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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: % %Z? IZO <br />(Sign Here) <br />(Print Name Here) <br />Gea'.+;,re-- �-3,dm tic. <br />(Name of Company) <br />(Address of Corr p-any) <br />(City) <br />tN <br />(State) <br />3%? . ` S%-1 LA -no <br />(Telephone Number) <br />Version 5/16/2019 General Conditions - 10 <br />