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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 26th day of Sery tember20 23 <br />Subscribed and sworn to before me this 26th <br />My Commission Expires <br />County of Residence <br />Slatile Roofing and Sheet Metal Co., Inc. <br />C tract ffiidde Firm) <br />Si ature of ontra tor/Bi r or Its Agent <br />Gerald Lonqerot - Vice President <br />Printed Name and Title <br />day of September , 20 23 <br />Notary PybIV U U <br />pUBL/c''%, <br />_o: Q= <br />Version 09/29/2021 Contractor's Bid for Public Work - 6 <br />