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(vi) -1- <br />(vii) -/- <br />(viii) <br />(ix) <br />Date: Julv 9.2024 <br />,/ <br />_/ <br />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. Not applicable for this project. <br />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 lC 4-13-18-5 or lC 4-13-18-6. See attached <br />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. See attached <br />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. None <br />Llst of projects of similar size and scope of work performed in all areas, including <br />the State of lndiana, within three (3) years prior to the date on which the bid is due. <br />See attached <br />(Sign Here) <br />Keith M. Alexander <br />(Print Name Here) <br />Visu-Sewer. LLC <br />(Name of Company) <br />W23O N4R55 Flalkar f)rirra <br />(Address of Company) <br />Pewaukee <br />(city) <br />Wisconsin <br />(State) <br />(262\695-2340 <br />(Telephone Number) <br />Version 512012024