Exhibit 3,

264 FW 2
Sample Memorandum for Approval of Agreement with a Private Entity

Date: October 9, 2009

Series: Finance

Part 264: Cost Recovery and Reimbursable Agreements

Originating Office: Division of Financial Management

 

 

PDF Version

 

Microsoft Word Version

Memorandum

 

To:                   Director -or- Regional Director

 

 

Through:           Assistant Director - Business Management and Operations -or- (if the Regional Director is the        approval authority, provide a copy of the memorandum to the assistant Director – Business      Management and Operations)

 

From:               Assistant Director/Regional Director/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 National Mission

 

The [name of private entity] 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.

 

Why is _______________ requesting the Service's expertise?

 

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 $______.

 

Attachment(s)

 

 _____    Approved                                                                                  Date:___________

_____    Not Approved               Director, U.S. Fish and Wildlife Service         

                                                -or- Regional Director [see sections 2.5, 2.12, and 2.18 for

                                                conditions of Regional approval]

Comments:

 

 

 

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.  

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