Completing the FDP Expanded Clearinghouse Participant Commitment Form

Federal Demonstration Partnership (FDP) Expanded Clearinghouse Members may use the FDP Expanded Clearinghouse Participant Commitment Form, instead of UC Berkeley’s standard Subrecipient Commitment Form. If you are not an FDP Expanded Clearinghouse Member, see the Subrecipient Commitment Form Guidance.

Your commitment form must be completed by someone who:

  • Is knowledgeable about your institution’s business processes.
  • Possesses information about the Statement of Work your institution’s Principal Investigator/Project Director will carry out.

Your commitment form must be approved and signed by your institution’s Authorized Organizational Representative (AOR). This is the individual with the authority to legally bind your institution in administration matters related to grants, contracts and cooperative agreements. It should not be the head of a sub-unit within your institution, unless that individual has the written delegated authority to serve as an AOR.

Instructions for completing the form

The FDP Expanded Clearinghouse Participant Commitment Form collects project-specific information and confirm that the Subrecipient’s Authorized Organizational Representative (AOR) has approved the Subrecipient’s information contained in UC Berkeley’s proposal.

UC Berkeley Proposal Information: This section must be completed by the UC Berkeley PI/Department before sending to the Subrecipient for completion and signature.

Subrecipient Information: This section provides background information on your organization that will be used to prepare the subaward. It must be completed by an authorized individual who is knowledgeable about your organization as a business entity.

Subrecipient’s Principal Investigator/Project Director: Identify a specific individual to serve as the Principal Investigator/Project Director of the subaward. This individual is expected to be involved in programmatic decisions impacting the overall project. If this individual must change during the subaward period, UC Berkeley will need to approve this change.

Amount of Funding Requested: What is the total estimated cost of the goods/services you will provide? This includes both direct and indirect costs.

Amount of Cost Sharing Commitment: This pertains to any quantifiable cash or in-kind contribution to the UC Berkeley project being made by your organization. This contribution must occur within the subaward period and be verifiable. Do not include cost sharing in your organization’s Statement of Work, budget, budget justification, or anywhere else unless it is specifically requested by the UC Berkeley PI.

If Cost Sharing is not anticipated respond “NA.”

Organization Address/Performance Site Address: If the sponsored activity will take place at another location, please provide this address under Performance Site address.

Congressional District (if in the U.S.): Please include the U.S. congressional district of your organization as well as the performance site (where the Statement of Work will be carried out) if it will be different from that of your organization. To find a specific congressional district, go to the U.S. House of Representatives website.

Certifications: This section provides certifications to requirements specific to the project.

Research Subject Compliance Information:

  • Embryonic Stem Cells: Please check “Yes” if your organization’s Statement of Work involves any human embryonic or adult stem cell research. For more information, see the UC Berkeley Human Stem Cell Research Policy.
  • Human Subjects: If your organization will be carrying out human subjects’ research under the subaward with UC Berkeley mark, “Yes,” on the form. Please provide your organization’s Office of Human Research Protection (OHRP) approved Federal Wide Assurance (FWA) number (see below).
  • Animal Subjects: If your organization will be carrying out animal research under the subaward with UC Berkeley mark, “Yes,” on the form.

Note: The Berkeley IACUC must review and approve your organization’s animal research protocol before a subaward will be issued.

Responsible Conduct of Research (RCR) (for NSF-funded projects only): The National Science Foundation (NSF) requires all domestic and international Subrecipients to have a plan for meeting Responsible Conduct of Research (RCR) requirements. This plan must describe how education and training in the Responsible Conduct of Research (RCR) will be provided to all students (undergraduate and graduate) and postdoctoral scholars supported by NSF funds. RCR training is required under the America COMPETES (America Creating Opportunities to Meaningfully Promote Excellence in Technology, Education, and Science) Act. While training plans are not required to be included in the Subrecipient’s portion of the proposal submitted to NSF, Subrecipients are advised that all such plans are subject to review by UC Berkeley and NSF upon request.

Authorized Official (AOR) Approval.Only an Authorized Official Representative (AOR) who has the authority to commit your organization as a legal entity should sign this form. The official’s signature certifies all of the statements/information listed on the Subrecipient Commitment Form and information and commitments provided in your organization’s proposal are true and correct.

If you have questions, please contact the Subaward Team at subcontracts@berkeley.edu. If you have a suggestion on how we might improve SPO’s subaward services, please drop it in the Subaward Suggestion Box.

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