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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 9th day of May , 2023 <br />NNI`ofil <br />ntr a c f rs��i��� <br />°;' �pRPORgTF S <br />SEAL <br />i ;N b ,GN; `���� <br />M <br />Inc. <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary, Director of Estimating <br />Printed Name and Title <br />Subscribed and sworn to before me this 9th day of Ma .2023 <br />My Commission Expires 6/5/2030 a4.,� <br />Not lie Alish ueger <br />County of Residence LaPorte <br />v P� <br />ALISHA KRUEGER <br />My Commission Expiree4 <br />SEAL-*-: <br />2030 <br />Ju�Number <br />Commission NP0653544 <br />La PCounty <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />