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RETURN WITH BID <br /> Ilrnois Department <br /> of Transportation Affidavit of Illinois Business Office <br /> County Macon <br /> Local Public Agency City of <br /> Section Number 15_ <br /> Route Various <br /> State of Illinois ) <br /> ) Ss' <br /> County of Sangamon ) <br /> I, James P.Bruner Of Springfield Illinois , <br /> (Name of Affiant) (City of Affiant) (State of Affiant <br /> being first duly sworn upon oath, states as follows: Illinois Valley Paving,a Division of <br /> 1. That I am the President Of United Contractors,Midwest,Inc. <br /> officer or position bid Jer <br /> 2. That I have personal knowledge of the facts herein stated.Illinois Valley Paving,a Divisioi i of <br /> 3. That, if selected under this proposal, United Contractors,Midwest,Inc. , will maintain a <br /> (bidder) <br /> business office in the State of Illinois which will be located in San amon County, Illinois. <br /> 4. That this business office will serve as the primary place of employment for any pei sons employed in the <br /> construction contemplated by this proposal. <br /> 5. That this Affidavit is given as a requirement of state law as provided in Section 30-22(8) of the Illinois <br /> Procurement Code. <br /> ignature) <br /> James P.Brune <br /> (Print Name of Affiant) <br /> This instrument was acknowledged before me on 27th day of july 2015 <br /> =STATE <br /> EAL <br /> (SEAL) ORNLEY <br /> OF ILLINOISS 9.262015 <br /> Aiii6w e of Notary Public) <br /> Printed 7/6/2015 BLR 12326(01/08/14) <br />