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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 8th day of August , 2023 <br />I I I I uil�i <br />ntract o id (Firm) <br />`� <br />��N -Lr, a ctors <br />LO •,• ........,yo <br />o`��pORAT� •• s % <br />nature of Contractor/Bidder or Its Agent <br />e ?, • ; n <br />�•;•• SEA"".. <br />Dustin P. Hilary, Director of Estimating <br />o •� <br />N <br />Printed Name and Title <br />bN b` Q,'``� <br />Subscribed and sworn to before me this 8th day of Au u t , 20 23 <br />My Commission Expires 6/5/2030 — 4i�16 �. &�— - <br />Notary 1ic Alisha r eger <br />County of Residence LaPorte <br />ALISHA KRUEGER <br />'a�S►RY p�B`/�, <br />My Commission Expires <br />*' SEAL :*= <br />June 5,2030 <br />Commission Number NPM544 <br />9FgF�P?. <br />La Porte County <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />