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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 8th day of April , 2025 <br />Subscribed and sworn to before me this Sth <br />My Commission Expires 7/14/29 <br />County of Residence <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />ature of Co _ctor/-I3i-d er or Its Agent <br />Jacob K. Kwilasz, Area Manager <br />Printed Name and Title <br />d April 25 <br />Notary Publi Dawn E. Armstrord <br />Kosciusko <br />7�'Uy i r'7i DAWN E. ARM <br />PG8% STRONG <br />o <w Notary Public, Stale of Indiana <br />x'SEAL"= Kosciusko County <br />ir••, *; Commission Number NPO734858 <br />%�iaflA�yT\` MY Commission Expires <br />July 14, 2029 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />