Progress Report Form. Review/check your entire agreement using the Contract Check List. If desired, e-mail the complete agreement to Xxxxxxx Xxxxx in CS for review. Following review, incorporate any corrections/changes into the agreement. Once your agreement has been reviewed and finalized, e-mail the agreement, along with the Consultant Conflict of Interest and the DBE Special Provisions – Race Gender Neutral (if federal funding applies, and a Race Gender Neutral goal was set), to the Agency for signature. Follow these instructions for obtaining the Agency’s signature on the agreement: Address an e-mail to your Agency’s Project Manager Copy and paste the text from the Contractor Signature Letter into the body of the e-mail Make the appropriate revisions/fill in the blanks Attach a scanned PDF of your entire agreement, along with the Conflict of Interest and DBE Special provisions, if applicable When the agreement is received back from the Agency, send TWO copies (make sure that the front page is on yellow paper) to Consultant Services, Mail Stop 680 along with a fully filled out Encumbrance Form, with an active Project ID and the executed Certification Form, if applicable (Note, electronic copies will NOT be accepted). CS will route the agreement for approval and return the executed copy to you. When the agreement is executed, e-mail the executed Agreement back to the Agency for their records, as follows: Address an e-mail to your Agency’s Project Manager, copying the MnDOT Project Manager Copy and paste the text from the Notice to Proceed letter into the body of the e-mail Make the appropriate revisions/fill in the blanks Attach a scanned PDF of your entire executed agreement, along with a word version of the Invoice and Progress Report forms, as applicable, for their use E-mail any outstanding agreement documentation to XXxxxxx.xxx@xxxxx.xx.xx (or in the Outlook Address Book it is named *DOT_PTinbox) to be entered into EDMS, the official agreement “file”. This may include: Completed Fixed Fee Rate Worksheet DBE Goal Memo and Paperwork Signed Conflict of Interest Form Insurance Certificate(s) Signed Subcontractor Agreement(s) (required for all subcontractors over $10,000)
Progress Report Form. For the time period to regarding the Agreement, effective July 22, 2021 between The University of Chicago and (University of Chicago reference numbers AGR 21-A-138 and UCHI No. 10-T-095) Please fill out the fields below to the extent that they are relevant. Any additional documents that may be helpful for illustration may be sent along as attachments. In some cases a conversation with University’s Xxxxxx Center (773-702-1692) may be useful as a follow-up. Company Contact Name: Company Contact Address & Phone: Summary Accomplishments during this time period regarding Licensed Products: Objectives for the next time period regarding Licensed Products: Research & Development Current status of Licensed Products in development: Plans for future research and development regarding Licensed Products: Products & Marketing Licensed Products launched (include tradenames) and estimate for time to the market for future Licensed Products: Sales: Projected sales: Market development: Sublicenses (If appropriate, have there been any new Sublicenses or progress in previous Sublicenses?): Industry News (mergers & acquisitions, development partnerships, company expansion, etc.) Financing & Corporate Development (non-dilutive capital, fundraising, diligence materials) Schedule F Final Audit Report 2021-07-22 Document digitally presigned by DocuSign\, Inc. (xxxxxxxxxxxxxxxxx@xxxxxxxx.xxx) 2021-07-22 - 6:17:53 PM GMT- IP address: 73.45.223.35 Document created by Xxxxxx Xxxxxx (xxxxxxxx@xxxxxxxx.xxx) 2021-07-22 - 6:37:36 PM GMT- IP address: 73.45.223.35 Document emailed to Xxxx Xxxxx (xxxxxxxxx@xxxxxxxx.xxx) for signature 2021-07-22 - 6:39:38 PM GMT Email viewed by Xxxx Xxxxx (xxxxxxxxx@xxxxxxxx.xxx) 2021-07-22 - 8:47:30 PM GMT- IP address: 128.135.98.187 Document e-signed by Xxxx Xxxxx (xxxxxxxxx@xxxxxxxx.xxx) Signature Date: 2021-07-22 - 8:50:30 PM GMT - Time Source: server- IP address: 128.135.98.187 Agreement completed.
Progress Report Form. Provides the minimum information required to assess the success of this KADF investment. Send email requests for a fillable Progress Report Form to XXXX@xx.xxx.
