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CWCB Gontract Number: CTGG1201S-340t <br />C WCB CMS Number. 80484 <br />THE PARTIES HERETO HAVE EXECUTED THIS GRANT <br />* Persons signing for Grantee hereby swear and affirm that they are suthorized to act on Crantee's behali and acknowledge that <br />the State is retyin�; on their representations to that effect. <br />� GRANTEE <br />Ptum Valley Heights Subdistrict STATE OF CQLORADO <br />of the Roxborough Water and Sanitation District, � John W. Hickenlooper GOVERNOR <br />! Department of Natural Resaurces <br />Mike King, Executive Director <br />..,..._.� 4. ��' { � 4�' l_.. <br />� ' � ,,.,�,. ,.,., �,� . ._ ....�._ . .. ................._W..,.........___. <br />. ' ature <br />Name: ' BY: — ----- <br />�,-� � Rv �_,�'�._.., w_� r�..� Z <br />Title:___.,_�,� S'-� �__.`_...�.�.\ <br />� Name: Kirk Russetl P.E. Chief <br />� Date ,_ � � � �� e� � � _ , _ Finance Section <br />� Calorada Water Conservation Board <br />� �Q <br />� DATE: (% r' <br />� ___,_ ..w_...._..� <br />Si�natory avers to the State Controller or delegate that <br />ATTEST: Grantee has nat begun performance or that a Statutory <br />Violation waiver has been requested under Fiscal Rules <br />�----�-_ <br />W._ ��.� u �.. �.._ �.� . __ � m�... ____..�..� <br />_ _.�w.. <br />SECOND GRANTEE SICNATURE��� � <br />� ' �y CONTRTACT REVIEWER <br />��. � ✓! <br />� . � � _�� � _... .,.. <br />_,,, �...� ______ ._. ,�.. _ <br />f *S�gnature � gy:A. � ,, �'���, � <br />_ ,._.m..,_� ...,W� ,�,.�.�_.._.L._ .... . __.-___ <br />-�'—� � Peg Mason CWCB Contracts Manager <br />Name: �.2�__ �/ -�'ir'�/� c �-'�'��_ , <br />.�x� a __._ �... _ �� .� <br />_ <br />� Title ��,�'�%�'I�Z'�f Date: ��� _`�� �) _ j r <br />W.�� _..�. _ .._ __ __� �. <br />Date: (.l ,� - r � �.�"� <br />ALL GRANTS REOUIRE APPROVAL BY THE STATE CONTROLLER <br />CRS §Z4-30-202 requires the State Controller to approve all State Grants. This Grant es not valid until signed and dated below <br />by the State Controller or delegate. Grantee is not authorized to begin performance until such time. If Grantee begins <br />performing prior thereto, the State of Colorado is not obligated to pay Grantee far such performance or %r any goods andJor <br />services provided hereueder. <br />M. STATE CONTROLLER <br />Robert Jaros, CPA, MBA, JD <br />ey: <br />Susan Borup, Controlter, Depart nt of Natura�sources <br />date: �� / <br />Page 16 of 16 <br />