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the program, and the United States Department of Labor Office of Apprenticeship <br />Certificates of Registration of Apprenticeship Programs for each type of work to be <br />performed on the project. <br />(vi) ✓ Copy of a written plan for employee drug testing that covers all of my employees <br />who will perform work on the public work project and meets or exceeds the <br />requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. <br />(Vii) ✓ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal <br />Service "Department of Treasury's Listing of Approved Sureties' as required in the <br />bid specifications or contract. <br />(viii) 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 />(ix) Z/ 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 />(Sign Here) <br />Ro/3 fj Ecx.�2 <br />(Print Name Here) <br />p <br />REMSti,07 ConJG4.E'fE ,SE',QtttG.Es <br />(Name of Company) <br />-7 / e2 I&CA oWZ9 67/ <br />(Address of Company) <br />JE <br />GK/}R2T <br />(cay> <br />s/J <br />(State) <br />(Telephone Number) <br />Version 3/15/2024 General Conditions - 15 <br />