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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: <br />J C� <br />(Sign Here) <br />•�Ak <br />(Print Name Here) <br />G� 7--t- <br />(Name of Company) <br />53-7& -7 0- <br />(Address of Company) <br />0 94--%a/:� <br />(City) <br />(State) V <br />5-7q- 2-& 2 -Lf3 LfL. <br />(Telephone Number) <br />Version 02/23/2022 General Conditions -14 <br />