Subrecipient Commitment Form

This form is owned by Boise State University, Office of Sponsored Programs, 1910 University Drive, Boise, ID 83725-1135 USA. Questions about this form should be directed to preaward@boisestate.edu
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Boise State University Proposal Number * Required
Note: If you do not have this number, please request it via email to preaward@boisestate.edu.
SECTION I: INSTITUTIONAL INFORMATION
Note: All fields with an asterisk (*) next to them are required and must be completed.
Full Legal Name * Required
For U.S. institutions, this is the full legal name shown on the Secretary of State's website where the institution was organized or incorporated. Example: Foundation Research Holdings, LLC (i.e., Delaware Secretary of State website).
Is Subrecipient an FDP Expanded Clearinghouse Member? * Required
See https://fdpclearinghouse.org/
- Yes
- No
Is Subrecipient Listed on the FDP FCOI Institutional Clearinghouse? * Required
See https://thefdp.org/default/fcoi-clearinghouse/compliant-entities/
- Yes
- No
Is Subrecipient Organized or Incorporated in the USA? * Required
- Yes
- No
U.S. State of Organization or Incorporation * Required
U.S. Congressional District (e.g., ID-002) * Required
Country of Organization or Incorporation * Required
Entity Type * Required
- Institution of Higher Education (Governed by a State, Province or Other Governmental Entity)
- Non-Profit Entity
- For-Profit Entity
- Governmental Entity
- Other
Institution Mailing Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code + 4 Country
U.S. Federal Employer ID Number (EIN) * Required
Type "N/A" if this is not applicable to your organization.
Email Address of the Individual Completing this Form * Required
Enter Email Confirm Email
Is the Proposal Submission Contact the Individual Completing this Form? * Required
- Yes
- No
Email Address of Proposal Submission Contact * Required
Enter Email Confirm Email
Proposal Submission Contact Phone Number * Required
Make sure to add the country code if located outside of the United States.
Email Address of the Person to Whom the Subaward/Subcontract Should be Sent. * Required
This is the person to whom Boise State University should send the Subaward or Subcontract for review by the Subrecipient.
SECTION II: GENERAL PROJECT INFORMATION
Will this Project Use Federal or Federal Flow-Through Funds? * Required
- Yes
- No
Is Subrecipient Currently Registered in the System for Award Management (SAM)? * Required
See https://sam.gov/content/home
- Yes
- No
SAM registration is a mandatory prerequisite to receiving a Subaward or Subcontract from Boise State University. The registration website is available here.
Unique Entity ID (UEI) * Required
See https://sam.gov/content/duns-uei
DUNS Number * Required
Subrecipient Principal Investigator Name * Required
Prefix First Last
Subrecipient Principal Investigator Title * Required
Subrecipient Principal Investigator Email Address * Required
Enter Email Confirm Email
Subrecipient Proposal Title * Required
Anticipated Subaward Start Date * Required
MM slash DD slash YYYY
Anticipated Subaward End Date * Required
MM slash DD slash YYYY
Total Funds Requested (USD) * Required
Is Cost Share Required? * Required
- Yes
- No
Cost Share Amount (USD) * Required
Statement of Work and Budget * Required
Identify which documents will be uploaded below. All are generally required to receive a Subaward from Boise State.
- Statement of Work (details must separate Subrecipient’s duties from Boise State’s responsibilities)
- Detailed Budget (including cost share detail if applicable)
- Budget Justification (including cost share detail if applicable)
Does the Budget Include Indirect / F&A Costs? * Required
- Yes
- No
Federal Indirect / F&A Costs Information * Required
If Subrecipient plans to utilize its Federally negotiated Indirect Cost Rate Agreement, either upload or provide a hyperlink to it below. FDP Expanded Clearinghouse members are exempt from this requirement.
- Subrecipient will utilize its Federally negotiated Indirect Cost Rate Agreement.
- Subrecipient will utilize a reduced Indirect/F&A rate (i.e., lower than agreed to in its Federally negotiated Indirect Cost Rate Agreement).
- Subrecipient does NOT have a Federally negotiated Indirect Cost Rate Agreement and, per 2 CFR 200.414(f), Subrecipient is eligible for and will utilize the 10% MTDC indirect / F&A rate.
SECTION III: RESEARCH COMPLIANCE
Does this project require one or more research compliance protocols? * Required
Examples: Protocols from Institutional Review Boards (IRB), Institutional Animal Care and Use Committees (IACUC), Institutional Biosafety Committees (IBC) and/or Unmanned Aircraft Systems (UAS) Committees.
- Yes
- No
Does this project involve human subjects? * Required
If "Yes," exemptions, institutional approval numbers and dates and Federal Wide Assurance Number must be provided before a Subaward is issued.
- Yes
- No
Does your organization certify it will follow the National Institutes of Health (NIH) single Institutional Review Board (IRB) plan developed for this project? * Required
See, e.g., NIH's Single IRB Policy for Multi-site Research at https://grants.nih.gov/policy/clinical-trials/single-irb-policy-multi-site-research.htm.
- Yes
- No
- N/A
Does this project involve vertebrate animals? * Required
If "Yes," exemptions and institutional approval numbers and dates must be provided before a Subaward is issued.
- Yes
- No
Does this project involve Public Health Service (PHS) or National Science Foundation (NSF) funds? * Required
If "Yes," all vertebrate animal activities must occur at a PHS-assured institution. Subrecipient's PHS Assurance Number must be provided before a Subaward is Issued.
- Yes
- No
Does this project involve U.S. Department of Agriculture (USDA) funds? * Required
If "Yes," all vertebrate animal activities involving USDA covered species must be covered under a USDA registration number, which must be provided before a Subaward is Issued.)
- Yes
- No
Does this project involve recombinant or synthetic nucleic acid molecules? * Required
If "Yes," exemptions or institutional approval numbers and dates must be provided before a Subaward is issued.
- Yes
- No
Does this project involve biohazardous materials? * Required
If "Yes," exemptions or institutional approval numbers and dates must be provided before a Subaward is issued.
- Yes
- No
Does this project involve Centers for Disease Control (CDC) and/or USDA select agents and/or toxins? * Required
If "Yes," exemptions or institutional approval numbers and dates must be provided before a Subaward is issued.
- Yes
- No
Does your organization need any assistance with the above research compliance activities? * Required
- Yes
- No
Please contact the Office of Research Compliance for assistance at orc@boisestate.edu.
SECTION IV: CERTIFICATIONS & ASSURANCES
Does this project require Responsible Conduct of Research (RCR) training? * Required
See, e.g., PHS funding (https://grants.nih.gov/grants/guide/notice-files/NOT-OD-10-019.html); NSF funding (http://www.nsf.gov/bfa/dias/policy/rcr/rcrfaqs.jsp#3).
- Yes
- No
Is this project funded by the U.S. Department of Energy's (DOE) Nuclear Energy University Program (NEUP)? * Required
If "Yes," Subrecipient may need to implement a Quality Assurance (QA) program or report on the project's QA elements.
- Yes
- No
Will this project involve export controlled material, data or technical assistance? * Required
See, e.g., Export Administration Regulations (15 C.F.R. Parts 730–774) (EAR), International Traffic in Arms Regulations (22 C.F.R. Parts 120–130) (ITAR), Office of Foreign Assets Control regulations (31 C.F.R. Parts 500–598) (OFAC Regulations), and the Nuclear Regulatory Commission and Department of Energy export control regulations (10 C.F.R. Parts 110 & 810) (NRC/DOE Regulations).
- Yes
- No
Explain how this project involves export controlled material, data or technical assistance. Also, provide details about which export control laws and regulations are implicated (e.g., EAR, ITAR, DOE, NRC, OFAC) and whether particular Export Control Classification Numbers (ECCNs) have been identified. * Required
Subrecipient certifies that it and its principals are not presently debarred, suspended, proposed for debarment or suspension, declared ineligible or voluntarily excluded from participation in any Federal department or agency award. * Required
If Subrecipient has an active exclusion in the System for Award Management (SAM), it cannot receive a Subaward.
- True
- False
Subrecipient certifies it has reported, at least semiannually, information about any applicable criminal, civil and/or administrative proceedings in the Federal Awardee Performance and Integrity Information System (FAPIIS) in accordance with Appendix XII to 2 CFR Part 200. * Required
- True
- False
Subrecipient certifies it has a Federally compliant Conflict of Interest (COI) policy pursuant to 2 CFR 200.112, 2 CFR 200.318 and/or other applicable statutes, regulations and policies including, without limitation, PHS requirements in Subpart F to 42 CFR Part 50 and 45 CFR Part 94 when applicable. * Required
If "True," either upload your policy or provide an active hyperlink below.
- True
- False
Subrecipient COI Plans. * Required
- Subrecipient requests to follow Boise State’s COI policy. Subrecipient’s use of Boise State’s COI policy requires advance written permission from Boise State. All requests to use Boise State’s COI policy shall be directed to coi@boisestate.edu.
- Subrecipient will draft a compliant COI policy and provide it to Boise State. Subrecipient will not be issued a Subaward until Boise State receives a copy of this policy.
SECTION V: RISK ASSESSMENT
Personnel * Required
- Subrecipient’s personnel are highly experienced in the performance of the Statement of Work.
- Subrecipient’s personnel are experienced in the performance of the Statement of Work.
- Subrecipient’s personnel are inexperienced in the performance of the Statement of Work.
Experience With Similar Subawards or the Awarding Organization * Required
- Subrecipient has prior experience with the same or similar Subawards (or has received awards directly from the awarding organization).
- Subrecipient does not have prior experience with the same or similar Subawards.
- Subrecipient does not have prior experience with the type of work or programmatic deliverables required by this type of Subaward.
Accounting and Procurement Systems * Required
- Subrecipient has established and compliant accounting and procurement systems.
- Subrecipient has new or substantially changed accounting and/or procurement systems.
Adequacy of Facilities * Required
- Subrecipient’s work will occur in an adequate, established space.
- Subrecipient’s work will not occur in an adequate, established space.
Single Audit Compliance * Required
- Subrecipient’s required audit is COMPLETE for the most recent fiscal year. The audit report disclosed NO material weaknesses, significant deficiencies, reportable conditions or findings. A complete copy of the audit report is included with this submission.
- Subrecipient’s required audit is COMPLETE for the most recent fiscal year. The audit report disclosed material weaknesses, significant deficiencies, reportable conditions or findings. A complete copy of the audit report is included with this submission.
- Subrecipient’s required audit is INCOMPLETE for most recent fiscal year. Upon completion, Subrecipient will promptly e-mail a complete copy of the audit report to preaward@boisestate.edu.
- Subrecipient is NOT subject to 2 CFR 200.501 because it expended LESS than $750,000 in total Federal funds during the most recent fiscal year or it is a for-profit organization.
Note: Please attach or link to your most recent audited financial statement below. If you require Boise State University to sign a Non-Disclosure Agreement (NDA) to receive this information, please complete the University's NDA by clicking here. In the footer on page 1 of the NDA, please type "OSP Grants & Contracts Officer, sponsoredagreements@boisestate.edu."
Page Number(s) for Relevant Material Weaknesses, Significant Deficiencies, and/or Reportable Conditions or Findings * Required
Email Address of Audit Contact * Required
Phone Number of Audit Contact * Required
Make sure to add the country code if located outside of the United States.
SECTION VI: REQUIRED INFORMATION
A number of documents were referenced above (e.g., Statement of Work, Budget, Budget Justification, Indirect Cost Agreement, Conflict of Interest Policy, Single Audit). Please provide all required documents by adding hyperlinks and/or uploading them below.
Hyperlinks to Supporting Documents
Upload Supporting Documents
The following file extensions are permitted: doc, docx, xls, xlsx and pdf. There is a 12 MB limit per file.
Drop files here or

Accepted file types: doc, docx, xls, xlsx, pdf, Max. file size: 10 MB, Max. files: 10.
SECTION VII: SIGNATURE
By signing below, you are certifying and agreeing that: (1) the information and representations above are accurate, complete and have been read, signed and made by an authorized official of the Subrecipient named herein; (2) Subrecipient’s appropriate programmatic and administrative personnel have reviewed and approved the above referenced proposal, are aware of the time, space and resources committed to the project and are prepared to establish the necessary inter-institutional agreement(s); (3) any work begun and/or expenses incurred prior the commencement of the period of performance of a fully signed Subaward (i.e., signed by both Subrecipient and Boise State University) are at Subrecipient’s own risk; and (4) your typed name below shall be deemed to be an original signature for all applicable purposes in accordance with the Uniform Electronic Transactions Act, Idaho Code §§ 28-50-101 et seq., as amended from time to time.
Signature of an Authorized Official of the Subrecipient * Required
Type your name above as your signature. The signatory here does NOT have to be the Subrecipient's Authorized Organizational Representative ("AOR"). Instead, the signatory must be an individual authorized to submit this Subrecipient Commitment Form on behalf of the Subrecipient according to the Subrecipient's own internal procedures.
Prefix First Last
Date Signed * Required
MM slash DD slash YYYY
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Subrecipient Commitment Form

SECTION I: INSTITUTIONAL INFORMATION

SECTION II: GENERAL PROJECT INFORMATION

SECTION III: RESEARCH COMPLIANCE

SECTION IV: CERTIFICATIONS & ASSURANCES

SECTION V: RISK ASSESSMENT

SECTION VI: REQUIRED INFORMATION

SECTION VII: SIGNATURE

Office of Sponsored Programs