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(ix) Written statement of any federal, state or local tax liens or tax delinquencies owed <br />to any federal, state or local taxing booty in the preceding three years. <br />(i) _ List of projects of similar size and scope of work perforated in all areas, including <br />the State of Indiana, within three (3) years prior to the date on which the bid is due. <br />Date: <br />(Sign H } _ <br />Du i ilary, VP of South Bend Area <br />(Print -Name Here) <br />Walsh & Kelly, Inc. <br />(Name of Company) <br />24358 SR 23 <br />y�&0 �&fffBejpi <br />(Address of Company) <br />°e 44 <br />South Bend IN 46614� <br />v,� <br />(City) <br />n:: <br />Indiana <br />em .� <br />SEA' <br />(State) <br />574-288-4811 <br />+°arse <br />(Telephone Number) <br />Version 7/20/2018 General Conditions - 10 <br />