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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 />December <br />Dated this 1 9th day of_, 20 17 <br />Subscribed and sworn to before me this 1(4th <br />My Commission Expires June 18, 2023 <br />County of Residence <br />TGB Unfimited (dba) SIT Bancroft Electric <br />Contractor/Bidder (Firm) <br />Signature of Contractoifflidder or Its Agent <br />Ty Bancroft, President <br />Printed Name and Title <br />SART I <br />notary vubq% state 01 tndien <br />LOPOrtO County <br />CO.MISSIOn Expires <br />Version 10/1712017 Contractor's Bid! for Public Works - 6 AddendUM #1 <br />