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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 23rd day of July , 2019 <br />Berglund Construction Company <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Jack Tribbia - President of Restoration <br />Printed Name and Title <br />Subscribed and sworn to before me this 23rd day of, Jul . „ 21 <br />4M Commission Expires August 1 2022 A <br />w <br />Y p Aatk <br />- <br />Nota y Public <br />County of Residence Will <br />E <br />FFICIAL SEAL"RANKLIN WILSONPublic, State of Illinoision Eirplwa Aug. ol, so2s <br />Commission No. 879455 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />