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may result in forfeiture of contractual payments. <br />I hereby affirrn 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 6>th day of Sept. , 2018 <br />Subscribed and sworn to before me this 6th <br />My Commission Expires <br />615122 <br />County of Residence <br />Iv. Inc. <br />of Copf£ractorBidder or Its Agent <br />ustin Hilarv. VP of South Bend Area <br />Printed Name and Title <br />.day of September 20_1$ <br />,- 4��- � ilu�� — <br />Notary Public Alisha grueger <br />St. Joseph <br />, "Hlj,: Al_ISHA KRUEGER <br />•``�a; ''' <br />Notpry Public, State of Indiana <br />st.JosephCounty <br />' <br />My Commissipn Expires <br />June05,2022 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />