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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 24th ,__..,_.., day of m w 2019 <br />Subscribed and sworn to before me this 24th <br />My Commission Expires . 07/25/2020 <br />Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />i� • K" <br />Signature of Contractor/Bidder or Its Agent <br />Robert. Kuhns Proiect Engineer <br />Printed Name and Title <br />day ofi M ...__, 20 1.9 <br />t...._ ,4 .m.. ,. <br />Notary Public <br />County of Residence Berrien a ......... <br />, <br />pp <br />a <br />;k 1+✓� �+W� <br />'f A 0. C ,, <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />