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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: QhvLkv,.i ID4t". 2o2 <br />(Sign Here) <br />Z)�tJ'h fV UVPJ <br />(Print Name Here) <br />�2CAu5vi.. Way-4err.�.ac�-S <br />(Name of Company) <br />loll Ojiver 1"10w <br />(Address of Company) <br />So 14. a"d <br />(City) <br />(State) <br />051q) 282-77 <br />(Telephone Number) <br />Version 10/13/2021 General Conditions - 14 <br />