+-----------------------------------+-----------------+-----------------+
| **INTERAGENCY AGREEMENT (IA)**    | **AGREEMENT     |                 |
|                                   | NO**:           |                 |
| **U. S. DEPARTMENT OF THE         |                 |                 |
| INTERIOR**                        | Modification    |                 |
|                                   | No.             |                 |
| **BUREAU OF RECLAMATION (BOR)**   |                 |                 |
|                                   | From: To:       |                 |
| **RECLAMATION SERVICE CENTER**    |                 |                 |
|                                   | Vendor          |                 |
| **POB 25007, D-7810,**            | Code/DUNS       |                 |
|                                   | Number:         |                 |
| **DENVER, COLORADO 80225-0007**   |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **1. PROJECT TITLE**:             |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **2. AUTHORITY**: Interagency     |                 |                 |
| Acquisition Under the Economy Act |                 |                 |
| of 1932 (31.U.S.C. 1535)          |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **3. SERVICING AGENCY**: IA       | **4. REQUESTING |                 |
| TECHNICAL REPRESENTATIVE          | AGENCY**:       |                 |
|                                   | BUREAU OF       |                 |
| AGENCY, ADDRESS, TELEPHONE NO:    | RECLAMATION     |                 |
|                                   |                 |                 |
|                                   | IA TECHNICAL    |                 |
|                                   | REPRESENTATIVE, |                 |
|                                   | ADDRESS,        |                 |
|                                   | TELEPHONE NO:   |                 |
+-----------------------------------+-----------------+-----------------+
| **5. FUNDING SOURCES**:           | **6. ACCOUNTING |                 |
|                                   | AND             |                 |
| Purchase Request No.              | APPROPRIATION   |                 |
|                                   | DATA (Include   |                 |
|                                   | 18 digit        |                 |
|                                   | account number, |                 |
|                                   | cost center,    |                 |
|                                   | and object      |                 |
|                                   | class**         |                 |
|                                   | **codes**):     |                 |
+-----------------------------------+-----------------+-----------------+
| **OBLIGATING FUNDING SOURCE       | **TREASURY      |                 |
| AGENCY**:                         | SYMBOL:**       |                 |
+-----------------------------------+-----------------+-----------------+
|                                   | FUNDING: NO     |                 |
|                                   | YEAR **\[ \]**  |                 |
|                                   | ONE YEAR **\[   |                 |
|                                   | \]**            |                 |
+-----------------------------------+-----------------+-----------------+
| **7. METHOD OF PAYMENT AND        | **SOURCE**      | **AMOUNT**      |
| BILLING INSTRUCTIONS**:           |                 |                 |
|                                   |                 |                 |
| ADVANCE OF FUNDS: YES \[ \] NO \[ |                 |                 |
| \]                                |                 |                 |
|                                   |                 |                 |
| Bill via Interagency Payment and  |                 |                 |
| Collection (IPAC) to Agency       |                 |                 |
| Location Code (ALC) 14-06-0905.   |                 |                 |
| Bill on a **\[ \]** monthly,      |                 |                 |
|                                   |                 |                 |
| **\[ \]** quarterly basis for     |                 |                 |
| cost incurred as authorized. The  |                 |                 |
| description block of IPAC billing |                 |                 |
| must include the following: BOR   |                 |                 |
| accounting information (See Block |                 |                 |
| 5), BOR agreement number, billing |                 |                 |
| period, accountable contact and   |                 |                 |
| telephone number. Billing may not |                 |                 |
| begin until .                     |                 |                 |
|                                   |                 |                 |
| BOR Finance Contact: Lana Greene, |                 |                 |
| D-7733, 303/445-3450              |                 |                 |
+-----------------------------------+-----------------+-----------------+
|                                   | Original        | \$              |
|                                   | Agreement       |                 |
|                                   | Amount          |                 |
+-----------------------------------+-----------------+-----------------+
|                                   | Modification    | \$              |
|                                   | No.             |                 |
|                                   | \               |                 |
|                                   | _\_\_\_\_\_\_\_ |                 |
+-----------------------------------+-----------------+-----------------+
|                                   |                 | \$              |
+-----------------------------------+-----------------+-----------------+
|                                   | TOTAL FUNDING   | \$              |
+-----------------------------------+-----------------+-----------------+
|                                   | **8. AMOUNT     |                 |
|                                   | OBLIGATED BY    |                 |
|                                   | THIS ACTION:**  |                 |
+-----------------------------------+-----------------+-----------------+
| **9. REQUIRED FINANCIAL           | **10. SUBMIT    |                 |
| INFORMATION FROM SERVICING        | DETAILED        |                 |
| AGENCY**: (Names and telephone    | FINANCIAL       |                 |
| numbers for each)                 | BACKUP          |                 |
|                                   | DOCUMENTATION   |                 |
| Servicing Agency Financial        | FOR ALL OPACS   |                 |
| Contact:                          | TO:**           |                 |
|                                   |                 |                 |
| Telephone No.                     | (IA TECHNICAL   |                 |
|                                   | REPRESENTATIVE) |                 |
| Servicing Agency Agreement        |                 |                 |
| Number.                           | SUPPORTING      |                 |
|                                   | DOCUMENTATION   |                 |
| Servicing Agency Appropriation    | REQUIRED:       |                 |
| Data:                             |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **11. SPECIAL PROVISIONS**:       |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **IMPORTANT: The Servicing Agency |                 |                 |
| \[ \] is not \[ \] is required to |                 |                 |
| sign and return                   |                 |                 |
| \_\_\_\_\_\_\_\_\_\_ copies to    |                 |                 |
| the issuing office.**             |                 |                 |
+-----------------------------------+-----------------+-----------------+
| **12. SERVICING AGENCY            | **13.           |                 |
| ACCEPTANCE:**                     | REQUESTING      |                 |
|                                   | AGENCY          |                 |
| (SIGNATURE) (DATE)                | ACCEPTANCE:**   |                 |
|                                   |                 |                 |
| Agency or Bureau                  | (SIGNATURE)     |                 |
|                                   | (DATE)          |                 |
| ATTN:                             |                 |                 |
|                                   | **Bureau of     |                 |
| (Name Typed or Printed \-- Person | Reclamation**   |                 |
| authorized to sign)               |                 |                 |
|                                   | **Contracting   |                 |
| Address City State Zip Code       | Officer**       |                 |
|                                   |                 |                 |
| Telephone No. Fax No.             | **Acquisition   |                 |
|                                   | Operations      |                 |
| E-mail Address:                   | Group**         |                 |
|                                   |                 |                 |
|                                   | **PO Box 25007, |                 |
|                                   | D-7810**        |                 |
|                                   |                 |                 |
|                                   | **Denver, CO    |                 |
|                                   | 80225**         |                 |
|                                   |                 |                 |
|                                   | **303/445- Fax  |                 |
|                                   | No.             |                 |
|                                   | [303/445-6345   |                 |
|                                   | ]{.underline}** |                 |
|                                   |                 |                 |
|                                   | **E-Mail        |                 |
|                                   | Address:**      |                 |
+-----------------------------------+-----------------+-----------------+

RSC 1417.\_ May 2002

COMPLETION INSTRUCTIONS FOR INTERAGENCY AGREEMENT (IA) FORM

**UPPER LEFT COLUMN**: Name and Address of the Issuing Agency
(Reclamation) , and Issuing Acquisition Office

**UPPER RIGHT COLUMN**:

**AGREEMENT NO**. Enter the 10 digit identification number assigned to
the procurement in the acquisition (contracting) office which includes
\"AA\" denoting an interagency agreement, such as 99AA810123.

**MODIFICATION NO.** Enter the sequential number to identify that the
original IA is being modified, such as Modification No. 1, Modification
No. 2, Modification No. 3.

**FROM** and **TO**: Enter the Start and Completion dates signifying the
performance period of the IA. FROM can also contain a reference to Block
12 or 13 of the form stating that the agreement start date begins when
the documents is signed by the parties.

**VENDOR CODE/DUNS NUMBER:** Enter Servicing Agency's Vendor Code or
DUNS Number.

**1. PROJECT TITLE**: Enter a brief descriptive title of the services or
supplies to be obtained under the terms of the agreement.

**2. AUTHORITY**: Identifies the legal authority for entering into the
IA.

**3. SERVICING AGENCY**: Enter the agency, name, address, and telephone
numbers of the technical representative responsible for the
[performance]{.underline} of the terms (work) of the IA. This technical
representative may or may not have the authority to sign the IA, usually
differing from the agency representative signing in Block 12.

**4. REQUESTING AGENCY**: Enter the name, address, and telephone number
of the Bureau of Reclamation IA Technical Representative (noted as the
\"Contact\" on the Purchase Request) that will be working directly with
the Servicing Agency Technical Representative.

**5. FUNDING SOURCES**: Enter the Reclamation Purchase Request Number OR
reference an E-Mail message from someone with funding authority that
provides accounting and appropriation data, and the funds to pay for the
IA requirement.

**OBLIGATING FUNDING SOURCE AGENCY:** If funding for the Interagency
Agreement is coming from another agency, enter that agency's name here.

**6. ACCOUNTING AND APPROPRIATION DATA**: Enter Reclamation\'s 18 digit
funding account number(s) for the IA, the cost center, and the object
class code. In **TREASURY SYMBOL** enter the applicable Treasury
Identification Code(s) for Reclamation\'s 18 digit funding account
number(s). **NO YEAR or ONE YEAR:** If funds are "No Year Funds", place
a checkmark or an "X" in the space to the right of "NO YEAR" . If the
funds are to be expended during the current fiscal year place a
checkmark or an "X" in the space to the right of "ONE YEAR". In
**SOURCE** enter the action type (Original Agreement or Modification
Number). Enter the dollar **AMOUNT** associated with each action to
create a cumulative **TOTAL FUNDING** amount to show the total value of
the IA.

**7. METHOD OF PAYMENT AND BILLING INSTRUCTIONS**: **ADVANCE OF FUNDS -
YES or NO:** If funds are to be advanced to the servicing agency prior
to performing the required work under the IA, place a checkmark or an
"X" in the space to the right of "YES". If funds are not going to be
advanced to the servicing agency prior to performing the required work
under the IA, place a checkmark or an "X" in the space to the right of
"NO". Enter information and instructions for the Servicing Agency to
facilitate the transfer of funds from Reclamation for the supplies or
services performed under the terms of the agreement.

**8. AMOUNT OBLIGATED BY THIS ACTION**: Enter the dollar amount (funds
reservation) to be obligated for IA performance for the action \--
original agreement or modification; enter Not Applicable (N/A); or \$0
if there is no change in the amount(s).

**9. REQUIRED FINANCIAL INFORMATION FROM SERVICING AGENCY**: This
information is necessary to facilitate the transfer of funds, and is
especially useful to Reclamation Finance and Accounting Services,
D-7733. Data can be obtained and entered by the Contracting Officer OR
the Contracting Officer can request that the Servicing Agency complete
this information when the IA is sent for their signature.

**10. SUBMIT DETAILED FINANCIAL BACKUP DOCUMENTATION FOR ALL OPACs TO**:
Enter the name of the IA Technical Representative noted in Block 4.
Identify the specific SUPPORTING DOCUMENTATION REQUIRED, such as a
breakdown of task performance and the costs associated with them.

**11. SPECIAL PROVISIONS**: Enter information as needed, such as an
expanded description of the project, unique requirements for the
agreement or modification, or to direct the Servicing Agency\'s
attention to a particular page in the document, etc.

**12. SERVICING AGENCY ACCEPTANCE**: This block is to be completed by
the person representing the Servicing Agency with the authority to
accept the terms of the proposed agreement or modification.

**13. REQUESTING AGENCY ACCEPTANCE**: Enter the name and title of the
Reclamation Contracting Officer with the proper warrant authority to
execute (sign) the agreement or modification. **(NOTE:** The Reclamation
Contracting Officer usually forwards the proposed agreement to the
Servicing unsigned, and executes the IA after it is signed by a
representative of the Servicing agency).

BACK OF INTERAGENCY AGREEMENT FORM NO. Revised 8/13/999