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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 3f d day of r ' f , 20 <br />o7z I N CG A `121EM IM m y <br />Contractor/Bidder (Firm) <br />Signattee of Contractor/Bid er or Its Agent <br />Printed Name and Title <br />Subscribed and swornto before me this y' day of 11n n t , 20 2 S <br />My Commission Expires �Z <br />TC-t'a'ry Public <br />County of Residence <br />Version 07/19/2023 Contractor's Bid for Public Works - 6 <br />''hall Cop�r. yA', <br />wow <br />sm <br />�OF � a <br />