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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 24th day of January , 2023 <br />Subscribed and sworn to before me this 24th <br />My Commission Expires /-/) /AS �30 <br />County of Residence <br />Slatile Roofing & Sheet Metal Co., Inc. <br />ontractoFBidder (Firm) <br />S` ignature of Cgntract id or Its Agent <br />Gerald Longerot - President <br />Printed Name and Title <br />day of January , 20 23 <br />- .r 2 <br />Notary P h <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />