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the program, and the United States Department of Labor Office of Apprenticesh ip <br />Certificates of Registration of Apprenticeship Programs for each type of work to be <br />performed on the project. <br />(vi) _ Copy of a written plan for employee drug testing that covers all of my employees <br />who will perform work on the public work project and meets or exceeds the <br />requirements set forth in IC 4-13-18-5 or IC 4-13-18-6. <br />(vii) _ Evidence that I am utilizing a surety company which is on the Bureau of Fiscal <br />Service "Department of Treasury's Listing of Approved Sureties" as required in the <br />bid specifications or contract. <br />(vill) _ 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 />(ix) _ 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 />Ark Ak(- <br />(Print Name Here) jj <br />6Uqa- -e6r+�� <br />(Name of Company) <br />1 343 MekltllecA <br />(Address of Company) <br />&"10/ <br />(City) <br />_1 Jlt11Gti <br />(State) <br />[� %� <br />(Telephone Number) <br />