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Grant Contract Agreement Page 2 of 3 <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$100,000.00 must <br /> complete and return the Certification Regarding Lobbying form provided by the State to the Grantee. <br /> 1. ENCUMBRANCE VERIFICATION 3. STATE AGENCY <br /> Individual certifies that funds have been encumbered as <br /> required by Minn.Stat.§16A.15. Signed: <br /> (with delegated authority) <br /> Signed: Title: <br /> Date: Date: <br /> Grant Contract Agreement No./P.O.No. A-PTP-2024-LINOLKPD-025/3-94492 <br /> Project No.(indicate N/A if not applicable): N/A <br /> 2. GRANTEE <br /> The Grantee certifies that the appropriate person(s) <br /> have executed the grant contract agreement on behalf of the Grantee <br /> as required by applicable articles,bylaws,resolutions,or ordinances. <br /> Signed: c1(' fl'Eftc <br /> Print Name: i1/411----v <br /> Title: MANI OV <br /> Date: 04-1 o$ l.7,p-¢ <br /> Signed: �V..� �.- <br /> Print Name: , <br /> Title: G` l <br /> Date: O' 1oil 7414 <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 />