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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 8th day of March , 2022 <br />Subscribed and sworn to before me this 8th <br />My Commission Expires 1/5/28 <br />Rieth-Riley Construction Co., Inc. <br />Con=r (F' ) <br />Signature of Contractor/Bidder or Its Agent <br />Ruben Alvarado, Sales Manager <br />Printed Name and Title <br />-day of March —120 22 <br />ofry <br />Pu t Jennife Mora <br />County of Residence Elkhart County, Indiana <br />E <br />ENNIFER MORA.tary Public, Staie of IndianaElkhart Countymmission Number NP0724328My Commission ExpiresJanuary 05, 2028 <br />Version 08/25/2021 Contractor's Bid for Public Works - 6 <br />