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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: 21 3 ( '�? <br />(Signe <br />(Print Name Here) <br />QR£e>rsuY, GdAkCAOrAC 5�4✓i-e-R <br />(Name of Company) <br />2/2 9r6,/,Z'77oyO 57-- <br />(Address of Company) <br />rl- <br />(City) <br />-�0 <br />(State) <br />(Telephone Number) <br />Version 01/13/2021 General Conditions - 10 <br />