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may result in forfeiture of contractual payments. <br />ss» <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 --� day of14, 2093 <br />i4CoYh �ariACwInC� LLC <br />(Fim) <br />Stephsnie Humphreys <br />Sign f Contractor/Bidder or Its Agent <br />Noury Pt.tJo Seel Suu of Intliantt <br />St. County <br />111211 <br />i 1 <br />IC ad lM <br />EXPIM <br />My Cemmlulpn Erplree 11r[1@0I9 <br />y Commission <br />Prin d Name and Title <br />Subscribed and sworn to before me this da f u ul 2 <br />My Commission Expires aE pI <br />Notary blic <br />County of Residence (CM, <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />