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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 12th day of December 2p23 <br />Subscribed and sworn to before me this 12th <br />My Commission Expires lt5 �' <br />County of Residence <br />Slatile Roofing and Sheet Metal Co., Inc. <br />ontrac Bid d r i <br />Signature of Contractor idder or Its Agent <br />Gerald Longerot - Vice President <br />Printed Name and Title <br />_ day f December 2023 <br />Notary Pu c <br />PUg.. T .. �c <br />0 <br />Version 09/29/2021 Contractor's Bid for Public Work - 6 <br />