"reran 4-2'-J'i]
<br />]dram- °ollu"'d0 H.
<br />The mlmider nm mecl a te,5t-. subject, to the peill ties for peqjluy, Lit he'U is flue COLT= or t' 19t hey"die is the
<br />properly authorizzed representative,Im ;emmt, Inemmmber i. officer of the CC)UNT ", that he,6sle bas rya nor 11,15
<br />au c+tli,er manber. emmmpl , ee re} aesentatil.^e, agent or officer of tl° C� �.1�, 'l''��, dueed, or immrlirectly., to tlme,
<br />ltest cif lusilmer kncnwledp., entered uito or offei-ed to eimter :umto im, iy canimbuiatian-, callmm, ianor agreemeirt to
<br />receive or, ul that he.lsame has not received. ��rmd- mr�� umm of money or calmer cmmr sideratim for the
<br />execs ton of this Agreemeirt cJ'llier Lain tluit' lmicli. a:ppiNus upon die Bice of dus Agreemei.it. FurdivriM,,, re
<br />if, the i',,uaderAped has knovdiedge that a, state officer, eim6�Jloyeeor ,pecial mtaite appai`mtee, as thtrrw,
<br />terins, are defined in I ' 4-2,- -1, has a f'nmmammtial inter°eat vmm tilte . A eemmaent, time Party a tte t s, to
<br />compliance, mmftlm the dwlosur requuIremmments in Tt 4-2-6ll,pe5.
<br />Tim Vi i.tiemMiereof., t: OLT= mid. the Stae ofIdiaw hil.^e. dough dWy r Itlilrizedre re miutive ,
<br />eriteretl immta this Agreemmieimt. The PAR=" haluligg, read imid mumclerrtmd the forgyouqu, temis of tliis Agreement
<br />do by tliemr regective mp mmres dated belcRv hereby agree, to, the terms thereof
<br />LF' !d CITY OF SOUTH 'BEND IiTATIEOF INDIAN A
<br />Hetaar neut'of"]Crausportatia
<br />BOARD OF PUBLIC WORKS
<br />ExRcute by:
<br />Gary A. Gilot, President Tberese J. Domu, Member
<br />Date:
<br />t.. = Depir^ netkut of A, Diu Mtrarion,
<br />Elizabeth A. Maradik. Member JordanV. Gathers, Member
<br />( -r� ATTEST:
<br />Joseph K Molnar, Member
<br />�;ruA� ctr���rr
<br />Linda M. Martin, Clerk
<br />Lesley A. CMnE, I0U'MIaS�SLQMe.r
<br />Elate,.
<br />t;a,te Budget. Agency
<br />DUN, N,umm'tilmer ZaohUy- Jackso D23:ectcaf'
<br />N 4fliNe..:M9.',e atc
<br />Auditor ou.IClemlu TuEe71"S.umer SInLitaura,,'a ➢C1are APP°rover1 u Co Farm aid Lega.lim�-,
<br />ThsJ instnm3eut pepajed 17,a+:
<br />Eren.da E. F+pax.
<br />Taub 13., 02'0
<br />"uu-6J T. Hill Jr:.., A.ftcaaaey Geme3::a] ofIn iaraza
<br />Date:
<br />Pale 13 of 1
<br />
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