Contract - INDOT - Traffic Signal Maintenance

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Non -collusion and Acceptance. The undersigned attests, subject to the penalties for perjury, that the undersigned is the contracting party, or that the undersigned is the properly authorized representative, agent, member or officer of the contracting party. Further, to the undersigned's knowledge, neither the undersigned nor any other member, employee, representative, agent or officer of the contracting party, directly or indirectly, has entered into or been offered any sum of money or other consideration for the execution of this contract other than that which appears upon the face hereof. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC 4-2-6-1, has a financial interest in the Contract, the CITY attests to compliance with the disclosure requirements in IC 4-2-6-10.5. IN WITNESS WHEREOF, the State of Indiana, through INDOT, and the CITY, through their duly authorized representatives, have entered into this Contract. The parties, having read and understood the foregoing terms of this Contract, do by their respective signatures dated below agree to the terms thereof. CITY OF SOUTH BEND STATE OF INDIANA BOARD OF PUBLIC WORTS INDIANA DEPARTMENT OF TRANSPORTATION Gary A. Gilot, P.E. Rick Powers President, Board/of Public Works INDOT La Porte District Deputy Commissioner Date {o I.OS �;,w 1 („ Date: Approved: Suzann'=y! Fritzberg Department of Administration Member, Board of Public Works (FOR) Jessica Robertson, Commissioner Jam s A. Mueller Member, Board of Public Works Date: Lthin I V L__ Approved: Elizabeth A. Maradik State Budget Agency Member, B.9ard of Public Works f� (FOR) L� ,{�( Brian E. Bailey, Director Therese J. Dorms Member, Board of Public Works Date: A7''ST: Li�ida M. Margin Clerk, Board of Public Works Approved as to Form and Legality Gregory F. Zoeller Attorney General of Indiana Date: (FOR) Page 27 of 53 Pages