Common use of Non-Collusion Clause in Contracts

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT LOCAL PUBLIC AGENCY Signature Signature (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) Attest: Signature Signature (Print or type name and title) (Print or type name and title) APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT Xxxxx Xxxxx, Inc. LOCAL PUBLIC AGENCY The County of Xxxxx Board of Commissioners Signature Signature Xxxxxx Xxxxxxxxx, Executive Vice President X. Xxxxxx Xxxxxx, President (Print or type name and title) (Print or type name and title) Signature Xxxxxxx X. Xxxxx, Vice President (Print or type name and title) Attest: Signature Signature Xxxxxxx X. Xxxx, Xx., Secretary Xxxxx X. Xxxxxxxx, Project Manager (Print or type name and title) (Print or type name and title) Attest: Signature Xxxxx Xxxxx, Xxxxx County Deputy Auditor (Print or type name and title) APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT Xxxxxx, Xxxxxx and Xxxx, Inc. LOCAL PUBLIC AGENCY City of Madison, Indiana Signature Xxxxxxx X. Xxxxxx, President Signature (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) Attest: Signature Signature Xxxx Xxxxx, P.E., Associate (Print or type name and title) (Print or type name and title) APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT LOCAL PUBLIC AGENCY Signature Signature Xxxxx XxXxxxxx, Vice President WSP USA Inc. Xxxxxxxx X. Xxxxx, President West Lafayette Redevelopment Commission (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) Attest: Signature Signature Xxxxxx Xxxxxx-Xxxxxx, Secretary (Print or type name and title) (Print or type name and title) APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT USI CONSULTANTS, INC. LOCAL PUBLIC AGENCY TIPPECANOE COUNTY BOARD OF COMMISSIONERS Signature Signature (Print or type name and title) (Print or type name and title) Xxxxxx X. Xxxx XX, PE, PS, X. XXXX Xxxxx Xxxxx President President Signature (Print or type name and title) Attest: Xxxxx Xxxxx Vice President Signature Signature (Print or type name and title) (Print or type name and title) Xxx Xxxxxxxx Xxxx X. Xxxxxx, PE, PS Member Vice President ATTEST: Xxx Xxxxxxxxx, Auditor Date: APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT LOCAL PUBLIC AGENCY Signature Signature (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) VS Engineering, Inc. Tippecanoe County Commissioners Xxxxxx Xxxxx, PE Xxxxx Xxxxx CEO & President President Xxxxxx Xxxxxxxx Vice President Xxxxx Xxxxx Member Attest: Signature Signature (Print or type name and title) (Print or type name and title) APPENDIX "A"Attest: Xxxxxx X. Xxxxxx, PE Xxxxxxxx Xxxxxx

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT LOCAL PUBLIC AGENCY Signature Signature (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) VS Engineering, Inc. City of West Lafayette Board of Public Works & Safety Xxxxxx Xxxxx, PE Xxxx X. Xxxxxx CEO & President President M. Xxxxxxxx Xxxxxxx Member Xxxxx X. Xxxxx Member Xxxxxx X. Xxxx Member Xxxxxxx X. Love Member Attest: Signature Signature (Print or type name and title) (Print or type name and title) Attest: Xxxxxx X. Xxxxxx, XX Xxxxxxx X. XxXxxxxx Chief Operating Officer Deputy Clerk, City of West Lafayette APPENDIX "A"

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. CONSULTANT LOCAL PUBLIC AGENCY INFRASTRUCTURE ENGINEERING, INC. TOWN OF MUNSTER Signature Signature Xxxxxx Xxxx, X.X. Xxxxxx Xxxxxxxx (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) Attest: Signature Signature (Print or type name and title) (Print or type name and title) APPENDIX "A")

Non-Collusion. The undersigned attests, subject to the penalties for perjury, that he/she is the CONSULTANT, or that he/she is the properly authorized representative, agent, member or officer of the CONSULTANT, that he/she has not, nor has any other member, employee, representative, agent or officer of the CONSULTANT, directly or indirectly, to the best of his/her knowledge, entered into or offered to enter into any combination, collusion or agreement to receive or pay, and that he/she has not received or paid, any sum of money or other consideration for the execution of this Contract other than that which appears upon the face of this Contract. Furthermore, if the undersigned has knowledge that a state officer, employee, or special state appointee, as those terms are defined in IC §4-2-6-1, has a financial interest in the Contract, the Party attests to compliance with the disclosure requirements in IC §4-2-6-10.5. In Witness Whereof, the CONSULTANT and the LPA have, through duly authorized representatives, entered into this Contract. The parties having read and understand the forgoing terms of this Contract do by their respective signatures dated below hereby agree to the terms thereof. Signature CONSULTANT LOCAL PUBLIC AGENCY Signature Xxxxx X. Xxxxxxx, P.E. – Assistant VP Xxxxx Xxxxxxx, Chairman Board of Public Works Signature (Print or type name and title) (Print or type name and title) Signature (Print or type name and title) Xxxx Xxxxx, Member Board of Public Works Attest: Signature Signature (Print or type name and title) Xxxxx Xxxxx, Member Board of Public Works (Print or type name and title) APPENDIX "A"