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�� <br />(ix) Written VVhttenatatementofonyfedens|.etateor|nca|bax|ienomrtaxde|inquenniesowed <br />toany federal, state orlocal taxing body inthe 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: 10/12/2020 <br />(Sign Here) <br />(Print Name Here) <br />Slatile Roofing and Sheet Metal Co., INC. <br />(Name ofCompany) <br />1703S. IPDOVVDOd [}[ <br />(Address of Company) <br />South Bend <br />5742337485 <br />(Telephone Number) <br />