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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) Z 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 />i requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. <br />/ <br />(vii) Z 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 />5-'rVoi PT-SCq <br />(Print Name Here) <br />bemou-nW CoA(lx4maS AM 8,4 PTsc1W 6"A4,V1E5 <br />(Name of Company) <br />(Address of Company) <br />&22 WD RiqPt05 <br />(City) <br />M I <br />(State) <br />(Telephone Number) <br />Version 5/20/2024 General Conditions -15 <br />