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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 C:;L�.)— day ofL�G 11� 20 f <br />e,r �M LOOP LLB <br />ontractor/'Bid or (F m) <br />Signature of&ntractor/ Bidder or Its Agent <br />-7. Fr,5+ &;n11m <br />Printed Name and Title <br />Subscribed and sworn to before me this _ (lay of � , 20� <br />My Commission Expires � "�' '�� ��' �, , � �' �° 4-. "1�_�_._... <br />Notary Public <br />County of Residence mf1" <br />N <br />i 1C ' <br />M Notify 04 M41Mr' <br />11 ldgrndl of AftrIM11 CO., M <br />n Mv OMMINUO <br />Q OcNber2, 2023--------------------- <br />5 <br />