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(ix) KA- 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 wort: 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 />kc: e- rv-4j <br />r <br />(Print Name Here) (J <br />a <br />(Name of Company) <br />to 3 y ^-ki /e fir~ <br />(Address of Company) <br />VSc e ct✓a <br />(City) <br />-77tj <br />(State) <br />sp�� <br />(Telephone Number) <br />Version 4/17/2015 General Conditions -10 <br />