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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 13th day of June , 2023 <br />Subscribed and sworn to before me this 13th <br />My Commission Expires <br />7/14/2029 <br />County of Residence <br />Rieth-Riley Construction Co. Inc. <br />Contra r/Bidder <br />Signature of Contractor/Bidder or Its Agent <br />Ruben Alvarado, Sales Manager <br />Printed Name and Title <br />_ da f June 0 23 <br />Notary Public Dawn E. Armstron <br />Koscuisko <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />