U.S. Department of The Interior U.S. Fish & Wildlife: Effective Date of Agreement - October 27 2006
U.S. Department of The Interior U.S. Fish & Wildlife: Effective Date of Agreement - October 27 2006
1. FWS AGREEMENT #:
U.S. Department of the
Interior 2. OTHER AGENCY AGREEMENT #:
U.S. Fish & Wildlife 3. TOTAL AGREEMENT AMOUNT: $28,760
Service
4. EFFECTIVE DATE: Upon all signatures
5a. FWS ORGANIZATIONAL DATA [ADDRESS, OFFICE] 6a. OTHER AGENCY DATA [ADDRESS, OFFICE]
8. SCOPE OF WORK [DETAIL THE SPECIFIC OBLIGATIONS OF EACH PARTY - USE ADDITIONAL PAGE(S) IF NECESSARY]
See Attached
9. SPECIAL PROVISIONS: (1) THIS AGREEMENT MAY BE MODIFIED BY MUTUAL CONSENT OF BOTH PARTIES. (2) IT
MAY BE TERMINATED BY 30-DAY PRIOR WRITTEN NOTICE BY EITHER PARTY. ALLOWABLE COSTS INCURRED
THROUGH DATE OF TERMINATION SHALL BE REIMBURSED UNDER THIS AGREEMENT. [INSERT ANY ADDITIONAL PROVISIONS]
N/A
10. FWS PROJECT OFFICER [NAME, OFFICE, ADDRESS, PHONE, FAX, E- 11. OTHER AGENCY PROJECT OFFICER [NAME, OFFICE, ADDRESS,
MAIL] PHONE, FAX, E-MAIL]
13. ESTIMATED PRICE/COSTS: [EITHER STATE “SEE BLOCK 3” OR SPECIFY INDIVIDUAL LINE ITEMS IF APPROPRIATE]
See block 3
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U.S. FISH & WILDLIFE SERVICE ATTACHMENT A
INTRAGOVERNMENTAL AGREEMENT FORM
14a. METHOD OF PAYMENT AND BILLING INSTRUCTIONS: IPAC BILLINGS ARE THE PREFERED METHOD OF PAYMENT
FOR THIS AGREEMENT. EACH BILLING WILL REFERENCE THIS AGREEMENT NUMBER, THE AGENCY LOCATION CODE
(ALC), AND DUNS NUMBER.
Claudine Sydnor
916-978-5389 csydnor@mp.usbr.gov
2800 Cottage Way MP-3600
Sacramento, CA 95825
*IF NOT SPECIFIED, CONTACT THE COST ACCOUNTING SECTION, DENVER FINANCE
CENTER AT (303) 984-6800 OR THE APPROPRIATE REGIONAL FINANCE OFFICE.
15. CAPITALIZED ASSET(S) INCLUDED IN ORDER: WILL THE ITEM(S) PURCHASED BE CAPITALIZED BY THE ORDERING
AGENCY IN ACCORDANCE WITH THEIR POLICY AND RECORDED AS AN ASSET IN THEIR FINANCIAL SYSTEM?
_____YES __x__NO
16. ACCOUNTING DATA: [ENTER COMPLETE ACCOUNTING DATA INCLUDING BUYER AND SELLER APPROPRIATION NUMBER, FY, ORG. CODE, BOC, AND PROJECT DATA]
18a. CONTRACTING OFFICER FOR FWS 18b. CONTRACTING OFFICER SIGNATURE 18c. DATE
[NAME, REGION, ADDRESS, PHONE, FAX, E-MAIL]
19a. AUTHORIZING OFFICIAL FOR 19b. AUTHORIZING OFFICIAL SIGNATURE 19c. DATE
OTHER AGENCY [NAME, TITLE, ADDRESS, PHONE,
FAX, E-MAIL]
Charles Johnson
Chief, Land Resources Branch
916-978-5266 cbjohnson@mp.usbr.gov
2800 Cottage Way MP-450
Sacramento, CA 95825
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