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may result in forfeiture of contractual payments. <br />**s <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 __.__..:10tlr _w day of December 2019 <br />G, Marshall Inc <br />7r/f�id er (lry'i � <br />Si naiuro of ntractor/Bidder or Its Agent <br />Subscribed <br />Subscribed and sworn to before me this loth <br />My Commission Expires _06 1 2025 <br />County of Residence <br />Ross. Marshall,CCorporate Secretarymm - <br />Name and Title <br />.dayof, - ,• _ 02019 <br />Notary P'ub is P,t e M. Wary "Or <br />rf" i........ i' BMX <br />O 1 � N% <br />"11111111 <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />