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Vendor No.0000201592 Contract No.220958 3000/R29337VH/R293211 <br /> PO No.220982 <br />VFA Grant 154 FY23 8 <br />(c) The Award Recipient shall insert the substance of this clause, including this paragraph (c), in all sub awards or <br />subcontracts over the simplified threshold. 42 CFR & 52.203-17 (as referenced in 42 CFR & 3.908-9) <br /> <br /> <br />1. STATE ENCUMBRANCE VERIFICATION 3. STATE AGENCY <br />Individual certifies that funds have been encumbered as <br />required by Minn. Stat. '' 16A.15 and 16B.98. By: ________________________________ <br /> (with delegated authority) <br />Signed: Shelly Greniger Title: _______________________________ <br /> <br />Date: 11/9/2022 Date: _______________________________ <br /> <br /> <br />SWIFT Contract/PO No(s). 220958/220982 <br /> <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) <br />have executed the grant contract on behalf of the Grantee as <br />required by applicable articles, bylaws, resolutions, or ordinances. <br /> <br />By: _________________________________________ By: _________________________________________ <br /> <br />Title: _____________________________________ Title: _______________________________________ <br />Date: _____________________________________ Date: _______________________________________ <br /> <br /> <br /> <br /> <br /> Distribution: <br />Agency <br />Grantee HUGO FIRE DEPT <br />State’s Authorized Representative - Photo Copy <br />