Contract - Indiana Housing and Community Development Authority - Hardest Hit Funds Counseling Services

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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, the 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. (Contractor): City of Sort . q� (Where Applicable): By: Board of blic Words Attested By: Printed Name: Date: Indiana Housing and Community Printed Name: J. Jacob Sipe Title: Executive Director Contract Number: HHF-2016-011 Authority: CITY OF SOUTH BEND BOARD OF PUBLIC WORKS Gary A. Gil�ot,QPresident Wvid P. Relos, Merplier Elizabeth A. Maradik, Member James A. Mueller, Member Therese J. Dorau, Member Linda M. Martin, Clerk Page 15 of 15