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MnDOT Contract No.: 1060495 <br />-15- <br />Payable DCP and State Encumbering and Paying TH Portion <br />STATE ENCUMBRANCE VERIFICATION <br />Individual certifies that funds have been encumbered <br />as required by Minnesota Statutes § 16A.15 and <br />16C.05. <br />Signed: <br />Date: <br />SWIFT Purchase Order: 3000869367 <br />WASHINGTON COUNTY <br />The undersigned certify that they have lawfully <br />executed this contract on behalf of the Governmental <br />Unit as required by applicable charter provisions, <br />resolutions, or ordinances. <br />By: <br />(Chair, County Board of Commissioners) <br />Date: <br />By: <br />(County Administrator) <br />Date: <br />Approved as to form: <br />By: <br />(Assistant County Attorney) <br />Date: <br />Recommended for Approval: <br />By: <br />(County Engineer) <br />Date: <br />DEPARTMENT OF TRANSPORTATION <br />Recommended for Approval: <br />By: <br />(District Engineer) <br />Date: <br />Approved: <br />By: <br />(State Design Engineer) <br />Date: <br />COMMISIONER OF ADMINISTRATION <br />By: <br />(With Delegated Authority) <br />Date: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />INCLUDE COPY OF RESOLUTION APPROVING THE <br />AGREEMENT AND AUTHORIZING ITS <br />EXECUTION. <br />