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Grant Agreement Page 2 <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 /> 1. ENCUMBRANCE VERIFICATION 3. STATE AGENCY <br /> Individual certifies that funds have been encumbered as <br /> required by Minn.Stat.§§16A.15 and 16C.05. By: <br /> (with delegated authority) <br /> Signed: Title: <br /> Date: Date: <br /> Grant Agreement No:2011-T5-00243/6300-3028 <br /> 2. GRANTEE <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: Lrniei 1 1 <br /> Date: — /—t/' <br /> A <br /> By. ( 1.1--r(-- 2-c--,1 aAri, <br /> Distribution: DPS/FAS <br /> Title: Grantee <br /> State's Authorized Representative <br /> Date: Z-/ - 1 <br /> DPS Grant Agreement non-state(09/08) <br />