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EIAF #8550 — Louisville MAC Gym Expansion <br />CMS# 107578 <br />SIGNATURE PAGE <br />THE_PARTIES HERETO HAVE EXECUTED THIS GRANT <br />* Persons signing for Grantee hereby swear and affirm that they are authorized to act on Grantee's behalf and <br />acknowledge that the State is relying on their representations to that effect. <br />GRANTEE <br />CITY OF LOUISVILLE <br />By 'Qbe(• I_ ocK, le <br />Name of Authorized Individual (pnnt) <br />Title <br />OffiVle of Authorized Individual <br />Sign.ture <br />Date. ��7/l41 /7 61 ?-a sr <br />By <br />STATE OF COLORADO <br />John W. Hickenlooper, GOVERNOR <br />DEPARTMENT OF LOCAL AFFAIRS <br />l� <br />Iry Halter, Executive Director <br />Date <br />PRE -APPROVED FORM CONTRACT REVIEWER <br />By. <br />Date <br />Tara r•b, EIAF Program Manager <br />11 <br />ALL GRANTS REQUIRE APPROVAL BY THE STATE CONTROLLER <br />CRS §24-30=202 requires the State Controller to approve all State grants. This Grant is not valid until signed and <br />dated below by the State Controller or delegate. Grantee is not authorized to begin performance until such time. If <br />Grantee begins performing prior thereto, the State of Colorado is not obligated to pay Grantee for such performance <br />or for any goods and/or services provided hereunder. <br />Page 20 of 20 <br />