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6/2/2014 Application Number: EMW-2011-FF-00724 <br />(B) The grantee may insert in the space provided below the site(s) for the performance of work done in <br />connection with the specific grant: <br />Place of Performance <br />Street City State Zip <br />7741 Lake Drive Lino Lakes Minnesota 55014 -1109 <br />Action <br />If your place of performance is different from the physical address provided by you in the Applicant <br />Information, press Add Place of Performance button above to ensure that the correct place of performance <br />has been specified. You can add multiple addresses by repeating this process multiple times. <br />Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification <br />in each Federal fiscal year. A copy of which should be included with each application for DHS funding. <br />States and State agencies may elect to use a Statewide certification. <br />Signed by Jerry Streich on 02/17/2012 <br />https://eservices.fema.gov/FemaFireGrant/firegrant/jsp/safer2011/application/print app.jsp?print=true&app_number=EMW-2011-FF-00724 31/33 <br />