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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 25th day of July 2023 <br />Larson -Danielson Construction Company, Inc. <br />Contractor/Bidder (Fi <br />X OLARSON-DANIELSON <br />CONSTRUCTION CO., INC. <br />Signature of Contractor/ idder or Its Agent <br />Brian T. Larson, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 25th day of July _,2023 <br />�"{l'" � MICHELE CECIPone County <br />ZIELINSKI <br />a�xqun La Porte County <br />My Commission Expires:; My Commission Expires <br />9/8/23 xSep�ember8, 2023 <br />Notary Public Michele C. Dzielinski <br />County of Residence LaPorte <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />