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4.11. SR 10-15-2018
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4.11. SR 10-15-2018
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10/12/2018 10:13:23 AM
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0 Grant Agreement Page 2 of 2 <br />Payment: As stated in the Grantee's Application and Grant Program Guidance, the State will promptly pay the <br />Grantee after the Grantee presents an invoice for the services actually performed and the State's Authorized <br />Representative accepts the invoiced services and in accordance with the Grant Program Guidelines. Payment <br />will not be made if the Grantee has not satisfied reporting requirements. <br />Certification Regarding Lobbying: (If applicable.) Grantees receiving federal funds over $100,000.00 must <br />complete and return the Certification Regarding Lobbying forin provided by the State to the Grantee. <br />1. ENCUMBRANCE VERIFICATION <br />Individual certifies that finds have been encumbered as <br />required by Minn. Stat §§ 16A. 15 and 16C. 05. <br />Signed: <br />Date: <br />Grant Agreement No. A-ENFRC 19-2019-ELKRIVPD-030 <br />PO No. 3-56094 <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) <br />have executed the grant agreement on behalfofthe Grantee <br />as required by applicable articles. bylaw. resolutions. or ordinances. <br />Signed: _ <br />Print Name: <br />Title: <br />Date: <br />Signed: <br />Print Name: <br />Title: <br />Date: <br />DPS Grant Agreement non -state (OTS 06/16) <br />3. STATE AGENCY <br />Signed: <br />(with delegated authority) <br />Title: <br />Date: <br />Distribution: DPS/FAS <br />Grantee <br />State's Authorized Representative <br />
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