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OX) Written statement of any federal, state or local tax liens or tax delinquencies <br />owed to any federal, state or local taxing body in the preceding three years. <br />O 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 <br />due. <br />Date: 9/10/19 <br />(Sign Here) <br />Michael W. Frahn CPA <br />(Print Name Here) <br />Midland EngitieeriTi . MII zt,Inc. <br />(Name of Company) <br />52369 State Road 933 North <br />(Address of Company) <br />South Bend <br />(City) <br />Indiana <br />(State) <br />574-272-0200 <br />(Telephone Number) <br />Version 5/16/2019 General Conditions - 10 <br />