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G <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 I [ day of 4�lzl� 20 17 <br />?�nl�t1S'� I!fit_ MA-IM161dWC&IM 6d?*Crl PUlc�5 G P <br />Contractor/Bidder (Firm) <br />Signature of Contractor idder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this _Zday <br />�oof �P�� , 20—�Z <br />My Commission Expires Q LL /9 <br />Notary Public f� <br />County of Residence <br />Version 10/1712016 Contractor's Bid for Public Works - 6 <br />