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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 <br />26th <br />day of Nov. , 20 24 <br />Midland Engineering Company, Inc. <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Ryan J. Haas/President/CEO <br />Printed Name and Title <br />Subscribed and sworn to before me this 26th day of November � 20 24 <br />My Commission Expires <br />County of Residence <br />Notary Public <br />St.Joseph <br />>o?:•••• GB/ Notary Public, State of Indiana <br />Z SEAL;"= St Joseph County <br />+of f=Commission Number NP0627494 <br />DIANt-`c My Commission Expires <br />nt111110 June 27, 2027 <br />A. Archer <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />