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may result in forfeiture of contractual payments. <br />EZZ3 <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 11th day ofJune 2o24 <br />Subscribed and sworn to before me this 11 th <br />My Commission Expires 01 /28/2031 <br />County of Residence <br />Ziolkowski Construction Inc <br />Contractor/Bidder (Firm) <br />Si ature of Contractor/Bidder or Its Agent <br />Jason Watts - President <br />Printed Name and Title <br />d y of June 20 4 <br />No - Public <br />St Joseph <br />\\PYIpU JENNIFER WIEST <br />�P. •,e�%; Notary Public, State of Indiana <br />Z'.SEAL'"= St. Joseph County <br />Commission Number NP0663344 <br />i p My Commission Expires <br />na0\ January 28, 2031 <br />Version 03/15/2024 Contractor's Bid for Public Works - 6 <br />