FDP Cost Reimbursement Pass-through Entity (PTE): Boise State University Subrecipient: PTE Principal Investigator: Subrecipient Principal Investigator Federal Awarding Agency: PTE Federal Award No: Project Title: Subaward Period of Performance: Amount Funded This Action: Subaward No. Start: End: $ Estimated Project Period (if incrementally funded): Incrementally Estimated Total: Is this Award R & D Start: End: $ Yes or No Check all that apply Subject to FFATA (Attachment 3B) Cost Sharing (Attachment 5) Financial Financial Administrative Administrative Administrative By an Authorized Official of Pass-through Entity: By an Authorized Official of Subrecipient: Name: Title: Executive Director, Office of Sponsored Programs Date Name: Title: Date FDP
Attachment 1 Certifications and Assurances By signing the Subaward Agreement, the Authorized Official of Subrecipient certifies, to the best of his/her knowledge and belief, that: Certification Regarding Lobbying (2 CFR 200.450) 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 employee 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 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 influence 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 submit Standard Form -LLL, "Disclosure Form to Report Lobbying," to the Pass-through Entity. 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 (2 CFR 200.213 and 2 CFR 180) Subrecipient certifies by signing this Subaward Agreement that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any federal department or agency. Audit and Access to Records Subrecipient certifies by signing this Subaward Agreement that it complies with the Uniform Guidance, will provide notice of the completion of required audits and any adverse findings which impact this subaward as required by parts 200.501-200.521, and will provide access to records as required by parts 200.336, 200.337, and 200.201 as applicable. Use of Name Neither party shall use the other party s name, trademarks or other logos in any publicity, advertising, news release, publication or public presentation, without the prior written approval of an authorized representative of that party. The parties agree that each party may respond to legitimate business inquiries with factual information regarding the existence and purpose of the relationship that is the subject of this Agreement, disclose such information to satisfy any reporting obligations, or as required by applicable law or regulation without written permission from the other party. In any such statement, the relationship of the parties shall be accurately and appropriately described. FDP Att1 Sept.2016
and 45 CFR Part 75. I [NIH Only] Multiple PIs (MPIs) If the Federal Award includes MPIs This is not an MPI award This is an MPI award. Both parties will follow the finalized MPI Leadership Plan, and: Administrative Contact No (Select carryforward contact below) Clear Sponsor Selection Contact for carryforward request (If carryforward is restricted, requests for carryforward must be sent to Pass-Through Entity's contact below, details in Attachment 3)
Human Subjects Animal Subjects Subrecipient agrees that any non-exempt human and/or animal subjects research protocol conducted under this Agreement shall be reviewed and approved by its Institutional Review Board (IRB) and/or its Institutional Animal Care and Use Committee (IACUC), as applicable and that it will maintain current and duly approved research protocols for all periods of the Agreement involving human and/or animal subjects research. Subrecipient certifies that its IRB and/or IACUC are in full compliance with applicable state and federal laws and regulations. The Subrecipient certifies that any submitted IRB / IACUC approval represents a valid, approved protocol that is entirely consistent with the Project associated with this subaward. In no event shall Subrecipient invoice or be reimbursed for any human or animal subjects related expenses incurred in a period where any applicable IRB / IACUC approval is not properly in place. 200. Human Subjects Data will be exchanged under this Agreement The PTE will set forth the terms of the exchange of human subjects (check all that apply): data (Select One): From Subrecipient to PTE In the Additional Terms section below From PTE to Subrecipient Via a separate Data Use Agreement Other Sponsor Agency: 3. Subrecipient hereby certifies it has reported, at least semiannually, information about any applicable criminal, civil and/or administrative proceedings in the Federal Awardee Performance and Integrity Information System (FAPIIS) in accordance with Appendix XII to 2 CFR Part 1. Subrecipient shall comply with the terms and conditions of PTE Federal Award No. [ADD AWARD NUMBER HERE] (the "Prime Award") that are applicable to Subrecipient including, without limitation: [ADD KEY FLOW DOWN CLAUSES HERE]. 2. Subrecipient agrees that if any portion of the Statement of Work in Attachment 5 involves recombinant or synthetic nucleic acid molecules as defined by NIH Guidelines OR USDA or CDC select agents or toxins OR biohazardous materials, the research protocol conducted under this Agreement shall be reviewed and approved by its Institutional Biosafety Committee (IBC) and that it will maintain current and duly approved research protocols for all periods of the Agreement. Subrecipient certifies its IBC is in full compliance with applicable state and federal laws and regulations. Subrecipient certifies that any submitted IBC approval represents a valid, approved protocol that is entirely consistent with the Project associated with this Agreement. In no event shall Subrecipient invoice or be reimbursed for any biosafety related expenses incurred in a period where any applicable IBC approval is not properly in place.
Pass Through Entity Contacts Subaward Number: Boise State University Boise ID Zip Code : 83725-1135 Zip Code Look-up PTE Administrative Contact PTE Principal Investigator Email invoices? Invoice Address (if different): PTE Authorized Official Karen Henry Office of Sponsored Programs Contract Officer Office of Sponsored Programs Boise (208) 426-4420 [DEPARTMENT NAME] Boise PTE Contact Sponsored Projects Administrator Office of Sponsored Programs Boise ID ID ID 83725-1135 sponsoredagreements@boisestate.edu coi@boisestate.edu 83725-XXXX 83725-1135 Office of Sponsored Programs Boise ID 83725-1135 (208) 426-4420 osp@boisestate.edu osp@boisestate.edu FDP 3A Sept 2016
Contacts Subaward Number: Administrative Contact Principal Investigator Contact Authorized Official Zip Code : Zip Code Look-up FDP 3 Sept 2016
Attachment 3B Page 2 Highest Compensated Officers Subaward Number: Subrecipient Institution Name: Highest Compensated Officers The names and total compensation of the five most highly compensated officers of the entity(ies) must be listed if the entity in the preceding fiscal year received 80 percent or more of its annual gross revenues in Federal awards; and $25,000,000 or more in annual gross revenues from Federal awards; and the public does not have access to this information about the compensation of the senior executives of the entity through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. See FFATA 2(b)(1) Internal Revenue Code of 1986. Officer 1 Name: Officer 1 Compensation: Officer 2 Name: FDP 3B.2 Sept 2016
Attachment 4 Reporting Requirements Subrecipient agree to : 5Ėxample A Final technical/progress report will be submitted to the s Principal Investigator 90 Monthly technical/progress reports will be submitted to the s Financial Contact identified in Attachment 3, within 90 days of the end of the month. Quarterly technical/progress reports will be submitted within thirty (30) days after the end of each project quarter to the s Administrative Contact identified in Attachment 3. Technical/progress reports on the project as may be required by s Principal Investigator in order that may be able to satisfy its reporting obligations to the Federal Awarding Agency. Annual technical /progress reports will be submitted within 90 days prior to the end of each project period to the s Administrative Contact identified in Attachment 3. Such report shall also include a detailed budget for the next budget period, updated ther upport for key personnel, certification of appropriate education in the conduct of human subject research of any new key personnel, and annual IRB or IACUC approval, if applicable. Financial Contact 90 Financial Contact A Certification of Completion, in accordance with 2 CFR 200.201(b)(3), will be submitted within 90 after the end of the project period to the s Attachment Administrative3Contact (for Fixed Price subawards only.) 1) Subrecipient shall provide all additional reports specified in the Statement of Work in Attachment
Attachment 5 Statement of Work Below or Attached pages If award is FFATA eligible and SOW exceeds 4000 characters, include a Subrecipient Federal Award Project Description Indirect Information MTDC Indirect Cost Rate (IDC) Applied % FDP