l'.IAANO l P:E OF

INTERAGENCY AGREEMENT NRC-HQ-84-16-I-0007 I 11 2. ORDER NO. 13· REQUISITION NO 14. SOUCITATIO.N NO

OCHC0-16-0237 5. EFFECTIVE DATE

16

0;71;/~016 7. PERIOD OF PERFORMANCE

10/01/2016 10/01/2016 TO 09/30/2017 B. SERVICING AGENCY 9. DELIVER TO

OPM US NUCLEAR REGULATORY COMMISSION-ALC: MAIL PROCESSING CENTER DUNS: +4; 4930 BOILING BROOK PARKWAY NA ROCKVlLLE MD 20852

USA

POC Jennifer Wingerberg TELEPHONE NO. 202-418-3243

10. REQUESTING AGENCY 11. INVOICE OFFICE

HR US NUCLEAR REGULATORY COMMISSION ALC: DUNS: +4:

ONE WHITE FLINT NORTH

us NUCLEAR REGULATORY COMM.ISSI ON 11555 ROCKVILLE PIKE

ONE WHITE FLINT NORTH MAILSTOP 03-E17A 11555 ROCKVILLE PI KE ROCKVILLE MD 20852-2738 ROCKVILLE MD 20852-2738

POC Fatima Shuler TELEPHONE NO. 301-415-7044 l2. ISSUING OFFICE 13. LEGISlATIVEAUTHORITY

us NRC - HQ Economy Act

ACQUISITION MANAGEMENT DIVISION

MAIL STOP TWFN-5E03

WASHINGTON DC 20555-0001 14. PROJECT ID

15. PROJECT TITLE -

E-OPF 16. ACCOUNTING DATA

2016-X0200-FEEBASED-84-84D099-51-H-156-6023-253A 17. lS. 19. 20. 21. 22.

.ITEMNO. SUPPLIES/SERVICES QUANT1TY IJNIT UNIT PRICE AMOUNT

The Office of Personnel Management (OPM) shall

provide the ll.S. Nuclear Regulatory Commission

(NRC) with Day Forward Support services for

Electronic Official Personal Folder (eOPF).

Master IAA: N/A

00001 To award new IM for EOPF for the Day forward fer 53,501.50

FY 2017

The total amount of award: $53, SOL 50. The

obligation for this award is shown in box 24.

23. PAYMENT PROVJSIONS 124. TOTALAMOUN7

- $53,501..:50

~U~E °!?.uVERNMEITT REPRESEITTATIVE (SERVICING) 26a. Sl'("JATURE _;!f~RNMEN ~><z1vE(R(;t1NGI '" ,,,,. ,,.i),.._ ~v V/ /) /AA

( 25b. NAMe AND TITLE -

129 l~E/ 20 /I 26b. CONTRACTING OFFICER .(__) rg7;Q 1t<-o Olu GP111lfll#/ f fM(} A1oµa.::,/ FATIMA SHULER

~ I

.WNii AmliEW 00MP-t ~ TEMPLATE ·· ADMOm . · . .. . u::' ~ JAN 2 5 2017

NRC-HQ-84-16-1-0007

Federal Data Solutions

Data Warehouse Prog!am

electronic Official Personnel Folder (eOPF) Scanning Cost Estimate

NRC

016.()7/15/2017

Cost/Doc.

1.15

Additional Info lrotal Funding:

folder. Appr0llimatety65SINGLE scanning documents

8ox: Approximately 2.500 SINGLE scam i re documents

Number of Items in boxes and folders Ill'• based off estimates not actuals. please use your best j udime nt when est I mati ng.

Tillid:tlocum.,.tlsfO"OOKIALUSfONLY. TM ... l'Mllti.1t IMllM4 litttr.11rn•••Mlw.it -t MChl:i...d 01 ,roWd"' l•M't'IMrd pMtlittwUtum. Ow ,,,...,..ioftht 01~W1reho11• •NCf1n10flk1. llitv. o•az.201'

I $ 53,501.SO I

2

Lnited Stares Government lntcragency Agreement (IAA)- Agreement Between Federal Agencies

(;eneral Terms and Conditions (GT&C) Section

IAA NumberN~C~~Q-84-16-1-0007 GT&C U

- 0000-Order ii A.inendmenr/Mod #

DEPARTMENT AND/OR AGENCY

1. Requesting Agency of Products/Services Servicing Agency Providing Products/Services

Name U.S. Nuclear Regulatory Commission U.S. Office of Personnel Management

Data Warehouse

Address 11545 Ro•:::kville Pike 1900 E. St. NW, Room 8469J Rockville MD 20852 Washington. D.C. 20415

2. Servicing Agency Agreement Trncking Number (Optional) .. ·- -·

3. Assisted Acquisition Agreement Yes D NorzJ·

4, GT&C Action (Check action being taken)

0 New

D Amendment - ( ·omplete only the GT&C blocks being changed and explain the changi..>S being made.

D Cancellation Provide a brief explanation for the !AA cancellation and complete the effective End Date.

5. Agreement Period Start Da'c 10-01-2016 End Date 07-15-2017 of li\A or effective cancellation date MM-DD-YYYY MM-DD-YYYY

6. Recurring Agreement (C'heck One) A Recurring Agreement will continue, unless a notice to discontinue is received.

YesO If Yes, is this an: Annual Renewal D Other Renewal D State the other renewal period: -----

No IZJ

7. Agreement Type (Check One) IZJSingle Order !AA DMultiple Order !AA -~ ·-. ·-

8. Are Advance Payments Allowed for this KAA (Check One) [ZJYes 0No

If Yes is checked. enter Requesting Agency's Statutory Authority Title and Citaiion -

Note: Specific advance amounts will be captured on each related Order.

·-

FMS Fonn 7600A 6-10 DEPARTMENT OF THE TREASURY

FINANCIAL MANAGEMENT SERVICE Page 1of4

lJnited States Government lnteragcncy Agreement (IAA)- Agreement Between Federnl Agencies

General Terms and Conditions (GT &C) Section

!AA NumbcrNRC-HQ-84-16-1-0007 .::...Q90..Q.: GT&C·#-. -- Order II Amendment/Mod #

9. F.stimarell Agree1m:nl Amount ~Tht: Scrvk:ing Ag.:ncy completes all information for the estimated agreement amount.)

553,501.50 Provide a general explanation of the Overhead Fees & Charges

Direct Cost------·-- __ $0.00 Overhead Fees & C'hargcs _

Total Estimated Amount ------

$53,501.50

10. STATUTORY AUTHORITY

a. Requesting Agency's Authoril)· (Check One) Franchise Revolving Working Economy Act

Fund Fund Cnpit11l Fund (31 U.S.C'. 1535/FAR l 7.5) 0 D D IZl

Other J\uthoritv o·

Fill in Statutory Authority Title and Citation for Franchise Fund. Revolving Fund, Working Capital Fund. or Other Authority

b. Servicing Agency's Authority (Check One) Franchise Revolving Working Economy Act

Fund Fund Capital Fund D 0 D

(31 U.S.C. 1535/l-'AR 17.5) . 0 Other

Authority D

Fill in Statutory Authority Title and Citation for Franchise Fund. Revol.,,ing Fund, Working Capital Fund. nr Other Authority OPM Revolving Fund Authority, 5 U.S.C. Section 1304(f)

11. Reqnesling Agency's Scope (State and/or list attachments that support Requesting Agency's Scope.)

12. Roles & Responsibilities for the Requesting Agency and Servicing Agency (State and/or list altachment~ for the roles and responsibilities for the Requ.:sting Agency and the Servicing Agency.)

FMS Form 7600A 6·10 DEPARTMENT OF THE TREASURY

FINANCIAL MANAGEMENT SERVICE Page2of4

llnited States Government lnteragcncy Agreement (IAA) - Agreement Between Federal Agencies

General Terms and Conditions (GT&C) Section

!AA NumberNRC-H0-84-16-1-0007 .:.0000_.:_ ·- --···------GT&C II Order fl Amendment/Mod #

13. Restrictions (Optional} (State and/or attach unique requirements und/or mission specific restrictions specific to this l/\A).

14. Assisted Acquisition Small Business Credit Clause (The Servicing Agency will allocate the socio-economic credit to the Requesting Agency for any contract actions it has executed on behalf of the Requesting Agency.)

15. Disputes: Disputes rdatcd to this IA/\ shall be resolved in accordance with instructions pmvidt!d in the Treasury Financial Manual (TFM) Volume I, Part 2, Chapter 4700, Appendix 10; lntragovemmental Business Rules.

16. Termination (Insert the number of days that this IAA may he tcnninated by written notice by cithcrthe Requesting or Servicing Agency.)

60 If this agreement is canceled: any implementing contract.lorder may also be canceled. ffthc !AA is terminated. the agencies shall agree to the terms of the tem1inalion. including costs attributable to each party and the disposition of awarded and pending actions_

If the Servicing Agency incu"' cosls due to the RequcstiRR A1icncy's failure to give !he requisite notice of it< intent to terminate the IAA. the Requesting Agency shall pay any actual co.sts incurred by the Servicing Agency as a result or the delay in notification. pro\•idl.'!I such cost< are directly attributa blc to the failure to give notice.

17. Assisted Acquisition Agreements Requesting Agency's Organi1.ations Authorized To Request Acquisition Assistance for this IAA. (State or attach a list 1•f Requesting Agency's organizations authorized to request acquisition assistance for this JAA.)

18. Assisled Acquisition Agreements Servicing Agency's Organizations authorized to ProYidc Acquisition ..:\ssistance for this IAA. (State or attach n list of Servicing Agency's organizations authori7.cd to provide acquisition for this JJ\A.)

19. Requesting Agency Clause(s) (Optional) (State and/or attach any additional Requesting Agency clauses.)

FMS Fonn 7600A 6-10

DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE

Page 3 of 4

United Stales Government lnteragency Agreement (IAA) - Agreement Between Federal Agencies

General Terms and Conditions (GT&C) Section IAA NumbctJRC-HQ-84-16-1-0007

GT&C II - 0000-

0rder # Amendment/Mod #

20. Servicing Agency Clause(s) (Optional) (State and/or attach any additional Servicing i\gency clauses.}

21. Additional Requesting Agency anct/or Servicing Agency Attachments (Optional) (State and/or attach any additional Requesting Agency and/or Servio:ing Agency attachments.)

22. Annual Review of IAA

By signing this agreemenl, the panies agree to annually review the IAA if1hc agreement period exceeds one year. Appropriate changes will be made by amendnent to the GT&C and/or modification to any affected Ordcr(s).

AGENCY OFFICIAL The Agency Official is the highc,;t level accepting authority or official as designated by the Requesling Agency and Servicing Agency to sign this agreement. Each Agency Official must ensure rhat the general terms and conditions arc properly defined. including the stated statutory authorities. und, !hut the scope of work can be fulfilled per the agreement.

The Agreement Period Start Date (Block 5) must be the same as or later than the signature dates.

Actual work for this 11\A may NOT begin until an Order has hccn signed by the appropriate individuals, as stated in the Instructions for Blocks 37 and 38.

23. Recruestln!?. Aeencv Name Fatima Shuler

Title Contracting. Officer ,~ ... -

Telephone (301) 415-7044 Number(s)

Fax Number

Email Addrcs> Fatima.Sh~er@nrc.gov

~IC'\/-.Tl RE , ___ /c;_· /,\~ '--;-,~

Approval Date / / /~ I "1 i/) i (/)

I I

FMS Fonn 7600A 6-10

...

()A~

', Servicing Agency

Ashu Goel

Associate Chief Information Officer

(202) 418-4326

(202) 606-1004

Ashu.~el@opm.gov A

., ~AA'-~ \ ?\/l~~\ lrb

DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE

Page4 of 4

United States Government lnteragem;y Agreement {IAA) - Agreement Between Federal Agencies

Order Requirements and Funding Information (Order} Section

!,\,\ :'iumb~r NRC-HQ-$4-16· -0007 Scn·icing .:\gcncy·) .-\g.rLcmc.:n\ GT&C ft Order# .-\nu.:mlrncnt/Mod # Tr;icking Number (OptiPn<il) ---·-----·

PRIMARY ORGANIZ<\TION/OFFICE INFORMATION

"2-1. I Requesting Agency I Ser,.icing Agen9

ri~.rim;ir\· Org.anization10ffic1: )u.s. Nuclear Regulatory Commission I U.S. Office of Personnel Manageme~t • '.\;mll· _ __J

1_o_c_H_c_o ____________ ___..!_o_a_ta_w_a_r_e_h_o_u_se __________ _

t Rcspon>ihlc Orf!ani;:a1ion'Of1icc 111545 Rockville Pike Addr .... ss Rockville MD 20852

l 1900 E. St. NW, Room 8469J i Washington. D.C. 20415

ORDF:RiREQUREMENTS INFORMATION

~:;. Order Action (Check On<!)

I [2]Nt'W

0 '.\-Iodilication (,'v1od) Lis! affcclcd Order blocks being changed and cxpiaim; the changes hcing made. rnr Example: for J pcrformancc period mod. slate new performance period for !Iii:, Order in !Jlm:k 27. Fill out ihe Funding Modification Summary by l,ine (Block 26) if the mod involves add in~. tickling or ch~nging: Funding for :rn Order Line.

0Cancellation ·. Prcwi<le a hricf explanation for Order ca11ccllation and fill in 1hc 'Pcrformanci:: Period F.nd !htc l(>r thl' t:flc.:ctin: cancclla1ion date.

L I

·~~~~--~~~~-,.l~~~~~--.J~~~~~~..-l~~~~~~l~-.-~-ll-a_l_o_f_A_ll~--..~~~~~--1

26. Funding Modification j =-~ · 01hc: Linc'

! Summary by Line

1

Lrnc It___ Linc:; l Lrnc;; --1_ Total ( :ia;1c:h funding

·--u_1c_·t_a1_·1s-'-·i_ ·-'----------l D2!i;:inal Linc Fundin; i S f S I S l S

l Cumul~!iv.; f'undim: Chan11cs ll ! --~-

S0.00

From Prior Mods [addition-(+) or js S S · ii S

r.:d1Klion (-)j t ' Funding Change for This '.\1od ·-- ·-$-------+------·--!-------'------

s 0.00

s is s I so.oo TOTAL Modified 06ligation S 0.00 $0.00 SO.OD S0,00 ro.oo To!;il ..\clv:11KC Amount (·.l .S s s :'> so.oo .

I N~t Modified Amount Due S0.00 so.oo 50.00 $0.00 SO.OD

'··--...,-------------------------------------------~ I 27. Pc.rform::mce Period Stan Datt:

I f:nr • pt:rfiHmancc pcri,id mod. in~<:fi

II ih" ..;1;ir; and t.:nd J<tlC~ Jh;ll rt.:!lcci 1hc

"'-'" pafnrrn;1nce rx•rind.

FMS ~~'~ 76008

10-01-2016 End Dart.: 07-15-2017

MM-DD-YYYY ~--------

MM -DD -Y Y Y Y

DEPARTMENT OF THE TREASURY FJNANCir<L MANAGEMENT 0EHVJC::.

Page 1of5

IAA Order

01tkr # .-\111cndmell! Mod 11 Ser-vicing A~ent:y·'f . .-\~r~1.:mcn1 Trackin~ Numhc:r !U[1i!On<1I) _

-----~------------------------~-----------.....,.--·---i i :'.K. Order !.ineffunding Information f .

I Line :"\u111her ____ _

r----··--·----- I Requesting .l\gc~cy f~ding-- ,-·-- Se~·icing Agency F;;~ding-lnfor~·rntion ____ _

l l lnformution r ··-··-- . ·-- ___________ 1 _____ ····---------------1--------- -·--- ---·--------·--,\!.<' I 31-000001 24-000001

("1mp1•ncn1

T.·\'.) "'"""''

sr· I .\T.\ ! 'm \ 1wo., 1-:?oA 1 ·\ ! ·'•Al:> \ si:11 s1· J ATA j .\IP j ;iPo.\., E Po~~

---r-!ci.31--'----'--·-1'-x_.....1 -02_0_0-+J-03_1_-!--'1---!-02-4--'--1·--r···

.. •J< C:um:m T!\.S formm

! ,\ j ~1.\J'\ i 'Fll

I _L_R.i f x i 4511 jo2~

~----------~·---------------·--·- -·-----··-·-'----------·------·---. BFTC DISB COLL

-- --------··-·- ---- -------·--· - -·-----------------·---·- ····---· "'1 Objccr Cl~s" Code rup~i''""' 1 253.A. J

l~:~~---==_-:---·--·- 04o535sog ··--- 791188589 ____ ·-------------·--·· ·----· ·· 1

_!~!_:'.':__~ -; <Op1iw1a!) ·1···' Additi<JO~i Accuuntin;; 2016-84-51-H-156-6023 ( :i;"si lkation/f nJornrntion

; i0ptinna0 .. ----------- ----~-·~-----------------------' 1 K~tp.:cs!in;.'. ,\)!ctKy Funding Expiralion Dail~ Requesting Agency Fundin~ Cancc'_ll:ni,in Da1c· .! 1----~~-:.-·!:_-D_T!_-~--~=--·x-.. _'r-. __ . eO~ttav·F-;;;Nard Support for FY17MM-DD-'2'._:_'_Y_Y ______ ·--·-------- ----- ----! l Pnijed ~.;umber & Title · I rncscription of Product; andior s~rvices, inclucliog the Bona Fide Need for this Order (State "r <lltad1" description ,if ~ i pmduct~'serviccs. including the bona fide 1wcd ior 1his Or<.lcr.) j eOPF Day Fnrwarc Sup~on for.FY-. 7

I i r----··--- ···--··~···-·-------·

\:"rn th .-'\mcrican fndustry Ci~ifica1ion Sy~1cm fNAICS) i'/urnhcr (Optiona[)

Breakdown of Reimnursaf>le Linc Costs i )!< Breakdown of Assisted A~·<1uisition Line Cost:

uriit ,,f ~ka-;ur.;, ------·--------t-(-~'n_n_r_ra_(·_~-_c:_.o_sl-+1 _s ___ . _______________ -]

L _ _sJ·~-1\li1y Unir Price Total Scrvic"ing Fees S

l 1 11

S-53.501.i:O I s 53,501.50 TOlitl $ 0.00 L,___ -·- ·-------+-O_h_li;:_g,_·tt_c_d_C_,i_s_r -+----------------..{ I O-.·e:-l1ead Fe<:" & Charge-., l S ,\(h·;rnce for ! j; ~,;lr".i;;-::·_.'\mou111 Oh~il!Jtc·cl -~--53.501.50 Linc(-) i . II :\er Tuwi Co:<_l _,!_$_. o-_-o._o ________ _

!\ssiswd r\cqui:;ition Scn·i,·ini; h:r>< Exphm;uinn ;>-~~~-~-~~-~~--..---~------~

___ _2<f\:1ilcel~int:Amount(·) i S

l I

! :\er Lin<: Amoum Due JS 53,501.50 i I I ! Type of Sen·ic1· Requircmeni~---~---- -------'---------

/ i.~.-~ .:-:~n:r;:bk Servit:c

--1 FMS ~~1~ 76006 DEPARTMENT OF THE TREASURY

f'INANCIAL MANAGEMENT SERVICE Page 2 of 5

;r,.'. :~unilic·r NRC-H0-84-16-1-0007

c;n,c=

IAAOrder

Order ii .-\mcndmcni!Mod i; ~Cn'it.·in~ .-\gt!nc~:~:) :\,:.!r1..~t:mcn~

Track inf: ~umh..:r rOp1io11all -------

I 29~~d~:;c;~rmation iCnmrlc;c Block 29 if \he .'\d\wtcc Pay1nc:m fn1 Prndui.:1,1Si:n·ic(:s was check~d "'Ye:{· 011 thc <.iT&C.; I .

[ Total Ad,·ance :\mount for the Order$ 53,501.50 ':\ll Oc1.kr Lin:: adv:irn;..: amouiH,; (BJ,1ck 2S) musl ~um I<' ;hi'"'.,,,._: I ---- I

l !{,·venue· Rccol,(nition .\Iethodolog:v (according 10 SH·AS T1 lltk.:nlify 1hi.: Rc,cnuc Recognition Mcthodnl11~y 1fl;n '\"Ill he· u~c:d "' ! ;;ccc>uill for ch~ Reyuesting Ag~ncy's cxpcn~ and ihc Servicing .~.gency· s re,·c:nuc} t [ U Slr3i!_!l1l-!ine P1«widt: amoun: lO be accnwd S :md ~u:nhur of Months ! 0 .·\ccrual Per Work Cc1111p:c1cu ·-Identify 1hc ~ccnun1ing posting pai1ld·

I 0 \1,inthly per work e<Hnplcicd & invoir.:cd

! 0 Othci lcxri;iin other rcg.ular fic:ri1H.I <himonihly. yuar,erl: c1c l for rostmcr .u.:cru~ls :md how ;h,· ;i:;n n· =l ~

:imoum~ wtll he ~·:1mmumcated if •11hcr th;in billed.

I. Total ~ct Order .'\mount: S 03,501.50 ~~-~~--~~~~~.~~~~~

/ I :\ll Order I .in~ Net Amount~ Due for r..:imhursahlc agn:cmcms and Net T11iul Costs wr :\,s1~1~d .-\c4wsi1ion .-\~rccmcn::- 1 l)in,·K 2:-. I ! m1i-1 c'Ulll I<' lh1' 1otal.j __j , J l. Attachmcnb (State nr iis1 ;Hmchmrnis. l

,.-, U Key projccl ;,nc11or acq•Ji~ilion rnik~tonc:s (Ortional cxn:ri for Assi~1c<J Ac.:tjuisirion .-\gr,·cm<!nl.;)

I .i 0 Oihcr 1\11;,chmcms <Ontionall

! l I

L---~---------- ~11 BILLING & PA.YMENT l!'IFORMATfO!~ .

l~~~~~~~~~~~~~~~--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-; 1

J 31. Paym('O[ Me!hod {Cl1cck Orn.:)! lnrra-gm·ernmental Paymcnr and Collection (fP,\C) i., thc: l'1ci"c:rrcJ \!c1lmd.j l

I

i :; 1:n'·'' ",;·.._-,!. 1!!:· :':1,·1:1·.:n; nw1h1.J 1n11'1 "~"·,,;,nl: !he Ii'.-\\ T1::.lin~: l':1r:11,:; \'.~:,·,·rncni r !"!'·\1 l!

I L~ Rc11ucqi1l!! .'\;!.<.:l1Gv Initiated fl' AC t..:6 s,t:.\·idng .·\gcncy lni!iatcd ll'N.

~ 0 Cr<:dH C:m.! D 01hcr ·- Exriain 01h.:r p;1ymcn1 method :ind re;isnnint: J

I .13. Billing frcqucnc.v (Ch"d. ()11c) l \" lrn.•i,c rtl11<I bt· 'Hhmil!«tf Ii~ !ht· Scn·king \g1·n<·.1· and acc«:p!t"ll hy thr Hnp<«>tin:c \i"efl(., Hl·!-Of<I: !"!incl·· an !

f ... ; .,,;.,"·"·<! r i. .... 'i:i 11' \ t · tr:1n'a,·1 ion I J ,o;dvance Billing ! ' O' . u f71c . i I I \.l,1n1nJv ()u;ir:c:I~· ~ )thcr llilli11& F1cqm:w.;y cincludt: cxpl~na1k1n )_____ 1

i-------~~~~~~~~-~~~~~~~~,~~~~~-~~~~~~~~~~~~~~.~~~~~~~~~--1· l i J-1. Payment Terms (Ch~ck One:)

l f7j 7 Jay' 0 Other l'.1ymcn1 Tc.rrm. (include expla11a1in11 ;: ---·---------­! i !

FMS Fann 76008 04/12 . DEPARTMENT OF THE TREASURY

-;;1NhNCIAL :~\~N,.'\Gtr/,E;N: sEnvic:~

?age~ ct 5

IAAOrder

i.\,\ ;\~1mi'~r NRC-~Q-84-16-'.=?~~- _ Sc:-\'1c;ng .-\g~n<.::~· · 5 !\gr..:~·mcnt

1·;TS·C -~ Onkr" ,\mcndmcnr:!\1od r; TnH:bn:z :-.:un1hc.;;- (Or1i1t114dl ______ _

.\~. Funding Clnuscslln.>truc:tion• (Opti<'nal) (St<ll~ aml 1nr !isl funding c!:rnse~:i11struc1i1111>.)

.36. Delhery!Shipping inform:.ition for Products IOp;ionul) ________ J ~.-\~ency ~amc · . I --------· I j .. r."i1:~·.,n:ic.:\ {f'OCl Nan-;;: & 21;k ··-- ----------- ______ -·_~jl ~ l'OC Emaif 1\d<lrc~s [

r:kli~·e1) .·\d<lrcss ;R()(\ffi Nun~ber .. --r------------ I l POC T~lcphon~ :'\umhcr -· I ls;~cial Shi[lpin!.! Information -- --·1 f . . APPROVALS AND c'ONTACTINFORMATIO' I r l' I 37. PROC;RAM OFFICIALS ! The Pr<)gram Offki<.1l>'. as idcntifi<.0d hy Ih,; Rcqucs1ing Agcm:y and Scrvicing·A11cnc,·. ;nust ensure 1!ia1 !he ~cope :if work i~ i I pr•>pcd~ Jcfrncd and can he: lulfilkd lor 1his Or<lcr. Th<.! Pmpam Ofticial ma~· •ff ma~· no1 h~ the C\intra.;1in9. OffitYr 1lep<.:nJin_>.: OD

L-=~~ :1gc_~.:_:~A.\ busine:;s pro':_<'S>. --··----'

! R..:qm.:s1ing Agency I Tr"m c"_a_n_n·o·--n- s.~r-·i~ng ~l:_i:_nc·_-·,_,_._-__ -___ --_·_-__ ·.· .. ·.·-..• -.· _- __ ··-······· 1.-.:~;;-;~- . ··- ---------- -Fatima Shuler I .. _ li·,;;;-- Contracting Officer Data Warehouse Financia' & PMO Manager i r----· ------···-·--1 J Tckrhom.: :--:umht:r (301) 4i5-7044 (202) 606-4353 __ · ___ J

!'ax Numf>cr / (202) 606-1004 j -------·------- I . ----·----------------·-. I F:mai! _Adcln.:» ·---~Tim.

'!(."\.\Tl HF / ---·--"""1----~y~·-".'--"'

D:it<.: Signt:d

pproving Officials, as identified by the Requesting Agency and Servicing Age;-.c·1, c?.:-:if1 tna! tne funds :<re ,;cc.,::"'"• cited and can be properly accounted for per the purposes set forth in ~h<> Order. The Requesting ;\ge;<cy Fun_ding Official sign> t::> obligate funds. The Servicing Agency i'ui>riin!_ Dfiic:!'l' signs w «:2··:: · t' work.:;~.:::,; bill. co/leer

and oropcrly account for func~. frorr: the Requesting Agency. in accord~nce with the agreement.

'.- '~~~ ·=-=-~~ ---11!ka Soiorin Ri:quc~in't_'...1..~~---~~ C~n~on. .~~\!=!:·~ Ag<:m:~'.·_-;-__ :·_ ~J !~------ I Funds Certifying Official · j Oat~ VVarenouse F;nanc;ai & P~~O ~~1anager ~

1'_2:_~·~-honc \:umhcr_ 1(301) 287-0591 f(202) 606-4353 __ I

f-~~1~ >lumhc1 ____ I ~~) 606-1004 -~ i.!:m'.1i! .·~~':" ___ j iika.S~io~~@. ~rc.g~v --,-- Tim.C pm _g~_v _____ _

·f-.,JL\..\]! 1H. I .•"/1.:i .<>(•: .. "-:/'

L:>:11cSi~n~c: ) ·:>, ,_ <J/;~J_;;i.01(,, ---------·-

FMS Form S 04112 7600 DEPARTMENT OF THE TREASURY

FINANCIAL MAN.>.GEM:::NT SER•/ICF. Page 4 of 5

!AA Order

!,\,\ \·umh<:; ~Rc.~~Q-84-1~-1-000~ _ Servi .. :ing .·\gene:~· ... ~\~rt'L'mL·n1

CT.l;:C -7 Or,l~r;; .-\mrndm~nt '~hHf;: Trad:in.!'. \umh,:r (CJp1io11;1!1 -------

CONT_..\CT li\FOR\IATION

l ~y..;_.~\'C!·: OF_FJCEPoin!~ 11J'Cont:1ct i}!OCsl , . . . . . . . . . : 1 ht: f1nanct: '->illci.! pom1s u11..not~et 1nusl cnsurr..: 1h.at lllt:! pa.\·mc.:nt <Rc4ucst1n~ A~cnc~. ). htllrng ( '.::,er,·Kin~ :\~cnl.~; ). antl ~'..~cflun1in~ infonnurnm arl' ;1ecur;1ic and timd~ [or 1hi~ Orckr.

~~~-----------l;-. ~equcsting .-\genes !Payment OfficeJ I -·Servicing Agenc:• 1Billing Ot1kcl

!Tim Cannon f >:.;1,11.: 1~1kf,a LeGrand [;-;:.\~~~~-·-------- f Bran~-h-C_h_i_c_f.-P-a_y_ro_l_I _&_P_a_y_m_,_e_n_t_s_B-ranch i Data Wareliouse Financial & PMO Manager

-------------------- ..

II Onie~ .\<ldre~~ 'i 115..:.5 Rockville Pike r 1900 E. St. NW -· , Rockville. MD 20852 I 0 ~ ?O' -\Nashington. ·'-'· _ ..,.1:;

r Tc·kn-hon:-~u;nht·r !(301) 415-7748 . 1(202J 606-4353 i1:;-;~~-:\11mhc_r ___ 1 ------------~i-(2_0_2_)_6_0_6_-· 1004

tf.,;:;-,·-.~~J;l r::_ ____ -----·--1 Erikka .LeGramJ@nrc.gov I 1 Si,;n~lu:t! S.: Date (Opiion;il I

-40. ADDITIONAL Points of Contacts tl'OC.~l (:1s determined by <.:ad1 /\1! Tins ma~· include COl\TRACHl\G Oifit:c Poim~ of Contact iPOCs).

l

I _]

I --,

------, Requesting A~ency j Ser\'icing .-\.gency ----··----

[~:~,-;;-----------Vevm Jones· I PMO Data Warehouse Correspondence ------[_!J;i;·----··· I Sr. Manage~;;!& Program Analyst ---!--------------------·----:

i OJ~~~--:,\;J~!r~:,, I Three White Flint North i Data_.Warenouse_ Program_Mamigernent_ Orr;~:-1 ~--·-------·----- j 11601 Landsdown Street I e@opm.gov ··----------·---· ! T"kph<>llto ~unihcr j (301) 287-0573 l fl':~- :-:u-,-,,-,;..:-.; i-'--'--------------- I --------l r~:·.maiiA(kl;~~~ I KevirU~nes@mc.gov j nsee office address box-- -----1

LSi.~~"1:1~c __ S: _!J_•_11_c_(_O-'p_1_io_n_a=l!=======================·====================~~~~~~~~-~~~~~~~~~~~~~~~~~~~-~~~~~~-.-;J I ~·1rnr Michelle Wiiiiams J 1

1'. ~~:~=~~~=~-----t-H-u_m_a_n_R_e_s_o_u-rc_e_S_p_e_c_i_a_lis_t _______ _,_ __ -'_-------·-------------1

·-1 I Of:kc :\ddrc" II Three White Flint North ! '--·-----------··· , 11601 Landsdown Street -··---·----------~ p·,~'.:f:~,~~'=1hcr _I (301_)_2_8_7_-_0_7_4_4 ___________ i l

'-.~~:1:; -"!'.'.'.'._~~-~------------ j ~~mail :\ddr""" ___ Michelle._Williams@nrc.gov \

I :>i;;nauin: & Da1c (Option:.ii)

/'.\:a~; . LTith: i Office .'\udre~<

I

-----! I I

---·--··-·--j ·--· --l ~

i -----·-·-------!

. I __ . ~:k~h;;;,-;:-:~urnhcr ---( -i-------- -----·--·------ ~

f-v;;~ ?\umhrr . ' ---1-· . _______ ___,! _____ . ----_---~·-----·-·----1---- -i Er.1;1iJ AddfL·:-.:-. I j ----------·-·' [~i~.11:1ltFc' & 1):11;."(n~1i~:.::~-])-. -;--------·----· _____ _,_f _______ _

Flil!S :g~ 76008 DEPARTMENT OF THE TREASURY FINANCIP,L MANAGEMENr SEF'VICeo

Page 5 of 5

Enterprise Human Resource Integration Program Request for Accounts Receivable Processing

Fiscal Year: 2017 Fund:4571XXXRBOD Program: 1100000 Organization: 3212120000

Customer: NRC

Agreement Value: $53,501.50 Service: Day Forward Project: 321212170

Agreement Number: 32121217DNU0001

Amount: $53,501.50

Service: Project:

Agreement Number:

Amount: $

Description: Please record the agreement funding as noted above and advance bill the total agreement amount.

P:\Finance\Budget\Budget Management