Laserfiche WebLink
EXHIBIT C Revision # 1 <br />METROPOLITAN COUNCIL ENVIRONMENTAL SERVICES <br />2015 CLEAN WATER FUND WATER EFFICIENCY GRANT PROGRAM <br />GRANT AMENDMENT FORM <br />NOTICE TO GRANTEE: Submission of this form is required to modify your city's signed agreement with <br />Metropolitan Council Environmental Services (MCES) 2015 Clean Water Fund Water Efficiency Grant program <br />(Grantee Program). <br />Subsequent to determination of your city's initial grant amount per the signed agreement, completion and <br />submission of this form is necessary when 1) you are requesting additional grant funds to meet unexpected rebate <br />or grant demand, or 2) when your city has determined that the previously approved program's rebate or grant <br />demand will not be met, requiring less grant funds than anticipated when the agreement was signed. <br />The process for modifying your agreement is as follows: <br />1. Your City's designated authorized representative submits 2 signed copies of Exhibit C to MCES, with <br />an attachment itemizing request(s) for a) pre -qualification of additional projects and/or b) changes to <br />prior prequalified amounts. <br />2. Upon receipt of signed Exhibit C, MCES Program Administrator obtains Council authorized signatures <br />that officially modifies the agreement, maintains in the contract file and returns a fully signed copy of <br />Exhibit C indicating new grant amount to City's designated authorized representative. <br />These steps MUST OCCUR via postal or other courier service to include original signatures and require retention <br />of signed documents to be made available upon request. <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 lesser demand than <br />anticipated, enter the amount in #5 box. Enter in #6 box the amount derived from adding #3 to 94 or derived from <br />subtracting #5 from #3. <br />Grant Agreement # I SG -04414 <br />1. Date of change request: April 26, 2017 <br />2. Change request number: #1 <br />3. Current Grant Agreement Amount (as MCES approved): $36,000 <br />4. Increase due to request for additional funding: $50,000 <br />