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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 />& At <br />(Sign ere) <br />Austin Reddinc <br />(Print Name Here) <br />Premium Concrete Services Inc. <br />(Name of Company) <br />712 Richmond Street <br />(Address of Company) <br />Elkhart <br />(City) <br />Indiana <br />(State) <br />574-264-0196 <br />(Telephone Number) <br />Version 10l13/2021 General Conditions - 14 <br />