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the program, and the United States Department of Labor Office of Apprenticeship <br />Certificates of Registration of Apprenticeship Programs for each type of work to be <br />performed on the project. <br />(vi) _Jz1 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 4A 3-18-5 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 />(viii) r/ 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) 1 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 />Cl/ <br />(Sigb Here)` <br />(Print Name Here) p <br />1�71K ,e P�\'MhinQ ..mac- f C!fl_S 1C. <br />(Name of Company) <br />(Address of Compa y) <br />(city) <br />Z� <br />(State) <br />(Telephone Number) <br />Version 5/20/2024 <br />