Form 89-800 Contract completion/amendment

NOAA FORM 89-800
(Exp 07/15)
Prescribed by NOAA Inspection Manual 25

U.S. DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE

CONTRACT OF AGREEMENT FOR:

CONTRACT NO.

DATE

 SERVICE CONTRACT
 APPROVED ESTABLISHM(NT CONTRACT
 HACCP - QMP
 SEASONAL - START DATE_______________ END DATE_______________

 NEW CONTRACT

 AMENDMENT

ABOVE FOR AGENCY USE ONLY

We, _____________________________________________________________________________________________ located at
___________________________________________________________________________________ hereby make application for
 a new contract  an amendment to our contract no. _________ for inspection services as follows:

Contact information for billing:
Name _______________________________________
Address _____________________________________
Address _____________________________________
City, State, Zip _______________________________
Phone_______________________________________
E-mail ______________________________________
Location of facilities if different from above:
Attach addendum for additional locations

PRODUCTS COVERED
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________

Name _______________________________________
Address _____________________________________
Address _____________________________________
City, State, Zip _______________________________
Phone_______________________________________

All payments must be received within thirty days
of the invoice date. Charges for late payments will
be at the percentage rate based on the current value
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E-mail ______________________________________
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Inspection services to commence on ______________ or as soon thereafter as appears practical to the National Marine Fisheries Service,
National Oceanic and Atmospheric Administration, United States Department of Commerce (hereinafter referred to as NMFS).
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furnish inspection reports in accordance with the applicable regulations of NMFS in effect at the time of such service is rendered.
The applicant agrees to a minimum of either _______ hours of services per week at the currently established rate for the type of services
rendered or number of HACCP-QMP or Approved Establishment audits deemed necessary by NMFS.
The regulations contained in Part 260 of Title 50 CFR are hereby incorporated by reference. The applicant agrees to all the provisions,
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Upon approval of this application by NMFS, it shall constitute  a contract  an amendment to contract no. __________ between the
undersigned applicant and NMFS in accordance with the terms and conditions provided herein.
This contract may be cancelled by either party by giving sixty days written notice.
Additional provisions to this contract are attached. 

APPLICANT
Name _____________________________________

APPROVAL
NATIONAL MARINE FISHERIES SERVICES

Signature __________________________________

__________________________________________
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Title ______________________________________

TITLE Steven Wilson, Deputy Director, Seafood Inspection Program

Date ______________________________________

Date ______________________________________

Supersedes NOAA form 89-800 (01-73), (10-80), (01/92) and 89-829 (3-74)