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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 9th day of November, 20 21 <br />Subscribed and sworn to before me this 9th <br />My Commission Expires <br />03/06/2024 <br />HRP CONSTRUCTION INC. <br />C acto (Fir <br />Signature of Contractor i or Its Agent <br />Matthew D. Cain, President <br />Printed Name and Title <br />day of November —20 21 <br />N ry Public Cynthia L. Vanheste <br />County of Residence St. Joseph <br />CYNTHIA L, VAN HESTE <br />`o;••••a8�y Notary Public, State of Indiana <br />_a;SEAL* St. 1oser,h County <br />;• ;• o- Commission Number 681273 <br />';i,,lypt'pN� ���` My Commission Expires <br />March 06, 2024 <br />Version 08/25/2021 CONTRACTOR'S BID FOR PUBLIC WORK - 6 <br />