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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 8th day of June 2021 <br />5 _v Am <br />Ziollcowski Construction Inc. <br />Contractor/Bidder (Firm) <br />�R42 <br />o a <br />ignature of Contractor/Bidder or -Its". j <br />° <br />° <br />Bill Favors, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 8th day of Tune , 2021 <br />My Commission Expires January 28, 2023 <br />Not Public <br />County of Residence St. Joseph <br />ho, <br />s,;?•��� JENNIFER WIEST <br />' Notary Public, state of Indiana <br />s <br />,•'NOTARY. <br />SEA <br />St. Joseph County <br />*, : <br />Commission # 663344 <br />U��11t,`��.` <br />4•T1TT¢¢�� <br />My Commission Expires <br />January 28, 2023 <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />