Office of Research Development & Services
Saint Louis University
3700 West Pine Mall, 3
rd
Floor • St. Louis, MO 63108
Phone: 314-977-7742 • Fax: 314-977-7371 • Email: grants@slu.edu
Letter of Intent to Establish a Consortium Agreement
Saint Louis University PI:
Prime Applicant Org:
SLU PI Department:
Prime Applicant PI:
Sponsor Name:
Proposal Title:
Proposed Project Period: to Proposed Project Amount: $
Attached Subcontract Proposal Documents
Scope of Work
Budget and Budget Justification
Biosketches and Other Support for all Key Personnel – in agency required format (if applicable)
Federally negotiated F&A Costs Rate Agreement (required for Federal sponsors) website:
Project/Performance Site Location
Organization Name:
County:
Street 1:
Country:
Street 2:
Province:
City:
Congressional District:
State:
DUNS #
Zip/Postal Code:
EIN #
Year 1 Subcontract Budget Total Subcontract Budget
Direct Costs
Direct Costs
F&A Costs
F&A Costs
Total Costs
Total Costs
Are Animals Applicable to this Proposed Project?
Yes No
Are Human Subjects Applicable to this Proposed Project?
Yes No
The appropriate programmatic and administrative personnel of each institution involved in this grant application are aware of
the pertinent Federal regulations and policies and are prepared to establish written inter-organizational agreements that will
ensure compliance with all such policies.
Saint Louis University’s Conflict of Interest in Research Policy complies with the U.S. Department of Health and Human
Services, “Objectivity in Research,” 42 CFR Part 50 and “Responsible Prospective Contractors,” 45 CFR Part 94 requirements.
This letter certifies that all project personnel are compliant with Saint Louis University’s Financial Conflict of Interest Policy.
______________________________________
Authorized Official Representative
Saint Louis University
