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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 11 th day of April , 2023 <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />i9- nature of ContractorBidder or Its Agent <br />Justin Butler, Vice President <br />Printed Name and Title <br />Subscribed and sworn to before me this day of, April , 2023 <br />1 <br />My Commission Expires 10/27/2027 <br />Notary Pubf'sc <br />ti.�:t:r:aoacrrrrrrf <br />County of Residence Berrien __ £�.,•�., <br />V rr ••�YII^GFu��;t[ � <br />w +y+ r Gpl1Ni'� i <br />r m} �ttBS i <br />t F}n+a <br />5 <br />.�fr,'rqT� <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />