Title: Fish and wildlife service logo - Description: fish and wildlife service logo

Exhibit 3, 264 FW 2
Sample Memorandum for Approval of Agreement with a Private Entity

Supersedes Exhibit 3, 264 FW 2, 9/24/2015

Date: 01/02/2018

Series: Finance

Part 264: Cost Recovery and Reimbursable Agreements

Originating Office: Division of Financial Management

PDF Version

 

Memorandum

 

To:                   Director (or supervising Directorate Member (e.g., Assistant Director, Regional Director, if allowed)

 

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 AD-BMO after it has been signed).

 

From:               Supervising Directorate Member (or Deputy/Assistant Regional Director, if allowed)

 

Subject:           Request for Reimbursable Authority with [name of private entity]

 

In accordance with U.S. Fish and Wildlife Service Manual chapter 264 FW 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 station/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.

 

[Name of private entity] is requesting the Service’s expertise because [Provide a summary of scope of work and cost of agreement].

 

[Name of private entity] is not prohibited as defined in section 2.19, 264 FW 2.

 

After both parties accept this agreement, [name of private entity] agrees to make an advance payment to the U.S. Fish and Wildlife Service in the amount of $[dollar amount].

 

Attachment(s)

 

_____Approved

                                                ____________________________________________________

_____Not Approved                Director, U.S. Fish and Wildlife Service/Date

(or supervising Directorate Member, if allowed) (see sections 2.5, 2.12, and 2.18 of 264 FW 2 for conditions of approval)

                                               

Comments:

 

For more information about this exhibit, contact the Division of Financial Management. For more information about this website, contact Krista Bibb in the Division of Policy, Performance, and Management Programs.

 

 

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