ࡱ> U lbjbjnn baa O> > ...BBB8zBC*2 )= n)p)p)p)p)p)p)$u++.)i. ^  ))b$b$b$ jR.n)b$ n)b$b$ "b$4U<!vb$Z)*0C*b$.x!.b$..b$I0y"b$III)) #BIIIC* .IIIIIIIII> B :  GENERAL INFORMATION  FORMTEXT       FORMTEXT      PI NameDepartment  FORMTEXT      Subawardee Name  FORMTEXT      Subawardee Mailing Address  FORMTEXT       FORMTEXT      Budget amount requestedStart/end date of subaward SUBAWARDEE CONTACT INFORMATION  FORMTEXT       FORMTEXT       FORMTEXT      Administrative contactAdministrative email addressAdministrative phone number  FORMTEXT       FORMTEXT       FORMTEXT      Project/Program contactProject/Program email addressProject/Program phone number FUNDING DETAIL (Identify College grant accounts to be charged and exact dollar amounts to charge to them. Only use the accounts established for the activities the subcontract supports.)  FORMTEXT       FORMTEXT       FORMTEXT      Project/Grant #CFDA # (If applicable)Amount to be charged  FORMTEXT       FORMTEXT       FORMTEXT      Project/Grant #CFDA # (If applicable)Amount to be charged  FORMTEXT       FORMTEXT       FORMTEXT      Project/Grant #CFDA # (If applicable)Amount to be charged BUDGET DETAIL (please enter as detailed of a budget breakdown as you can.)  FORMTEXT       SCOPE OF WORK (please justify the above budget with a description of the duties to be performed by subawardee)  FORMTEXT       CERTIFICATIONS (when complete, return to OSP 135,137 Guardo Hall) Was this subaward originally budgeted in the prime award?  FORMCHECKBOX   FORMCHECKBOX  Yes No If a Federal prime award sponsor, did you exclude the greater-than-$25,000  FORMCHECKBOX   FORMCHECKBOX  portion of the subaward when calculating Facilities & Administrative costs? 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I understand that it is my sole responsibility to review financial & performance reports, perform site visits to review information and observe operations, and maintain regular contact with subawardee. I will communicate any changes in scope, budget, and change of PI to OSP as soon as possible in understanding that these changes may need to be prior approved via a formal addendum process with the subawardee and prime sponsor. I certify that it is my sole responsibility as Principal Investigator to review all invoices submitted under the subcontract to ensure the validity of and adherence to the approved scope of work and budget. I authorize OSP (via submission of this request form) to confirm allowability of the subaward with the prime sponsor if not originally approved in the proposal, to issue a subaward document to me (for review) and to the subawardee and for OSP to encumber a Purchase Order for the subaward with the RIC Purchasing Office.     Print this document duplex (two-sided, on one page) if possible. 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