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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 thatfunds have been encumbered as <br />required by Minn. Stat. § 16A.1 S. <br />Signed: <br />Date: <br />3. STATE AGENCY <br />Signed: <br />Title: <br />Date: <br />Grant Contract Agreement No./ P.O. No. A-ENFRC2-2022-ELKRIVPD-050/3000075925 <br />Project No.(indicate N/A if not applicable): 22-04-01 <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 />(with delegated authority) <br />Distribution: DPS/FAS <br />Grantee <br />State's Authorized Representative <br />DPS Grant Contract Agreement non -state (Updated 12/2020) <br />