Template for Reimbursed Agreements

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EXPLANATION OF AGREEMENT BETWEEN SAMPLE San Diego State University AND SAMPLE DATE PROJECT TITLE: PARTIES: TERM: BRIEF DESCRIPTION: AMOUNT OF FUNDING: BREAKDOWN OF COSTS TO BE BILLED: REIMBURSED ORACLE ACCOUNT NUMBER: EXPENSE ORACLE ACCOUNT NUMBER (IF APPLICABLE) FOUNDATION FUND NUMBER: APPROVALS: SIGNATURE PAGE: Need all appropriate signatures from your department, from the Contracting entity, from the Administrative Operations Analyst for Academic Affairs, from the Associate Vice President for Human Resources and Risk Management (if staff person), and one signature line for Contract & Procurement Management to sign. SIGNATURE PAGE SAMPLE SAMPLE _______________________________________ Signature / Department Representative _______________________________________ Printed Name and Title of Dept Representative ____________ date ____________ date _______________________________________ Signature / faculty/staff person ______________________________________ Printed Name/Title of faculty/staff person ____________ date ___________ date ______________________________________ Signature / Academic Affairs ______________________________________ Sydney Covey, Administrative Operations Analyst __________ date __________ date ________________________________________ Signature / Human Resources (if staff person) _______________________________________ Richel Thaler, Associate V.P. for Administration ___________ date ____________ date _______________________________________ Signature / Contract & Procurement Mgmt. ________________________________________ Printed Name / title – Contract & Procurement Mgmt. ____________ date ____________ date

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