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may result in forfeiture of contractual payments. <br />I hereby affnm 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 14th day of MaY , 2o24 <br />Subscribed and sworn to before me this 14th <br />My Commission Expires 10/27/2027 <br />County of Residence <br />Selge Construction Co., Inc. <br />ContractorBidder (Firm) <br />S' re of Contractor/13idder or Its Agent <br />Justin Butler, Vice President <br />Printed Name and Title <br />Zf May 20 24 <br />Notary Public <br />++ti«��srrrrrr►rON +►►► <br />Berrien _, �4, •,, <br />r Q f 'cvuko�P�c��`� � s <br />ems, <br />Acur,34� = <br />► <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />