000_CIRM_213_rev_24-25_106.docx
DOCX document 31 KB Posted
- Attached to
- 24-25_CIRM_106_Alpha_Clinic_Trial-Dashboard
- Solicitation number
- 0000033465
- Issued by
- California
About this file
This is a Standard Agreement Form (STD 213) for the California Institute for Regenerative Medicine (CIRM), identified as Agreement Number 24-25 CIRM 106. The document represents a contractual agreement framework between CIRM and an unnamed contractor, with sections designating the agreement term (dates not specified) and maximum contract amount (amount not specified).
The agreement consists of three exhibits: Exhibit A (Agreement, 7 pages), Exhibit B (Budget and Payment, 7 pages), and Exhibit C (CIRM General Terms and Conditions, 7 pages). The document includes signature blocks for both the contractor and CIRM, with CIRM's office located at 601 Gateway BLVD, Suite 400, South San Francisco, CA 94080-7004. No specific pricing terms, funding requirements, or other financial details are provided in this standard form template.
View the file
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Text version
CALIFORNIA INSTITUTE FOR REGENERATIVE MEDICINE (CIRM)
| STANDARD AGREEMENT |
| AGREEMENT NUMBER |
| PURCHASING ORDER NUMBER |
| STD 213 (Rev. 12/2021) |
| 24-25 CIRM 106 |
1. This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME:
California Institute for Regenerative Medicine (CIRM)
CONTRACTOR NAME:
2. The term of this Agreement is:
START DATE
THROUGH END DATE
3. The maximum amount of this Agreement is:
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a part of the Agreement.
| Exhibits |
| Title |
| Pages |
| Exhibit A |
| Agreement |
| 7 |
| Exhibit B |
| Budget and Payment |
| 7 |
| Exhibit C |
| CIRM General Terms and Conditions |
| 7 |
INWITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO:
CONTRACTOR
CONTRACTOR NAME (If other than an individual, state whether a corporation, partnership, etc.)
| CONTRACTOR BUSINESS ADDRESS |
| CITY |
| STATE |
| ZIP |
| PRINTED NAME OF PERSON SIGNING |
| TITLE |
CONTRACTOR AUTHORIZED SIGNATURE
DATE SIGNED
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
California Institute for Regenerative Medicine (CIRM)
| CONTRACTING AGENCY ADDRESS |
| CITY |
| STATE |
| ZIP |
| 601 Gateway BLVD, Suite 400 |
| South San Francisco |
| CA |
| 94080-7004 |
| PRINTED NAME OF PERSON SIGNING |
| TITLE |
| CONTRACTING AGENCY AUTHORIZED SIGNATURE |
| DATE SIGNED |
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