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DocuSign Envelope ID:25158025-ADOF-4044-B3BF-3AB3BFDF53FD <br /> New <br /> NC State University Cost Reimbursement F 1 Modification No. <br /> Subaward Notice (SN) Number: 2017-1789-25 <br /> NC State University Subrecipient <br /> 1. NC STATE UNIVERSITY 2. Orange County <br /> Sponsored Programs Asset Management <br /> 2701 Sullivan Drive, Admin. Services III Bldg., <br /> Suite 240 131 West Margaret Lane, Suite 301 <br /> Campus Box 7514 P.O. Box 8181 <br /> Raleigh, NC 27695-7514 Hillsborough, NC 27278 <br /> (See Page 2 for Contact Information.) See Page 2 for Contact Information <br /> 3. Proposal/Project Title: 4. Source of Funding: <br /> Clean Fuel Advanced Technology(CFAT) Outreach, Direct Sponsor: NC DOT <br /> Awareness, and Subawards Program Federal Flow through Agency: FHWA <br /> Prime Agreement Number: C-5702C CMAQ-000S(895) <br /> CFDA Number: 20.205 <br /> CFDA Title: Highway Planning and Construction <br /> (See Block 16,Appendix A) (See Block 16,Appendix C) <br /> 5. DescriptiontPurpose of This Action: To issue a new subaward. <br /> 6. Special Terms and Conditions: 7. Funding Information / Period of Performance: <br /> a. Amount Funded This Action: $12,668 <br /> • Technical Reporting: Refer to Appendix A, Statement <br /> of Work, for details b, Amount Prior Funding: $0 <br /> • Final Report Due: Refer to Appendix A, Statement of <br /> Work, for details c. Total Sponsored Funds To Date: $12,668 <br /> • Invoicing: Refer to Appendix A, Statement of Work, <br /> for details d. Cost-sharing Added with This Action: $3,167 <br /> • Final Invoice Due: Refer to Appendix A, Statement of <br /> Work, for details e. Total Cost Sharing Required To Date: $3,167 <br /> • f. Start Date: 11/1/2018 <br /> ® Special T&C Continued in Block 17, page 3 g. End Date: 9/30/2020 <br /> Each signatory below certifies that they are authorized to execute legally binding commitments on behalf of their named party. <br /> For: NC STATE UN RSITY Ds For: SUBRECIPIENT <br /> DocuSigned by, <br /> Signature- �jbin�t dt. Rm&i t,y5� <br /> Signature: <br /> Name Stefanie D.Saunders 0�3 rime rb i e.. <br /> Name Bonnie riarnrne rs i ey <br /> &Title: Associate Director,operations &Title: y Orange a Count Manager <br /> Date: <br /> ��f f.l t p NCSU Sponsored Programs <br /> 11 'f 0 1/15/2019 <br /> Date: <br /> TIN/EIN: 56-6000-756 TINIEIN: <br /> DUNS: 042092122 DUNS: 091575191 <br /> - 1 - <br />