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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 22nd day of July ' 2025 <br />Subscribed and sworn to before me this 22nd <br />My Commission Expires <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 />July — _ 2025 <br />Notary Public <br />COUNTY OF EFRRIEN <br />�, <br />Berrien <br />_ ; MYCommissonEt,�,3s <br />� Odaber27, 2p27 � <br />Aao9 in ge Connyof <br />OF <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />