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DOE F 4600.1

U.S. DEPARTMENT OF ENERGY (7-11)

NOTICE OF FINANCIAL ASSISTANCE AWARD

(See Instructions on Aavarro)

95-91; P.L. 93-577; & P.L. 99-190 Under the wthority of Public Low ubject to logislation, regulations and policies applicable to (cito logislative program title):

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(This is the current estimated cost of the project. It is not a promise to med nor an authorization to expand hunds in this amount.)

18. AWARDIAGREEMENT TERMS AND CONDITIONS

This award/agreement consists of this form plus the following:
a. Spocial terms and conditions lit grand or schedule, general provisions, special provisions (it cooperativo agroomond
b. Applicable program regulations /spocity)

JDate)
C. DOE Assistanco Regulations, 10 CFR Part:600, as amended, Subparts A and O B (Granted

O C (Cooperativo Agroomenta). d. Application/proposal dated

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O as submitted O with changes as negotiatod

19. REMARKS

20. EVIDENCE OF RECIPIENT ACCEPTANCE

21. AWARDED BY

(Signature of Authorized Recipient Official)

(Data)

(Signatura)

(Date)

(Name)

(Namo)

(Title)

(Title)

(This form shall be completed in accordance with the following instructions. For any clarification or additional information that might be nooded, consult the appropriate section of the DOE Financial Assistance Procedures Manual (DOE FAPM).

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Block 8 - Enter the starting date and expiration date for the current budget period. If a budget period is being changed, enter the starting date and expiration date for the budget period, as changed.

Block 7 - Enter the starting date and anticipated completion date for the project. If a project period is being changed, enter the starting date and anticipated completion date for the project poriod, as changed.

Line a.(6) - Enter the total approved budget for the current budget period. (Add the amounts in lines a.(4) and a.(5).) Lino b.(1) - Enter the amount of DOE funds obligated in the current budget period. (Add the amounts in lines a.(1) and a.(3).) Lino b.(2) - Enter the amount obligated by DOE in prior budget periods. Lino b.(3) - Enter the amount obligated by DOE in the project period to date. (Add the amounts in lines b.(1) and b.(2).)

Block 8 - Enter the name and tolophone number of the individual designated by the applicant proposer as the director of the project:

Block 9 - Enter the name and telephone number of the individual designated by the applicant proposer as the contact for all business matters.

Block 17 - Must be completed for cooperative agreements. Con tracting Officers may exercise discretion as to whether to complete it for grants. Enter in the blank provided, the amount which represents the current estimate of total funds and dollar value of in-kind contributions (both DOE and recipient shares) needed to carry out the entire project. Include all funds and contributions previously provided, those being provided by this action, and all anticipated future obligations and con tributions of both parties.

Block 10 - Place a checkmark in the box opposite the term which identifies the type of action being takon. (The terms are definod in the DOE-FAPM.)

Block 11 - Enter the name, address and telephone number of the individual designated by the DOE program offico as the project officer.

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STATEMENT OF WORK (TO BE INSERTED AT TIME OF AWARD )

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ATTACHMENT C - DOE FORM 459A - FEDERAL ASSISTANCE REPORTING CHECKLIST

ATTACHMENT D

BILLING INSTRUCTIONS (TO BE INSERTED AT TIME OF AWARD)

(

ARTICLE I - STATEMENT OF JOINT OBJECTIVES

The primary objective of this Cooperative Agreement is to conduct a cost

shared clean coal technology project to demonstrate the feasibility of the

technology for future commercial applications.

[Additional contents of this Article shall be specific to the proposed

project selected for support and shall be inserted during negotiations

following such selection. This Article shall, as a minimum, be expanded in

sufficient detail to demonstrate:

1) that the Cooperative Agreement is in fact an undertaking of a clearly

defined objective;

2) that the basis for the endeavor is founded on support or stimulation

of a public purpose as specifically authorized by federal statute

(P.L. 99-190);

3) that the activity to be undertaken is in furtherance of the DOE

mission; and

4) the benefits to be derived from performance of the project.]

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