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(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 />(i) 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 />(Print Dame Here)kwobQli " J(:w <br />(Name of Company) IJ <br />p 'S <br />(Address of Company) <br />(City) <br />(State) <br />I <br />'511 . 'a -.3a -a <br />(Telephone Number) <br />Version 4/17/2015 General Conditions -10 <br />