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(ix) L 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) V 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: B cadc - cp / 0* 0.01 <br />(Sign Here) <br />J rqEgCti p b* 4n#d r <br />(Print Name Here) <br />J Nr p-c ArYh q-psarO Arr)* G a, <br />(Name of Company) <br />MA @�v 355 <br />(Address of Company) <br />J Nnicrc <br />(City) <br />IN 46352 <br />(State) <br />574-876-2772 <br />(Telephone Number) <br />Version 07/19/2023 General Conditions -15 <br />