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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 />k <br />(Print Name Here) <br />�Z-1_1 A, I "-I (,. ea, r / �, 1 <br />(Name of Company) /� <br />(Address of Company) <br />Gas- e ! 11 <br />(City) <br />Tom/ <br />(State) <br />"J-? Y- 6 %V- 6 <br />(Telephone Number) <br />Version 01/29/2020 General Conditions - 10 <br />