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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 ,...,,._22nd day of October2019 <br />Subscribed and sworn to before me this 22nd <br />My Commission Expires. March 1, 2020 <br />County of Residence <br />Ziolkowski Construction, Inc. <br />C( titrac . t0 tdde�r (Firm) <br />Si rtature of Contractor/Bidder or Its Agent <br />Bill Favors, President <br />Printed Name and Title <br />day of October w 2019 <br />� w <br />Notary Public Shannon eI en ach <br />St Joseph <br />=REIDENBACHBACHSealnaMar 1, 2020 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />