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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 25th day ofFebruaru 20 20 <br />Subscribed and sworn to before me this 25th <br />My Commission Expires <br />March 6, 2025 <br />County of Residence <br />Ziolkowski Construction, Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Bill Favors, President <br />Printed Name and Title <br />day of February 20 20 <br />._._--_ __ <br />Notary 1) r1 " '°fining <br />Elkhart <br />E <br />N D VINING <br />Seal <br />lic — State of Indianahart County <br />on Expires Mar 6, 2025 <br />Version 01/29/2020 Contractor's Bid for Public Works - 7 <br />