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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 ,www, _w26th — day of November20 19 <br />Gibson -Lewis, LLC <br />Contractor/Bidder (Firm) <br />SignaturA of Contract, •/Bidder or Its Agent <br />Robert A. Lin enfelter, President <br />Printed Name and Title <br />Subscribed and sworn to before me this t261:: y of November 20 19 <br />My Commission Expires 08/05/2023 ` <br />Not u°y, Public Juli Hodowaniec <br />County of Residence St. Joseph <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />