Name of Granting Agency Department of Administration

Name of Grantee SAMPLE GRANTEE EVALUATION

Grant Contract Number SAMPLE - 00000

Grantee's SWIFT Vendor ID Number SAMPLE - 00000

Start Date of Grant 2024-04-22

End Date of Grant 2024-04-23

Total Grant Award Amount Including Amendments 30000

Amount of Grant Paid to Grantee 30000

Grant Type Legislatively Named

Grant description and purpose. Note to evaluator: this may be copied from the grant agreement or RFP. 16B.98, Sec. 8., Subd. 12 - The head of the agency or delegate entering into a grant agreement in excess of $25,000 must submit a report to the commissioner who must make the report publicly available online.

Did the grantee comply with reporting and monitoring requirements, timely and in accordance with the terms of the grant agreement? Yes

Did the quality of the grantee’s work fulfill the expected outcomes of the grant? Partially

If you answered no or partially to either of the two prior questions, you must explain here. If you answered yes, you may add additional information here. The system is in place. No grantee evaluations have been submitted at the time of this report.

If applicable, please list any unaddressed concerns or issues with the grantee below including the following: unresolved pre-award risk assessment items or concerns; financial or audit concerns; fraud, waste, or abuse concerns; termination of grant. n/a

Please provide any additional comments about the grantee’s overall performance here. Multiple departments and stakeholders worked to test the system prior to its launch. This sample evaluation is posted to ensure that the public and agency stakeholders can see that the system is functioning.