Equipment $ Supplies $ Travel $ Other $ Direct Costs $ F & A Costs @ (rate plus MTDC if app) $ Total Costs $ EXHIBIT C PASS THROUGH ENTITY (PTE) AND SUBAWARDEE CONTACTS PTE CONTACTS SUBAWARDEE CONTACTS Administrative Contact (Study PI Office): Administrative Contact: Name: Name: Address: Address: Telephone: Telephone: Fax: Fax: Email: Email: Principal Investigator: Site Principal Investigator: ame: Name: Address: Address: Telephone: Telephone: Fax: Fax: Email: Email:
Equipment $ Supplies $ Travel $ Other $ Direct Costs $ F & A Costs @ (rate plus MTDC if app) $ Total Costs $ EXHIBIT C PASS THROUGH ENTITY (PTE) AND SUBAWARDEE CONTACTS PTE CONTACTS SUBAWARDEE CONTACTS Administrative Contact (Study PI Office): Name: Address: Telephone: Fax: Email: Administrative Contact: Name: Address: Telephone: Fax: Email: Principal Investigator: ame: Address: Telephone: Fax: Email: Site Principal Investigator: Name: Address: Telephone: Fax: Email:
HCSRN-SubAward-Agreement-Template.docx