Contract - Indiana Housing and Community Development Authority - DCI

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Non -Collusion and Acceptance The undersigned attests, subject to the penalties for perjury, that he/she is the Contractor, or that he/she is the properly authorized representative, agent, member or officer of the Contractor, that he/she has not, nor has any other member, employee, representative, agent or officer of the Contractor, directly or indirectly, to the best of the undersigned's knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC 4-2-6-1, has a financial interest in the Contract, the Contractor attests to compliance with the disclosure requirements in IC 4-2-6-10.5. In Witness Whereof, Contractor and IHCDA have, through their duly authorized representatives, entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below hereby agree to the terms thereof. Indiana Housing and Community City of South Bend APPROVED Development Authority By: Board of Public Works By : Printed: AUG G 01 Printed: J. Jacob Sipe Title: Title: Executive Director Date: ate: Approved by: Indiana Department of Administration By: (for) Jessica Robertson, Commissioner Date: APPROVED as to Form and Legality: Office of the Attorney General Form approval has been granted by the Office of the Attorney General pursuant to IC4-13-2-14.3(e) on June 30, 2016 FA 16-21 Approved by: State Budget Agency By: (for) Brian E. Bailey, Director Date: This document prepared by Brigitte Collier, Compliance Attorney. (00024811-1} Page 22 of 39