The University of Toledo Research Enterprise

Health Science Campus Information

Sample SF424 pages from Adobe forms, filled out with institutional information

Health Science Campus Example

 Authorized University Official                  Administrative Contact                         Authorizing Fiscal Officer/Agent                      

William S. Messer, Jr., PhD
Vice President for Research
3000 Arlington Ave.
Mail Stop 1020
Toledo, OH 43614-2595
Phone: 419-383-4252
Fax: 419-383-4262

Richard (Rick) Francis
Director, Research &
      Sponsored Programs
3000 Arlington Ave.
Mail Stop 1020
Toledo, OH 43614-2595
Phone: 419-383-4252
Fax: 419-383-4262
Gary Andres 
Director, Grants Accounting
University of Toledo, MS 455
2801 West Bancroft Street
Toledo, OH 43606
Ph: (419) 530-1209
Fax: (419) 530-8766

Grants Coordinators:
Kourtney Phillips (phone: 419-383-4252;
               Angela Rossbach (Phone: 419-383-4252;
CAGE Code (Central Contractor Registration Number): 59XG6

DUNS Number (Dun & Bradstreet Number) : 807418939

Originating Agency Identifier (ORI) Number (by FBI) :   OH04814U  

EIN/TIN (Employer/Taxpayer ID): 346401483 (for forms)

FICE Code (NSF Federal Interagency Committee on Education Institution Code): 0077370000

Misconduct in Science (Most Recent ORI Certification Date): 1/8/2014 [Recertification Letter]

USDA Registration Number:   31-R-0006 (expires 11/12/20014)  

NIH Data
                NIH IPF Code (Institutional Profile Number):  0229501
                NIH Office of Biotechnology Affairs (OBA) [Most Recent Review Date]:  10/12/2005
                DHHS (NIH) Entity Identification Number (EIN): 1346401483A1

Human Research Assurance
                Federalwide Assurance Number :
FWA00010686 [do NOT use ‘FWA’ on forms]

Social-Behavioral-Education IRB (IRB #2)
                Date Assurance expires:
                IRB Number : IRB00001193
                Institutional Organization (IORG) Number: IORG0000832

Biomedical IRB (IRB #1)
                Date Assurance expires:
                IRB Number: IRB000006058
                Institutional Organization (IORG) Number : IORG0000832  

Ohio Department of Health License for Radioactive Material:   2110490006 (expires 2/1/2011)  

Animal Research Accreditation and Assurance
                NIH Office of Laboratory Animal Welfare (OLAW) Animal Assurance Number:   
                AAALAC Accreditation Number:  
                AAALAC Accreditation Date:   3/25/2014 (AAALAC accreditation letter)

NIH Office for Laboratory Animal Welfare (OLAW) Assurance Renewal Dates:   effective 10/21/2011; expires 10/31/2015

Current Assurance (17-page PDF)

Facility and Vet Care information for NIH Grants  

W-9 form for University of Toledo

Facilities & Administrative Cost Rates (aka F&A or Indirect Cost Rate)

                Agreement Date: April 11, 2013
                Cognizant Agency : DHHS
                Cognizant Official: 
Arif Karim, 214-767-3261214-767-3261

                F&A Base: Modified Total Direct Costs

                On-Campus  Rates
                                Organized Research: 51.5%
                                Instruction: 49.5%
                                Other Sponsored Activities 35.0%

                Off-Campus Rate
All Programs: 26.0%

PDF of UT HSC Rate Agreement 

Form 6166, IRS Tax Determination Letter for University of Toledo (applies to both campuses)

State and Federal Districts

                Ohio House of Representatives: #48

                Ohio Senate District: #11

                Congressional District:
#9  [use OH-009 for forms]             

Fringe Benefit Rates

Fringe Benefit Tables by FY from the Office of Budget and Planning.  Be sure to use the Grant (G) rate for grant proposals!

                Faculty, Administrative, Staff and Technical: 26.9%
                Students: 2% (Unless Student elects to participate in PERS; then rate is 16%)
                Part-Time Hourly Employees: 16.0%

Debarment/Suspension: Response is "NO" for the Institution    

UT Mileage Reimbursement Rate:  See "Employee Travel and Reimbursement" form on Accounts Payable Website 

Payment Address:  The University of Toledo; P.O. Box #72327; Cleveland, OH 44192

Cognizant Defense Contract Management Agency
                DCMA Detroit
                Warren, Michigan 

Data Management Information from UT Information Technology

The University of Toledo’s Information Technology provides networked storage housed in one of two computer rooms.  These locations are access controlled and protected by fire detection and suppression systems.  Additionally, daily backups are taken of all stored data for storage at an off-site location.

Associated policies include:

3364-65-04 Information Technology disaster recovery and back-up policy;

3365-65-10 Data center/data closet access;

If there are specific questions about our security framework the complete repository of the University’s IT policies can be viewed at

Last Updated: 6/26/15