Date: October 9, 2009
Part 264: Cost Recovery and Reimbursable Agreements
Originating Office: Division of Financial Management
Through: Assistant Director - Business Management and Operations
From: Assistant Director/Regional Director
Subject: Reimbursable Agreement for [State, Local or Tribal Governments] Without Advance Payment
In accordance with Service Manual Part 264, chapter 2, I request your approval to incur obligations and expenditures in advance of receiving payments from [name of State, local, or tribal government or agency] for reimbursable work.
Consistency with the Service's
The [name of State, local, or tribal government or agency] requested that the Service's [Region/field office] perform the following work:
Summary of services or product that we will provide and estimated reimbursement
We estimate that completion of this work will help to [benefits to be achieved], consistent with the Service's mission.
Need to undertake reimbursable work without advance payment.
The [name of State, local, or tribal government or agency] is unable to advance funds to the Service because [explain].
Reasons may include State, local, and tribal government constitutional prohibitions and/or statutes or regulations and Federal grant requirements.
Credit Worthiness of Organization
The [name of State, local, or tribal government or agency] has demonstrated prompt payments on recent reimbursable agreements with the Service.
Include history of timely payment by the recipient demonstrating credit worthiness.
The [name of State, local or tribal government or agency] is a financially stable organization as reported by Dun and Bradstreet or other financial reporting organizations.
Include evidence of financial stability of the organization.
Assurance of Payments
The [title of State, local, or tribal government or agency authorizing official] has the authority to commit the organization to payments in the agreement without qualification. We have included this assurance in the agreement.
For information on the content of this exhibit, contact the Division of Financial Management. For information about this Web site, contact Krista Holloway in the Division of Policy and Directives Management.