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Bidder: Gibson -Lewis, LLC <br />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 28th day of May , 20 24 <br />Nick Gurbick, Vice President <br />Printed Name and Title <br />Subscribed and sworn to before me(his 28th �Vy of MM , 20 24 <br />My Commission Expires <br />08/05/2031 <br />County of Residence <br />Notary Public Juli Hodowaniec <br />Q <br />Ll HCDOWANfECO 1� NotaMState ofI Indianan Ncut r NAQ671289fpn kpfres Rug 5, 203 t <br />Version 03/15/2024 Contractor's Bid for Public Works - 6 <br />