| STATEMENT OF FINANCIAL RESPONSIBILITY
SPONSOR NAME: ______________________________
PI NAME(S): ____________________________________________________________
AWARD AMOUNT: $___________
Due
to a change in the standard terms and conditions regarding the “Payment
of Costs” in the University’s Memorandum of Agreement (MOA), Article 4,
the College is assuming the following responsibilities in the administration
of this award:
- The College will invoice the Sponsor based on the “Payment of Costs”
terms and conditions as noted and agreed upon in the referenced MOA,
- The College will assure that two (2) copies of each invoice are forwarded
to the responsible Fiscal Manager in the Office of Contracts and Grants,
- The College should direct the receipt of all payments to the attention
of The Office of Contracts and Grants, Campus Box 7214, Raleigh, NC 27695-7214
(this information should be reflected on the invoice),
- The College should immediately forward any receipts inadvertently directed
to them to The Office of Contracts and Grants for deposit,
- The College will perform follow-up on all outstanding invoices/receivables
in a timely manner (i.e., >90 days old requires documented follow-up) and
promptly communicate to the Fiscal Manager invoices that should be voided
from the A/R system for write off as a bad debt,
- The College should be prepared to absorb the costs of all receivable balances
that are deemed uncollectable.
(PRINT NAME): Authorized College Business Officer/Research Office Representative
________________________________________
(SIGNATURE): Authorized College Business Officer/Research Office Representative
________________________________________
(DATE): _________________
Include this form along with other required proposal
packet information to SPARCS for forwarding to the Office of Contracts and
Grants upon award.
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