br />Sighature )f Conttautc irld or Its Agent <br />Printed Name and Title <br />- day of L 2019 <br />Notary Public <br />HEIDI ANDERSON <br />NOTARY PUBLIC - STATE OF MICHIGAK, <br />COUNTY OF O <br />My Commission Expires December 22. 2020 <br />Version 1/17/2019 Contractor's Bid for Public Works - 6 <br />