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may result in forfeiture of contractual payments. <br />**A: <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 f�7 day of 2013' <br />{1Un)WIN) �J��CF�T� ��4 ViCES, TrJC. <br />Contractor/Bid e� il°'irm) <br />Signature of Contractor/Bidder or Its Agent <br />M'Aq, c-ArC--v q . P, <br />Printed Name and Title <br />Subscribed and sworn to before me this day of <br />My Commission Expires <br />Not4ry Public <br />County of Residence E LKi�� �� <br />JANEE M TOWNER <br />NOTARY PUBLIC <br />SEAL <br />ELKHART COUNTY, STATE OF INDIANA <br />MY COMMISSION EXPIRES FEBRUARY 12, 2026 <br />COMMISSION NO, 710399 <br />Version 1/3/2025 Contractor's Bid for Public Works - 6 <br />