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MnDOT Contract Number: 1028386 Work Order No. 1 <br />4 <br /> <br />STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered <br />as required by Minnesota Statutes §16A.15 and <br />§16C.05. <br />Signed: <br />Date: <br /> <br />LOCAL GOVERNMENT/AGENCY <br />Local Government/Agency certifies that the <br />appropriate person(s) have executed the agreement <br />on behalf of Local Government/Agency as required by <br />applicable articles, bylaws or resolutions. <br />Signed: <br />Title: <br />Date: <br />DEPARTMENT OF TRANSPORTATION (with delegated authority) <br />Signed: <br />Title: <br />Date: <br /> <br />COMMISSIONER OF ADMINISTRATION <br />Signed: <br />Date: <br /> <br />