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The name of the partnership firm under which the above partners are operating is .................... _ .................... <br />......................................................................................................................_ .................... <br />Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other <br />business for the partnership, the signatures of whom are legally binding. <br />......................................................................................................................_ .................... <br />The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership of <br />corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is <br />submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such <br />party with any information necessary to verify this statement. <br />NOTE: A co -partnership must give firm name and signatures of all partners. <br />A corporation must give full corporate name, signature of official and affix corporate Timothy F. Larson, President <br />Seal. <br />Larson — Danielson Construction Company, Inc. <br />Affidavit for Individual _ <br />STATEOF ...................................... �4�T... <br />SS: t LAR ON DANI LSON <br />COUNTY OF ........................ <br />nANp CONSTRUCTION CO., INC. <br />...................................................................................... being duly swo nancial <br />statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this <br />(Applicant must sign here) <br />....................day of ............................ 20 ...... <br />.................................................................... <br />Notary Public <br />Affidavit for Co -Partnership <br />STATEOF ...................................... <br />SS: <br />COUNTY OF ............................. <br />• • • • • • • • • • • • • • • • • • • • • • • • • •............................................................ being duly sworn, deposes and says that that he is a member of the firm <br />of...............................................................................: that he is familiar with the books of the said firm showing its financial <br />condition; that the foregoing financial statement, taken from the books of the said firm, is a true and accurate statement of his financial <br />condition of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this <br />(Member of firm must sign here) <br />....................day of ............................ 20 ...... <br />.................................................................... <br />Notary Public <br />Affidavit for Corporation �; � �* LAR ON DANIELSON <br />STATE OF.........INDIANA................. <br />�,���,,' <br />COUNTY OF ......LA PORTE................SS: CONSTRUCTION CO., INC, <br />............Timothy F. Larson ........ being duly sworn, deposes and says that that he is a member of the firm of ...... President..........; of the <br />.............Larson -Danielson Construction Co., Inc.............., the corporation described in and which executed the foregoing statement; that <br />he is familiar with the books of the said corporation showing its financial condition; that the foregoing financial statement, taken from the <br />books of the said firm, is a true and accurate statement of the financial condition of the said corporatp as of the date thereof and that the <br />answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this........................................................... <br />(Officer must sign here) <br />I3th.... day of October, 2020 .... Timothy F. Larson, President <br />.............. <br />Michele C Dzielirr k LaPoi ou esident My Commission Expires: September 8, 2023 <br />a �xrnvaw,ri MICHELE CECELIA DZiEt.INSKI <br />15 <br />La Porte County <br />My Commission Expires <br />r' <br />°� , - September 8, 2023 <br />l i <br />