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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 _22jld __,_,_. day of July , 2019 <br />--- <br />Contractor/Bidder (Firm) <br />Sigii.atir m tc r gNe�ror Its Agent <br />�a <br />rz.._ . .. <br />Printed Name and Title <br />Subscribed and sworn to before me this 22nd day of July . 20 19 <br />My Commission Expires „ 7/13/2022 <br />Notary Public Catherine J. Gruber <br />County of Residence <br />Version 8 — 02/25/14 <br />