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Version 02/23/2022 General Conditions - 14 <br />(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 /> <br />Date: ___________________________________________ <br />________________________________________________ <br />(Sign Here) <br />________________________________________________ <br />(Print Name Here) <br /> <br />________________________________________________ <br />(Name of Company) <br />________________________________________________ <br />(Address of Company) <br />________________________________________________ <br />(City) <br />________________________________________________ <br />(State) <br />________________________________________________ <br />(Telephone Number) <br />December 11, 2023 <br />Allan Browning <br />Browning Chapman, LLC <br />2101 Bastian Ct. <br />Westfield <br />Indiana <br />317-608-2775 <br />√ <br />√