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Grant Agreement <br />Page 2 <br />� <br />Payment: As stated in the Grantee's Application and Grant Program Guidance, the State will promptly pay the <br />Grantee after the Grantee presents an invoice for the services actually performed and the State's Authorized <br />Representative accepts the invoiced services and in accordance with the Grant Program Guidelines. Payment <br />will not be made if the Grantee has not satisfed reporting requirements. <br />Certification Regarding Lobbying: (If applicable.) Grantees receiving federal funds over $100,000.00 must <br />complete and return the Certification Regarding Lobbying form provided by the State to the Grantee. <br />1. ENCUMBRANCE VERIFICATION <br />bzdividual certfes thatfi�nds have been encumbered as <br />reqa�ired by Minn. Stat. §§ 16A.15 and 16C.05. <br />Signed: <br />Date: <br />Grant Agreement No. 2011-TS-00243/6300-3028 <br />2. GRANTEE <br />The Grantee certifies that the appropr-iate person(s) <br />have executed the grant agreement on behalf of the Grantee <br />`— as required by applicable articles, bylmvs, resolutions, or ordinances. <br />� <br />By: _ <br />Title: <br />Date: <br />By: _ <br />Title: <br />Date: <br />DPS Grant Agreement non-state (09/08) <br />3. STATE AGENCY <br />By: <br />(with delegated authority) <br />Title: <br />Date: <br />Distribution: DPS/FAS <br />Grantee <br />State's Authorized Representative <br />