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<br />6 <br /> <br /> <br /> <br /> <br /> <br /> EXHIBIT C Revision # <br /> <br /> <br />METROPOLITAN COUNCIL ENVIRONMENTAL SERVICES <br /> <br />2022-2024 CLEAN WATER FUND WATER EFFICIENCY GRANT PROGRAM <br />GRANT AMENDMENT FORM <br /> <br /> <br />NOTICE TO RECIPIENT: Submission of this form is required to modify the Maximum Grant Amount in your <br />Grant Agreement with Metropolitan Council 2024-2026 Clean Water Fund Water Efficiency Grant Program <br />(Grant Program). <br /> <br />After determination of your city’s Maximum Grant Amount, completion and submission of this form is necessary <br />when 1) you are requesting additional grant funds to meet unexpected rebate or grant demand, or 2) when your <br />city has determined that the previously approved program’s rebate or grant demand will not be met, requiring less <br />grant funds than anticipated when the agreement was signed. <br /> <br />The process for modifying your Grant Agreement is as follows: <br />1. Your city’s authorized representative submits one signed copy of Exhibit C to the Met Council, with any <br />additional information requested by Met Council. <br />2. Upon receipt and any Met Council approval of signed Exhibit C, the Met Council’s authorized <br />representative will obtain Met Council authorized signatures returns a fully executed copy of Exhibit C <br />indicating the new Maximum Grant Amount to City’s designated authorized representative. <br />--------------------------------------------------------------------------------------------------------------------------------- <br /> <br />Instructions: Indicate the date of your change request in #1 box. Indicate the number of this particular change <br />request in #2 box (and in box at top of page – must match). Enter the current grant agreement amount (as <br />MCES approved) in #3 box. If you wish to increase your municipality’s grant amount, enter the amount you <br />are requesting in #4 box. If you wish to decrease your grant amount due to less demand than <br />anticipated, enter the amount in #5 box. Enter in #6 box the amount derived from adding #3 to #4 or derived from <br />subtracting #5 from #3. <br /> <br /> <br /> Grant Agreement # <br />1. Date of change request: <br /> <br /> <br />