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The name of the partnership firm under which the above partners are operating is ......................................... <br />Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other <br />business for the partnership, the signatures of whom are legally binding. <br />The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership of <br />corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the parry to whom it is <br />submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is reby authorized to supply such <br />party with any information necessary to verify this statement. <br />........... ................. .......... ......................... <br />NOTE: A co -partnership must give firm name and signatures of all partners. Brian T. Larson, President <br />A corporation must give full corporate name, signature of official and affix corporate Larson -Danielson Construction Co., Inc. LgRSON-DANIELSON <br />Seal. ( j <br />STATEOF ...................................... <br />SS: <br />COUNTY OF .................................. <br />Affidavit for Individual <br />...................................................................................... being duly sworn, deposes and says that the foregoing financial <br />statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this............................................................ <br />(Applicant must sign here) <br />....................day of ............................ 20 ...... <br />.................................................................... <br />Notary Public <br />Affidavit for Co -Partnership <br />STATE OF ...................................... <br />SS: <br />COUNTY OF .................................. <br />...................................................................................... being duly sworn, deposes and says that that he is a member of the firm <br />of...............................................................................: that he is familiar with the books of the said firm showing its financial <br />condition; that the foregoing financial statement, taken from the books of the said firm, is a true and accurate statement of his financial condition <br />of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this............................................................ <br />(Member of firm must sign here) <br />....................day of ............................ 20 ...... <br />................................................. <br />Notary Public <br />STATE OF ......... INDIANA........... <br />SS: <br />COUNTY OF ......LA PORTE................ <br />Affidavit for Corporation <br />............Brian T. Larson ........ being duly sworn, deposes and says that that he is a member of the firm of ...... President..........; of the <br />.............Larson -Danielson Construction Co., Inc.............., the corporation described in and which executed the foregoing statement; that he <br />is familiar with the books of the said corporation showing its financial condition; that the foregoing financial stateme t, taken from the books of <br />the said firm, is a true and accurate statement of the financial condition of the said corporation da ere nd that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this ........... ................ r.. .......... ...... <br />2 2 n October 2024 (Officer must sign here) S <br />LARSON-DANIELSON <br />......... y of ........... ....... Brian T. Larson, President CONSTRUCTION <br />Digitally signed by Michele Dzielinski <br />Michele Dzielinski DN:C=hel?Dzmcnski nsWction, min', <br />CN=Michele Dzielinski <br />.............................. . .Date' 2024',022b7:51:37-05'00.......................... <br />Michele C. Dzielinski, LaPorte County Resident My Commission Expires: September 8, 2031 <br />-LE CEC kawELM, <br />•�fi ANCmm®eim Fxprec <br />- ' X0f SepYv M.NPf <br />�P,Fd <br />f n„3 15 <br />