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05-09-13
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1/13/2014 11:59:00 AM
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5/6/2013 3:29:57 PM
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original contract dated March 26, 2013 shall remain in full force and effect, <br />except as herein modified. <br />The undersigned attests, subject to the penalties for perjury, that he is the contract <br />party, or that he is the representative, agent, member or officer of the ENGINEER that <br />he has not, nor has any other member, employee, representative, agent or officer of the <br />firm, company, corporation or partnership represented by him, directly or indirectly, to <br />the best of his knowledge, entered into or offered to enter into any combination, <br />collusion of agreement to receive or pay, and that he has not received or paid, any sum <br />of money or other consideration for the execution of this Contract other than that which <br />appears upon the face of the Contract. <br />IN TESTIMONY WHEREOF, the parties hereto have executed this Supplemental <br />Agreement No. 1. <br />ENGINEER: <br />DLZ INDIANA, LLC <br />Gary K. FA, P.E. <br />Vice President <br />ATTEST: <br />amuel E. Wolfe, P.E., L.S. <br />Department Manager <br />OWNER: <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Gary A. Gilot, P.E., Board President <br />David Relos, Member <br />Kathryn E. Roos, Member <br />Michael Mecham, Member <br />Mark Neal, Member <br />ATTEST: <br />By: <br />Linda M. Martin, Clerk <br />Approved as to Legality and Form: <br />Attorney for City of South Bend <br />4 of 5 <br />Supplemental Agreement No. 1 <br />
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