**EXHIBIT A**

***Instructions: Search for XX and fill in as appropriate. Delete any
user notes/instructions in bold italics like these. You may need to
check formatting and page breaks. Each Task\
Order [must]{.underline} also have a corresponding "Economy Act
Determination and Finding (D&F), FAR 17.5/FSM 1585.12". The blank form
or template for this D&F is attached.***

**TASK ORDER**

***(XX Insert Local Forest Service Agreement Number Here)***

**To Master Agreement #01-IA-11015600-XXX**

**Between the**

**DEPARTMENT OF ENERGY, ARGONNE AREA OFFICE**

**And the**

**USDA FOREST SERVICE, XX NATIONAL FOREST**

This Task Order is hereby made and entered into by and between
Department of Energy, Argonne Area Office (DOE-AAO), and the USDA,
Forest Service, **XX** National Forest, as specified under the
provisions of Agreement #01-IA-11015600-XXX.

**I. GENERAL PROJECT DESCRIPTION** ***(See Master Interagency Agreement
provision to ensure all pertinent information is included.)***

Describe the type of work to be done, magnitude of the project,
location, etc.

**II. PROJECT SPECIFICS**

A. The principal contacts for this project are:

NAME: NAME:

Unit Name: Unit Name:

Address: Address:

City, State, Zip: City, State, Zip:

Phone Number: Phone Number:

B. Specify the types, amounts of, and who will furnish the following:

Equipment:

Supplies:

Materials:

> C. Specify how many people, vehicles, trailers, etc., will be
> involved. Specify location where the work crews will meet, timing,
> work schedules. How will transportation and lodging be arranged?

**III. PROJECT TIMELINES**

This project will be completed during the period starting
[     ]{.underline}/[     ]{.underline}/[     ]{.underline} and ending
[     ]{.underline}/[     ]{.underline}/[     ]{.underline}.

**IV. PAYMENT**

[BILLING.]{.underline} The maximum total cost liability to the Forest
Service for this instrument is \$. Transfer of funds to the DOE-AAO will
be through the Treasury On-Line Payment and Collection System (OPAC)
billing. The OPAC billing document which the DOE-AAO prepares shall
contain the following information as the first line of the description
or the reference section:

FS Reference Document No. (MO) - (provided by FS Financial Mgmt)

FS Accounting Station - (Insert Reg. Code, Unit Code; e.g. 1301)

> Job Code - ([Insert Job Code composed of 6\
> alpha/numeric fields plus the two-digit\
> fiscal year in position 7 and 8]{.underline})

FS Agreement No. - ([Insert Inst. No.]{.underline})

FS Agency Location Code - 12-40-1100

Budget Object Code - ([e.g. 2554 for Research, all others
2559]{.underline})

Performing Agency Location Code - ([Insert ALC]{.underline})

Send copy of bill to USDA Forest Service

  ----------------- -----------------------------------------------------
  Attn:             

                    

                    
  ----------------- -----------------------------------------------------

A detailed list of charges incurred by DOE-AAO will be made available
upon request. Any excess funds not used for the agreed costs shall be
refunded to the Forest Service upon expiration of this instrument.

**V. FINANCIAL PLAN**

***(XX Salary cost, per diem, travel, supplies, equipment expenses,
overhead, etc.)***

**VI. APPROVAL:**

In witness whereof, the parties have executed this Project Supplement as
of the last date written below.

  -------------------------------------------- ---------- ----------------
                                                          

  NAME, Title                                             DATE

                                                          

  DOE-AAO                                                 DATE

                                                          

  NAME, Title\                                            DATE
  USDA, Forest Service, Unit Name                         
  -------------------------------------------- ---------- ----------------

![](media/image1.jpeg){width="0.5in" height="0.5in"}**United States
Forest Washington Office 14th & Independence SW**

**Department of Service P.O. Box 96090**

**[Agriculture Washington, DC 20090-6090]{.underline}**

**File Code:** 6320/1580 **Date:**

**Route To:**

**Subject:** Economy Act Determination and Finding, FAR 17.5/FSM 1585.12

**To:** The File

A determination is hereby made in accordance with FAR 17.502 and 17.503
and FSM 1585.12 that this acquisition is appropriate and legal under the
Economy Act, Section 601, 31 U.S.C. 1535, and the appropriated funds may
legally be used for this project as certified below. The acquisition
does not conflict with any other agency's authority.

I certify that this Economy Act acquisition is in the best interest of
the Government and that the supplies or services cannot be provided by
contract, by the Forest Service from a commercial enterprise. The
acquisition (   ) will (   ) will not involve a contract entered into or
administered by the servicing agency.

([   ]{.underline}) 1. The acquisition is appropriately made under an
existing contract of the servicing agency to meet the requirements of
the servicing agency for the same or similar goods or services.

([   ]{.underline}) 2. The servicing agency has capabilities or
expertise to enter into a contract for such goods or services, which is
not available within the requesting agency.

([   ]{.underline}) 3. The servicing agency is specifically authorized
by law or regulation to purchase such goods or services on behalf of
other agencies.

(   ) Yes (   ) No: The servicing agency is covered by the Federal
Acquisition Regulations. If the answer is no, the proposed interagency
agreement must be approved by the senior procurement executive of the
United States Department of Agriculture prior to issuance of the
interagency agreement.

I certify that adequate funds are available and may legally be expended
for this project, not to exceed. Use Job Code(s):

  ----------------------------- ---------------------- ------- ------------
                                                       Date:   

  Approved by:                                                 

                                                               

                                                               

  Contracting Officer                                  Date:   
  ----------------------------- ---------------------- ------- ------------