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Version 6-8-2017 <br />Non -Collusion. <br />The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is <br />the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor <br />has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, <br />to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement <br />to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the <br />execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the <br />undersigned has knowledge that a state officer, employee, or special state appointee, as those terms <br />are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance <br />with the disclosure requirements in IC §4-2-6-10.5. <br />In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered <br />into this Contract. The parties having read and understand the forgoing terms of this Contract do by their <br />respective signatures dated below hereby agree to the terms thereof. <br />CONSULTANT <br />Signature <br />(Print or type name and title) <br />LOCAL PUBLIC AGENCY <br />Gary A. Gilo , President, Board of Public <br />Works <br />Genevieve E. Miller, Member, Board of <br />Public Works <br />Laura O'Sullivan, Member, Board of Public <br />Works <br />Elizabeth A. Maradik, Member, Board of <br />Public Works <br />Attest: <br />Therese J. Dor au, Membep,-Ifloard ofPublic— <br />Works <br />Signature <br />(Print or type name and title) <br />inch M. Martin, Cferk <br />18 <br />