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(vii) 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 />(viii) 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 <br />the bid specifications or contract. <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 />(x) 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: 7.22.25 <br />(Sign Here) <br />Robert P. Kuhns, PE, VP Estimating <br />(Print Name Here) <br />Selge Construction Co., Inc. <br />(Name of Company) <br />2833 South 11 th Street <br />(Address of Company) <br />Niles <br />(City) <br />Michigan <br />(State) <br />269-684-0842 <br />(Telephone Number) <br />Version 05/20/2024 General Conditions -15 <br />