FS-1500-11b Advance Collection Agreement, Rocky Mountain Elk Foundat

Federal and Non-Federal Financial Assistance Instruments

FS 1500-11b Collection Agreement RMEF Advance with instructions

Private Sector - Federal/Non-Federal Financial Assistance Instruments

OMB: 0596-0217

Document [docx]
Download: docx | pdf

USDA, Forest Service

OMB 0596-0217

FS-1500-11B



FS Agreement No.

     -     -     -     


Cooperator Agreement No.

     



ADVANCE COLLECTION AGREEMENT,

Rocky Mountain Elk Foundation

Between the

ROCKY MOUNTAIN ELK FOUNDATION

And the

USDA, FOREST SERVICE,      


     , Project #     


This Collection Agreement (agreement) is hereby made and entered into by and between the Rocky Mountain Elk Foundation, hereinafter referred to as the RMEF, and the USDA, Forest Service,      , hereinafter referred to as the “U.S. Forest Service,” under the provisions of the Cooperative Funds Act of June 30, 1914 (16 U.S.C. 498) as amended by P.L. 104-127.

I. PURPOSE:

The purpose of this agreement is to document the RMEF’s voluntarily contribution of funds to the U.S. Forest Service the      , #     . Project funds will be used for      .

This project is considered to be mutually beneficial to the RMEF and the U.S. Forest Service. As such, the U.S. Forest Service agrees to waive recovery of indirect costs (see III.E. below).

II. THE RMEF SHALL

  1. Upon presentation of a Bill for Collection, reimburse the U.S. Forest Service for $      as shown in the incorporated Financial and Operating Plan, attached as Exhibit A.

  1. LEGAL AUTHORITY. Have the legal authority to enter into this agreement, and the institutional, managerial and financial capability (including funds sufficient to pay the project costs identified in Exhibit A under the column entitled RMEF to ensure proper planning, management, and completion of the project).

III. THE U.S. FOREST SERVICE SHALL:

  1. Provide the labor, materials and administration necessary to perform       as described in the project proposal. The work will be conducted under the supervision of the U.S. Forest Service.


  1. Recognize the RMEF's contribution, in a manner acceptable to both parties, in news releases, interpretive signs, photographs or other media as appropriate.


  1. Communicate progress to the RMEF on a regular basis. Progress reports may include, but are not limited to annual progress reports, in-house publications, follow-up and monitoring reports.


  1. Within 60 days of project completion, submit a RMEF Project Completion Report detailing project activity to RMEF. Project Completion Report shall include any available photos (of pre- through post- project activities).


The U.S. Forest Service shall submit a list of itemized expenditures (transaction register) to RMEF with the Project Completion Report.


  1. ADVANCE BILLING. Bill RMEF prior to commencement of work for deposits sufficient to cover the estimated costs for the specific payment period. Indirect costs are not assessed. The advance billing must be sent to:


Billings must be sent to:

Rocky Mountain Elk Foundation

ATTN: Lands and Conservation

5705 Grant Creek Road

Missoula, MT 59808



If payment is not received to the satisfaction of the U.S. Forest Service by the date specified on the Form FS-6500-89, Bill for Collection, the U.S. Forest Service shall exercise its rights regarding the collection of debts owed the United States.



The specific payment period will begin on the issuance date of the RMEF grant award letter. HOWEVER, project costs cannot be be incurred by the U.S. Forest Service before this agreement is signed by both parties, the advance collection is received, and a job code is issued by the Albuquerque Service Center.


  1. Use the RMEF funds only for the purpose of performing the work necessary and agreed upon in the RMEF approved project proposals as identified in the Financial and Operating Plan, Exhibit A.


  1. REFUNDS. Funds collected in advance by the U.S. Forest Service which are not spent or obligated for the project(s) approved under this agreement must be refunded to the RMEF, unless authorized for use in a new agreement by RMEF, or waived by RMEF within 90 days of the expiration date. Due to processing costs, any balance less than $25 will not be refunded.

    1. IT IS MUTUALLY AGREED AND UNDERSTOOD BY AND BETWEEN THE PARTIES THAT

  1. RMEF funding policy requires at least a 1:1 matching fund ratio and expects project cost savings to be distributed among the project-contributing partners.

To avoid financial exposure due to potential loss of RMEF project funding, costs shall be incurred against the reimbursable job code established for the RMEF funds first.

  1. PRINCIPAL CONTACTS. The principal contacts for this agreement are:


RMEF Contacts:

     

Christine Hastings

Tom Toman

Billing, Forms, & Signatures

Phone: (406) 523-3444

Project Updates, Photos, Reporting & Recognition

Phone: (406) 532-4541

Policy, Agreements & Contracts

Phone: (406) 523-3443

E-mail:      

E-mail: christine@rmef.org

E-mail: tom@rmef.org









RMEF Contact Mailing Address :

Rocky Mountain Elk Foundation

ATTN: Lands and Conservation Department

5705 Grant Creek Road

Missoula, MT 59808


Principal U.S. Forest Service Contacts:


U.S. Forest Service Program Manger Contact

U.S. Forest Service Administrative Contact

Name:      

Address:      

City, State, Zip:      

Telephone:      

FAX:      

Email:      

Name:      

Address:      

City, State, Zip:      

Telephone:      

FAX:      

Email:      


  1. FREEDOM OF INFORMATION ACT. Public access to agreement records must not be limited, except when such records must be kept confidential and would have been exempted from disclosure pursuant to Freedom of Information regulations (5 U.S.C. 552).


  1. PROPERTY IMPROVEMENTS. Improvements placed on National Forest System land at the direction or with the approval of the U.S. Forest Service becomes property of the United States. These improvements are subject to the same regulations and administration of the U.S. Forest Service as would other National Forest improvements. No part of this agreement entitles the Cooperator to any interest in the improvements, other than the right to use them under applicable U.S. Forest Service Regulations.


  1. PARTICIPATION IN SIMILAR ACTIVITIES. This agreement in no way restricts the U.S. Forest Service or the RMEF from participating in similar activities with other public or private agencies, organizations, and individuals.


  1. ENDORSEMENT. Any RMEF contributions made under this agreement do not by direct reference or implication convey U.S. Forest Service endorsement of the RMEF's products or activities. Similarly, any U.S. Forest Service contributions made under this agreement do not by direct reference or implication convey RMEF endorsement of the U.S. Forest Service’s products or activities.


  1. TERMINATION. Either party, in writing, may terminate this agreement in whole, or in part, at any time before the date of expiration. The U.S. Forest Service shall not incur any new obligations for the terminated portion of the agreement after the effective date and shall cancel as many obligations as possible. Full credit shall be allowed for U.S. Forest Service expenses and all non-cancelable obligations properly incurred up to the effective date of termination. Excess funds must be refunded within 60 days after the effective termination date.


  1. MODIFICATION. Modifications within the scope of this agreement must be made by mutual consent of the parties, by the issuance of a written modification signed and dated by all properly authorized, signatory officials, prior to any changes being performed. Requests for modification should be made, in writing, at least 30 days prior to implementation of the requested change


  1. COMMENCEMENT/EXPIRATION DATE. . This agreement is executed as of the date of last signature and is effective through       at which time it will expire. This date allows time for final bill to capture project costs and reach the RMEF by the Grant Award Letter deadline.


  1. AUTHORIZED REPRESENTATIVES. By signature below, each party certifies that the individuals listed in this document as representatives of the individual parties are authorized to act in their respective areas for matters related to this agreement. In witness whereof, the parties hereto have executed this agreement as of the last date written below.





     

     ,      

Rocky Mountain Elk Foundation




Date




     

     ,      

U.S. Forest Service,      



Date





The authority and format of this agreement have been reviewed and approved for signature.

     

     

U.S. Forest Service Grants Management Specialist

Date



Burden Statement


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0217. The time required to complete this information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.


The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).


To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free (866) 632-9992 (voice). TDD users can contact USDA through local relay or the Federal relay at (800) 877-8339 (TDD) or (866) 377-8642 (relay voice). USDA is an equal opportunity provider and employer.










Page 2 of 2

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCollection Agreement Template 05/01
SubjectFS Directive 1509.11-2001-2 Dated 2/9/01
AuthorMelody Herbert
File Modified0000-00-00
File Created2022-04-06

© 2024 OMB.report | Privacy Policy