COLORADO SCHOOL OF MINES – OFFICE OF RESEARCH ADMINISTRATION PROPOSAL/AWARD COST SHARING DOCUMENTATION Principal Investigator: Sponsor: Proposal Title: Period of Performance: (Cost sharing must occur within the above period of performance) Is the cost sharing in this proposal: Mandatory Committed Voluntary Committed Please detail all cost sharing that is mentioned in this proposal. Cash cost sharing requires an account number and an authorized signature for the account.* Contributed time requires the notation of the account number from which you are paid. Third party cost sharing requires a signed letter of authorization from the third party. In-kind Cash Description (Effort, Services, Travel, Supplies) (give details; if effort, amt. of CY, AY, or sum.) Provider Amount (Faculty name, Name of 3rd Party, etc.) Total of Cash Cost Sharing Total of In-kind Cost Sharing Grand Total All Cost Sharing $ $ $ Contributed Time Account No. # Authorizations for Cash Cost Sharing: Item Amount Account Number Signature of Provider Certification: I certify that the above represents all cost sharing for this project. _____________________________________________________________________________________ Principal Investigator’s Signature Date _____________________________________________________________________________________ Department Head/Division Director’s Signature Date (PI: You will be required to review and re-certify the above information if this proposal is awarded. If changes must be made, please prepare a new form which reflects the actual cost sharing to be provided for the award. Over commitments of contributed time must be addressed at time of award.) *Whether charged directly to the research account, or to another account.