UCHC FRS# X-XXXXX InfoEd LOG # XXXXXXXX STORRS FRS# TBD Dated: MM/DD/YR PROJECT AGREEMENT for UNIVERSITY OF CONNECTICUT HEALTH CENTER/ UNIVERSITY OF CONNECTICUT, STORRS COOPERATIVE PROJECTS 1. This Project Agreement is entered into between the University of Connecticut Health Center (UCHC) and the University of Connecticut, (Storrs) for the purpose of undertaking a project of mutual interest. This project shall be carried out under the terms and conditions of the Cooperative Agreement for Storrs/UCHC Cooperative Projects dated July 1, 2007, except as may be modified herein. The period of this Agreement begins on MM/DD/YR and shall expire on MM/DD/YR. Funding available for this period is $XXXXX.00. The work to be carried out during the period of this Agreement is described in the proposal identified below and may be more fully described in an attachment herein, the content of which is incorporated as a part of this Agreement. Funding for this agreement will be via a project funded by (GRANTING AGRENCY) entitled “(TITLE)”. The University of Connecticut will provide the services of (NAME) who will be responsible for (PROVIDE DETAIL OF SERVICES). 4. The following individuals are designated to serve as Project Directors: For Storrs: Name, Title Dept: University of Connecticut Address Storrs, CT 06269-Unit # Email Address: Phone #: For the UCHC: Name, Title Dept: UConn Health Center, MC 263 Farmington Ave Farmington, CT 06030Email Address: Phone #:
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The following individuals are designated to serve as contacts for business matters: For Storrs: Project Agreements to: Antje Harnisch Manager, Contract Services Sponsored Programs Whetten Gr Center, U-1133 Storrs, CT 06269-1133 Antje.Harnisch@uconn.edu 860.486.3994 Invoices/Fiscal Reports to: Copy Invoices/Fiscal Reports to: Joanne Frederick Manager Financial Services Sponsored Programs Whetten Gr Center, U-1133 Storrs, CT 06269-1133 joanne.frederick@uconn.edu 860.486.3893
For UCHC: Project Agreements to: Debbie Gaudreau Research Admin. and Finance UConn Health Center, MC 2806 263 Farmington Avenue Farmington, CT 06030-2806 gaudreau@adp.uchc.edu 860.679.2434 Invoices/Fiscal Reports to: Preparer: Title: UConn Health Center, MC 263 Farmington Avenue Farmington, CT 06030Email: Phone #: Copy Invoices/Fiscal Reports to: David Larkin Director, Research Finance UConn Health Center, MC 5335 263 Farmington Avenue Farmington, CT 06030-5335 dlarkin@adp.uchc.edu 860.679.8816
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Total project costs for the period of this Agreement shall not exceed $XXXX.00. Breakdown of budget: Salary $ Fringe Other Costs F & A Costs Total Costs $ (If possible, please email the budget detail along with this form to ORSP) Itemized invoices (referencing FRS number) are required no more frequently than monthly. Cumulative invoices will be required on an annual basis. A final cumulative invoice is required at the end of a project and shall be marked "final". CFDA Number is XX.XX.
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