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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 hereby 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. LARSON-DANIELSON <br />Seal. se^ <br />CONSTRUCTION CO.�INC. <br />Affidavit for Individual <br />STATEOF ...................................... <br />SS: <br />COUNTY OF .................................. <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 statement, taken from the books of <br />the said firm, is a true and accurate statement of the financial condition of the said corporation as of V4: <br />and that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this ................ <br />12 t l December 2024 (Officer must sign here) <br />ay of ....... !..... Brian T. Larson, President OLARSON-DANIELSON <br />nski se,v;, CONSTRUCTION CO., INC. <br />Di i Ily g etl by MicM1ale Dzielinipie,y. si n <br />Michele DzlD -US E-"mctl(JMwnsWdlon,.com'. <br />..... I� IcheieD elinski <br />Michele C. Dzielinski, LaPorte County Resident My Commission Expires: September 8, 2031 <br />.-ECEarwomwg <br />15 <br />