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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 _I day of QPc 20 <br />Signature of ContractorBidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn do before mpe this �� day of � r �� 20�.� <br />My Commission Expires <br />Notary Public <br />County of Residence Sy�e9l� <br />; <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />