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I <br />(ix, , Written, statement of any federal, state or local tax liens or tax delinquencies owed <br />to any federal, state or local taxing body in the preceding three years. <br />0) List of projects of similar size and scope of work performed 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: SepfPmhP-r 20f 2018 <br />(Sign Here) <br />Robert KLihns, Project Engineer <br />(Print Name Here) <br />Selge Construction Co., Inc. <br />(Name of Company) <br />2833 S. 11th Street <br />(Address of Company) <br />Niles <br />(City) <br />Michigan 49120 <br />(State) <br />269-684-0842 <br />(Telephone Number) <br />Version 4/17/2015 General Condftions - 10 <br />