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B) Quarterly, the Grantee must submit additional grant related information, including but not limited to data <br />regarding hiring practices for jobs retained or created under this agreement and information related to training <br />where applicable. The Grantee shall report this information on a form prescribed by the State which must be <br />submitted to the State by the 5th day of each month following the end of the quarter for the preceding quarter's <br />work. If the grant contract ends prior to the end of the quarter, the Grantee shall submit all data relevant to this <br />requirement for that quarter up to the end date of the grant contract and submit it with the final report. <br />If a Grantee does not comply with these requirements the State reserves the right to withhold funding. <br />1. STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered as <br />required by Minn. Stat. §§ 16A.15 and 16C.05 <br />Signed: <br />3. MN DEPARTMENT OF COMMERCE <br />Individual certifies that Ands have been encumbered as <br />required by Alinn. Stat. §§ 16A.15 and 16C.05. <br />By: <br />Date: Title: <br />CFMS: Date: <br />2. CITY OF LINO LAKES <br />The Grantee certifies that the appropriate person(s) have executed <br />the grant contract on behalf of the Grantee as required by applicable <br />articles, bylaws, resolutions. or ordinances. <br />By: <br />Title: <br />Date: <br />By: <br />Title: <br />Date: <br />Distribution: <br />MN Dept. of Commerce. Accounting Dept. <br />Grantee <br />State's Authorized Representative (copy) <br />G -City of Lino Lakes - Commerce 6 <br />Gram (Rev 08/10) <br />-50- <br />