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(ix) Written statement of any federal, state or local tax liens or tax delinquencies <br />owed 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 <br />due. <br />Date: O. <br />(Sig A ere)) <br />(Print Name Here) / <br />TI" <br />(Name of Company) <br />/o,- r0 ; E.,, <br />(Address of Company) <br />0 J. cc-,) /4 <br />(City) <br />-T1- <br />(State) (State) <br />(Telephone Number) <br />Version 01/13/2021 General Conditions - 10 <br />