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MnDOT Contract #: 06820 <br /> <br />CM Amendment (Revised 08/02/2017) 3 <br />STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered as <br />required by Minnesota Statutes § 16A.15 and <br />16C.05. <br />DEPARTMENT OF TRANSPORTATION <br />Signed: By: <br />Date: (with delegated authority) <br />SWIFT Contract #: Title: <br />SWIFT Purchase Order #: Date: <br />GRANT RECIPIENT <br />The Grant Recipient certifies that the appropriate <br />person(s) have executed the contract on behalf of the <br />Grant Recipient as required by applicable articles, by <br />laws, resolutions, or ordinances. <br />MnDOT CONTRACT MANAGEMENT <br />By: By: <br />Title: Date: <br />Date: <br />By: <br />Title: <br />Date: <br />