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Ox) Written staternent of any federal, state or local tax liens or tax definquen6es owed <br />to any federal, state or local taxing body in the preceding three years, <br />M 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: November ,5, 2018 <br />(Sign Here)&�/ <br />Madta Kreps <br />(Print Name Here) <br />Brown & Brown General Contractors, Inc. <br />(Name of Company) <br />124 S. Elkhart St,PO Box 487 <br />(Address, of Company) <br />Wakarusa <br />(City) <br />Indiana 46573-0487 <br />(State) <br />574-862-2171 <br />(Telephone Number) <br />Version 7/2012018 General Condillons - 10 <br />