Subaward Amendment
Prime Recipient
Subrecipient
Institution/Organization ("Prime Recipient")
Institution/Organization ("Subrecipient")
University of Wisconsin–Stevens Point
2100 Main Street
Old Main Building
Stevens Point, WI 54481
Prime Award No.:
EIN No.: 39-1805963
Subaward No.
Amendment No.:
Amendment No.
Amendment(s) to Original Terms and Conditions
Check mark(s) for items 1-7 indicate the changes affected by this amendment.
1.
The Period of performance is changed to read as follows:
From Start Date:
Through End Date:
2.
No increase in the total amount funded to date.
3.
The funding for this Subaward is changed to read as follows:
Amount funded this action: .............................................. $
Amount prior funding: ....................................................... $
Total amount funded to date: ............................................ $
4.
The cost sharing commitment under this Subaward is changed to read as follows:
Cost share commitment this action: ................................. $
Total cost share committed: ............................................. $
5.
A “Key Person” identified in the Subaward is changed as follows:
6.
Other
7.
In accordance with Special Terms and Conditions # 3, (Attachment 2) this modification is issued unilaterally,
Subrecipient is not required to sign and return this Amendment.
8.
Except as modified herein, all other terms and conditions of the Subaward remain in effect and unchanged.
By an Authorized Official of Prime Recipient:
_____________________________________
By an Authorized Official of the University of WisconsinStevens Point:
_______________
______________________________________
Name:
Title:
Date
Name: Katherine P. Jore
Title: Associate Vice Chancellor
_______________
Date