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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 27th day of MaY , 20 25 <br />Subscribed and sworn to before me this 27th <br />My Commission Expires 10/27/2027 <br />i�tiusnrwrsrri�rrrrr <br />V • U Ok `i of <br />�1 + CO� <br />Oda:(� <br />r <br />r�y <br />p :1 p,4M3OF <br />1n 1rs Cou" + <br />County of Residence <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />P <br />Signature of Contractor/Bidder or Its Agent <br />Robert P. Kuhns, PE, VP Estimating <br />Printed Name and Title <br />_ f MaY 20 <br />Notary Public Allison Swinehart <br />Berrien <br />Version 1/3/2025 Contractor's Bid for Public Works - 6 <br />