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:�J <br />C: <br />The undersigned attests, subject to the penalties for perjury, that he is the contract <br />party, or that he is the representative, agent, member or officer of the ENGINEER that <br />he has not, nor has any other member, employee, representative, agent or officer of the <br />firm, company, corporation or partnership represented by him, directly or indirectly, to <br />the best of his knowledge, entered into or offered to enter into any combination, <br />collusion or agreement to receive or pay, and that he has not received or paid, any sum <br />of money or other consideration for the execution of this Contract other than that which <br />appears upon the face of the Contract. <br />IN TESTIMONY WHEREOF, the parties hereto have executed this Agreement. <br />ENGINEER: <br />DLZ INDIANA, LLC <br />G WK. Fi , P.E. <br />Vice President <br />ATTEST: <br />Timothy 0. Jacks , P.E. <br />Real Estate Manager <br />OWNER: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />By: <br />Gary A. Gilot, P.E., Board President <br />By: <br />Donald E. Inks, Member <br />By: <br />Kathryn Roos, Member <br />By: <br />Michael Mecham, P.E., Member <br />By: <br />Mark Neal, Member <br />ATTEST: <br />Linda M. Martin, Clerk <br />Approved as to Legality and Form: <br />Attorney for City of South Bend <br />MAProposa1s\2011 \6160 - ROW Survey \Real Estate \City of South Bend\lreland Road RW\agreement.dom <br />Ireland Road Right of Way Acquisition Services <br />Page 10 of 10 <br />Agreement <br />September 2012 <br />