Laserfiche WebLink
NON -COLLUSION AND ACCEPTANCE <br />The undersigned attests, subject to the penalties of perjury, that he/she is the Recipient, or that <br />he/she is the duly authorized representative, agent, member or officer of the Recipient, that <br />he/she has not, nor has any other member, employee, representative, agent or officer of the <br />Recipient, 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 sum of <br />money or other consideration for the execution of this Amendment other than that which appears <br />upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, <br />employee, or special state appointee, as those terms are defined in IC 4-2-6-1, has a <br />financial interest in the Grant, the Recipient attests to compliance with the disclosure <br />requirements in IC 4-2-6-10.5. <br />In Witness Whereof, the Recipient and the IHCDA have, through their duly authorized <br />representatives, entered into this Amendment of the Agreement. The parties, having read and <br />understood the foregoing terms of the Amendment, do by their respective signatures dated below <br />hereby agree to the terms thereof. <br />.IiT <br />City of South Bend do rti of f tali ie vlorkg <br />DATE; BY: <br />Print/Type Name <br />Title <br />Indiana Housing and Community Development <br />Authority <br />DATE: <br />Jacob Sipe <br />Executive Director <br />Grant Number DR20R-018-003 <br />