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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 10th --, day dMecember, 20 9 <br />Selge Construction Co., Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert Kuhns, Project Engineer <br />Printed Name and Title <br />Subscribed and sworn to before me this 1 pth day of December 2019 <br />My Commission Expires 07/25/2020 --.— <br />Notary Public <br />County of Residence Berrien <br />_............ ».`����. <br />�/TI' <br />I PUBLIC <br />MY COMMISSION <br />1 \; EXPIRES <br />7 25 2020 <br />Version 1/17/2019 Contractor's Bid for Public Works - 6 <br />