CTR056048 ABR ASU A1_EXECUTED w Debarments.pdf

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Attached to
Master Agreement AZ|CTR056048
Contract number
CTR056048
Issued by
Arizona

About this file

This document is a Grant Amendment issued by the Arizona Department of Health Services Office of Procurement to Arizona State University for an ABRC - New Investigator Award (NIA) Grant. The amendment is specifically for Grant No. CTR056048, Amendment No. 1, and involves the AZ Board of Regents on behalf of Arizona State University.

The primary modification to the original grant is a term extension, with the Agreement Grant end date being extended to June 30, 2023. The amendment follows standard grant amendment procedures, with changes to be reflected in red and all other provisions remaining in their entirety. The document was signed on 07/06/22 by Nicholas Petersen, Associate Director of Research Operations for Arizona State University, and includes a digital signature from Jacqueline S. Ortega-Avila from the procurement office.

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Text version

07/06/22

Nicholas Petersen, Associate Director, Research Operations

ARIZONA STATE UNIVERSITY

Unique Entity ID

NTLHJXM55KZ6

CAGE / NCAGE

4B293

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Feb 6, 2023

Physical Address

660 S Mill AVE STE 312

Tempe, Arizona 85281-3670

United States

Mailing Address

PO Box 876011

Tempe, Arizona 85287-6011

United States

Business Information

Doing Business as

ORSPA

Division Name

Arizona State University

Division Number

Congressional District

Arizona 09

State / Country of Incorporation

(blank) / (blank)

URL

http://researchadmin.asu.edu

Registration Dates

Activation Date

Jan 7, 2022

Submission Date

Jan 7, 2022

Initial Registration Date

Mar 29, 2002

Entity Dates

Entity Start Date

Jul 1, 1885

Fiscal Year End Close Date

Jun 30

Immediate Owner

CAGE

(blank)

Legal Business Name

(blank)

Highest Level Owner

CAGE

(blank)

Legal Business Name

(blank)

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or

2.C.F.R. 200 Appendix XII. Their responses are not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

U.S. Government Entity

Entity Type

US State Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Tamara Deuser on Jan 07, 2022 at 05:34 PM ARIZONA STATE UNIVERSITY https://sam.gov/entity/NTLHJXM55KZ6/coreData?status=Active Page 1 of 3

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Government Types

U.S. State Government

Other Entity Qualifiers

Educational Institution

State Controlled Institution of Higher Learning

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

4B293

Points of Contact

Electronic Business

HEATHER C CLARK, Executive Director, Research Operations

660 S. Mill Avenue

CENTERPOINT, Suite 214

Tempe, Arizona 85281

United States

Nicholas Petersen, Associate Director, Research

Operations

660 South Mill AVE

Tempe , Arizona 85287

United States

Government Business

HEATHER C CLARK, Executive Director, Research Operations

660 S. Mill Avenue

CENTERPOINT, Suite 214

Tempe, Arizona 85281

United States

HEATHER C CLARK, Executive Director, Research

Operations

660 S. Mill Avenue

CENTERPOINT, Suite 214

Tempe, Arizona 85281

United States

Past Performance

HEATHER C CLARK, Executive Director, Research Operations

660 S. Mill Avenue

CENTERPOINT, Suite 214

Tempe, Arizona 85281

United States

HEATHER C CLARK, Executive Director, Research

Operations

660 S. Mill Avenue

CENTERPOINT, Suite 214

Tempe, Arizona 85281

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

611310

NAICS Title

Colleges, Universities, And Professional Schools

541330 Engineering Services

541620 Environmental Consulting Services

541713 Research And Development In Nanotechnology

541715 Research And Development In The Physical, Engineering, And Life

Sciences (Except Nanotechnology And Biotechnology)

712110 Museums https://sam.gov/entity/NTLHJXM55KZ6/coreData?status=Active Page 2 of 3

Disaster Response

This entity does not appear in the disaster response registry.

https://sam.gov/entity/NTLHJXM55KZ6/coreData?status=Active Page 3 of 3

CTR056048 ABR ASU A1_EXECUTED
Debarment Checks
ACC
OIG
SAM

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