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Version 6-8-2017 <br />Non -Collusion. <br />The undersigned attests, satbject 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 lie/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 Conti -act, the Party attests to <br />compliance with the disclosure requirements in IC § 4-2-6-1t1.5. <br />In Witness Whereof, the CONSULTANT and the L 'A 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 />Lawson -Fisher Associates P.C. <br />Signature <br />Michael J. Guzik, P.E., Vice President <br />Attest <br />� w <br />Signature <br />Paul A. Hummel, P'.E., President <br />LOCAL PUBLIC AGENCY <br />City of South Lend <br />Board of Public Works <br />Signature - <br />Gary A. Gilot, President <br />Signature <br />Suzanna 1~ ritzberg, Member <br />Signature <br />James A. Mueller, Member <br />01 vbt <br />Signature <br />Elizabeth A. Maradik, Member <br />Signature <br />Therese J. Doran, Member <br />17 <br />