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Grant Contract Agreement Page 2 of 2 <br />Payment: As stated in the Grantee’s Applicationand 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 servicesand 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 VERIFICATION3. STATE AGENCY <br />Individual certifies that funds have been encumbered as <br />required by Minn. Stat. §16A.15. Signed:_____________________________________________ <br /> (with delegated authority) <br />Signed: _____________________________________________Title: ______________________________________________ <br />Date: _______________________________________________Date: ______________________________________________ <br />Grant Contract Agreement No.A-PTP-2021-ROSEVLPD-00007/3-70577 <br />2. GRANTEE <br />The Grantee certifies that the appropriate person(s) <br />have executed the grant contract agreement on behalf of the Grantee <br />as required by applicable articles, bylaws, resolutions, or ordinances. <br />Signed: _____________________________________________ <br />Print Name: __________________________________________ <br />Title: _______________________________________________ <br />Date: _______________________________________________ <br />Signed: ______________________________________________ <br />Print Name: __________________________________________ <br />Distribution: DPS/FAS <br />Title: ________________________________________________Grantee <br /> State’s Authorized Representative <br />Date: ________________________________________________ <br />DPS Grant Contract Agreement non-state (Updated 6/2020) <br /> <br />