Reading Room Production — page 396
of 496 pages
← p.395 p.397 → · this page in the original PDF · package
UNITED STATES GOVERNMENT INTERAGENCY "Tih BUREAU OF THE
AGREEMENT (IAA)
,
°
Agreement Between Federal Agencies
NS
Fiscal Service
Order Requirements and Funding Information (Order) Section
LEAD. TRANSFORM. DELIVER.
--
-
en
ee
_--
lAANumber
AAI18027
00000
Servicing Agency's Agreement
GTEC #
Order#
~~ Amendment #7 Mod#
Tracking Number (Optional)
35, Funding Clauses /Instructions (Optional) (State andor list funding clauses/instructions)
Subject to the Availability of Funds
36. Delivery /Shipping Information for Products (Optional)
Agency Name
Point of Contact (POC) Name & Title
POC Email Address
Delivery Address / Room Number
POC Telephone Number
Special Shipping Information
APPROVALS AND CONTACT INFORMATION
37. Program Officials
The Program Officials, as identified by the Requesting Agency and Servicing Agency, must ensure that the scope of
work is properly defined and can be fulfilled for this Order. The Program Official may or may not be the Contracting
Officer depending on each agency's IAA business process.
Requesting Agency
Name
John J, McGowan, Ph.D.
Title
Deputy Director for Science Mgmt & Operations
Telephone Number
Ld
Fax Number
[ss
Email Address
ME iaid.nib.gov
SIGNATURE
-
zs
Date Signed
B/8/201
38. Funding Officials -- The Funds Approving Officials, as identified by the Requesting Agency and Servicing Agency,
certify that the funds are accurately cited and can be properly accounted for per the purposes set forth in the Order. The
Requesting Agency Funding Official signs to obligate funds. The Servicing Agency Funding Official signs to start the work,
and to bill, coliect, and properly account for funds from the Requesting Agency, in accordance with the agreement.
Requesting Agency
Name
fayne Crum
Title
Financial Management Officer, NIAID
Telephone Number
Fax Number
pa
Email Address
niaid.nih.gov
SIGNATURE
Kbyne lx--
\
Date Signed
fi Fncay
7 Amer, 201 Pensa
Tne
?
FS Form 76008 (04-42)
Department of the Treasury I Bureau of the Fiscal Service
September 2016 - page 4 of 5
This is our OCR of the page, with running headers and footers removed. The
Committee's PDF
is authoritative; quote from it. Machine-readable, including the uncleaned
text: /api/page/reading_room/396
Records on this page
| Record | Date | Type | Pages |
|---|---|---|---|
| reading_room:exh:00105 | — | attachment | 396 |