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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 11 th day ofA us 2025 <br />Subscribed and sworn to before me this 11 th <br />My Commission Expires 03/26/2033 <br />County of Residence <br />Green Demolition Contractors, Inc. <br />Contractor/Bidder(Flrm <br />Sign o ntractor/Bidder or Its Agent <br />Michael J. Brough, President <br />Printed Name and Title <br />_day of August , 2025 <br />otary Public <br />LaPorte <br />10mberty Talbott <br />Notary Public Seal State of In <br />{.e Ports County <br />*'Commission NumberNPOT62e87 <br />My Comads$w Expires 3/2612033 <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />