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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: 1 6! <br />(Print Name Here) <br />Walsh Kelly,Inc. <br />........, <br />( Name o f Company) <br />` , �•w`« <br />�ORPORATF : - <br />24358 SR 23 <br />(Address of Company), <br />South Bend"'�.,..,,,�•a <br />(City) <br />n � <br />"" <br />Indiana <br />(State) <br />574-288-4811 <br />(Telephone Number) <br />Version 5/16/2019 General Conditions - 10 <br />