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Grant Contract No. 3000016503 <br />proceedings out of this grant contract, or its breach, must be in the appropriate state or federal court with competent <br />jurisdiction in Ramsey County, Minnesota. <br />14 Termination <br />14.1 Termination by the State. The State may cancel this grant contract at any time, with or without cause, upon <br />30 days' written notice to the Grantee. Upon termination, the Grantee will be entitled to payment, <br />determined on a pro rata basis, for services satisfactorily performed. <br />14.2 Termination for Insufficient Funding. The State may immediately terminate this grant contract if it does <br />not obtain funding from the Minnesota Legislature, or other funding source; or if funding cannot be <br />continued at a level sufficient to allow for the payment of the services covered here. Termination must be by <br />written or fax notice to the Grantee. The State is not obligated to pay for any services that are provided after <br />notice and effective date of termination. However, the Grantee will be entitled to payment, determined on a <br />pro rata basis, for services satisfactorily performed to the extent that funds are available. The State will not <br />be assessed any penalty if the grant contract is terminated because of the decision of the Minnesota <br />Legislature, or other funding source, not to appropriate funds. The State must provide the Grantee notice of <br />the lack of funding within a reasonable time of the State receiving that notice. <br />15 Data Disclosure <br />Under Minn. Stat. § 270C.65, and other applicable law, the Grantee consents to disclosure of its social security <br />number, federal employer tax identification number, and/or Minnesota tax identification number, already provided <br />to the State, to federal and state tax agencies and state personnel involved in the payment of state obligations. <br />These identification numbers may be used in the enforcement of federal and state tax laws which could result in <br />action requiring the Grantee to file state tax returns and pay delinquent state tax liabilities, if any, or pay other state <br />liabilities. <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 />SWIFT PO# 3-16503 <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: <br />Title: <br />Date: <br />By: <br />Title: <br />Date: <br />Distribution: <br />DPS/FAS <br />Grantee <br />State's Authorized Representative <br />SFM Shared Services (01/13) 4 <br />