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doc14706 KSU_Subrecipient_Commitment_Form.pdf

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Page 1

23 item(s) JSON
figure (1) footer (1) header (1) table (1) table_cell (18) title (1)
Page 1
1 · FIGURE
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4 · TABLE
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23 · FOOTER
Page 1 JSON
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            "text": "Kentucky State University\nOffice of Research and Innovation\n4th Floor, Academic Services Building\nFrankfort, KY 40601\n(502) 597-5997 ori@kysu.edu",
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                    "text": "Performance Start:\nTo be completed by the subrecipient institution:\nInstitution Name:\nInstitution Address:",
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                    "text": "City:\nSubrecipient PI:",
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                    "text": "EIN:\nCongressional District:",
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                    "text": "HBCU\nWoman-owned\nOther (describe):\nSponsored Programs Administrative Name:\nSponsored Programs Administrative Email:",
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                    "text": "Small Business Tribal\nMinority Institution/Owned",
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Page 2

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Page 2
1 · HEADING
2 · TEXT
3 · HEADING
4 · HEADING
5 · HEADING
6 · TEXT
7 · TEXT
8 · TEXT
9 · TEXT
10 · TEXT
11 · HEADING
12 · TABLE
13
14
15 · FOOTER
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            "text": "Same as above: Yes No (if no, provide performance site information below)\nAddress:"
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Page 3

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1 · HEADING
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3
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6 · HEADING
7 · HEADING
8 · HEADING
9 · TEXT
10 · TEXT
11 · TEXT
12 · TEXT
13 · TEXT
14 · TEXT
15 · FOOTER
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                    "text": "We are required to comply with OMB Uniform Guidance Subpart F - Audit Requirements"
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            "text": "With the signature below, the Authorized Official certifies that the information, certifications, and representations are true and correct, and that the appropriate programmatic and administrative personnel involved in this application are aware of sponsoring agency policies in regard to subawards and are prepared to establish an inter-institutional agreement consistent with those policies."
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            "text": "Any work begun and/or expenses incurred prior to execution of a subaward agreement are at the subrecipient's own risk."
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            "text": "Authorized Official Signature"
        },
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            "text": "Date Signed"
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            "text": "This institution is an equal opportunity employer, lender and provider."
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            "type": "footer",
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            "text": "PAGE 3",
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        }
    ],
    "excluded_furniture": {
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        "last": []
    }
}