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Grant Contract Agreement 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 will <br /> 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 3. STATE AGENCY <br /> Individual certifies that funds have been encumbered as <br /> required by Minn.Stat.§16A.15. Signed: <br /> (with delegated authority) <br /> Signed: Title: <br /> Date: Date: <br /> Grant Contract Agreement No./P.O.No. A-ICPOE-2024-LINOLKPD-013/3-94428 <br /> Project No.(indicate N/A if not applicable): N/A <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: ♦ 4t" t'`i.,L <br /> Print Name.m kO +2(� <br /> Title: tskc 1/t Cv <br /> Date: 04!0 $ l 4 <br /> Signed: 1 '/ - <br /> Print Name: -J PLVe-C.-v G •• 1pi l --T <br /> Title: A��AM -g--N/ - <br /> Date: a'[ (O 4 C 74 "7 <br /> Signed: <br /> Print Name: <br /> Distribution: DPS/FAS <br /> Title: Grantee <br /> State's Authorized Representative <br /> Date: <br /> DPS Grant Contract Agreement Non-State(rev.September 2022) <br />