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ON NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATI Division of Management and Budget Services 625 Broadway. 10th Floor, Albany, New York 12233-S010 P: (S18) 402-9228 | F. (518) 402-9023 wer d2C BY GON AID TO LOCALITIES Contract or Purchase Order Number: DEC01-C03232GM-3350000 Grantee: Village of Springville County: Erie County Project Name: Village of Springville DCFC at Village Hall Public Parking Area CERTIFICATION OF COMPLIANCE that the work described in the On behalf of the Grantee named above, | hereby certify the ed in accordance with Workplan is complete; that all Grant funds have been expend with alt applicable State Budget and Workplan of the purchase order, and in accordance ed all required State Laws, rules and regulations; and that the Grantee has obtain permits necessary to perform the work covered by the Grant. FINAL PAYMENT RELEASE accepting full payment On behalf of the Grantee named above, ! hereby certify that in that should this amount for the estimated State share of the above-referenced project, of the project, be over and above the amount due as determined by a final audit full repayment conducted by the New York State Office of the State Comptroller, that from be deducted will be made to the State of New York or that the overpayment will other State funds due the Grantee. Authorized Representative: (Typed or Printed Name & Title) (Signature) Date: Telephone Number: (7/6) _594- 7736 NEWYORK | Departmentof Siete’ | Environmental Conservation