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The document specifies grantee registration and tax identification number requirements, notice language on compliance and potential enforcement, and administrative privacy and HIPAA business associate responsibilities. 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If you circulate this grant contract internally, only offices that require access to the tax identification number and all individuals/offices signing this grant contract should have access to this page.  \n\n| Total Amount of Grant Contract $  |  |\n| --- | --- |\n| FinDeptID H5532398 | amount for state fiscal year   :$  |\n|  | state fiscal year   :$  |\n| FinDeptID H55  | amount for state fiscal year   :$  |\n|  | state fiscal year   :$  |\n\n  Unspent encumbrances to be certified to meet future obligations in accordance with Minnesota Statutes, section 16A.28  \n\n| Starts in fiscal year: 2017 | Vendor ID: «Vendor_ » |\n| --- | --- |\n\nSWIFT Grant\\# /Encumbrance \\#: GRK «Contract_ » /_30000    \nNumber/Date/Initials  \nIndividual signing certifies that funds have been encumbered as required by Minnesota Statutes, section 16A.15.  \nNotice to Grantee: You are required by Minnesota Statutes, section 270C.65 to provide your social security number or Federal employer tax identification number and Minnesota tax identification number if you do business with the State of Minnesota. This information may be used in the enforcement of federal and state tax laws. Supplying these numbers could result in action to require you to file state tax returns and pay delinquent state tax liabilities. This grant contract will not be approved unless these numbers are provided. These numbers will be available to federal and state tax authorities and state personnel involved in approving the grant contract and the payment of state obligations.  \nGrantee Name and Address: «Provider»  \n«Address_ 1»  \n«City», «State» «Zip»  \nSoc. Sec. or Federal Employer I.D.: «Fed_Tax»  \nMN Tax I. D. No. (If applicable): «State1»  \nState of Minnesota Department of Human Services Grant Contract for SOAR Advocacy  \nTHIS GRANT, and amendments and supplements thereto, is between State of Minnesota, acting through the Commissioner of the Department of Human Services Housing and Support Services Division (hereinafter STATE) and «Provider», «Address_ 1», «Address_ 2», «City», «State», «Zip», an independent grantee, not an employee of the State of Minnesota,(hereinafter GRANTEE) .  \nRECITALS  \nWHEREAS, STATE, pursuant to Minnesota Statutes, section 256.01, subdivision 2(a)(6) is empowered to enter into contracts with private agencies and organizations, and  \nWHEREAS, under Minnesota Statutes, section 256.01, subdivision 2(f), STATE is authorized to act as the agent of and cooperate with the federal government in matters of mutual concern relative to and in conformity with the provisions of Laws 1939, chapter 431, including the administration of any federal funds granted to the state to aid in the performance of any functions of the commissioner as specified in Laws 1939, chapter 431, and  \nWHEREAS, STATE is in need of the following services that are of mutual concern to STATE and the federal government: provide advocacy services to help Minnesotans who have a disability apply for or maintain Federal Social Security disability benefits, and  \nWHEREAS, under Minnesota Statutes, section 256D.06, subdivision 5(c), STATE may contract with various entities to provide advocacy and support services to process claims for federal disability benefits for applicants or recipients of services or benefits supervised by the commissioner, and  \nWHEREAS, under Minnesota Statutes, section 13.46, subdivision 1(c) GRANTEE is being made a member of the welfare system via this contract for the limited purposes of this contract. As a result, STATE is permitted to share private data on individuals, as described in contract attachment A, with the GRANTEE in accordance with Minnesota Statutes, section 13.46, subdivisions 2(a)(5)-(7), and  \nWHEREAS, GRANTEE will receive, maintain, or transmit prot","cbCaifvYrbLgZ0QP","https://ap.wps.com/l/cbCaifvYrbLgZ0QP","pdf",1090080,36,"English","# State of Minnesota Grant Contract Worksheet (Not Part of the Contract)\n## Access and confidentiality notice\n## Grant contract amount and fiscal year fields\n## Encumbrance and certification requirements\n## Notice to grantee and tax ID obligations\n## Grantee name, address, and identification fields\n## State of Minnesota Department of Human Services grant contract\n## Recitals and authority references\n## Contract terms and effective dates\n## Grantee duties","[{\"question\":\"Who should have access to the worksheet page containing private information?\",\"answer\":\"Only offices that require access to the tax identification number and all individuals/offices signing the grant contract should have access unless express written permission of the grantee is obtained.\"},{\"question\":\"What tax identification numbers must the grantee provide under the notice language?\",\"answer\":\"The grantee is required to provide a social security number or a Federal employer tax identification number and a Minnesota tax identification number if doing business with the State of Minnesota.\"},{\"question\":\"How is the grant contract’s effective period defined?\",\"answer\":\"The grant is effective January 1, 2017, or upon the date of the final required signature by the STATE, whichever occurs later, and remains in effect through December 31, 2020, or until obligations are fulfilled, whichever occurs first.\"}]","State of Minnesota Grant Contract Worksheet - Grant Contract | PDF",1789566414,13]