Laserfiche WebLink
Version 6-8-2017 <br />Non -Collusion. <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, <br />nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or <br />indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or <br />agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration <br />for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, <br />if the undersigned has knowledge that a state officer, employee, or special state appointee, as those <br />terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to <br />compliance with the disclosure requirements in IC §4-2-6-10.5. <br />In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered <br />into this Contract. The parties having read and understand the forgoing terms of this Contract do by their <br />respective signatures dated below hereby agree to the terms thereof. <br />CONSULTANT <br />DLZ Indiana, LLC <br />gnature <br />Laurie D. Johnson, P.E., Vice President <br />(Print or type name and title) <br />Attest: <br />o� X ,4�e <br />Si nature <br />Anthony M. Glenn, P.E., Project Manager <br />(Print or type name and title) <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />QA <br />P"�q 'V� <br />Gary A. Gilot, Member <br />Breana Micou, Member <br />Murray L. Miller, Member <br />ATTEST: <br />hJ 'e d'&' <br />Hillary R. Horvath, Clerk <br />17 Date: August 12, 2025 <br />