12-08-14 Council Packet - Laserfiche WebLink

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ra I n e tis\o A Standard Grant Template Version 1.4, 6/14 Jf) JJj [ Grant Agreement Number ?/2 qy DEP ARTME IIT m /EAITH Between the Minnesota Department of Health and City of Blaine The State does not pay merely for the passage of time. All the grant documentation (Grant Narrative Report, Grant Invoice, itemized invoice(s), electronic copies) must be submitted in one packet by either email or mail. The Grantee shall use the following mailing address: Attn: Cristina Covalschi Source Water Protection Minnesota Department of Health PO Box 64975, St. Paul, MN 55164-0975 If the final invoice is not received by the State before the end date of this Grant Agreement, the Grantee may forfeit the final payment. (b) Matching Requirements Grantee certifies that the following matching requirement, for the grant will be met by Grantee: - Grantee will submit an invoice for the total cost of the project. - By submitting an invoice for the total cost of the project Grantee and Co -Beneficiaries certify that the cost share requirement of $30,000 (thirty thousand dollars) has been met. - If the total cost of the project ends up being less than $60,000 (sixty thousand dollars) the Grantee and Co -Beneficiaries agree to contribute a minimum cost share of 50% of the total cost of the proj ect. 5. Conditions of Payment All services provided by Grantee pursuant to this agreement must be performed to the satisfaction of the State, as determined in the sole discretion of its Authorized Representative. Further, all services provided by the Grantee must be in accord with all applicable federal, state, and local laws, ordinances, rules and regulations. Requirements of receiving grant funds may include, but are not limited to: financial reconciliations of payments to Grantees, site visits of the Grantee, programmatic monitoring of work performed by the Grantee and program evaluation. The Grantee will not be paid for work that the State deems unsatisfactory, or performed in violation of federal, state or local law, ordinance, rule or regulation. 6. Authorized Representatives 6.1 State's Authorized Representative The State's Authorized Representative for purposes of administering this agreement is Cristina Covalschi, SWP Grants Coordinator, address: 625 Robert Street N, PO Box 64975, Saint Paul, MN 55164-0975, phone: 651-201-4696, email address: Cristina.Covalschi@State.mn.us, or her successor, and has the responsibility to monitor the Grantee's performance and the final authority to accept the services provided under this agreement. If the services are satisfactory, the State's Authorized Representative will certify acceptance on each invoice submitted for payment. 6.2 Grantee's Authorized Representative The Grantee's Authorized Representative is Jim Hafner, Wellhead Protection Manager, address: 10801 Town Square Drive, Blaine, MN 55449, phone: 763-785-6188, or his successor. The Grantee's Authorized Representative has full authority to represent the Grantee in fulfillment of the terms, conditions, and requirements of this Page 4 of 8