**Corporate Lodging Consultants, Inc. ("CLC")**

**Emergency Lodging Services**

**Attachment to Task Order Number:**

Blanket Purchase Agreement Number: [QPN-BQR-0016]{.underline}

Federal Supply Schedule Contract Number: [GS-33F-0009P]{.underline}

CLC Tax Identification Number: [48-0866331]{.underline}

CLC Duns Number: [08 742 4511]{.underline}

**[A. Authorized Contracting Officer]{.underline}**

Name:

Telephone Number:

E-Mail Address:

**[B. Requirements (attach supplemental schedule if
required)]{.underline}**

Hotel room or Apartment:

Number of rooms:

Number of nights:

Requested location:

Maximum driving distance:

Maximum rate: Food on premises:

Food within walking: Interior corridors:

Single/double occupancy: High speed internet:

Laundry facilities: Meeting rooms:

Truck parking: Other amenities:

[If apartment:]{.underline}

Number of bedrooms: Number of bathrooms:

Kitchen or other requirements:

**[C. Agency Requirements Coordinator (Agency point of contact for room
requests)]{.underline}**

Name:

Telephone Number:

E-Mail Address:

**[D. Hotel Reservation and Check-in Procedure]{.underline}**

Agency Requirements Coordinator contacts CLC with a room block request:

-   Toll free phone number: 1-800-321-0455

-   Dedicated fax number: 1-316-219-4293

-   Dedicated e-mail address: <govlodging@corplodging.com>

CLC will attempt to obtain rooms to meet the room block request and
either confirm the request has been met or propose alternatives to the
Agency Requirements Coordinator.

Upon arrival, the guest will identify him/herself to the hotel as being
part of the CLC program and shall sign in on the hotel's CLC provided
sign-in sheet. Room payment shall be as set forth below.

**[F. Payment Terms]{.underline}**

**Option 1:** CLC establishes a direct bill relationship with the hotel
for room and tax, if applicable (meals, other incidental charges and any
damages to room caused by the guest are the responsibility of the hotel
guest). Hotel invoices CLC for room and tax charges. CLC invoices Agency
for hotel charges plus CLC fees (fees are set forth in the BPA or as
negotiated). Agency pays CLC by [Agency check or wire
transfer]{.underline}. Upon receipt of payment from Agency, CLC pays
hotel charges to hotel by check or wire transfer. This option provides
you with richer management report data to support these emergency
purchases.

**Option 2**: CLC establishes a direct bill relationship with the hotel
for room and tax, if applicable (meals, other incidental charges and any
damages to room caused by the guest are the responsibility of the hotel
guest). Hotel invoices CLC for room and tax charges. CLC invoices Agency
for hotel charges plus CLC fees (fees are set forth in the BPA) plus 3%
GSA SmartPay card charge. Agency pays CLC with [Agency's Charge
Card]{.underline}. Upon receipt of payment from Agency, CLC pays hotel
charges to hotel by check or wire transfer.

**Option 3**: Agency employee pays for room and tax, if applicable,
using his/her individual GSA SmartPay card (meals, other incidental
charges and any damages to room caused by the guest are the
responsibility of the hotel guest). Hotel usage by Agency based on
reservation data. CLC invoices Agency for CLC fees (fees are set forth
in the BPA or as negotiated) plus 3% GSA SmartPay card charge, if
applicable. The employee pays CLC with their GSA SmartPay card, check or
wire transfer.

**Agency tax exemption certification/documentation attached to this Task
Order.**