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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 13th —day of August 2019 <br />^'N'%%%I It t ql/� A <br />�C N <br />q% 5A o <br />Subscribed and swornto before me this 13th <br />My Commission Expires .. „ 20, �20 <br />Ziolkowski Construction, Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder <br />gn or Its Agent <br />Bill Favors, President <br />Printed Name and Title <br />day of August , 2019 <br />artinon+eA <br />Notary Public en <br />County of Residence StO-5-e <br />ISHANNONENBACH <br />c- Seal <br />ianaMy es Mar 1, 2020 <br />Version 4/2/2019 Contractor's Bid for Public Works - 7 <br />