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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 191:h day deaembPr; 20_1_9 <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert Kuhns, Project Engineer <br />Printed Name and Title <br />Subscribed and sworn to before me this 10th day <br />My Commission Expires D7/25/2Q2Q L <br />Notary Public�wu�►��ir�r <br />County of Residence <br />Berrien <br />ow,wi;yk &APJw�'N <br />25-2 20 � <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />