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of Fiscal Service *Department of Treasurys Listing of Approved Surelleso as <br />required In the bid specifications or contract, <br />(vili) Written statement of any federal, state or local tax lions or lax <br />delinquencies owed to any federal, state or local taxing body In: the preceding <br />three years, <br />(ix) x List of projects of similar size and scope of work performed In all, <br />areas. Including the State of Indiana, within three (3) years prior to the date on <br />which the bid Is due, <br />Date. -August 9, 2018 <br />(Sign Hr <br />Joshua A. McCormick, Sales Manager <br />(Print Name Here) <br />Rieth-Riley Construction Co., Inc. <br />(Name of Company) <br />25200, State Road 23 <br />(Address of Company) <br />South Bend <br />(City) <br />Indiana <br />(State) <br />574-288-8321 <br />(Telephone Number) <br />Version 41171201'5 General Conditions - 10 <br />