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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 12th day of JUIy , 2022 <br />Selge Construction Co., Inc. <br />Contracfor�iddej r--11 <br />Signature of Contractor/Bidder or Its Agent <br />Robert Kuhns, Professional Engineer <br />Printed Name and Title <br />Subscribed and sworn to before me this. 12th day of J <br />My Commission Expires 10/27/2027 <br />County of Residence <br />101111M <br />Berrien <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />MW <br />