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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 body in the preceding three years. <br />(i) 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: H�✓ /lam Zv/9 <br />&(SiHere) <br />(Print Name Here) <br />(Name of Company) <br />(Address of Company) <br />gam' <br />(City) <br />(State) <br />6-7�! Z 77 7�/ <br />(Telephone Number) <br />Version 3/19/2019 General Conditions - 10 <br />