DOC1731990932.pdf

Procure-to-Pay

3835 Holdrege Street | Lincoln, NE 68583-0742 | 402.472.2126 nebraska.edu/p2p

University of Nebraska Contract Summary

CONTRACTOR/COMPANY INFORMATION

Supplier Department of Veterans Affairs Contact amy.patten@va.gov

Sourcing Agent Anthony Taylor

REQUESTING DEPARTMENT

Participating Campuses

UNMC

Administrative Unit/Dept.

UNMC, Int Med DEM

Department Contact Gregory L Costello

CONTRACT DESCRIPTION/INFORMATION

Contract Summary (brief description and/ or event name)

Dr. Saraswathi Viswanathan would like to continue an eight's appointment at the Omaha Department of Veteran's Affairs Medical Center to continue to work on a project titled, "TP-R: a novel mediator of obesity-linked insulin resistance in humans." Whereas post-doctoral fellows (Arul Daniel John Kathiravan, Weilun Ai, and Vinothkumar Rajamanickam) will be assisting the principal investigator, Dr.

Viswanathan.

Dr. Viswanathan will serve as the PI on the above-mentioned project with the help of post-doctoral fellows. Dr. Viswanathan will be responsible for planning, executing, interpretation, troubleshooting, and data analysis for experiments proposed. Dr. Viswanathan will present research findings at scientific meetings and publish data in scientific journals.

Contract Document Document Amt Total Amt Start Date End Date Notes

Master Agreement $43,568 $43,568 10/1/2025 9/30/2027

COMPETITION/BID INFORMATION

Bid Number N/A

Competition UNMC Under $50K

Contract Information

N/A

INTERNAL USE ONLY

CW36864

AGREEMENT BETWEEN

OMAHA DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER

AND

BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA

on behalf of the UNIVERSITY OF NEBRASKA MEDICAL CENTER

LAB TECH: XXX

PRINCIPAL INVESTIGATOR Saraswathi Viswanathan, PhD

AMOUNT AUTHORIZED: $ 43,568.46

PERIOD OF PERFORMANCE: October 1, 2025 – September 30, 2027

OVAMC NUMBER: XXX

UNMC NUMBER: XXX

This Agreement is entered into by and between the Omaha Department of Veterans Affairs Medical

Center (hereinafter “OVAMC”), a U.S. Department of Veterans Affairs medical center, with its responsible office located at 4101 Woolworth Avenue, Omaha, NE 68105, and the Board of Regents of the University of Nebraska DBA the University of Nebraska Medical Center (hereinafter “UNMC”), an educational institution existing under the laws of the State of Nebraska, with its responsible office located at 987835 Nebraska Medical Center, Omaha, NE 68198-7835.

WHEREAS, Arul Daniel John Kathiravan, Weilun Ai, and Vinothkumar Rajamanickam is assisting principal investigator Saraswathi Viswanathan on a research project entitled “TP-R: A Novel

Mediator of Obesity-Linked Insulin Resistance in Humans” (hereinafter “Project”), important to medical research in the area of diabetes, which is of mutual interest to OVAMC and UNMC.

This Agreement has been prepared for the consideration and approval of OVAMC. It will become an

Agreement in full force and effect upon execution by a duly authorized representative and/or officer of

UNMC and OVAMC. Any addition, deletion or other modification of this Agreement shall be set forth as

Attachments.

In witness whereof the parties have hereto set their hands and each warrants that he is empowered and authorized to execute this Agreement.

OMAHA DEPARTMENT OF VETERANS

AFFAIRS MEDICAL CENTER

BOARD OF REGENTS OF THE

UNIVERSITY OF NEBRASKA MEDICAL

CENTER

BY: BY:

TITLE: TITLE:

DATE: DATE:

READ AND

ACKNOWLEDGED

BY:

ACOS/Research

09/23/25 | 14:53 EDT 09/24/25 | 21:26 CDT

Assistant Vice Chancellor for Business F

XXX Page 2 of 4

ARTICLE I – Period of Performance

A. The period of performance for this agreement is October 1, 2025, through September

30, 2027, unless modified by a written amendment signed by duly authorized representatives of both parties.

ARTICLE II – Scope of Work

A. The scientific significance is described as:

a. Dr. Viswanathan will serve as a PI on the above-mentioned project with the help of post-doctoral fellows

b. Dr. Viswanathan will be responsible for planning, executing, interpretation, trouble-shooting, and data analysis of experiments proposed.

c. Dr. Viswanathan will present research findings at scientific meetings and publish data in scientific journals.

B. Saraswathi Viswanathan will perform the Project and utilize such personnel, resources, facilities, equipment, skills, know-how and information as she considers necessary and consistent with OVAMC policies, missions, and requirements.

C. Saraswathi Viswanathan shall have exclusive control and supervision over the scientific and technical conduct of the Project, including the supervision of Arul Daniel John

Kathiravan, Weilun Ai, and Vinothkumar Rajamanickam.

D. It is understood that the nature of this Project is such that completion within the period of performance specified, or within the limits of financial support allocated, cannot be guaranteed. Accordingly, it is agreed that the Project be performed on a “best efforts” basis.

E. Performance will be considered acceptable if done in accordance with high standards of scientific and professional skill and the indicated level of effort has been substantially applied, provided that all other requirements are met as specified under this Agreement.

F. If at any time Saraswathi Viswanathan determines that the research data justifies a substantial change in the direction of the Project, OVAMC shall promptly notify UNMC, and the parties shall make a good faith effort to agree on any necessary change to the

Agreement.

ARTICLE III – Financial Obligations

A. UNMC shall provide OVAMC up to $ 24,516.35, as itemized below:

Salary $16,770.00

Benefits 29.9 % $ 5,014.23

Total Direct Costs $ 21,784.23

F&A Costs N/A $0

Total Costs $ 21,784.23

XXX Page 3 of 4

B. Costs which have been incurred by the Collaborating Institution since Saraswathi

Viswanathan in anticipation of this Agreement and which are specifically provided for in the approved costs are allowable hereunder.

C. The total amount authorized shall not be exceeded, including cost of living increases in accordance with local institutional policy, without written authorization.

D. UNMC will provide payment to OVAMC upon receipt of a certified invoice reflecting a categorical breakout of costs incurred.

E. Invoices shall be submitted quarterly and reference UNMC number XXX.

F. A final invoice, covering costs incurred through October 31, 2027 shall be submitted within sixty (60) days of the current grant expiration date, on or before December 30, 2027.

G. UNMC shall not be liable to reimburse OVAMC for costs incurred in excess of the amount specified in II.A above, and OVAMC shall not be obligated to continue performance under this Agreement or to incur costs in excess of said amount unless and until UNMC shall first agree in a writing signed by a duly authorized representative of

UNMC to increase the amount.

H. All costs incurred under this Agreement will be subject to audit by OVAMC’s Cognizant

Federal Audit Agency. Substantiating documents shall be retained and OVAMC is expected to keep an accurate accounting of all costs incurred in the performance of the

Agreement. OVAMC shall provide Cognizant Government auditors and/or UNMC financial representatives access to records, where necessary, to support costs relating to this Agreement.

ARTICLE IV – Termination

A. This Agreement may be terminated by either party hereto by giving written notice to the other party thirty (30) days in advance of a specified date of termination.

B. Upon receipt of such a notice from UNMC, OVAMC shall take all necessary action to cancel outstanding purchase orders and other commitments relating to the work under this Agreement, and shall exercise reasonable diligence to cancel or redirect commitments for personal services to its other activities and operations.

C. UNMC shall remain liable for all costs incurred under this Agreement, including any of the above mentioned commitments entered into by OVAMC in good faith prior to the receipt of the above-mentioned notice. Upon payment of such costs, UNMC shall be entitled, and OVAMC agrees to deliver, all information and items which, if the

Agreement had been completed, would have been required to be furnished to UNMC, including, but not limited to, partially completed plans, drawings, data, documents, surveys, maps, report and models.

D. In the event that either party hereto shall commit any breach of or default in any of the terms or conditions of this Agreement, and also shall fail to remedy such default or

XXX Page 4 of 4 breach within ninety (90) days after receipt of written notice thereof from the other party hereto, the party giving notice may, at its option and in addition to any other remedies which it may have at law or in equity, terminate this Agreement by sending notice of termination in writing to the other party to such effect, and such termination shall be effective as of the date of the receipt of such notice.

ARTICLE V – Record Retention

A. All pertinent records and books of accounts related to this Agreement, in possession of

OVAMC shall be retained for a period of three (3) years after the conclusion of the

Agreement.

B. Records relating to any litigation or claim arising out of the performance of this

Agreement, or costs and expenses of this Agreement to which exception has been taken as a result of audit and/or inspection, shall be retained by OVAMC until such litigation, claim or exception has been resolved.

ARTICLE VI – Notice

A. All notices pertaining to or required by this Agreement shall be in writing and shall be signed by an authorized representative and addressed as follows:

If to OVAMC:

Amy Patten

Administrative Officer for Research Service (151) Omaha Department of Veterans Affairs Medical Center

4101 Woolworth Avenue

Omaha, NE 68105-1873

Phone: 402-995-3541

Fax: 402-977-5633

Email: amy.patten@va.gov

If to UNMC:

Bethany DeCarolis

Interim Director, Sponsored

Programs Administration University of Nebraska Medical Center

987835 Nebraska Medical Center

Omaha NE 68198-7835

Phone: 402-559-7456

Fax: 402-559-2957

Email: spadmin@unmc.edu

B. Either party may change such address by notice given to the other party.

ARTICLE VI – Modification

A. This Agreement represents the understanding of OVAMC and UNMC and shall be modified only by a written amendment signed by duly authorized representatives of both parties.

Title: Legal and Policy Compliance Addendum Revised: 160425

University of Nebraska Legal and Policy Compliance Addendum

This University of Nebraska Legal and Policy Compliance Addendum (the “Addendum”) to the Department of Veterans Affairs dated concurrently with this Addendum (the “Agreement”) is effective as of the date of the last signature set forth below between the Board of Regents of the University of Nebraska a public body corporate and governing body of the University of Nebraska (“University”), which is composed of a chief governing administrative unit (University of Nebraska System), four universities (University of Nebraska at

Kearney, University of Nebraska-Lincoln, University of Nebraska Medical Center, and University of

Nebraska at Omaha), and such other institutions and units as may be designated by the Nebraska

Legislature, and Department of Veterans Affairs (“Supplier”).

RECITALS

A. University desires to enter the Agreement with Supplier.

B. The Agreement is in the form provided by Supplier, which the parties are using for their mutual convenience.

C. The Agreement is, with the exceptions noted in this Addendum, acceptable to University.

D. Certain provisions in the Agreement cannot be accepted or are required in the Agreement by

University as a matter of law and policy of the State of Nebraska and University.

E. Supplier is willing to modify the Agreement as set forth in this Addendum.

AGREEMENT

NOW, THEREFORE, in consideration of the mutual covenants set forth in the Agreement and herein and the above recitals, which are incorporated herein by this reference, the parties agree as follows:

1. Incorporation and Priority of Terms. The Agreement is amended as stated herein and this

Addendum is incorporated into the Agreement by this reference. In the event of a conflict between the terms of this Addendum and the Agreement, the terms of this Addendum shall prevail.

2. Assignment. The Agreement is non-assignable and non-transferrable unless agreed to in writing by the parties. Any attempt by either party to assign its rights or obligations hereunder without the written agreement of the other party shall be void.

3. Governing Law and Forum. The Agreement shall be governed by the laws of the State of

Nebraska without giving effect to its conflicts of law provisions. Any legal actions brought by either party hereunder shall be in the state courts located in Lancaster County, Nebraska. Any legal action by Supplier in relation to the Agreement shall be instituted in accordance with the provisions of the Nebraska State

Contract Claims Act (Neb. Rev. Stat. §§ 81-8,302 to 81-8,306).

4. Liability. To the fullest extent allowed by law, Supplier shall defend, indemnify, and hold harmless

University, its regents, officers, employees, agents, and students for any loss, claim, damage, expense, or liability of any kind arising out of or in connection with the acts or omissions of Supplier and its officers, employees, agents, and subcontractors under the Agreement.

5. Work Status Verification. Supplier and its subcontractors shall use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska pursuant to Neb. Rev. Stat. §§ 4-108 to 4-114.

6. Taxes and Fees. University is generally exempt from payment of state sales and use taxes and local occupation taxes within the State of Nebraska. University will furnish exemption certificates upon written request by Supplier. If Supplier is required to pay any taxes from which University is exempt as a result of doing business with University, Supplier shall be solely responsible for the payment of those taxes.

Revised: 160425

If a tariff is imposed on any Deliverables provided under this Agreement, each party shall pay an equal share of the costs of such tariff.

7. Debarment List. Supplier certifies and warrants that it has not been debarred, suspended, or declared ineligible as defined in the Federal Acquisition Regulation 48 CFR Ch.1 Subpart 9.4. Supplier also certifies that Supplier, its partners, directors, officers, employees, licensees, subcontractors, or agents have not been excluded or debarred or otherwise become ineligible to participate in federal health care programs pursuant to 42 USC § 1320a-7. The certification and warranty set forth in this section shall be an ongoing certification and warranty during the term of the Agreement, and Supplier shall immediately notify University of any change in the status of the certification and warranty set forth in this section. If Supplier becomes excluded from federal health care program participation or placed on the Consolidated List of Debarred, Suspended, and Ineligible Contractors, the Agreement may be terminated immediately, for cause, by

University. If any partners, directors, officers, employees, licensees, subcontractors, personnel, or agents of Supplier become excluded from federal health care program participation, such individual shall be removed from participating in the Agreement immediately. Failure by Supplier to remove such excluded individual immediately shall provide University the right to terminate the Agreement immediately for cause.

8. Taxpayer Transparency Act. Under Neb. Rev. Stat. §§ 84-602.01 to 84-602.04, University is required to provide the Nebraska Department of Administrative Services with a copy of each contract that is a basis for an expenditure of state funds, including any amendments and documents incorporated by reference in the contract. Copies of all such contracts and documents will be published by the Nebraska

Department of Administrative Services at https://statecontracts.nebraska.gov/. It shall be the sole responsibility of Supplier (a) to notify University of any requested redactions to the Agreement, any amendment to the Agreement, and any document incorporated by reference into the Agreement and (b) to indicate the legal basis for such requested redactions at the time of execution thereof. In addition, Supplier shall defend any challenge to such redactions at its own expense. Supplier’s failure to request redactions to any contracts or documents released by University under this section shall constitute a complete waiver of any and all claims for damages caused by any such release.

9. Public Records. Under Neb. Rev. Stat. §§ 84-712 to 84-712.09, information or records of or belonging to University regarding, related to, or part of the Agreement will be open to public inspection and copying unless exempted from disclosure in accordance with University’s interpretation and application of applicable law. It shall be the sole responsibility of Supplier (a) to notify University of requested redactions to any such information or records that may otherwise be required to be open to public inspection and copying and (b) to indicate the legal basis for such requested redactions. In addition, Supplier shall defend any challenge to such requested redactions at its own expense. Supplier’s failure to request redactions to any information or records released by University under this section shall constitute a complete waiver of any and all claims for damages caused by any such release.

10. Federal Funding Compliance. If the Agreement involves federal funds, (a) Supplier’s compliance in all respects with all applicable federal anti-discrimination laws is material to Supplier’s performance under the Agreement; (b) Supplier certifies that it does not operate any programs promoting diversity, equity, and inclusion that violate such laws; and (c) Supplier’s failure to comply with such laws shall be considered a material breach of the Agreement.

If the Agreement is for $15,000 or more and involves federal funds, then Supplier shall comply with 41 CFR

§§ 60-300.5(a) and 60-741.5(a), which are incorporated herein by this reference. These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and require action to employ and advance in employment individuals without regard to disability or veteran status.

If Supplier has fifty (50) or more employees and the Agreement involves payment of $50,000 or more in federal funds to Supplier, then Supplier shall develop or maintain a program as described in 41 CFR 60‐

741, subpart C. If Supplier has fifty (50) or more employees and the Agreement involves payment of https://statecontracts.nebraska.gov/

Revised: 160425

$150,000 or more in federal funds to Supplier, then Supplier shall develop or maintain a program as described in 41 CFR 60‐300, subpart C. To the extend any of the provisions of Appendix II to 2 CFR Part

200 apply to the Agreement, such provisions are incorporated herein by this reference and apply to Supplier as a “contractor,” “recipient,” or “subrecipient.”

11. Nondiscrimination. Neither Supplier nor any of its subcontractors shall discriminate against any employee, or applicant for employment to be employed in the performance of the Agreement, with respect to hire, tenure, terms, conditions, or privilege of employment because of the race, color, religion, sex, disability, or national origin of the employee or applicant in accordance with the Nebraska Fair Employment

Practice Act (Neb. Rev. Stat. §§ 48-1101 to 48-1125).

12. Logos or University Marks. Supplier shall not use or display any University campus name, logo, trademark, service mark (individually a “Mark” and collectively the “Marks”) and/or other indicia designated by University as a source identifier, unless expressly authorized in writing by University. Any unauthorized use of University Marks is expressly prohibited. Supplier shall not use University’s name in any manner that acts as an endorsement or is an appearance of any endorsement in any promotion, advertisement, solicitation, or other communication, especially as it relates to Supplier’s business.

13. Right to Audit Privilege. University reserves the right to audit or inspect work performed by

Supplier under the Agreement. University may participate directly or through an appointed representative in order to verify that the services related to the Agreement have been performed in accordance with the procedures indicated.

14. Purchase Order Requirement. A purchase order shall be issued by University to Supplier for payment in accordance with the terms of the Agreement. All invoice(s) submitted by Supplier shall make reference to the appropriate purchase order number to be eligible for payment.

15. Conflict of Interest. Supplier certifies, to the best of its knowledge and belief, that (a) there is no unresolved actual or potential conflict of interest related to the Agreement and (b), if Supplier is a University employee, immediate family member of a University employee, or business associated with a University employee and the Agreement is valued at $2,000 or more, Supplier has, prior to execution of the

Agreement, provided written notification to the vice president for business and finance or relevant vice chancellor for business and finance, as applicable, of Supplier’s status as, relation to, or association with a

University employee and of the Agreement. If an actual or potential conflict of interest related to the

Agreement arises during the Term, Supplier shall provide to the vice president for business and finance or relevant vice chancellor for business and finance, as applicable, a written disclosure statement that describes all relevant information concerning the actual or potential conflict of interest. If the actual or potential conflict of interest cannot be resolved or University determines Supplier’s certification set forth in this section is false, University may declare the Agreement void and of no further force or effect and

University shall have no further obligations under the Agreement.

16. Compliance. Supplier and its employees and agents will comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the conduct of its business, including those of federal, state, and local agencies having jurisdiction and/or authority, as well as applicable

University policies.

17. Insurance. Supplier shall at its own expense obtain and maintain throughout the term of the

Agreement general commercial liability insurance against claims for bodily injury, death, and property damage with limits of not less than $1,000,000.00 per occurrence, and $3,000,000.00 general aggregate to cover such liability caused by, or arising out of, activities of Supplier and its agents and/or employees while engaged in or preparing for the provision of the goods or services provided under the Agreement. If the goods or services include providing technology services, software, or support, Supplier shall obtain and maintain cyber liability insurance coverage of not less than $10,000,000.00 per occurrence and in the aggregate to cover such liability resulting or arising from acts, errors, or omissions in rendering such

Revised: 160425 technology services, software, or support. Upon request by University, Supplier shall furnish to University certificates of insurance evidencing such insurance is effective prior to commencement of work under the

Agreement. By requiring such minimum insurance, University shall not be deemed or construed to have assessed the risk or limited the liability that may be applicable to Supplier under the Agreement. Supplier shall assess its own risks and, if it deems appropriate, maintain higher limits or broader coverages. Supplier shall, upon request, include University as an additional insured on its general liability insurance policy on a primary and non-contributory basis. Supplier is not relieved of any liability or other obligations assumed or pursuant to the Agreement by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types.

18. Notice. Any notice required or permitted to be given under the Agreement shall be in writing, sent via certified mail or hand delivery, effective when received, and delivered to the addresses provided on the signature page of this Addendum.

19. Unavailability of Funding. Due to possible future reductions in state and/or federal funds, University cannot guarantee the continued availability of funding of the Agreement notwithstanding the consideration contained within the Agreement. In the event funds to finance the Agreement become unavailable, either in full or in part, due to such reductions, University may terminate the Agreement or reduce the consideration upon notice in writing to Supplier. Said notice shall be delivered by certified mail

(return receipt requested) or in person (with proof of delivery). University shall be the final authority as to the availability of funds. The effective date of such termination or reduction in consideration shall be the actual effective date of the elimination or reduction of funding. In the event of a reduction in consideration, Supplier may cancel the Agreement as of the effective date of the proposed reduction upon the provision of advance written notice to University. Supplier shall be entitled to receive just and equitable compensation for any satisfactory work performed up to the effective date of the termination. In the event of unavailability of funding, University shall not be liable for any penalty, expense, or liability, or for general, special, incidental, consequential, or other damages resulting therefrom.

20. No Personal Liability. In no event shall any regent, official, officer, employee, agent, or student of

University be personally liable or responsible for any representation, statement, covenant, warranty, or obligation contained in, or made in connection with, the Agreement, express or implied.

21. Foreign Adversary Certification. The terms in this section defined in Neb. Rev. Stat. § 73-903 shall have the meaning defined therein. If the Agreement is for a technology-related product or service and no exception set forth in Neb. Rev. Stat. § 73-906(2) applies, Supplier certifies that it is not a scrutinized company, it will not subcontract with any scrutinized company for any aspect of performance of the

Agreement, and any products or services provided under the Agreement do not originate with a scrutinized company. The certification set forth in this section shall be an ongoing certification during the term of the

Agreement and Supplier shall immediately notify University of any change in the status of the certification set forth in this section.

22. Unenforceability of Certain Terms. For the purposes of this section, “University” expressly includes any University employee acting in the course and scope of employment. Notwithstanding any provision of the Agreement to the contrary, any of the following terms within the Agreement shall have no effect and shall not be enforceable:

a. Any term making the Agreement period perpetual, providing for unlimited renewals of the

Agreement, or automatically continuing the Agreement period from term to term;

b. Any term requiring or stating that the terms of the Agreement shall prevail over the terms of this

Addendum in the event of conflict;

c. Any term requiring University to indemnify or to hold harmless Supplier or any third party for any act or omission;

Revised: 160425

d. Any term imposing interest charges contrary to those allowed by Neb. Rev. Stat. § 81-2404;

e. Any term requiring the application of the law of any state other than the State of Nebraska in interpreting or enforcing the Agreement or requiring or permitting that any dispute under the Agreement be resolved in courts other than the courts of the State of Nebraska;

f. Any term limiting the time period within which claims can be made or actions can be brought;

g. Any term waiving the sovereign immunity of the State of Nebraska;

h. Any term limiting Supplier’s or any third party’s liability for damages to University for any cause whatsoever related to: (i) intellectual property indemnity required by the Agreement; (ii) liquidated damages assessed under the Agreement; (iii) claims for personal injury, including death; (iv) claims for damage to real property or tangible or intangible property arising from Supplier’s acts or omissions under the

Agreement; (v) any loss or claim to the extent the loss or claim is covered by a policy of insurance maintained, or required by this Addendum or the Agreement to be maintained, by Supplier; (vi) damages arising from the gross negligence or willful misconduct of Supplier, its employees, its subcontractors, or its agents; and (vii) damages arising from Supplier’s breach of data security or confidentiality obligations under the Agreement;

i. Any term permitting unilateral modification of the Agreement by Supplier or any third party;

j. Any term obligating University to pay attorneys’ fees;

k. Any term requiring the confidentiality of records in contravention of the Nebraska public records statutes, Neb. Rev. Stat. §§ 84-712 to 84-712.09;

l. Any term binding University to any method of resolution of disputes under the Agreement not instituted in accordance with the provisions of Neb. Rev. Stat. §§ 81-8,302 to 81-8,306;

m. Any term requiring University to endorse or perform any act that may be perceived as an endorsement of a commercial good or service, Supplier, or any third party;

n. Any term requiring University to waive its rights to a jury trial or to participate in a class action; or

o. Any term granting Supplier or any third party a security interest in property of University.

[Signature page to follow]

Revised: 160425

IN WITNESS WHEREOF, the parties have entered into this Addendum as of the date set forth below.

Board of Regents of the University of Nebraska

Signature:

Printed Name:

Date:

Title:

Supplier

Signature:

Printed Name:

Date:

Title:

Notices to University shall be sent to:

Costello, Greg Administrative Business Associate UNMC, Int Med DEM

• (402) 559-6244

• 3737 LTC, 68198-3737

• greg.costello@unmc.edu

Notices to Supplier shall be sent to:

Amy Patten

Administrative Officer for Research Service (151) Omaha Department of Veterans Affairs Medical Center 4101 Woolworth Avenue Omaha, NE 68105-1873 Phone: 402-995-3541 Fax: 402-977-5633 Email: amy.patten@va.gov

With copy to:

Legal Notices C/O P2P Procurement Contracts 1700 Y Street, BSC 125 Lincoln, NE 68588-0645

With copy to (optional):

4890-8857-9324, v. 15

09/23/25 | 14:53 EDT

ACOS/Research

Frederick Hamel

Assistant Vice Chancellor for Business F

09/24/25 | 21:26 CDT

Michael Hrncirik tel:(402)%20559-6244 mailto:greg.costello@unmc.edu

Certificate Of Completion Envelope Id: 9BAE86D1-C5B0-4D09-9F30-3F6B7909425E Status: Completed

Subject: CW36864 - Reverse IPA - Dr. Saraswathi Viswanathan

Source Envelope:

Document Pages: 11 Signatures: 4 Envelope Originator:

Certificate Pages: 5 Initials: 0 Anthony Taylor

AutoNav: Enabled

EnvelopeId Stamping: Disabled

Time Zone: (UTC-08:00) Pacific Time (US & Canada)

1400 R Street

LINCOLN, NE 68588

ataylor68@nebraska.edu

IP Address: 35.223.106.21

Record Tracking Status: Original

9/18/2025 12:37:59 PM

Holder: Anthony Taylor ataylor68@nebraska.edu

Location: DocuSign

Signer Events Signature Timestamp Frederick Hamel

Frederick.hamel@va.gov

ACOS/Research

Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style

Using IP Address: 152.132.11.10

Sent: 9/18/2025 12:44:08 PM

Resent: 9/18/2025 1:21:32 PM

Resent: 9/18/2025 1:21:50 PM

Viewed: 9/23/2025 1:53:00 PM

Signed: 9/23/2025 1:53:22 PM

Electronic Record and Signature Disclosure:

Accepted: 9/23/2025 1:53:00 PM ID: 472adeb2-2e55-416c-a593-b1d92c17723c

Michael Hrncirik mhrncirik@unmc.edu

Assistant Vice Chancellor for Business F

University of Nebraska Medical Center

Security Level: Email, Account Authentication (None)

Signature Adoption: Pre-selected Style

Using IP Address: 67.3.189.158

Signed using mobile

Sent: 9/23/2025 1:53:24 PM

Viewed: 9/24/2025 9:25:14 PM

Signed: 9/24/2025 9:26:02 PM

Electronic Record and Signature Disclosure:

Accepted: 9/24/2025 9:25:14 PM ID: ff5f02ea-0150-4066-95e7-877c6872bf0d

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status Timestamp Greg Costello greg.costello@unmc.edu

Security Level: Email, Account Authentication (None)

Sent: 9/18/2025 12:44:07 PM

Viewed: 9/18/2025 2:05:43 PM

Electronic Record and Signature Disclosure:

Not Offered via Docusign

Carbon Copy Events Status Timestamp Lisa Chudomelka lchudome@unmc.edu

Security Level: Email, Account Authentication (None)

Sent: 9/18/2025 12:44:08 PM

Viewed: 9/18/2025 6:01:16 PM

Electronic Record and Signature Disclosure:

Not Offered via Docusign

Lisa Chudomelka lchudome@unmc.edu

Security Level: Email, Account Authentication (None)

Sent: 9/24/2025 9:26:04 PM

Electronic Record and Signature Disclosure:

Not Offered via Docusign

Greg Costello greg.costello@unmc.edu

Security Level: Email, Account Authentication (None)

Sent: 9/24/2025 9:26:05 PM

Electronic Record and Signature Disclosure:

Not Offered via Docusign

Amy Patten amy.patten@va.gov

Security Level: Email, Account Authentication (None)

Sent: 9/24/2025 9:26:06 PM

Electronic Record and Signature Disclosure:

Accepted: 9/18/2025 12:45:14 PM ID: b80da026-8090-4428-83db-ecc6d1544d28

Witness Events Signature Timestamp

Notary Events Signature Timestamp

Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 9/18/2025 12:44:07 PM

Envelope Updated Security Checked 9/18/2025 1:21:31 PM

Envelope Updated Security Checked 9/18/2025 1:21:31 PM

Envelope Updated Security Checked 9/18/2025 1:21:31 PM

Envelope Updated Security Checked 9/18/2025 1:21:31 PM

Certified Delivered Security Checked 9/24/2025 9:25:14 PM

Signing Complete Security Checked 9/24/2025 9:26:02 PM

Completed Security Checked 9/24/2025 9:26:06 PM

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Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, NU Contracts+Ariba (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature

Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies

At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time

(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a

$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind

If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically

Electronic Record and Signature Disclosure created on: 5/16/2023 6:53:28 PM Parties agreed to: Frederick Hamel, Michael Hrncirik, Amy Patten

Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given

us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact NU Contracts+Ariba:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: richard.horner@nebraska.edu

To advise NU Contracts+Ariba of your new email address

To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at richard.horner@nebraska.edu and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from NU Contracts+Ariba

To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with NU Contracts+Ariba

To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;

ii. send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software

The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically

To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:

You can access and read this Electronic Record and Signature Disclosure; and

You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and

Until or unless you notify NU Contracts+Ariba as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by NU Contracts+Ariba during the course of your relationship with NU

Contracts+Ariba.

https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements