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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 />My <br />Z� Y • H07hRY AJBi1C \ ? <br />a �;•courgsYORBBRRI., �� <br />MY COMMT2:bn Exams <br />odDb"--27,2027 = <br />z AcOng in fhe Cot ly bf i <br />1. <br />MIG <br />Dated this 22nd day of April , 2025 <br />Subscribed and sworn to before me this 22nd <br />10/27/2027 <br />County of Residence <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert P. Kuhns, PE, VP Estimating <br />Printed Name and Title <br />da. of April 20 25 <br />r \1 <br />Notary Public <br />Berrien <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />