AGREEMENT NUMBER {REQUISITION NUMBER} BETWEEN THE BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN SYSTEM ON BEHALF OF THE UNIVERSITY OF WISCONSIN-EXTENSION AND {SUBCONTRACTOR} The Agreement is executed by and between the Board of Regents of the University of Wisconsin System ("University") and {SUBCONTRACTOR} (“Subcontractor”). WHEREAS the University has received an award entitled, “{TITLE}”, under Award Number {AWARD NUMBER}, CDFA Number {CFDA NUMBER IF FEDERAL FUNDING}, from the {AWARDING SPONSOR}. WHEREAS Subcontractor has agreed to perform certain work necessary under the terms of the award; NOW THEREFORE, it is agreed as follows: ARTICLE 1. AGENCY REPRESENTATIVE Liaison with the University will be through {UWEX PD}, who will represent the University interest in review of quality, quantity, rate of progress, timeliness of services and related considerations as outlined in this Agreement. Liaison with the Subcontractor will be through {SUBCONTRACTOR PD}. ARTICLE 2. SCOPE OF WORK Unless otherwise specifically provided in this Agreement, the Subcontractor shall supply all of the necessary personnel, equipment, and materials to accomplish the tasks set forth in Appendix A. 1 ARTICLE 3. LIMITATION ON COSTS The reimbursable cost, both direct and indirect, of performing the tasks under Article 2 of this Agreement will not exceed ${BUDGET} (Budget Attached - Appendix B). The University is not, in the absence of modification, obligated to reimburse the Subcontractor for costs incurred by the Subcontractor which are in excess of the costs specified in this article. Any agreed upon cost sharing to be provided by the Subcontractor is also identified in Appendix B. ARTICLE 4. PERIOD OF PERFORMANCE The effective period of this Agreement shall be from {BEGIN DATE} through {END DATE}, unless otherwise provided for by modification to this Agreement. No expenses will be reimbursed which are incurred prior to the effective date or subsequent to the termination date unless specifically approved, in writing, by the University. ARTICLE 5. METHOD OF PAYMENT (a) The Subcontractor will submit invoices for work done not more often than monthly. The invoice shall reference the agreement number and shall reflect summary detail, by budget category, of the costs incurred. The invoice should also identify any cost sharing provided by the Subcontractor during the invoice period. The invoice should also include a signed certification statement such as the following: “The undersigned certifies that the information set forth herein is true and correct and may be used as a basis for payment for effort performed and that payment thereon has not been received.” An original invoice shall be submitted to: University of Wisconsin-Extension Office of Extramural Support ATTN: Eric Steberl / Angela Machovec 432 North Lake Street, Room 104 Madison, WI 53706-1498 (b) Invoices received from the Subcontractor will be reviewed by the Project Director and University of Wisconsin-Extension Cooperative Extension Budget Office prior to payment. (c) The final invoice shall be labeled “Final Invoice” and shall be submitted by the Subcontractor within {# OF DAYS} days of the termination date of the Agreement. 2 (d) For Non-Corporation entities, the Subcontractor's Social Security or Tax Identification Number and complete mailing address must be included on all invoices submitted to the University. ARTICLE 6. AUDIT The Subcontractor will maintain adequate financial records, in accordance with generally accepted accounting practices, to clearly and easily identify expenses, to describe the nature of each expense and to establish relatedness to this Agreement. All records related to this Agreement shall be available for audit by the University and/or the Cognizant Federal Audit Agency. The financial records of this Agreement will be retained for a period of three (3) years, with the following qualifications: (a) Records related to any audit initiated prior to the expiration date shall be retained until the audit findings involving the records have been resolved. (b) The retention period starts from the date of the submission of the final invoice. This Agreement is subject to the provisions of the Office of Management and Budget (OMB) Circular A-133, “Audits of States, Local Governments, and Non-Profit Organizations”. Under this federal circular, non-federal entities that expend $500,000 or more in a year in Federal Awards must have a single or program-specific audit conducted for that year in accordance with the provisions of the circular. If Subcontractor expends $500,000 or more in federal funds in their fiscal year, Subcontractor agrees to provide University with audit report(s) attesting to the fact that the Subcontractor’s records covering the period of this agreement have been audited in accordance with Office of Management and Budget Circular A-133. ARTICLE 7. REPORTS The Subcontractor is responsible for submitting progress reports {QUARTERLY, ANNUALLY, ETC} to the Project Director. ARTICLE 8. TERMINATION OF CONTRACT This Agreement may be terminated in whole or in part in writing by either party provided that no such termination may be effected unless the other party is given: (1) not less than thirty (30) days written notice of intent to terminate, and (2) an opportunity for consultation with the terminating party prior to termination. Reimbursement will be limited to documented cost incurred prior to termination notice. 3 ARTICLE 9. DISPUTES This agreement shall be governed by the laws of the State of Wisconsin. The Subcontractor shall at all times comply with and observe all federal and state laws, ordinances, and regulations which are in effect during the period of this contract and in which in any manner affect the work or its conduct. The Subcontractor agrees that any litigation commenced by the Subcontractor for matters arising out of this contract, will have venue in Dane County, Wisconsin, unless otherwise specifically agreed between the parties to this contract. ARTICLE 10. CHANGES The University may request changes in the scope of services of the Subcontractor to be performed hereunder. Such changes including any increase or decrease in the amount of compensation, which are mutually agreed upon by and between both parties, shall be incorporated in written modifications to this Agreement. ARTICLE 11. CIVIL RIGHTS AND EQUAL EMPLOYMENT OPPORTUNITY The Subcontractor will comply with Title VI of the Civil Rights Act of 1964, and Section 504 of the Rehabilitation Act of 1973, as amended. The Subcontractor assures the University that it has a valid Assurance of Compliance with the DHHS, (Form HEW 441) and Section 504 of the Rehabilitation Act of 1973, as amended (Form HHS 641). ARTICLE 12. LIABILITY AND INSURANCE REQUIREMENTS The Subcontractor shall save, keep harmless and defend the State of Wisconsin, the Board of Regents of the University of Wisconsin System, the University, and all their officers, employees and agents, against any and all liability, including claims, demands, losses, costs, damages and expenses of whatever kind and nature, for injury to or death of any person or persons, and for loss or damage to any property (state or other) occurring in connection with or in any way incident to or arising out of the performance of work in connection with this contract, where such liability is founded upon or grows out of the acts or omissions of the Subcontractor or the officers, employees, or agents of the Subcontractor. ARTICLE 13. PUBLICATION AND COPYRIGHTS It is understood that decisions about authorship on all publications resulting from research under this Agreement will be made by Liaison with the University and Liaison with the Subcontractor prior to 4 any such publication. The Federal Government shall have a royalty-free, nonexclusive and irrevocable right to reproduce, publish or otherwise use, and to authorize others to use, any copyrightable material that is developed under this Agreement (37 CFR Part 401). The University shall have the unrestricted right to use all data which is delivered or specified to be delivered under this Agreement. ARTICLE 14. PATENTS AND INVENTIONS This Agreement is subject to 37 CFR 401. The Subcontractor will be required to obtain appropriate patent agreements from all persons who perform any part of the work under the Agreement, and for disclosing any subject inventions to the University. ARTICLE 15. DEBARMENT AND SUSPENSION In accepting this Agreement, the Subcontractor certifies that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in this transaction by any Federal department or agency. Any change in the debarred or suspended status of the Subcontractor during the life of this Agreement must be reported immediately to the University. The Subcontractor agrees to incorporate the Debarment and Suspension certification into any subgrant that they may enter into as a part of this Agreement. If the Subcontractor is unable to certify to any of the statements in this certification, the Subcontractor shall attach an explanation to this Agreement. This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, Section 85.510, Participant's responsibilities. The regulations were published as Part VIII of the May 26, 1988 Federal Register, (pages 19160-19211). Copies of the regulations may be obtained by contacting the authorizing official of the University. ARTICLE 16. FUNDING AGENCY PROVISIONS This Agreement is also subject to the {AWARDING SPONSOR} terms and conditions as set forth in Appendix C. All references in these terms and conditions to the Funding Agency should be deemed to mean "University" and references to the "Grantee or Contractor" should be deemed to mean "Subcontractor." The terms and conditions are also applicable regarding the acknowledgment of support that must be placed on written or published materials (including videotapes) produced as a result of work conducted under this project. This Agreement shall be binding upon the parties hereto, their successors and assigns, upon due execution by both parties. 5 BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN SYSTEM {SUBCONTRACTOR} BY BY TITLE TITLE DATE DATE SOCIAL SECURITY/TAX ID NUMBER STREET ADDRESS CITY, STATE, ZIP CODE 6