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yRIZA `a'ersion b -iv -vy <br />Non - Collusion <br />The undersigned attests, subject to the penalties for perjury, that that he /she is the LPA, or that <br />he /she is the properly authorized representative, agent, member or officer of the LPA, that he /she <br />has not, nor has any other member, employee, representative, agent or officer of the LPA, directly <br />or indirectly, to the best of his /her knowledge, entered into or offered to enter into any combination, <br />collusion or agreement to receive or pay, and that he /she has not received or paid, any surn of <br />money or other consideration for the execution of this Contract other than that which appears upon <br />the face of this Contract. <br />In Witness Whereof, LPA and the State of Indiana have, through duly authorized <br />representatives, entered into this Contract. The parties, having read and understand the forgoing <br />terms of this Contract, do by their respective signatures dated below hereby agree to the terms <br />thereof. <br />CITY OF SOUTH BEND, INDIANA STATE OF INDIANA <br />a a Department of 'Transportation <br />a Recommended for approval bye <br />ephen J. Lueck yor <br />ATTEST: <br />Job Ucord , City Clerl< <br />Date: _ <br />Gary blot, President <br />I�911al -pks, Me ber � <br />Carl Littrell, Member <br />ATTEST: <br />i da Martin, Clerk <br />Date: 01 "z 1 1' <br />This instrument prepared by: Stephen M. Dilk <br />Date: 1/5/2010 <br />Robert D. Cafes, Director <br />Contract Administration Division <br />Date: <br />Michael W. Reed, Commissioner <br />Date: <br />Department of Administration <br />Mark W. Everson, Commissioner <br />Date: <br />State Budget Agency <br />Christopher A. Ruhl, Director <br />Date: <br />r <br />Em <br />M <br />_ (FOR) <br />Gregory F. Zoeller, Attorney General of Indiana <br />Date: <br />Page I I of I I <br />