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may resul I ill rorfeitilre of contractual payrnesits. <br />I Iiereby affirm under the penalties of pejmy that [lie facts and infonriation, conwined in the f6regoing bid <br />for public works are true and correct. <br />Dated this 26th day of M 20 20 <br />Subscribed and swom to before uic ffiis 26ti <br />My Cmunission Expires 4/18/23 <br />County of' Residence <br />Rieth�-Riley Construction Co., Inc. <br />er or I is Agent <br />Josh,ua,A, McCormick, Sales Manager <br />Printed Name and T itle <br />of Way V, <br />ut <br />Y <br />N, ry PUblic Dawn E. r Amstro <br />11 � <br />LaPorte <br />11 Ih <br />n.vv a f <br />iv <br />8, 2 2 il <br />Version 402019 Contractor's Bid for Public Works - 6 <br />