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(ix) X 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) X 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: 2/11/2025 <br />c <br />(Sign Here) <br />(Print Name Here) <br />PREMIUM CONCRETE SERVICES <br />(Name of Company) <br />712 RICHMOND S1' <br />(Address of Company) <br />ELICHART <br />(City) <br />IN <br />(State) <br />(574)264-019( <br />(Telephone Number) <br />Version 07/19/2023 General Conditions - 15 <br />