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15 <br />The name of the partnership firm under which the above partners are operating is ………………………………..… <br />……………………………………………………………………………………………………………………....… <br />Give names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other <br />business for the partnership, the signatures of whom are legally binding. <br />……………………………………………………………………………………………………………………....… <br /> The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co-partnership of <br />corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is <br />submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such <br />party with any information necessary to verify this statement. <br /> <br />……………………….…………………………………… <br />NOTE: A co-partnership must give firm name and signatures of all partners. Brian T. Larson, President <br />A corporation must give full corporate name, signature of official and affix corporate Larson-Danielson Construction Co., Inc. <br />Seal. <br /> <br />Affidavit for Individual <br />STATE OF ……………………….………. <br /> SS: <br />COUNTY OF ……………………………. <br /> <br />………………………………………………………………………….. being duly sworn, deposes and says that the foregoing financial <br />statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the <br />foregoing interrogatories are true. <br /> Subscribed and sworn to before me this …………………………………………………… <br /> (Applicant must sign here) <br />………………..day of ………………………. 20 …… <br /> <br />……………………………………………………........ <br /> Notary Public <br />Affidavit for Co-Partnership <br />STATE OF ……………………….………. <br /> SS: <br />COUNTY OF ……………………………. <br /> <br />………………………………………………………………………….. being duly sworn, deposes and says that that he is a member of the firm <br />of …………………………………………………………………….; that he is familiar with the books of the said firm showing its financial <br />condition; that the foregoing financial statement, taken from the books of the said firm, is a true and accurate statement of his financial condition <br />of the said firm as of the date thereof and that the answers to the foregoing interrogatories are true. <br /> Subscribed and sworn to before me this …………………………………………………… <br /> (Member of firm must sign here) <br />………………..day of ………………………. 20 …… <br /> <br />……………………………………………………........ <br /> Notary Public <br />Affidavit for Corporation <br />STATE OF ………INDIANA…….………. <br /> SS: <br />COUNTY OF ……LA PORTE……………. <br /> <br />…………Brian T. Larson …….. being duly sworn, deposes and says that that he is a member of the firm of …… President……….; of the <br />………….Larson-Danielson Construction Co., Inc………….., the corporation described in and which executed the foregoing statement; that he <br />is familiar with the books of the said corporation showing its financial condition; that the foregoing financial statement, taken from the books of <br />the said firm, is a true and accurate statement of the financial condition of the said corporation as of the date thereof and that the answers to the <br />foregoing interrogatories are true. <br />Subscribed and sworn to before me this …………………………………………………… <br /> (Officer must sign here) <br />…10th …... day of …March …..… …2026. … Brian T. Larson, President <br /> <br />…………………………………………………….................. <br />Shawnique M. O’Dell, LaPorte County Resident My Commission Expires: August 20, 2033