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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 II 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 <br />APPROVED FOR CITY OF SOUTH BEND <br />Pariela C. Meyer, lX"ector <br />Neighborhood DevelolNrmit <br />DEPARTMENT OF COMMUNITY INVESTMENT <br />CITY OF SOUTH BEND <br />BOARD OF PUBLIC WORKS <br />Jlkl <br />Gyar. Gll"tot, l)6,11t <br />s <br />-- �.... ....... <br />rat O'Sullivan, Member <br />zlil <br />................. -- —--..... <br />Elizabeth A. Maradik, Member <br />Therese <br />J. C)orat lex. <br />Genevieve E. Miller, Member <br />ATTEST (-µ........ ......... .......... <br />DATE: �/ / -� / ;, o /9 <br />11 <br />