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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) J 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, G .�' ✓ <br />(Sign Her ) <br />1 <br />(Print Name Here) <br />b <br />(Name of Company) <br />(Address of Company)/--L— <br />ZPIO/A/�) /'d <br />(City) <br />MPM <br />(State) <br />- <br />(Telephone Number) <br />Version 7/20/2018 General Conditions - 11 <br />