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(ix) Written statement of any federal, state or local <br />taxlisorttax delinquencies yearsowed <br />to any federal„ state or 'Ideal taxing i <br />y ' preceding <br />(i) List of projects of similar size and scope of wo�r'k performed in all areas, including <br />the State of Indiana, within three () years prior to the date on which the bid is due. <br />Date: .. <br />y <br />(Sign Here) <br />(Print Name Here) -*." <br />(Name of Company) <br />(Address of Company) <br />(City) <br />(State) <br />(Telephone Number) <br />Version 7/20/2018 General Conditions -10 <br />