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r " Grant Agreement Page 2 <br /> .i <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 satisfied 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 /> • <br /> • <br /> 1. ENCUMBRANCE VERIFICATION • 3. STATE AGENCY <br /> Individual certifies that funds have been encumbered as <br /> . required by Minn.Stat.§§16A.15 and 160.05. By: • <br /> (with delegated authority) • <br /> Signed: Title:. • <br /> Date: • Date: <br /> Grant Agreement No.2010-T5-00563/6300-2208 . <br /> • <br /> 2. GRANTEE <br /> • <br /> The Grantee certifies that the appropriate person(s) <br /> have executed the grant agreement on behalf of the Grantee • <br /> as required by applicable articles,bylaws,resolutions,or ordinances. <br /> By: <br /> Title: <br /> Date:. LG rr 'pgGl CJ • <br /> • <br /> By: <br /> iJ <br /> Distribution: DPS/FAS <br /> • <br /> Title: Grantee <br /> • State's Authorized Representative <br /> Date: S�� /0 <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> DPS Grant Agreement non-state(09/08) • <br />