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SIGNATURES BEGIN ON NEXT PAGE. For the IC: Name Date Title Office National Institutes of Health Mailing Address or E-mail Address for Agreement notices and reports: License Compliance and Administration Monitoring & Enforcement Office of Technology Transfer National Institutes of Health 0000 Xxxxxxxxx Xxxxxxxxx, Xxxxx 000 Xxxxxxxxx, Xxxxxxxx 00000-0000 X.X.X. E-mail: XxxxxxxXxxxxxx_Xxxxxxx@xxxx.xxx.xxx For the Licensee (Upon, information and belief, the undersigned expressly certifies or affirms that the contents of any statements of the Licensee made or referred to in this document are truthful and accurate.): by: Signature of Authorized Official Date
SIGNATURES BEGIN ON NEXT PAGE. Third Amendment of [***] Model 10-2015 [***] [Final] [Icosavax, Inc.] [May 2023] In Witness Whereof, the parties have executed this Third Amendment on the dates set forth below. Any communication or notice to be given shall be forwarded to the respective addresses listed below. For the NIAID: Xxxxxxx X. Xxxxxx, Ph.D. Date Director Technology Transfer and Intellectual Property Office National Institute of Allergy and Infectious Diseases National Institutes of Health Mailing Address or E-mail Address for Agreement notices and reports: License Compliance and Administration Monitoring & Enforcement Office of Technology Transfer National Institutes of Health 0000 Xxxxxxxxx Xxxxxxxxx, Xxxxx 000 Xxxxxxxxx, Xxxxxxxx 00000-3804 U.S.A.
