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20. The Organization hereby represents and certifies that it may enter into this agreement under Indiana <br />Code § 5-22-16.5-8 and, to the extent applicable, has executed and filed with the City a <br />"CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, <br />CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT <br />ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENT AND <br />CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY <br />PRODUCTS", the form of which is attached hereto and incorporated herein as Appendix 1�1 prior to <br />the City's approval of this Agreement. <br />IN WITNESS WHEREOF, the City and the Agency have executed this contract as of the date <br />first above written. <br />EMERGENCY SHELTER OPERATIONS CITY OF SOUTH BEND <br />RAPID REHOUSING ACTIVITIES BOARD OF PUBLIC WORKS <br />IDS Ministries/AIDS Assist „dad North lndian�t lr c. <br />BY: �, 1, (4 <br />TITLE: ......--- -------- <br />DATE: <br />APPROVED FOR CITY OF SOUTH BEND <br />------------ <br />1 a.inela C. Meyer,.1 ir,, or <br />Neighborhood Development <br />DEPARTMENT OF COMMUNITY INVESTMENT <br />UQx <br />Ga Gilot 1 r esideii <br />O'Sullivan, Member <br />Elizabeth A. Maradik, Member <br />Therese J, °au, Member <br />Genevieve E. Miller, Member <br />.. <br />CLERK <br />DATE: 9L13,J")o q_______________________ <br />11 <br />