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(N) 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 sirnilar size mrd scope of work loerforr-ned in all areas, including <br />the State of Indiana, within three (3) years prior to the date on which the bid is due. <br />Cate; ALtember 22020 <br />(Sign Here) <br />Bill Favors <br />(Print Nanne Here) <br />Ziolkoivski COTIStRICtI1011, IIIC <br />(Narne, of Company) <br />_AQf,O RL,11ph )Li�� Dr. <br />JL — <br />(Address of Corrrparry) <br />South Bejid <br />(City) <br />Indiana <br />(State) <br />574-287-181,1 <br />Telephone NUmber <br />Version 5/16/2019 General Conditions - 10 <br />