Agreement for Contract Services North Dakota Department of Public Instruction SFN 14654 (10-97)
Agreement for Contract Services
North Dakota Department of Public Instruction
SFN 14654 (10-97)
_____________________________________________________________________________
| Part I Basic Information And Signatory Sheet |
|_____________________________________________________________________________|
|Project Director: |Instrument |Date: |
|Xxxx Xxxxxxxxx |No.: | |
|__________________________________________|(Assigned by | |
| |DPI) | |
|Telephone No.: | | |
|(000) 000-0000 |DPI 1080 |December 20, 2000|
|__________________________________________|________________|_________________|
| | |
|Contractor Name: |Recipient of Services: |
|TMS, INC. | |
|__________________________________________| |
| | |
|Contractor Address: |North Dakota Department of Public |
|000 Xxxx 0xx Xxxxxx |Instruction |
|P.O. Box 1358 |000 X Xxxxxxxxx Xxx x
xXxxxxxxxxx, XX 00000 xXxxxxxxx, XX 00000-0440 |
|__________________________________________| |
|Telephone No. | |
|000-000-0000 | |
|__________________________________________| |
|Contractor's Tax Identification No. | |
|(Soc. |Sec. No.): | |
|__________________________________________|__________________________________|
|Type of Contract: |Budget Project Period: |
|X New Renewal Amendment No.: |From: 12-01-00 To: 05/01/01 |
|__________________________________________|__________________________________|
| | |
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|Funding |Procurement Method: |
|Source: | |
|X Federal State Other |X Formal Advertising X Negotiation|
|__________________________________________|__________________________________|
|Financial Information: |For Department Use Only |
| | |
|1. Amount of contract award $220,000.00 |Cost Center: 7001 |
| | |
|2. Previous funds awarded for this ______ |Grant No.:I003-00;I021-00|
|contract | |
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|3. Total funds awarded (Line 1 plus $220,000.00 |Project No.: _______ |
|Line 2) | |
| |Sub-Project No.: _______|
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|___________________________________________________|_________________________|
|Remarks: |
|This agreement provides for the licensing of the TMSSequoia Virtual Scoring |
|Center and its on-site installation. |
| |
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|Payment: 7001-I021-00: $120,000 |
| 7001-I003-00: $100,000 |
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| Contract Includes: Page 2, Part II - Budget Info., Part III - Terms of |
| Payment, and Part IV - Scope of Services, and "Software Product License |
| Agreement" |
| Agreement includes Attachment A, B, C, D, and E Provision & Assurances, |
| Pgs. 1-3, Items 1-23 |
| |
|_____________________________________________________________________________|
|Evidence of Contractor's Acceptance: |Evidence of Departmental Acceptance: |
|______________________________________|______________________________________|
|Signature: /s/ Xxxxxxx X. Xxxxxx |Signature: /s/ Xxxx Xxxxxxxxx |
| |Date: January 16, 2001 |
|______________________________________|______________________________________|
|Date: January 26, 2001 |Typed Name and Title: |
| |Xxxx Xxxxxxxxx |
|______________________________________|______________________________________|
|Typed Name: |Signature:/s/ Xxxx Xxxxxxxx |
|Xxxxxx Xxxxxx |Date: January 16, 2001 |
|______________________________________|______________________________________|
|Typed Title: |Typed Name and Title: |
|President, TMS, Inc |Xxxx Xxxxxxxx, Assistant |
| |Superintendent |
|______________________________________|______________________________________|
SFN 14654 Page 2 (10-97)
______________________________________________________________________________
| Part II - Budget Information |
|_____________________________________________________________________________|
| |
|Professional Fee: $220,000.00 License Fee |
|Travel (See Below): |
|Other Expenses - Itemized: |
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|Total Contract Costs: $220,000.00 (See budget plan, Part IV) |
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|_____________________________________________________________________________|
| Part III - Other |
|_____________________________________________________________________________|
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|Terms of Payment:Payment will be made according to the payment schedule |
|identified within the software product license agreement. |
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|_____________________________________________________________________________|
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|In order to facilitate the year-end accounting requirements, contractors |
|must submit expense claims for reimbursable expenses which they have |
|incurred prior to July 1. The claims must be submitted to the Department |
|for payment no later than July 14 of any year. |
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|_____________________________________________________________________________|
| Part IV - Scope of Services |
|_____________________________________________________________________________|
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|The contractor will provide all license software and on-site installation |
|identified within the attached companion contract document, titled "Software |
|Product License Agreement" and its addenda, A, B, C, D, and E. |
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|_____________________________________________________________________________|
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