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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 __1 t3 h _ day of Dec • 20-22 <br />C & E Excavating, Inc. <br />ContractorBi Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Thad Bessing_er. President <br />Printed Name and Title <br />Subscribed and sworn to before me this 13th da of , f]e�er , 2099 <br />My Commission Expires 9L2()195 <br />Notary Public <br />County of Residence Elkh� <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />CRISTOL MELODY VALDEZ <br />�"11411p+`'+ <br />�rH• •.�8-'=' <br />Notary Public, State of Indiana <br />x = <br />;SEAL; <br />Elkhart County <br />=: �'• „= <br />Commission # 696906 <br />My Commission Expires <br />February 20, 2025 <br />County of Residence Elkh� <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />