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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: �I <br />(Sign ere) <br />(Print Name Here) <br />Tn d.w.y <br />(Name of Company) <br />(Address of Company) <br />0Sc eJ •4 <br />(City) <br />(State) <br />(- 217--6LrS� <br />(Telephone Number) <br />Version 10/13/2021 General Conditions - 14 <br />