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may result in forfeiture of contractual payments. <br />UE <br />I I ICf---TrcdWUL <br />for public works are true and correct. <br />Dated this of z!, ve 20 eR o <br />Ma= <br />ille- <br />Printed Name andliTitle <br />Subscribed and sworn to before me this day of 20 <br />MyCommission Expires &, <br />4 A, k1 N <br />' <br />Al adn <br />Vo, 1110; <br />Trersion 41212019 Contractor's Bid for Public Works - 7 <br />