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MD1-I <br />Minnesota <br />Department of Health <br />Standard Grant Template Version 1.7, 8/16 <br />Grant Agreement Number 117195 <br />Between the Minnesota Department of Health and City of Lino Lakes <br />Purchase Order Number 44143 <br />• Grantee agrees that work shall take place only in the MDH approved Drinking Water Supply <br />Management Area (DWSMA). Grantee will be reimbursed only for work that takes place in the <br />DWSMA. <br />• Grantee agrees that no system of water supply for public use shall be installed, altered or <br />extended until complete plans and specifications for the installation, alteration or extension <br />have been submitted and approved by the State, and no construction shall take place except in <br />accordance with the approved plans. No grant funds can be used prior to approval of the plans. <br />Failure to submit plans for approval within the first 2 months from the start date of the grant <br />may result in termination of the grant award. <br />• The Grantee shall use the Clean Water Land and Legacy Amendment logo on all materials that <br />are purchased or produced under this Grant Agreement (equipment, reports to the public, <br />publications, displays, videos). Failure to display the logo may render the Grantee ineligible for <br />reimbursement. <br />• If the project involves well(s) sealing, itis the Grantee's responsibility to contact the MDH Well <br />Management section at (651-201-4600) 48 hours prior to the beginning of well sealing work; <br />Monday to Friday between 8:00 am and 4:30 pm. <br />• On or before the end date of this Agreement, the Grantee shall provide the State with one <br />electronic copy of all final products produced under this Grant Agreement, including reports, <br />publications, software and videos. If required by the nature of the project, data collected during <br />the project shall be reported in a format acceptable to the State. <br />• The Grantee shall pay in full any licensed contractor or consultant hired for the purpose of <br />completing any work under this Grant Agreement within 10 days of receiving payment from the <br />State. <br />• The Grantee shall submit an itemized invoice for the total cost of the project. <br />• Exhibits A and B are attached and incorporated into this grant agreement. Upon completion of <br />the project Grantee shall submit a Grant Narrative Report (Exhibit A) and a Grant Invoice <br />(Exhibit B). The Grant Narrative Report and the Grant Invoice shall be due no later than the <br />expiration day of this Grant Agreement. <br />• The Potential Contaminant Source Inventory (PCSI) must be submitted to the State upon the <br />completion of the project and must include: GIS, labels, figures, spatial data and a narrative <br />describing the methodology. <br />• In the event the Grantee is unable to satisfactorily complete all the duties specified in this grant <br />agreement, the Grantee may forfeit the final payment. Grantee who has not satisfactorily <br />Page 2 of 9 <br />