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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 March , 2024 <br />eth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />�S*ure Contractor e s Agent <br />Jacob K. Kwilasz, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 12th day of March , 20 24 <br />My Commission Expires 03/27/2030 (�(.-� ��✓ �i K <br />No ary Public <br />County of Residence Fulton County, Indiana <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />