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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 27th day of May 2025 <br />L.P. <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary, _ Director of Estimating —Griffith -South Bend <br />Printed Name and Title <br />Subscribed and sworn to before me this 27th day of May 12025 <br />My Commission Expires 6/5/2030 <br />Nota ublic Alisha eger <br />County of Residence LaPorte <br />ALIS' KRUEGrR <br />My Commission Expires <br />SEAL June 512030 <br />;:. <br />r, Commission Number NP065354A <br />'; �`` ` La Porte County <br />Version 1/3/2025 Contractor's Bid for Public Works - 6 <br />