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DocuSign Envelope ID:46276B05-79E0-4089-B879-E62E97F0B2A1 <br /> Attach to Bid Attach to Bid Attach to Bid Attach to Rid Attach to Bid Attach to Bid Attach to Bid Attach to Bid <br /> state f North Cr II ""-A F F: L") 'VII intent to Parfcrirri Contract <br /> ,ith Own Workforce. <br /> County of 6c' •z_.. <br /> Affidavit of 1--5—LS\c-c) <br /> (Name of Bidder) <br /> hereby certify that it is our intent to perform 100%of the wori(required for the frJ t \ <br /> contract. <br /> (Name of Project) <br /> In making this certification,the Bidder states that the Bidder does not customarily subcontract elements <br /> of this type project, and normally performs and has the capability to perform and will perform all <br /> elements of the work on this project with his/her own current work forces;and <br /> The Bidder agrees to provide any additional information or documentation requested by the owner in <br /> support of the above statement. The Bidder agrees to make a Good Faith Effort to utilize minority <br /> suppliers where possible. <br /> The undersigned hereby certifies that he or she has read this certification and is authorized to bind the <br /> Bidder to the commitments herein contained. <br /> Date: Name of Authorized Officer. <br /> Signature: <br /> Title: <br /> State of ,County of <br /> Subscribed and sworn to before me this day of 20 <br /> Notary Public <br /> My commission expires, <br /> MBForms 2002-Revised My 2010 <br />