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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 13th day of May , 20 <br />Subscribed and sworn to before me this 13th <br />My Commission Expires <br />6/5/2030 <br />Milesto <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary, Director of Estimating, Griffith -South Bend <br />Printed Name and Title <br />day of May _, 20 25 <br />Notary Public Alisha Krueg <br />County of Residence LaPorte <br />ALISIIAKRUEGER <br />My commission Expires <br />*i SEA! ::* <br />June 5, 2N, <br />NF< • 1= <br />Commission Number t4POUM44 4i <br />La Porte County <br />Version 5/20/2024 Contractor's Bid for Public Works - 6 <br />