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r—. <br />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 />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 />(Print Name mere) <br />(Name of Company) <br />joo�a ST <br />(Address of Com any) <br />(City) <br />(State) <br />5-2 q - F�3 <br />(Telephone Number) <br />Version 7/20/201 S <br />General Conditions - 10 <br />