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 SLIM 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 duty 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 />Sign Lure <br />Piper C. Tittle, P.E., Vice President <br />LOCAL PUBLIC AGENCY <br />City of South Bend <br />Board of Public Works <br />Signature <br />Gary A. Gilot, President <br />A <br />d <br />-97ignadire'—/ <br />Suzanna Fritzberg, Member <br />Signature <br />James A. Mueller, Member <br />kti <br />J�Z_& W1 <br />Signature <br />Elizabeth A. Maradik, Member <br />Signature <br />Therese J. Dorau, Member <br />17 <br />