Supersedes Exhibit 3, 264 FW 2, October 9, 2009
Date: September 24, 2015
Part 264: Cost Recovery and Reimbursable Agreements
Originating Office: Division of Financial Management
To: Director -or- Supervising Directorate Member
Through: Assistant Director -
Business Management and Operations -or-
if the Supervising Directorate Member is the approving authority, provide a copy of the memorandum to the Assistant Director - Business Management and Operations after it’s signed
From: Supervising Directorate Member -or- Deputy/Assistant Regional Director
Subject: Request for Reimbursable Authority with [name of private entity]
In accordance with Service Manual Part 264, chapter 2, I request your approval to enter into an agreement with [name of private entity] for reimbursable work.
Consistency with the Service's Mission
The [name of private entity] requested that the Service's [Region/field office/program] 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.
_______________ is requesting the Service's expertise because ___________________.
Provide a summary of scope of work and cost of agreement.
After both parties accept this agreement, [name of private entity] agrees to make an advance payment to the U.S. Fish and Wildlife Service for $______.
_____ Not Approved Director, U.S. Fish and Wildlife Service Date
-or- Supervising Directorate Member [see sections 2.5, 2.12, and 2.18 for conditions of approval]
For information on the content of this exhibit, contact the Division of Financial Management. For information about this Web site, contact Krista Bibb in the Division of Policy, Performance, and Management Programs.