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4.11 SR 10-05-2020
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4.11 SR 10-05-2020
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7/28/2021 1:54:40 PM
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10/2/2020 9:18:06 AM
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10/5/2020
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it <br />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 form provided by the State to the Grantee. <br />1. ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered as <br />required by Minn. Slat. § 16A.15. <br />Signed: <br />Date: <br />Grant Contract Agreement No. A-ENFRC21-2021-ELKRIVPD-019 <br />PO No. 3-69688 <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) <br />have executed the grant contract agreement on behalf of the Grantee <br />as required by applicable articles, bylaws, resolutions, or ordinances. <br />Signed: <br />Print Name: <br />Title: <br />Date: <br />Signed: <br />Print Name: <br />Title: <br />Date: <br />3. STATE AGENCY <br />Signed: <br />Title: <br />Date: <br />(with delegated authority) <br />Distribution: DPS/FAS <br />Grantee <br />State's Authorized Representative <br />DPS Grant Contract Agreement non -state (Updated 6/2020) <br />
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