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Vendor No.0000201754 Contract No.166314 3000/R29337VE/R293211 <br /> PO No.160923 <br /> Recipient Employee Whistleblower Rights and Requirement to Inform Employees of Whistleblower Rights <br /> (a)This award and employees working on this financial assistance agreement will be subject to the whistleblower <br /> rights and remedies in the pilot program on Award Recipient employee whistleblower protections established at 41 <br /> U.S.C. 4712 by section 828 of the National Defense Authorization Act for Fiscal Year 2013 (Pub.L. 112-239) <br /> (b)The Award Recipient shall inform its employees in writing, in the predominant language of the workforce,of <br /> employee whistleblower rights and protections under 41 U.S.C. 4712 <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 /> 1. STATE 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 /> �1��1�3e��c.Qti <br /> Signed: Title: <br /> Date: 9/16/2019 Date: <br /> SWIFT Contract/PO No(s). 166314/160923 <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 /> By: By: <br /> Title: Title: <br /> Date: Date: <br /> Distnbution <br /> Agency <br /> Grantee PEQUOT LAKES FIRE DEPT <br /> State's Authorized Representative-Photo Copy <br /> VFA Grant 096 FY20 7 <br />