Automatic Carry Forward. Yes No (If No, Carry Forward requests must be sent to Prime Recipient's Authorized Official, as shown in Attachment 3). Attachment 3A Research Subaward Agreement Subaward Number: Prime Recipient Contacts Institution/Organization ("Prime Recipient") Name: University of Alaska Fairbanks Address: Procurement & Contract Services XX Xxx 000000 City: Fairbanks State: Alaska ZipCode: 99775-7940 Administrative Contact Name: Address: University of Alaska Fairbanks City: Telephone: Fax: Email: ZipCode: State: Principal Investigator Name: Address: University of Alaska Fairbanks City: State: ZipCode: Telephone: Fax: Email: Financial Contact Name: Xxxxxxxx Xxxxxxx Address: University of Alaska Fairbanks Office of Grants & Contracts Administration PO Box 757880 City: Fairbanks State: Alaska ZipCode: 00000-0000 Telephone: 000-000-0000 Fax: 000-000-0000 Email: xxxxxxxx@xxxxxx.xxx Authorized Official Name: Xxxxxxx X. Xxxxx, C.P.M., Assoc Director, Procurement and Research Services Address: University of Alaska Fairbanks Procurement & Contract Services XX Xxx 000000 City: Fairbanks State: Alaska ZipCode: 00000-0000 Telephone: 000-000-0000 Fax: 000-000-0000 Email: xxx.xxxxx@xxxxxx.xxx Institution/Organization ("Subrecipient") Name: Attachment 3B - Research Subaward Agreement Subrecipient Contacts Subaward Number: Address: City: State: ZipCode + 4: EIN No.: Institution Type: Is the Performance Site the Same Address as Above? Yes No If no, is the Performance Site the same as PI address below? Yes No If no to both questions, please complete 3B page 2 (if ARRA funding use Attachment 4A). Subrecipient currently registered in CCR? Yes No DUNS No.: Parent DUNS No.: Is Subrecipient exempt from reporting compensation? Yes No Congressional District: Congressional District: If no , please complete 3B page 2 (if ARRA funding use Attachment 4A). Administrative Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Principal Investigator Name: Address: City: Telephone: Email: State: ZipCode: Fax: Financial Contact Name: Address: City: Telephone: Email: State: ZipCode: Fax: Authorized Official Name: Address: City: Telephone: State: ZipCode: Fax: Email: FDP version 20111123 Attachment 3B - Research Subaward Agreement Institution/Organization ("Subrecipient") Name: Subaward Number: Place of Performance Name: Address: City: Telephone: Email: State: Fax: Congressional District: ZipCode + 4: The names and total compensation of the five most highly compensated officers of the entity...
Automatic Carry Forward. [ ] Yes [ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s __________________________, as shown in Attachment 3).
Automatic Carry Forward. [ ] Yes [ X ] No (If No, Carry Forward requests must be sent to Prime Recipient’s Administrative Contact, as shown in Attachment 3A).
Automatic Carry Forward. [ ] Yes [ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s ______________ contact, as shown in Attachment 3). [Should additional special terms and conditions be mandated by local policies and procedures, they may be added at this point. Additional terms and conditions should be strictly limited to those absolutely required. Please do not include indemnification, insurance, or law and venue clauses, as public institutions can never accept these conditions.]
Automatic Carry Forward. [ ] Yes [ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s Authorized Official contact, as shown in Attachment 3). Additional Special Terms: FDP Version 2.09.2015 Attachment 3A Research Subaward Agreement Subaward Number: Pass-through Entity Contacts Pass-through Entity Name: Address: City: State: Zip Code: Pass-through Entity's Administrative Contact Name: Address: City: Telephone: Fax: E-mail: Pass-through Entity's Principal Investigator Name: Address: State: Zip Code: City: Telephone: Fax: E-mail: Pass-through Entity's Financial Contact Name: Address: State: Zip Code: City: Telephone: Fax: E-mail: Pass-through Entity's Authorized Official Name: Address: State: Zip Code: City: Telephone: Fax: E-mail: State: Zip Code: FDP Version 02.09.2015 Subrecipient Place of Performance Name: Address: Attachment 3B Research Subaward Agreement Subrecipient Contacts Subaward Number: City: EIN No.: Institution Type: State: Zip Code + 4: (Look up) Is Subrecipient currently registered in XXX? Yes No Is Subrecipient exempt from reporting compensation? If no , please complete 3B page 2 Yes No DUNS No.: Parent DUNS No.: Congressional District: Congressional District: Subrecipient Administrative Contact Name: Address: City: Telephone: E-mail: Subrecipient Principal Investigator (PI) Name: Address: Fax: State: Zip Code: Zip Code + 4: City: State: Telephone: Fax: E-mail: Subrecipient Financial Contact Name: Address: City: Telephone: Fax: E-mail: Subrecipient Authorized Official Name: Address: State: Zip Code: City: Telephone: E-mail: Fax: State: Zip Code: FDP Version 02.20.2015 Attachment 3B Page 2 Research Subaward Agreement Highest Compensated Officers Subaward Number: Subrecipient Name: PI: Highest Compensated Officers The names and total compensation of the five most highly compensated officers of the entity(ies) must be listed if the entity in the preceding fiscal year received 80 percent or more of its annual gross revenues in Federal awards; and $25,000,000 or more in annual gross revenues from Federal awards; and the public does not have access to this information about the compensation of the senior executives of the entity through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. §§ 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. See FFATA § 2(b)(1) Internal Revenue Code of 1986. Officer 1 Name Officer 1 Compensation Officer 2 Name Officer 2 Compensation Officer 3 Name Office...
Automatic Carry Forward. As this is a fixed price subaward agreement, carry forward of unexpended funds is automatic.
Automatic Carry Forward. [ ] Yes [ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s Authorized Official contact, as shown in Attachment 3). Additional Special Terms: FDP Version 2.09.2015 Attachment 4 Research Subaward Agreement Reporting Requirements Pass-through Entity will check all that apply that the Subrecipient will agree to: A Final technical/progress report will be submitted to the Pass-through Entity’s Principal Investigator identified in Attachment 3 within 90 days after the end of the period of performance. Monthly technical/progress reports will be submitted to the Pass-through Entity’s Financial Contact identified in Attachment 3, within 90 days of the end of the month. Quarterly technical/progress reports will be submitted within thirty (30) days after the end of each project quarter to the Pass-through Entity’s Administrative Contact identified in Attachment 3. Technical/progress reports on the project as may be required by Pass-through Entity’s Administrative Contact in order that Pass-through Entity may be able to satisfy its reporting obligations to the Federal Awarding Agency. Annual technical /progress reports will be submitted within 90 days prior to the end of each project period to the Pass-through Entity’s Administrative Contact identified in Attachment 3. Such report shall also include a detailed budget for the next budget period, updated Other Support for key personnel, certification of appropriate education in the conduct of human subject research of any new key personnel, and annual IRB or IACUC approval, if applicable. In accordance with 37 CFR 401.14, Subrecipient agrees to notify PTE’s Financial Contact identified in Attachment 3A within 90 days after Subrecipient’s inventor discloses invention(s) in writing to Subrecipient’s personnel responsible for patent matters. The Subrecipient will submit a final invention report using Awarding Agency specific forms to the PTE’s Principal Investigator identified in Attachment 3A within 60 days of the end of the period of performance so that it may be included with the PTE’s final invention report to the Awardingn Agency. A negative report is is not required. A Certification of Completion, in accordance with 2 CFR 200.201(b)(3), will be submitted within 90 days after the end of the project period to the Pass Through Entity ’s Attachment 3 (for Fixed Price subawards only.) Administrative Contact identified in Property Inventory Report; frequency, type, and submission instructions listed her...
Automatic Carry Forward. Yes [ ✔ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s Authorized Official contact, as shown in Attachment 3). Additional Special Terms: FDP Version 2.09.2015 Attachment 3A Research Subaward Agreement Subaward Number: W207600-232 Pass-through Entity Contacts Pass-through Entity Name: Address: City: Hayward State: Zip Code: 94542 CA 00000 Xxxxxx Xxx Boulevard California State University, East Bay Pass-through Entity's Administrative Contact Name: Address: City: Hayward Telephone: Fax: 000-000-0000 E-mail: 000-000-0000 94542 Zip Code: CA State: 00000 Xxxxxx Xxx Boulevard SF 331 Office of Research and Sponsored Programs Xxxx Xxxxxxxx xxxx.xxxxxxxx@xxxxxxxxxx.xxx Xxxxx Xxxxx Associate Director of Gateways 00000 Xxxxxx Xxx Boulevard SF 339 Pass-through Entity's Principal Investigator Name: City: Telephone: Fax: E-mail: 000-000-0000 Xxxxxxx xxxxx.xxxxx@xxxxxxxxxx.xxx Address: State: CA Zip Code: 94542 000-000-0000 Pass-through Entity's Financial Contact Xxxx Xxxxx Office of Research and Sponsored Programs 00000 Xxxxxx Xxx Boulevard Name: Address: Hayward State: CA Zip Code: 94542 000-000-0000 Fax: 000-000-0000 City: Telephone:
Automatic Carry Forward. Yes No If No, carry forward requires prior approval. Requests should be made to UT's Administrative Contact, as shown in Attachment 3A.
Automatic Carry Forward. Yes [ ✔ ] No (If No, Carry Forward requests must be sent to Prime Recipient’s Authorized Official contact, as shown in Attachment 3). "EEJUJPOBM 4QFDJBM 5FSNT: This project and any amendments are subject to the procedures outlined in the Project Application and Amendment Procedures for Federal and State Programs (Green Book) and the General Assurances for Participation in Federal and State Programs. xxxx://xxx.xxxxx.xxx/finance/contracts-grants-procurement/grants-management/project-applicatio n-amendment-procedur.stml FDP Version 2.09.2015 Attachment 2-A Pass-through Entity (PTE) 00000 XXXX Xxxxxxxxx Xxxxx Xxxxxxx Gulf Coast University Board of Trustees Name: Address: Attachment 3A Research Subaward Agreement Pass-through Entity (PTE) Contacts Subaward Number: 12041-17-SDVC Fort Xxxxx City: PTE Administrative Contact Xxxx Xxxxx FL 10501 FGCU Boulevard South Xxxxx Xxxxxxx Name: Address: State: Zip Code: 33965-6565 FL Zip Code Look-Up xxxxxxxx@xxxx.xxx City: State: Zip Code: 33965-6565 000-000-0000 Telephone: PTE Principal Investigator (PI) Xxxxxxxx Xxxxxxxx 10501 FGCU Boulevard South Name: E-mail: Fort Xxxxx Address: City: xxxxxxxx@xxxx.xxx State: Zip Code: FL 000-000-0000 00000-0000 Telephone: PTE Financial Contact Xxx Xxxx Name: E-mail: 00000 XXXX Xxxxxxxxx Xxxxx Xxxxxxx: Fort Xxxxx City: 000-000-0000 Telephone: Emailed invoices preferred? Yes or No E-mail: xxxxx@xxxx.xxx State: 33965-6565 FL Zip Code: Invoice E-mail (if different to financial contact): If invoices should not be e-mailed: send invoices to address above? Yes or No If no, enter address below. Invoice Address (if different to Financial Contact): PTE Authorized Official 00000 XXXX Xxxxxxxxx Xxxxx Xxxxxxx Xxx, Ph.D. Name: Address: 000-000-0000 Fort Xxxxx City: Telephone: FL
