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Non-Collusion and Acceptance <br />The undersigned attests, subject to the penalties for perjury, that the undersigned is the Party, or <br />that theundersigned is the properly authorized representative, agent, member or officer of the <br />Party. Further, to the undersigned’s knowledge, neither the undersigned nor any other member, <br />employee, representative, agent or officer of the Party, directly or indirectly, has entered into or <br />been offered any sum of money or other consideration for the execution of this Amendment other <br />than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge <br />that a state officer, employee, or special state appointee, as those terms are defined in IC § <br />4-2-6-1, has a financial interest in the Original Agreement, the Party attests to compliance <br />with the disclosure requirements in IC § 4-2-6-10.5. <br /> <br />In Witness Whereof, the Parties have, through their duly authorized representatives, entered into <br />this Amendment. The Parties, having read and understood the foregoing terms of this Amendment, <br />do by their respective signatures dated below agree to the terms thereof. <br /> <br />SOUTH BEND <br />BOARD OF PUBLIC WORKS <br /> <br />Executed by: <br /> <br />______________________________ ______________________________ <br />Gary A. Gilot, President Elizabeth A. Maradik, Member <br /> <br />Date: _________________________ Date: _________________________ <br /> <br /> <br />______________________________ ______________________________ <br />Jordan V. Gathers, Member Therese J. Dorau, Member <br /> <br />Date: _________________________ Date: _________________________ <br /> <br /> <br />______________________________ <br />Joseph R. Molnar, Member <br /> <br />Date: _________________________ <br /> <br /> <br />Attest: <br /> <br />______________________________ <br />Linda M. Martin, Clerk <br /> <br />Date: _________________________ <br /> <br />3 <br /> <br />