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❑ Exhibit H: Non -Profit Organization Compensation Form (State) <br />❑ Exhibit I: Forced Labor Attestation Form <br />❑ Additional Exhibits (if necessary): <br />owin information a dies to Federal Grants onl and is identified in accordance with 2 CFR 200.331 (a 1): <br />d Identification Numbers (FAIN): <br />Identifier UEId <br />p <br />Date to De artment: <br />d Project Description: <br />Total Federal Funds Obligated by this Agreement: <br />Federal Awarding Agency: <br />Award R&D? <br />❑ Yes WN/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 Name <br />By <br />Sean Lieske, Director, Department of Utility Services <br />Print Name and Title of Person Signing <br />GRANTEE <br />Pd-- Date ign <br />State of Florida Department of Environmental Protection DEPARTMENT _ <br />ii�ylc �"Us��C <br />Digitally signed b Angela Knecht <br />By Date: 2024.11.13 21:18:07 -05'00' <br />Secretary or Designee <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 />EP Agreement No. LG011 <br />Date Signed <br />V. iitnnn <br />