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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: 2/21/2020 <br />_J : <br />(Sign re) <br />Ryan Bokon <br />(Print Name Here) <br />Bokon Masonry Inc. <br />(Name of Company) <br />56571 Pear Rd. <br />(Address of Company) <br />South Bend <br />(City) <br />Indiana 46619 <br />(State) <br />574-993-6771 <br />(Telephone Number) <br />Version 5/16/2019 General Conditions -10 <br />