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may result in forfeiture of contractual payments. <br />I <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 2 Z day of C 2019 <br />Subscribed and swornto before me this 42- <br />My Commission Expires , � - � "I <br />County of Residence <br />/ ✓� � . <br />rlt for/. dder �F inn) . <br />Sig ature f Contract r Its Agent <br />x <br />Printed Name and Title ' <br />-day of , 2019 <br />Notary Public <br />� r � <br />COUNTY OF ON <br />CommissionMy .. December 22, 2020 <br />Version 1/17/2019 Contractor's Bid for Public Works - 6 <br />