1991-04-10 Resolution 39 - Laserfiche WebLink

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CERTIFICATE_(lF_COKSULTANT ---------- - --- ----- • ~ - I hereby certify that I am the f,i r ~ i 71 c` i7 and dul ------------- ~ -------------------- y authorized re resentative of the firm of ,t'~F~1 ~r°' Y'c'r'~ ~ SS G'c? , Vic` p -------------/-' ---- -------7-/----`/-~ d... whose address . is ~ ~„~_ Lr/_.__ 7_~~} :.-/s l-' F? __/~ ft a'. ~~?~~7`"~ f?~r~d .~,d , `f 660/ and that neither I nor the above firm I here represent has: a. employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, any firm or person (other than a bona fide employee working solely for me or the above. consultant> to solicit or secure this Contract, b. agreed, as an expressed or implied condition for- obtaining this Contract, to employ or retain the services of any firm or person in connection with carrying out the .Contract, or c. paid, or agreed to pay, to any firm, organization or person (other than a hone fide employee corking solely for me or the. above consultant) any fee, contribution, donation, or .consideration of any kind for, or in connection with, procuring or carrying out the Contract. except as here expressly stated (if any): (Date) CEBTIFICATE_OF THE CITY t]F SOUTH BEND ----------- ---------------- I hereby certify that I am the Director of Public Hocks of the City of South Bend, and that the above consulting firm, or his representative, has not been required, directly or indirectly as an expressed or implied condition in connection rith obtaining or carrying out this Contract to a. employ or retain, or agree to employ or retain, any firm or person or, b. ,..pay, or agree to pay, to any firm, person, or organization, any fee, contribution, donation, or consideration of any kind: except as here expressly stated of any): __________________________________ -, ---,----.------~-------------- -~- T f'~` ~tDate) Signature ~,- ' Page 16