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Cl Exhibit H: Non -Profit Organization Compensation Form (State) <br />❑ Exhibit 1: Forced Labor Attestation Form <br />❑ Additional Exhibits (if necessary): <br />S. The following information applies to Federal Grants only and is identified in accordance with 2 CFR 200.331 (a) 1): <br />Federal Award Identification Number(s) (FAIN): <br />Unique Entity Identifier(UEI): <br />Federal Award Date to Department: <br />Federal Award Project Description: <br />Total Federal Funds Obligated by this Agreement: <br />_ <br />Federal Awarding Agency: <br />Award R&D? <br />❑ Yes ❑N/A <br />IN WITNESS WHEREOF, this Agreement shall be effective on the date indicated by the .Agreement Begin Date unless <br />_another date is specified in the grant documents. <br />Indian River County <br />GRANTEE <br />Grantee Name/9 <br />19 <br />D <br />Sean Lieske, Director of Utility, Services <br />Print Name and Title of Person Signing <br />I <br />State of Florida Department of Environmental Protection DEPARTMENT <br />Digitally signed by Angela Knecht <br />By Date: 2024.11.13 21:26:58 -05'00' <br />Secretary or Designee Date Signed <br />Angela Knecht, Director, Division of Water Restoration Assistance <br />Print Name and Title of Person Signing <br />Additional signatures attached on separate page. <br />DEP Agreement No. LGQ10 <br />Rev. 6/14/24 <br />