Amendment to Research Subaward Agreement, entered into as of April 7, 2020, by and between Registrant and Yale University
EX-10.3 3 mgen-q12020xex103yale.htm EXHIBIT 10.3 Exhibit
Exhibit 10.3
[*] = CERTAIN CONFIDENTIAL INFORMATION CONTAINED IN THIS DOCUMENT HAS BEEN REDACTED BECAUSE SUCH INFORMATION IS BOTH (I) NOT MATERIAL AND (II) WOULD LIKELY CAUSE COMPETITIVE HARM IF PUBLICLY DISCLOSED. INFORMATION THAT WAS OMITTED HAS BEEN NOTED IN THIS DOCUMENT WITH A PLACEHOLDER IDENTIFIED BY THE MARK, “[*]”.
FDP Research Subaward Agreement | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Amendment (Number | 9 | ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Pass-Through Entity (PTE) | Subrecipient | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Yale University | Entity Name | Miragen Therapeutics, Inc. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
***@*** | Email Address | ***@*** | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
[*], MD | Principal Investigator | Rusty Montgomery, MD | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Project Title: | Mir-29 mimicry as a therapy for pulmonary fibrosis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
PTE Federal Award No: | Federal Awarding Agency: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
5UH3HL123886-05 REVISED | National Institutes of Health (NIH) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subaward Revised Period of Performance: | Amount Funded This Action: | Subaward No: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Start Date: | September 1, 2018 | End Date: | Jun 30, 2020 | $ [*] | GR1004495 (CON-80001453) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Total Amount of Federal Funds Obligated to Date: | Cost Share | Subject to FFATA: | Automatic Carryover: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
$ [*] | ☐ | Yes | ☒ | No | ☒ | Yes | ☐ | No | ☐ | Yes | ☒ | No | |||||||||||||||||||||||||||||||||||||||||||||||||
Amendment(s) to Original Terms and Conditions This Amendment revises the above-referenced Research Subaward Agreement as follows: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
• A detailed budget follows and is hereby incorporated into this amendment as Appendix A.Additional funds in the amount of [*] are hereby authorized as follows: Direct Costs: [*] Indirect Costs: [*] Total Costs: [*] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
• If carryover is not automatic (No selected above), the "Total Amount of Federal Funds Obligated to Date" stated above may not reflect the actual balance available. The Subrecipient is responsible for tracking unobligated balances and subsequent carryover approvals from prior budget periods. In the event that funding was not fully expended by the Subrecipient during the prior period, the Subrecipient is not authorized to use funds from any prior periods, unless approval is granted by the PTE. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
• A detailed budget follows and is hereby incorporated into this amendment as Appendix A. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
For clarity: all amounts stated in this amendment are in United States Dollars. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
All other terms and conditions of this Subaward Agreement remain in full force and effect. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
By an Authorized Official of PTE: | By an Authorized Official of Subrecipient: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
/s/ Lauren Pite | April 6, 2020 | /s/ Jason Leverone | April 7, 2020 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Name: | Lauren Pite | Date | Name: | Jason Leverone | Date | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Title: | Assoc. Director, Office of Sponsored Projects | Title: | CFO |
Program Director/Principal Investigator (Last, First, Middle):
DETAILED BUDGET FOR INITIAL BUDGET PERIOD DIRECT COSTS ONLY | FROM 9/1/18 | THROUGH 6/30/20 |
List PERSONNEL (Applicant organization only)
Use Cal, Acad, or Summer to Enter Months Devoted to Project
Enter Dollar Amounts Requested (omit cents) for Salary Requested and Fringe Benefits
NAME | ROLE ON PROJECT | Cal. Mnths | Acad. Mnths | Summer Mnths | INST.BASE SALARY | SALARY REQUESTED | FRINGE BENEFITS | TOTAL | ||
Montgomery, Rusty | PD/PI | 1.21 | [*] | [*] | [*] | [*] | ||||
SUBTOTALS | [*] | [*] | ||||||||
CONSULTANT COSTS | ||||||||||
EQUIPMENT (Itemize) | ||||||||||
SUPPLIES (Itemize by category) Laboratory Supplies: Compound Synthesis: [*], PK Study: [*], Tissue Distribution Study: [*], Dose Range: [*] | ||||||||||
TRAVEL | ||||||||||
INPATIENT CARE COSTS | ||||||||||
OUTPATIENT CARE COSTS | ||||||||||
ALTERATIONS AND RENOVATIONS (Itemize by category) | ||||||||||
OTHER EXPENSES (Itemize by category) | ||||||||||
CONSORTIUM/CONTRACTUAL COSTS | DIRECT COSTS | |||||||||
SUBTOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD (Item 7a, Face Page) | $ | |||||||||
CONSORTIUM/CONTRACTUAL COSTS | FACILITIES AND ADMINISTRATIVE COSTS | |||||||||
TOTAL DIRECT COSTS FOR INITIAL BUDGET PERIOD | $ |
Program Director/Principal Investigator (Last, First, Middle):
BUDGET FOR ENTIRE PROPOSED PROJECT PERIOD DIRECT COSTS ONLY | |||||
BUDGET CATEGORY TOTALS | INITIAL BUDGET PERIOD (from Form Page 4) | 2nd ADDITIONAL YEAR OF SUPPORT REQUESTED | 3rd ADDITIONAL YEAR OF SUPPORT REQUESTED | 4th ADDITIONAL YEAR OF SUPPORT REQUESTED | 5th ADDITIONAL YEAR OF SUPPORT REQUESTED |
PERSONNEL: Salary and fringe benefits. Applicant organization only. | |||||
CONSULTANT COSTS | |||||
EQUIPMENT | |||||
SUPPLIES | |||||
TRAVEL | |||||
INPATIENT CARE COSTS | |||||
OUTPATIENT CARE COSTS | |||||
ALTERATIONS AND RENOVATIONS | |||||
OTHER EXPENSES | |||||
DIRECT CONSORTIUM/ CONTRACTUAL COSTS | |||||
SUBTOTAL DIRECT COSTS (Sum = Item 8a, Face Page) | |||||
F&A CONSORTIUM/ CONTRACTUAL COSTS | |||||
TOTAL DIRECT COSTS | |||||
TOTAL DIRECT COSTS FOR ENTIRE PROPOSED PROJECT PERIOD | [*] |
JUSTIFICATION. Follow the budget justification instructions exactly. Use continuation pages as needed.