Research Subaward Agreement
Institution/Organization ("Prime Recipient")
Name:Name:
Institution/Organization ("Subrecipient")
Subaward No.: CFDA #:Prime Award No.:
Awarding Agency: Amount Funded This Action: Est. Total (if incrementally funded)
Budget Period: From: To:
Subaward Period of Performance: Estimated Project Period (if incrementally funded):
To:From:
Project Title:
Reporting Requirements (Check here if applicable:
See Attachment 4)
Terms & Conditions
1) Prime Recipient hereby awards a cost reimbursable subaward, as described above, to Subrecipient. The statement of work and budget for this
subaward are (check one): As specified in Subrecipient's proposal dated ; or as shown in Attachment 5. In
its performance of the subaward work, Subrecipient shall be an independent entity and not an employee or agent of Prime Recipient.
2) Prime Recipient Shall reimburse Subrecipient not more often than monthly for allowable costs. All invoices shall be submitted using Subrecipient's
standard invoice, but at a minimum shall include current and cumulative costs (including cost sharing), subaward number, and certification as to truth
and accuracy of invoice. Invoices that do not reference Prime Recipient's Subaward Number shall be returned to Subrecipient. Invoices and questions con-
cerning invoice receipt or payments should be directed to the appropriate party's
Contact as shown in Attachments 3A & 3B.
3) A final statement of cumulative costs incurred, including cost sharing, marked "FINAL" must be submitted to Prime Recipient's
Contact, as shown in Attachments 3A and 3B, NOT LATER THAN sixty (60) days after subaward end date. The final statement
of costs shall constitute Subrecipient's final financial report.
4) All payments shall be considered provisional and subject to adjustment within the total estimated cost in the event such adjustment is necessary
as a result of an adverse audit finding against the Subrecipient.
6) Matters concerning the request or negotiation of any changes in the terms, conditions, or amounts cited in this subaward agreement, and any
changes requiring prior approval, should be directed to the appropriate party's Contact, as shown in Attachments 3A & 3B.
Any such changes made to this subaward agreement require the written approval of each party's Authorized Official as shown in Attachments 3A & 3B.
7) Each party shall be responsible for its negligent acts or omissions and the negligent acts or omissions of its employees, officers, or director's, to the
extent allowed by law.
8) Either party may terminate this subaward with thirty days written notice to the appropriate party's Contact as shown in
Attachments 3A & 3B. Prime Recipient shall pay Subrecipient for termination costs as allowable under OMB Circular A-21 or A-122 or 45 CFR Part 74
Appendix E, "Principles for Determining Costs Applicable to Research and Development under Grants and Contracts with Hospitals" as applicable.
9) No-cost extensions require the approval of the Prime Recipient. Any requests for a no-cost extension should be addressed to and received by the
Contact, as shown in Attachments 3A & 3B, not less than thirty (30) days prior to the desired effective date of the requested
change.
10) The Subaward is subject to the terms and conditions of the Prime Award and other special terms and conditions, as identified in Attachment 2.
11) By signing below Subrecipient makes the certifications and assurances shown in Attachments 1 and 2. Subrecipient also assures that it will
comply with applicable statutory and regulatory requirements specified in the Research Terms & Conditions Appendix C found at
http://www.nsf.gov/bfa/dias/policy/rtc/appc.pdf.
Date
5) Matters concerning the technical performance of this subaward should be directed to the appropriate party's Principal Investigator, as shown in
Attachments 3A and 3B. Technical reports are required as shown above, "Reporting Requirements".
By an Authorized Official of Prime Recipient By an Authorized Official of Subrecipient
Date
June 2009 FDP
ARRA Funds (Attachment 4A)
Attachment 1
Research Subaward Agreement
Certifications and Assurances
Certification Regarding Lobbying
1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Subrecipient, to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an em-
ployee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making
of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or intending to in-
fluence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the Subrecipient shall complete and sub-
mit Standard Form -LLL, "Disclosure Form to Report Lobbying", to the Prime Recipient.
3) The Subrecipient shall require that the language of this certification be included in the award documents for all subawards at all
tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients
shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S.
Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
Debarment, Suspension, and Other Responsibility Matters
Subrecipient certifies by signing this Subaward Agreement that neither it nor its principals are presently debarred, suspended, pro-
posed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or
agency.
OMB Circular A-133 Assurance
Subrecipient assures Prime Recipient that it complies with A-133 and that it will notify Prime Recipient of completion of required
audits and of any adverse findings which impact this subaward.
By signing the Subaward Agreement, the authorized official of Subrecipient certifies, to the best of his/her knowledge and belief that:
City:
ZipCode:
State:
Address:
Attachment 3A
Research Subaward Agreement
Prime Recipient Contacts
Institution/Organization ("Prime Recipient")
Name:
City: ZipCode:
State:
Address:
Administrative Contact
Name:
Telephone:
Fax:
Email:
Email:
City: ZipCode:State:
Address:
Principal Investigator
Name:
Telephone: Fax:
ZipCode:
Email:
City:
State:
Address:
Financial Contact
Name:
Telephone: Fax:
ZipCode:
Email:
City: State:
Address:
Authorized Official
Name:
Telephone: Fax:
Subaward Number:
Telephone:
Subaward Number:
Address:
DUNS No.:
EIN No.:
ZipCode + 4:State: City:
Address:
Subrecipient Contacts
Institution/Organization ("Subrecipient")
Name:
Yes
No
Reg. in CCR?
Congressional District:
City: ZipCode:State:
Address:
Administrative Contact
Name:
Email:
Fax: Telephone:
Name:
Email:
City: ZipCode:State:
Address:
Principal Investigator
Telephone: Fax:
Name:
Email:
City: ZipCode:State:
Address:
Financial Contact
Telephone: Fax:
Name:
Email:
City: ZipCode:State:
Authorized Official
Fax:
Attachment 3B
Research Subaward Agreement
Congressional District:
Institution Type:
Yes
No
Performance Site Same Address as Above?
If No, complete Sect. C of Attachment 4A