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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: 1 <br />(Sign H re) <br />t^-ZAV�Gi P <br />(Print Name Here) <br />1 b �cc "Q �1Lmb) nca �erYl i eS lrit . <br />(Name of Company) <br />(Address of Compan ) <br />(City) <br />(State) <br />(Telephone Number) <br />