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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 />Date: <br />(Sign Here) Doly1 t' e—k R . � � n 1CLSlo yl <br />(Print Name Here) <br />Coy Y1eJS-tov�,e S--PWafzAS, 1✓ C. <br />(Name of Company) <br />(Address of Compa y) <br />;.,� .. <br />(City) <br />v . ALOW <br />(State) <br />(Iico 4:11_ S-10 1 <br />(Telephone Number) <br />Version 7/20/2018 General Conditions - 10 <br />