Common use of IN TESTIMONY HEREOF Clause in Contracts

IN TESTIMONY HEREOF. the Grant Recipient and the State Entity have executed this General Fund Grant Agreement – Construction Grant for the _________«1»_________ Project on the day and date indicated immediately below their respective signatures. GRANT RECIPIENT: «3» , a «4» By: «20» Its: «27» And: «22» Its: «23» Dated: __________________, _____ STATE ENTITY: «5» , By: «24» Its: «25» Dated: __________________, _____ Attachment I - DECLARATION The undersigned has the following interest in the real property legally described in Exhibit A attached hereto and all facilities situated thereon (the “Restricted Property”): (Check the appropriate box.) a fee simple title, a lease, or an easement, and as owner of such fee title, lease or easement, does hereby declare that such interest in the Restricted Property is subject to those provisions, requirements, restrictions, and encumbrances contained in the “General Fund Grant Agreement Construction Grant for the _____ «1»______ Project” dated ______«2»_____, _«2»_, between ________________«3»_____________ and __________«5»____________. The Restricted Property shall remain subject to such provisions, requirements, restrictions, and encumbrances until it is released therefrom by a written release in recordable form signed by the Commissioner of __________«5»___________, and such written release is recorded in the real estate records relating to the Restricted Property. (SIGNATURE BLOCK AND ACKNOWLEDGMENT) This Declaration was drafted by: (Name and address of individual who drafted the Declaration.) Exhibit A to Declaration - LEGAL DESCRIPTION OF RESTRICTED PROPERTY Attachment II - LEGAL DESCRIPTION «26» Attachment III - SOURCE AND USE OF FUNDS FOR THE PROJECT Source of Funds Use of Funds

IN TESTIMONY HEREOF. the Grant Recipient and the State Entity have executed this General Fund Grant Agreement – Construction End Grant for the _________«1»_________ Project on the day and date indicated immediately below their respective signatures. GRANT RECIPIENT: «3» , a «4» By: «18» Its: «19» Dated: __________________, _____ And: «20» Its: «27» And: «22» Its: «2321» Dated: __________________, _____ STATE ENTITY: «5» , By: «2422» Its: «2523» Dated: __________________, _____ Attachment I - DECLARATION The undersigned has the following interest in the real property legally described in Exhibit A attached hereto and all facilities situated thereon (the “Restricted Property”): (Check the appropriate box.) a fee simple title, a lease, or an easement, and as owner of such fee title, lease or easement, does hereby declare that such interest in the Restricted Property is subject to those provisions, requirements, restrictions, and encumbrances contained in the “General Fund Grant Agreement Construction End Grant for the _____ «1»______ » Project” dated ______«2»_____, _«2»_, _ between ________________«3»_____________ and 3»__________and __________«5»____________. The Restricted Property shall remain subject to such provisions, requirements, restrictions, and encumbrances until it is released therefrom by a written release in recordable form signed by the Commissioner of __________«5»___________» , and such written release is recorded in the real estate records relating to the Restricted Property. (SIGNATURE BLOCK AND ACKNOWLEDGMENT) This Declaration was drafted by: (Name and address of individual who drafted the Declaration.) Exhibit A to Declaration - LEGAL DESCRIPTION OF RESTRICTED PROPERTY Attachment II - LEGAL DESCRIPTION «2624» Attachment III - SOURCE AND USE OF FUNDS FOR THE PROJECT Source of Funds Use of Funds

IN TESTIMONY HEREOF. the Grant Recipient and the State Entity have executed this General Fund Grant Agreement – Construction End Grant for the _________«1»_________ » Project on the day and date indicated immediately below their respective signatures. GRANT RECIPIENT: «3» , a «4» By: «18» Its: «19» Dated: , And: «20» Its: «27» And: «22» Its: «2321» Dated: __________________, _____ STATE ENTITY: «5» , By: «24» Its: «2523» Dated: __________________, _____ Attachment I - DECLARATION The undersigned has the following interest in the real property legally described in Exhibit A attached hereto and all facilities situated thereon (the “Restricted Property”): (Check the appropriate box.) a fee simple title, a lease, or an easement, and as owner of such fee title, lease or easement, does hereby declare that such interest in the Restricted Property is subject to those provisions, requirements, restrictions, and encumbrances contained in the “General Fund Grant Agreement Construction End Grant for the _____ «1»______ » Project” dated ______«2»_____» , _«« 2»_, _ between ________________«3»_____________ » and __________«5»____________» . The Restricted Property shall remain subject to such provisions, requirements, restrictions, and encumbrances until it is released therefrom by a written release in recordable form signed by the Commissioner of __________«5»___________» , and such written release is recorded in the real estate records relating to the Restricted Property. (SIGNATURE BLOCK AND ACKNOWLEDGMENT) This Declaration was drafted by: (Name and address of individual who drafted the Declaration.) Exhibit A to Declaration - LEGAL DESCRIPTION OF RESTRICTED PROPERTY «24» Attachment II - LEGAL DESCRIPTION «26» Attachment III - SOURCE AND USE OF FUNDS FOR THE PROJECT Source of Funds Use of FundsFunds I dentify Source of Funds Amount State Funds Grant $ Other State Funds $ $ $ Subtotal $ Matching Funds $ $ Subtotal $ Other Public Entity Funds $ $ Subtotal Loans $ $ Subtotal $ Other Funds $ $ Subtotal $ Prepaid Project Expenses $ $ Subtotal $ TOTAL FUNDS $ Identify Items Amount Ownership Acquisition and Other Items Paid for with Grant Funds Purchase of Ownership $ Interest Other Items of a Capital Nature: $ $ $ Subtotal $ Items Paid for with Non-Grant Funds $ $ $ Subtotal $ TOTAL PROJECT $

IN TESTIMONY HEREOF. the Grant Recipient and the State Entity have executed this General Fund Grant Agreement – Construction Grant for the _________«1»_________ Project on the day and date indicated immediately below their respective signatures. GRANT RECIPIENT: «3» , a «4» By: «20» Its: «27» And: «22» Its: «23» Dated: __________________, _____ STATE ENTITY: «5» , By: «24» Its: «25» Dated: __________________, _____ Attachment I - DECLARATION DECLARATION‌ The undersigned has the following interest in the real property legally described in Exhibit A attached hereto and all facilities situated thereon (the “Restricted Property”): (Check the appropriate box.) a fee simple title, a lease, or an easement, and as owner of such fee title, lease or easement, does hereby declare that such interest in the Restricted Property is subject to those provisions, requirements, restrictions, and encumbrances contained in the “General Fund Grant Agreement Construction Grant for the _____ «1»______ Project” dated ______«2»_____» , _«2»_, between ________________«3»_____________ » and __________«5»_____________ . The Restricted Property shall remain subject to such provisions, requirements, restrictions, and encumbrances until it is released therefrom by a written release in recordable form signed by the Commissioner of __________«5»____________ , and such written release is recorded in the real estate records relating to the Restricted Property. (SIGNATURE BLOCK AND ACKNOWLEDGMENT) This Declaration was drafted by: (Name and address of individual who drafted the Declaration.) Exhibit A to Declaration - LEGAL DESCRIPTION OF RESTRICTED PROPERTY «26»‌ Attachment II - LEGAL DESCRIPTION «26» Attachment III - -‌ SOURCE AND USE OF FUNDS FOR THE PROJECT Source of Funds Use of FundsFunds Identify Items Amount Ownership Acquisition and Other Items Paid for with Grant Funds Purchase of Ownership Interest Other Items of a Capital Nature: Subtotal $ $ $ $ $ Items Paid for with Non-Grant Funds Subtotal $ $ $ $ TOTAL PROJECT COSTS $ Identify Source of Funds Amount State Funds Grant $ Other State Funds $ $ $ Subtotal $ Matching Funds $ $ Subtotal $ Other Public Entity Funds $ $ Subtotal Loans $ $ Subtotal $ Other Funds $ $ Subtotal $ Prepaid Project Expenses $ $ Subtotal $ TOTAL FUNDS $ «27»‌ Attachment IV - PROJECT COMPLETION SCHEDULE Attachment V - JOBS REPORTING‌ (a) Pursuant to Minn. Stat. Sec. 16A.633, subd. 4, State Entity is required to report the number of jobs created or retained by the Project. To enable State Entity to comply with Minn. Stat. Sec. 16A.633, subd. 4, the Grant Recipient is required to report the number of jobs created or retained by the Project to State Entity as set forth below.