Form 14417(February 2013) Department of the Treasury - Internal Revenue ServiceReimbursable Agreement - Non-Federal Entities(State and Local Governments, Foreign Governments,Commercial Organizations, and Private Businesses) OMB Number1545-2235Reimbursable Agreement • August 30th, 2022
Buyer Representativea. Official's name Rikk Escamillab. Official's title Director, Data Center Services c. Organization name TX Health & Human ServicesCommission Seller - IRS Budget Office Reima. Official's name b. Official's title c. IRS Business Unit name bursables CoordinatorPatricia Grasela Program AnalystPGLD d. Address:i. Street number 701 d. Address:i. Street number 2970 ii. Street name West 51st Street ii. Street name Market St iii. City Austin iii. City Philadelphia iv. State TX iv. State PA v. ZIP code 78751 v. ZIP code 19104 e. Telephone number 512-560-3798 e. Telephone number 267-466-5564 f. FAX number 512-438-4737 f. FAX number 855-207-0455 g. Email address Rikk.Escamilla@hhsc.state.tx.us g. Email address Patricia.Grasela@irs.gov 3. Statutory authority
Services Provider Name Service Provider Billing Address Correspondence Address (if different from billing) Email Contact Name Contact Phone No. Agreement Number: UCB Federal Tax ID No. Project Title Estimated Review Amount Description of work or...Reimbursable Agreement • March 2nd, 2018
This Agreement is made and entered into by and between the Washington State Department of Transportation, hereinafter the “WSDOT,” and the above named “SERVICE PROVIDER,” who is a corporation, company, association, joint stock association, firm, partnership, or person that owns, operates, or manages a personal wireless service facility, and covers the SERVICE PROVIDER’s contractors, subcontractors, and legal successors, if any.
AGREEMENT BETWEENReimbursable Agreement • August 18th, 2008 • Utah
WORK TO BE PERFORMED BY STATE CONTRACTORReimbursable Agreement • December 13th, 2012
THIS AGREEMENT is entered into by and between the State of Alabama Department of Transportation acting by and through its Transportation Director, hereinafter referred to as the STATE, and
FEDERAL REIMBURSABLE AGREEMENT BETWEENReimbursable Agreement • August 7th, 2019
WHEREAS, the Federal Aviation Administration (FAA) can furnish directly or by contract, material, supplies, equipment, and services which the other agencies of the Federal government including; Bureau of Land Management (BLM), Bureau of Indian Affairs (BIA), Fish and Wildlife Service (FWS), National Park Service (NPS) of the United States Department of the Interior, and the Forest Service (FS) of the United States Department of Agriculture (USDA) (Sponsor) require, have funds available for, and have determined should be obtained from the FAA;
SUBJECT: REIMBURSABLE AGREEMENT RELATED TO THE PEBBLE BED MODULAR REACTORReimbursable Agreement • March 26th, 2021
DPBA has received for concurrence the attached Modification 1 to our reimbursable agreement with DOE related to Pebble Bed. The agreement has been re-titled, "Advanced Gas Reactor Framework, Technology and Fuel Evaluation," and provides NRC with $480,000, for both contract support and NRC staff costs.
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
Sample Memorandum for Approval to Waive Advance PaymentReimbursable Agreement • February 16th, 2021
To: Director (or supervising Directorate member, if allowed) Through: Assistant Director – Management and Administration
Reimbursable Agreement for Flight Inspection ChecklistReimbursable Agreement • October 9th, 2024
Email the information below to 9-AJO-ReimbursableAgreement-Request@faa.gov and use “Public Airport Reimbursable Agreement” in the subject line for public airports.
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 14th, 2008 • Utah
Department of Homeland Security § 3001.661Reimbursable Agreement • March 11th, 2013
NOTE TO:Reimbursable Agreement • October 26th, 2005
Attached for your comments is Modification 1 to the reimbursable agreement with DOE related to the PBMR, now titled, "Advanced Reactor Technology, Regulation and Fuel Evaluation." In accordance with NRC Management Directive 4.2, Rick Rough has to concur before NRC signs this agreement. In order to concur, we need to be comfortable with the following issues:
NON-FEDERAL LIMITED DESIGN AND IMPLEMENTATION REIMBURSABLE AGREEMENTReimbursable Agreement • December 8th, 2017
WHEREAS, the Federal Aviation Administration (FAA) can furnish directly or by contract services which the CITY OF COLUMBIA (Sponsor) requires, has funds available for, and has determined should be obtained from the FAA;
ContractReimbursable Agreement • November 2nd, 2010
BOARD OF COUNTY COMMISSIONERS, BROWARD COUNTY, FLORIDAAGREEMENT SUMMARY EXHIBIT 1 NAME OF OTHER CONTRACTING PARTYFederal Aviation Administration (FAA)) PROPOSED ACTION NEW ITEM AMENDMENT, NUMBER RENEWAL EXTENSION DOCUMENT TYPEReimbursable Agreement (RA) PURPOSEThis FAA Reimbursable Agreement (RA) AJW-FN-ESA-10-0480 allows for reimbursement of construction services in the amount of $5,302,673.80 to perform services such as: supply all government furnished electronic equipment (ASR-9); all necessary cables and conduct a Joint Acceptance Inspection (JAI) with local FAA personnel to relocate and install the FLL ASR-9 facility. The timeline for relocation and installation of the FLL ASR-9 facility is estimated at thirty-six (36)months. SPECIAL PROVISIONS (select if applicable) LIVING WAGE PROGRAMSBE SHELTERED MARKET PROGRAM FEDERAL DBE PROGRAM M/WBE PROGRAMREQUIRES IN-KIND MATCH: $ OR %REQUIRES CASH MATCH: $ OR % CDBE PROGRAM EFFECTIVE DATES (new agreements only) EFF
NOTE TO: Diane Dandois DATE: June 12, 2001 Glenda JacksonReimbursable Agreement • October 25th, 2005
DPBA has received for concurrence the attached Modification 1 to our reimbursable agreement with DOE related to Pebble Bed. The agreement has been re-titled, "Advanced Gas Reactor Framework, Technology and Fuel Evaluation," and provides NRC with $480,000, for both contract support and NRC staff costs.
Subj: Reimbursable Agreements with Other Federal Agencies and USDAReimbursable Agreement • March 12th, 2018
All reimbursable agreements must be accepted by the Office of Grants and Financial Management (OGFM)/ Financial Management Division (FMD) according to the following schedule:
RATTLESNAKE CREEK/BROADWAY CROSSING-City of MissoulaReimbursable Agreement • September 8th, 2010
This project is located in Missoula County, Montana in the lower Rattlesnake Valley area of the City of Missoula. The project limits are from the intersection of Spruce Street and Madison Street west of Rattlesnake Creek, linking through the Van Buren Street/East Broadway Street intersection, to the Van Buren Street Bridge at Front Street.
AGREEMENT BETWEENReimbursable Agreement • August 18th, 2008 • Utah
Spencer S. Eccles Health Sciences Library agrees to provide its best efforts in performance as described in the Work Statement attached hereto as Exhibit A and Exhibit C.
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
AGREEMENT BETWEENReimbursable Agreement • August 18th, 2008
Reimbursable Agreement between theReimbursable Agreement • December 20th, 2023
NON-FEDERAL REIMBURSABLE AGREEMENT BETWEENReimbursable Agreement • December 3rd, 2020
WHEREAS, the Federal Aviation Administration (FAA) can furnish directly or by contract, material, supplies, equipment, and services which the City & County of San Francisco Airport Commission (Sponsor) requires, has funds available for, and has determined should be obtained from the FAA;
Bismarck AirportReimbursable Agreement • September 18th, 2023
DATE: September 19, 2023 FROM: Gregory Haug, Airport Director ITEM: Reimbursable Agreement (RA) with Federal Aviation Administration (FAA) for Airport Surveillance Radar (ASR) ASR-8 Radar Antenna extension.
NOAA GENERIC REIMBURSABLE AGREEMENT FORMAT FOR INCOMING FUNDSReimbursable Agreement • April 2nd, 2015
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
Park City Library agrees to provide its best efforts in performance as described in the Work Statement attached hereto as Exhibit A.
ContractReimbursable Agreement • October 26th, 2005
MODEL REIMBURSABLE AGREEMENT PURSUANT TO 13 U.S.C. 8(b)1 MEMORANDUM OF AGREEMENT THROUGH WHICH [Name of other non-Federal party] IS PURCHASING [Describe what is being purchased] FROM THE U.S. CENSUS BUREAU Agreement No.Reimbursable Agreement • October 29th, 2020
This document establishes an agreement between the [name of other party] and [Name of Census Bureau Division], U.S. Census Bureau (Census), through which [Name of other party] will pay the Census Bureau for [Provide a general description of the goods/services for which the other party is paying].
REIMBURSABLE AGREEMENT BETWEEN THE SOCIAL SECURITY ADMINISTRATION (SSA) and for ELECTRONIC CONSENT BASED SOCIAL SECURITY NUMBER VERIFICATION (eCBSV) SSA Agreement Number: XXXXXXXXReimbursable Agreement • April 24th, 2019
The purpose of this Agreement is to establish the conditions, terms, and safeguards under which the Social Security Administration (SSA or Agency) will allow XXX (Permitted Entity) to participate in the first small rollout of the electronic eCBSV service. SSA will implement the first small rollout in the Spring/Summer of 2020.
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
Reimbursable (Funds-in) Agreement No.Reimbursable Agreement • March 30th, 2012 • Save the World Air Inc • Motor vehicle parts & accessories
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 18th, 2008 • Utah
MODEL REIMBURSABLE AGREEMENT PURSUANT TO 13 U.S.C. 8(b)1 MEMORANDUM OF AGREEMENT THROUGH WHICH [Name of other Federal party] IS PURCHASING [Describe what is being purchased] FROM THE U.S. CENSUS BUREAU Agreement No.Reimbursable Agreement • December 8th, 2020
This document establishes an agreement between the [name of other Federal party] and [Name of Census Bureau Division], U.S. Census Bureau (Census), through which [Name of other Federal party] will pay the Census Bureau for [Provide a general description of the goods/services for which the other party is paying].
NOAA REIMBURSABLE AGREEMENT COVER SHEETReimbursable Agreement • March 18th, 2008
NOAA Line Office and Program Office Name: NOAA Agreement Number: OGC Folder No.: Customer Name: Customer Agreement Number: Legal Authority:Economy Act:Other (Specify): Programmatic Authority: Project Code: Project Title: Purpose of Agreement: Agreement Amount: Agreement Period of Performance:Start:End: Date Submitted for Approval: Funding Amount: Funding Period:Start:End: Type of Trading Partner: Federal: State/Local: University/College: Non-Profit: Commercial Entity: NOAA Information: Treasury Symb.: 13x1450 CBS ACCS: DUNS/BPN: 156140209EIN: 061834875ALC: 13-14-0001OMB Max Code: 006-48 BETC: COLL Customer Information: Treasury Symb.: Accounting Code: Date Funds Exp.: DUNS/BPN: EIN:ALC:OMB Max Code: BETC: DISB Foreign Commercial:Foreign Government: Other DOC Bureau: Other: Customer Billing Contact: Name:Address: City/State/Zip: Phone:Fax:Email: Customer Admin. Contact: Name:Address: City/State/Zip: Phone:Fax:Email: NOAA Line Office Contact: Name:Address: City/State/Zip:
AGREEMENT BETWEEN UNIVERSITY OF UTAH ANDReimbursable Agreement • August 14th, 2008 • Utah
Mary Lanning Hospital Library agrees to provide its best efforts in performance as described in the Work Statement attached hereto as Exhibit A and Exhibit C.
