Louisiana State University Medical Center
Sponsored Projects Manual
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Statement of Intent to Establish a Consortium Agreement

Date

Grant Number:

Application Title:

Proposed Project Period:

On behalf of Louisiana State University Health Sciences Center we are pleased to endorse the above referenced proposal.

This letter certifies that LSUHSC is not delinquent on any federal debt, nor is LSUHSC presently debarred, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by a Federal department or agency.

The appropriate programmatic and administrative personnel of each institution involved in this grant application are aware of the pertinent Federal regulations and policies and are prepared to establish written interorganizational agreements that will ensure compliance with all such policies.

__________________________ ___________________________
(Grantee Institution) (Consortium Institution)
_________________________ ___________________________
(Name)

(Date)

  (Name)

(Date)

 
   
Principal Investigator Principal Investigator
__________________________ ___________________________
(Name)

(Date)

  (Name)

(Date)

 
   
Signature of Official Authorized
to Sign for Institution
Signature of Official Authorized
to Sign for Institution

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The statements found on this page are for informational purposes only. While every effort is made to ensure that this information is up-to-date and accurate, for official information please consult a printed University publication.

Last revised: 08/17/98