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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 Sept , 2025 <br />CRY°A� Ctlryl Lynn Egenol <br />* Notary Public, State of Indiana <br />SEAL Merlon Courtly <br />- � Commission Number fi9983b <br />My Commission EVIras <br />06/29/2033 <br />Subscribed and sworn to before me this 8th <br />My Commission Expires s,,l, 2.L. -w33 <br />County of Residence <br />Renascent Inc. <br />Cont actq Bidder Firm} <br />Signature of ContractorFBidder ofOrts Agent <br />Luke Fray, Director of Estimating <br />Printed Name and Title <br />day of Sept-, 20 25 <br />0 (J <br />Nf( <br />o <br />�I�1 all l <br />Version 5/20/2024 Contractor's Bid for Public Works - 6 <br />