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85 7th Place East, Suite 500
MINNESOTA St. Paul, MN 55101-2198
P: 651.2973047 F: 651.284.4211
DEPARTMENT OF www.energy.mn.gov
COMMERCE energv.contractsastate.mn.us
Division of Energy Resources
Minnesota Department of Commerce
Closeout Notice
May 24,2011
Grantee: State:
Eric Johnson,City Administrator Abby Finis,Energy Programs Specialist
City of Oak Park Heights Minnesota Department of Commerce
14168 Oak Park Boulevard North,PO Box 2007 85 7th Place East, Suite 500
Stillwater,MN 55082-2007 Saint Paul,MN 55101
Phone: 651-439-4439 Phone: 651-296-6205
This letter is to notify you that our office has received,reviewed and processed your final invoice and/or
final project status report.Your agreement(B43935)closed on 03/31/2011.
Project description: Light bulb distribution; dual flush kits;vehicle upgrade; appliance upgrade
Agreement Number: B43935
Effective Date: 06/15/2010 Davis-Bacon Act applied: Yes
Expiration Date: 03/31/2011 *If"yes", see note below.
41101/ Total grant amount: $37,840.00
Total paid amount: $37,840.00
Balance: $0.00
If the Davis-Bacon Act applied to your agreement:You are required to keep all Davis-Bacon Act related
documents for a minimum of three(3)years(Reference: 10 CFR 600.242).
Post Closeout Reporting Requirements: Your agreement may have reporting requirements that extend
beyond the end date of your agreement. It is your responsibility to provide the required information for
your project.You will receive more information on post-closeout reporting in the coming months.Failure
to comply with these reporting requirements will result in a breach of agreement.
A"Document Checklist"has been included for your reference regarding what information you will need
to keep on file for a minimum of three(3)years.
If you have any questions regarding your agreement,amendments, invoices or payments please contact us
at energy.contracts(2 state.mn.us.
Sincerely,
Grants&Contracts Team
Minnesota Department of Commerce
elDivision of Energy Resources
Enclosure
'I DOCUMENTATION Checklist
The items listed below are required to be on file and should be readily available for project monitoring
for a period of three years after the close of the agreement. i
REQUIRED PROJECT DOCUMENTATION V NOTES
Proposal
Agreement
Amendments, if applicable
Davis Bacon Forms (must be on f le for 3 yrs.)
Waste Management Plan
Certificates of Recycling / Paid Invoices
Historic Preservation Documentation State staff will request,if applicable
Buy American Certification
(public buildings only)
Procurement Bidding Documents
Permits, Inspection Reports&HVAC
Acceptance Documents
Energy Savings Documentation
41100 (reporting is required for three years after implementation)
Monthly Progress Reports
Monthly Invoice Reports
Proof of Payments
Quarterly Utilization Reports
Copies of publications related to project
The following must be posted while the contract is active:
Davis Bacon "Davis Bacon Applies" Poster Posted? YES NO
Davis Bacon Wage Determination Sheet Posted? YES NO
S
MN Office of Energy Security(2.15.11)
Documentation Checklist