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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 October day of 24th 2023 <br />`e`e ot ra c fors <br />`` y` : •'� ��'....,. ,•• <br />+w° �pRPORyTF�Z <br />SEAI, <br />Mi <br />rth. 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 24th day of October , 2023 <br />My Commission Expires 6/5/2030 <br />Notary Pub is Alisha Krueger <br />County of Residence St. Joseph <br />ALISHA KRUEGER <br />........... . ff, <br />My Commission Expires <br />• SEAL =, <br />June 5, 2030 <br />Commission Number NP065350 <br />N9jEOF iN6��. <br />La Porte County <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />