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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 9k day of, 2019, <br />e/' L-3 )c <br />Contractor idder (l~i m) <br />Signature of Contractor/ idder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this. day ofc7C1 20 /J <br />My Commission Expires //,,q/X� _�' �i3t �',✓�C_ <br />Notary P is <br />County of Residence <br />HARRY P S:- <br />` ' • �. Nolary Pubiio, dianq <br />TNorArsr'•• = <br />*- <br />si. Josep <br />Commisso59 <br />SEAL , <br />�.,,•,.p`; <br />M!J$slonON <br />My ComresiJanuary4 <br />Version 7/20/2018 <br />Contractor's Bid for Public Works - 6 <br />