FDP Bilateral Mod Sept.2019
FDP Amendment
Number
Pass-Through Entity (PTE)
Subrecipient
Subrecipient Principal Investigator (PI):
PTE Federal Award No:
Federal Awarding Agency:
Project Title:
End Date:
Amount Funded This Action:
Total Amount of Federal
Funds Obligated to Date:
Subject to FFATA:
Yes
No
Amendment(s) to Original Terms and Conditions
This Amendment revises the above-referenced Subawar
d Agreement as follows:
All other terms and conditions of this Subaward Agreement remain in full force and effect.
By an Authorized Official of PTE:
_______________ _
By an Authorized Official of Subrecipient:
__________________________________________________
Name:
Date
Title:
Name:
Title:
___________________________
____________
Date
Entity Name
Email Address
Principal Investigator
A
utomatic Carryover:
Subaward No:
For clarity: all amounts stated in this amendment are in United States Dollars.
Yes
No
This is a No Cost Extension. The Period of Performance is hereby extended through:
are hereby
authorized for the current period.
Additional funds in the amount of
Carryover in the amount of
Other (see below)
is hereby authorized as shown below.
to
is hereby added to the Period of Performance, which is revised to be consistent
with the Period of Performance Start and End Date above.
Cost Share:
Yes
No
If there is no change to the period of performance
with this amendment, theses fields may be left blank.
Revised Period of Performance:
Start Date:
Select from drop down options or type in
This box may be used to add details of the action (s) referenced above and/or to include additional
changes to the terms and conditions.
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
