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Version 6-8-2017 <br />Non -Collusion, <br />'rile undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is <br />the property 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 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 />American Strucl <br />Steven J. L)dvidson, PE <br />Executi--Ve Vice President <br />LOCAL PUBLIC AGENCY <br />City of South Bend <br />Board of Public Workss , <br />I zj&� <br />Gary A. Gilot, President <br />Suzanna Fritl,i9, Member <br />James A. Mueller, Member <br />Elizabeth Maradik, Member <br />Therese J, Dorib, Member <br />-� 0 <br />'Linda M. Martin, 06ik <br />17 <br />2016.00513 <br />