Appendix C

No Default, Breach or Bankruptcy

Offeror:
Brooke and Struble, P.C.
John Brooke
Attorney for Delaware County
112 East Gilbert St.
Muncie, IN 47305

The undersigned (“Offeror”) hereby affirms that the Offeror and/or its affiliates (a) are not involved in or threatened with any current or pending litigation or legal disputes with any federal, state, or local governmental entity; (b) are not in arrears to any federal, state, or local governmental entity of any debt, taxes or contract; (c) are not a defaulter as surety or other obligation upon any federal, state, or local governmental entity or (d) have not failed to perform faithfully in any previous contract with a federal, state, or local governmental entity within the last five (5) years.

Offeror hereby affirms that the Offeror and/or its affiliates are currently solvent, and have not within the last five (5) years, voluntarily or involuntarily filed for bankruptcy or other similar insolvency proceeding.

By:
Date:
Its: