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Version 6-8-2017 <br /> 17 <br />Non-Collusion. <br /> <br />The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is <br />the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor <br />has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, <br />to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement <br />to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the <br />execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the <br />undersigned has knowledge that a state officer, employee, or special state appointee, as those terms <br />are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance <br />with the disclosure requirements in IC §4-2-6-10.5. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />[Remainder of Page Intentionally Left Blank]