peace corps ms 744 attachment e (pcmc lt contract template)

8/14/2019 Peace Corps MS 744 Attachment E (PCMC LT Contract Template)

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Revised: 00/00/000\par\par\pard\ul Instructions for use of Contract\par\ulnone\b\parNOTE:\b0 This contract template is for use in awarding long-term \b MedicalPersonal Services Contracts (PSCs) \b0 to U.S. Citizen or Third Country Nationalnon-host country residents. This template conforms to the policies of ManualSection 744. The wording of clauses within this template is not to be modifiedwithout the written approval of the Head of the Contracting Activity at PeaceCorps Headquarters. \par\parThe Contracting Officer should complete the blank spaces in contract sectionB.1.A.\par

\pard\sa120\parThis template is designed for use in awarding long-term contracts (260 workdays ormore). The benefits authorized for use under this contract are those listed inAttachment I, Non-Host Country Resident PSC benefits, (a) Long Term US Citizen orTCN Temporarily Residing in the Host Country or Within Daily CommutingDistance; \ul OR\ulnone (b) Long Term US Citizen or TCN Residing Outside of HostCountry and Not Within Daily Commuting Distance. The benefits included in thecontract default to the benefits listed in section (b), and must be changed if theformer situation applies. \par\parPosts awarding long-term PCMC MS 744 PCMC contracts should use the contract awardsheet found through the following link:\par\cf1\ul topics\\MS 744 Post cover sheet.doc\cf0\ulnone\par

\parAll long-term 744 PCMC contracts awarded through PC-Washington will use thefollowing:\parThe Standard Form 26 is used for the contract award sheet and can be viewedthrough the following link: \cf1\ul www.gsa.gov/Portal/gsa/ep/formslibrary.do?viewType=DETAIL&formId=5581FA27C1531C4985256A1F005A2D1D\cf0\ulnone\parThe Optional Form 336 is used for the contract award continuation sheet and can beviewed through the following link: \par\cf1\ul www.gsa.gov/Portal/gsa/ep/formslibrary.do?viewType=DETAIL&formId=FEC41F9E42F2332685256A730013306A\cf0\ulnone\par\par\pard\li360\sa120\f1\par\pard\f0\fs24\par

\page\par\pard\qj\b\fs22 SECTION B - SUPPLIES OR SERVICES AND PRICES/COSTS\par\pard\b0\par\b B.1.\b0 \b Contract Price\par\parA. Base Year and Options\par\par\b0 Peace Corps shall pay the Contractor for satisfactory actual work performedunder this contract at a rate of $_______ salary every two weeks for the period______ through \par________. \b This bi-weekly rate is derived by multiplying the negotiated daily


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rate by 10 days.\b0 The price\cf2 \cf0 of this contract excludes travel and perdiem. The Contractor shall be provided a travel authorization and be reimbursedfor allowable expenses and per diem in accordance with the Uniform Foreign ServiceTravel Regulations. The Contractor shall be paid for any orientation days inWashington authorized on a travel authorization and authorized participation inmedical conferences overseas. The Contractor shall not be entitled to the dailycompensation while in travel status. The Contractor shall not be entitled tocompensation for days in sick status or in a medical clinic or hospital beyond the

amount of the Contractor's accrued sick leave. \par\parThe pricing for option periods will be determined as follows: \par\par\pard{\pntext\f0 1.\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart1\pndec{\pntxta.}}\fi-360\li360\qj\tx360 For the first option \ul\tab\tab\ulnonethrough\ul\tab\tab\ulnone , Peace Corps shall pay the Contractor a 3% raise plusCOLA, provided that the total yearly salary does not exceed the maximum salaryestablished for this position. \par\pard\qj\par\pard{\pntext\f0 2.\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart2\pndec{\pntxta.}}

\fi-360\li360\qj\tx360 For the second option \ul\tab\tab\ulnonethrough\ul\tab\tab\ulnone , Peace Corps shall pay the Contractor a 3% raise plusCOLA, provided that the total yearly salary does not exceed the maximum salaryestablished for this position.\b\par\pard\qj\par\pard{\pntext\f0 3.\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart3\pndec{\pntxta.}}\fi-360\li360\qj\tx360\b0 For the third option period \ul\tab\tab\ulnonethrough\ul\tab\tab\ulnone , Peace Corps shall pay the Contractor a 3% raise plusCOLA, provided that the total yearly salary does not exceed the maximum salaryestablished for this position. \b\par\pard\qj\parB. Availability of Funds for the Next Fiscal Year (FAR 52.232-19, APR 1984)\par

\b0\parFunds are not presently available for the option periods of this contract. TheGovernment's obligation under this contract is contingent upon the availability ofappropriated funds from which payment for contract purposes can be made. No legalliability on the part of the Government for any payment may arise until funds aremade available to the Contracting Officer for this contract and until theContractor receives notice of such availability, to be confirmed in writing by theContracting Officer.\par\pard\par\b B.2.\b0 \b Pre-contract Costs\par\pard\nowidctlpar\sb240\b0 The Government will reimburse the Contractor for thepre-contract costs listed on page(s) 2 of the contract, which are to be itemizedand billed by the Contractor on his/her \b\i payment\i0 \b0 voucher. Amounts

cited for reimbursement to the Contractor are "Not to Exceed Amounts" and \boriginal receipts showing\b0 \b proof of purchase shall be required tosubstantiate any Contractor claims for reimbursement\b0 . Contractor should notethat reimbursement must be sought via inclusion of claimed amount(s) in a vouchersubmitted pursuant to Section G.1.,"Billing," not as part of vouchers submittedfor travel reimbursement under a travel authorization. \par\pard\f1\fs20\page\b\f0\fs22 B.3.\b0\tab\b Additional Benefits\par\par\b0 The Contractor is entitled to only those benefits specified in thecontract.\par\b\par


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\par\par\b\par\pard\qj\page SECTION C - DESCRIPTION/SPECIFICATION/WORK STATEMENT\par\par\parC.1. Statement of Work\par\b0\par

\parThe services to be performed will be subject to the ultimate responsibility andauthority of the Peace Corps Country Director who is responsible for all PeaceCorps activities in the host country. The Country Director may designate anothermember of the Peace Corps staff to monitor and provide technical or administrativeguidance regarding the services required by this contract.\par\parA. \ul Services to be provided\ulnone \par\par\tab\tab See Attachment, \ldblquote Statement of Work\rdblquote \par\parIn the event a security clearance is required by the Peace Corps and thecontractor fails to receive the appropriate clearance, this contract will

terminate upon notification to the contractor that the clearance has been denied.\par\par\b\page SECTION D - PACKAGING AND MARKING\par\b0\fs18\par\pard\fs22\par\b D.1.\b0 \b Packaging\ulw\b0\par\ulnone\parPreservation, packaging and packing for shipment or mailing of all work deliveredhereunder shall be in accordance with good commercial practice and adequate toinsure acceptance by common carrier and safe transportation to the destinations atthe most economical rate(s).\par\par

\b D.2.\b0 \b Report Format\ulw\b0\par\ulnone\parIf required in Section C.1, Statement of Work, the contractor may be required tosubmit an interim or final report. When required by the Peace Corps, theContractor shall deliver each report in camera ready copy and on a computerdiskette in a compatible electronic format. Each report shall be accompanied by aletter or other document that identifies the item by contract and/or name ofprogram under which the item is being delivered.\par\pard\qj\b\page SECTION E - INSPECTION AND ACCEPTANCE\par\par\pard\b0\par\pard\qj\b E.1. Inspection and Acceptance\ulw \par\ulnone\b0\par

Inspection and acceptance of the services and/or supplies called for herein shallbe performed by the Peace Corps Contracting Officer, Country Director, or his/herdesignee.\par\par\b E.2. Clauses Incorporated by Reference (FAR 52.252-2, FEB 1998)\ulw\par\ulnone\b0\parThis contract incorporates one or more clauses by reference, with the same forceand effect as if they were given in full text. Upon request, the ContractingOfficer will make their full text available. Also, the full text of a clause maybe accessed electronically at this/these addresses: \ul www.arnet.gov\ulnone\par\par


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52.246-4 Inspection of Services - Fixed-Price (AUG 1996)\par\par\b\page SECTION F - DELIVERIES OR PERFORMANCE\par\pard\b0\fs24\par\par\b\fs22 F.1.\b0 \b Period of Performance\par\b0\parChanges to the period of performance specified in section B.1.A. shall not be made

without specific written approval of the Contracting Officer. \par\parThis contract is renewable for 3 one-year periods. The \b first option period,\b0 if approved, is to be \b unilaterally\b0 exercised at the discretion of thePeace Corps. If exercised, the contractor is obligated to perform during the firstoption year.\cf2 \cf0 The second and third option periods are bilateral, and thePeace Corps and contractor must agree to the exercise of the options. Peace Corpsagrees to give the contractor thirty (30) days notice of its intent to exerciseeach option.\par\par\b F.2.\b0 \b Delivery Requirements\par\b0\parA.\tab\ul Interim Reports\ulnone\par

\parThe Contractor shall submit written reports as may be called for from time to timeby the Peace Corps Country Director or his/her designee. These reports, ifrequested, shall include, but not be limited to, the following areas:\par\par\pard{\pntext\f0 1)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart1\pndec{\pntxta)}}\fi-360\li360\tx360 A candid assessment of the post\rquote s health care programand the potential of success in accomplishing the goals of the program.\par\pard{\pntext\f0 2)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart2\pndec{\pntxta)}}\fi-360\li360\tx360 Major problems that arose and recommendations for anticipatingand minimizing such problems in the future.\par

\pard\fi-720\li720 3) Recommendations for improvements of the health caredelivery system.\par\pard\parB.\tab\ul Final Report\ulnone\par\parIf required in Section C.1, Statement of Work, a final report, covering thesubjects indicated above, may be required by the Contracting Officer or his/herdesignee, Peace Corps, Washington, DC before final payment will be authorized.\par\parC.\tab\ul Medical Reports\ulnone\par\parThe Contractor shall submit a medical report of incidence of disease and any otherreports required or as provided by the technical guidelines and a biannual

evaluation of the in-country health care program to the Medical Director inWashington. Such reports shall be in the format and detailed as prescribed by theOffice of Medical Services.\par\par\b F.3. Release of Information\par\b0\parAll rights in data and reports produced under this contract shall become theproperty of the U.S. Government. All information gathered under this contract bythe contractor and all reports and recommendations hereunder shall be treated asprivileged information by the contractor and shall not be made available to anyperson, party, or government, other than the Peace Corps, except as otherwise


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expressly provided in this contract.\par\pard\qj\b\page SECTION G - CONTRACT ADMINISTRATION DATA\par\parG.1. Billing\par\pard\nowidctlpar\sb240\qj\b0 The Contractor\rquote s proof of services providedwill be documented on a bi-weekly basis using a Post-controlled timesheetsubmitted to the Peace Corps Country Director or designated Certifying Officer,duly signed by the Contractor and Country Director or designated Certifying

Officer. Using the Human Resources Management System (HRMS) module, the PeaceCorps Country Director, or his/her designee, will process all payments with theexception of the final payment (see Clause G.2., below) which will be manuallyprocessed by the Office of Acquisition and Contract Management in Washington.\bIn order for PC to issue appropriate 1099 forms to the Contractor, pre-contractual(non-taxable) costs must be submitted for reimbursement on a separate voucher(s)from compensation processed through HRMS or manual vouchers submitted forcompensation payment(s), which are considered taxable income.\par\ul Documentation\ulnone : \b0 Excluding payments processed using the HRMS Module,all billings (vouchers) will set forth the following information:\par\pard\keep\nowidctlpar\fi-720\li1440\sb240\qj 1. Electronic Funds Transfer (EFT)information, if not already submitted.\par2. Period covered by the billing, and amount.\par

3. Date Contractor began work in country.\par\pard\keep\nowidctlpar\fi-720\li1440\sb240\qj\tx720 4. Original proof of purchasedocumentation for pre-contract reimbursable costs.\par5. Contractor\rquote s signature \par\pard\nowidctlpar\sb240\qj All billings shall contain a written certification that"the personal services listed hereon were required by and used in the performanceof the work under the contract referred to on this voucher and that paymenttherefore has not been received." The Contractor and the Peace Corps CountryDirector or his/her designee shall manually sign the certification on the originalPC 2059 (see attachment) or its equivalent.\par\ul\b NOTE\ulnone\b0 : For all contract payments, no payments shall be made usingthe Imprest Fund unless approved by the Chief Financial Officer (CFO) at PeaceCorps Washington or his designee. All payments shall be made in the currency of

the award.\par\b G.2. Final Payment and Contract Closeout\par\b0 Prior to final payment under the contract, the Contractor shall execute anddeliver a release (See Attachment \ldblquote Contractor\rquote s Release\rdblquote) discharging the Government, its officers, agents and employees from allliabilities, obligations and claims arising out of or under the contract. Thefinal billing (voucher), along with the Contractor's Release, shall be submittedto the Peace Corps Contracting Officer for payment and contract closeout. Inaddition to the information listed above in Section G.1, the final billing shallinclude the amount paid to the Contractor prior to final billing and the periodcovered by these payments. The final payment will not be released until theContractor liquidates all outstanding travel advances by submitting the necessaryvouchers and payments.\par

\pard\qj\b\page G.3\tab Mandatory Information for Electronic Funds TransferPayment\par\b0\par\pard{\pntext\f0 (a)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart1\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 The Contractor is required, as a condition to any paymentunder this contract, to provide Peace Corps with the information required to makepayment by Electronic Funds Transfer\par\pard\qj (EFT). Prior to submission of the first request for payment underthis contract, the \par

Contractor shall provide the following information on the form provided to


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them.\par\par\pard\fi-720\li1440\qj (i)\tab Name, address, 9-digit Routing Transit Number ofthe Contractor's financial institution);\par\pard\li720\qj (ii)\tab Contractor's account number and the type of account(checking, saving, or lockbox).\par\pard\qj\par\pard{\pntext\f0 (b)\tab}

{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart2\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 If the Contractor's financial institution is not directlyon-line to the Federal Reserve Wire Transfer System (i.e., stock brokerage,foreign bank, etc. and therefore, not the receiver of the wire transfer payment),the Contractor shall also provide the name, address and 9-digit Routing TransitNumber of the \ul\b correspondent financial institution\ulnone\b0 (i.e., U.S.bank) receiving the wire transfer payment.\par\pard\qj\par\pard{\pntext\f0 (c)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart3\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 Notwithstanding the provisions of any other clause of thiscontract, Peace Corps is not required to make any payment under this contractuntil after receipt, by the designated payment office, of the correct EFT payment

information for the Contractor. Until receipt of the correct EFT information, anyinvoice shall be deemed not to be a valid invoice as defined in the Prompt Paymentclause of this contract.\par\pard\qj\par\pard{\pntext\f0 (d)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart4\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 If the EFT information changes after submission of correctEFT information, Peace Corps shall begin using the changed EFT information nolater than the 30th day after its receipt to the extent payment is made by EFT.However, the Contractor may request that no further payment be made until thepayment office implements corrected EFT information. If such suspension wouldresult in a late payment under the Prompt Payment clause of this contract, theContractor's request for suspension shall extend the due date for payment by the

number of days of the suspension.\par\pard\qj\par\pard{\pntext\f0 (e)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart5\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 The Contractor shall designate a single financial agentcapable of receiving and processing the electronic funds transfer using the EFTmethods described in paragraph (a) of this clause. The Contractor shall pay allfees and charges for receipt and processing of transfers.\par\pard\qj\par\pard\fi-360\li360\qj (f)\tab If an uncompleted or erroneous transfer occursbecause Peace Corps failed to use the Contractor-provided EFT information in thecorrect manner, Peace Corps remains responsible for--\par\pard\qj\tab (i)\tab Making a correct payment\par

\tab (ii)\tab Paying any prompt payment penalty due; and\par\pard{\pntext\f0 (iii)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart3\pnlcrm{\pntxtb(}{\pntxta)}}\fi-720\li1440\qj\tx1440 Recovering any erroneously directed funds.\par\pard\li720\qj\par\pard{\pntext\f0 (g)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart7\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 If an uncompleted or erroneous transfer occurs becauseContractor-provided EFT information was incorrect at the time of Governmentrelease of the EFT payment transaction instruction to the Federal Reserve Systemsand:\par


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\pard\qj\par\pard{\pntext\f0 (i)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart1\pnlcrm{\pntxtb(}{\pntxta)}}\fi-90\li720\qj\tx720 If the funds are no longer under the control of the paymentoffice, Peace Corps is deemed to have made payment and the Contractor isresponsible for recovery of any erroneously directed funds; or\par\pard{\pntext\f0 (ii)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart2\pnlcrm{\pntxtb(}{\pntxta)}}

\fi-90\li720\qj\tx720 If the funds remain under the control of the payment office,Peace Corps retains the right to either make payment by mail or suspend thepayment in accordance with paragraph (c) of this clause.\par\pard\qj\par\pard{\pntext\f0 (h)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart8\pnlcltr{\pntxtb(}{\pntxta)}}\fi-735\li735\qj\tx735 A payment shall be deemed to have been made in a timelymanner in accordance with the Prompt Payment clause of this contract if, in theEFT payment transaction instruction given to the Federal Reserve System, the datespecified for settlement of the payment is on or before the prompt payment duedate, provided the specified payment date is a valid date under the rules of theFederal Reserve System.\par\pard\qj\par

\pard{\pntext\f0 (i)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart1\pnlcrm{\pntxtb(}{\pntxta)}}\fi-720\li720\qj\tx720 When payment cannot be made by EFT because of incorrect EFTinformation provided by the Contractor, no interest penalty is due after the dateof the uncompleted or erroneous payment transaction, provided that the notice isissued to the Contractor within 7 days after Peace Corps is notified of thedefective EFT information.\par\pard\qj\par\pard{\pntext\f0 (j)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart10\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 If the Contractor assigns the proceeds of this contract asprovided in the Assignment of Claims clause of this contract, the assignee shallprovide Peace Corps with the assignee EFT information in accordance with

paragraphs (a) and (b) of this clause.\par\pard\qj\par\pard{\pntext\f0 (k)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart11\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 If the Contractor does not wish to receive payment by EFTmethods for one or more payment, the Contractor may submit a request to thedesignated payment office to refrain from requiring EFT information or using theEFT payment method. The decision to grant the request is solely that of PeaceCorps.\par\pard\qj\par\pard{\pntext\f0 (l)\tab}{\*\pn\pnlvlbody\pnf0\pnindent360\pnstart12\pnlcltr{\pntxtb(}{\pntxta)}}\fi-360\li360\qj\tx360 The Contractor agrees that the Contractor's financial agent

may notify Peace Corps of a change to the routing transit number, Contractoraccount number or account type, as if the Contractor provided it. Peace Corpsshall use the changed data in accordance with this clause.\par\pard\qj\par\b G.4. Contract Management\par\par\b0 Notwithstanding the Contractor's responsibility for total management duringperformance of this contract, the administration of the contract will requiremaximum coordination between the Government and the Contractor. The followingindividuals will be the Government's points of contact during the performance ofthe contract.\par


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\par(a) Contracting Officer--All contract administration will be effected by theContracting Officer. Communications pertaining to contractual administrativematters will be addressed to the Contracting Officer. No changes in or deviationfrom the statement of work shall be effected without the written modification tothe contract executed by the Contracting Officer authorizing such changes.\par\par(b) Contracting Officer's Representative--The Peace Corps Country Director will

serve as Contracting Officer's Representative (COR) and has the authority tomonitor all technical aspects and assist in administering the contract. The typeof actions within the purview of the COR's authority are: 1) to assure that theContractor performs all the technical requirements of the contract; 2) to performor cause to be performed inspections necessary in connection with performance ofthe contract; 3) to maintain both written and oral communication with theContractor concerning the aspects of requirements of Government drawings, designsand specifications; 4) to monitor the Contractor's performance under the contractand notify the Contractor and Contracting Officer of any deficiencies observed;and 5) to coordinate Government furnished property availability and provide forsite entry of the Contractor.\par\par\pard\li720\qj (i) The COR is not authorized to change any of the terms and

conditions of this contract. Changes in the statement of work will only be madeby the Contracting Officer by a properly signed written modification to thecontract. \par\pard\qj\par\pard\fi720\qj (ii) The COR is not authorized to re-delegate his or herauthority.\par\pard\qj\par\pard\li720\qj (iii) The COR is not authorized to initiate acquisition actions byuse of imprest funds, blanket purchase agreement or purchase orders, to placecalls or delivery orders under basic agreement, basic ordering agreements orindefinite delivery type contracts.\par\pard\qj\par\b G.5. Contract Number Identification\par

\b0\parThe Contractor agrees to utilize the number of this contract on allcorrespondence, communications and data concerning this contract or deliveryhereunder.\par\par\b G.6. Withholding of Contract Payments\par\par\b0 Notwithstanding any other payment provision of this contract, failure of theContractor to submit required reports when due, or failure to perform or deliverrequired equipment, supplies and services will result in the withholding ofpayments under this contract, unless such failure arises out of causes beyond thecontrol, and without the fault or negligence of the Contractor, as provided for inthe clause entitled "Government Delay of Work," "Breach of Contract Termination,"

or "Termination" as applicable. The Government shall promptly notify theContractor of its intention to withhold payment of any invoice or vouchersubmitted.\par\pard\sl360\slmult0\qj\tx540\tx1080\tx1620\tx2160\tx2700\b G.7.Evaluation\b0\par\pard\nowidctlpar\sb240\qj Evaluation of the Contractor's services shall be theresponsibility of the Peace Corps Country Director and the Area Peace CorpsMedical Officer (APCMO), where appropriate, the designated International HealthCoordinator (IHC) and the Chief of Clinical Programs. The Contractor agrees tocooperate in any such evaluation. The appropriate form for evaluation is thePeace Corps Medical Officer Performance Evaluation Form (Attachment D to MS 744).


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For evaluation purposes, the Peace Corps may at any time utilize inspection trips,field observers or other suitable means.\par\pard\qj\b\par\pard\b0\par\pard\qj\b\page SECTION H - SPECIAL CONTRACT REQUIREMENTS\par\pard\parH.1.\b0 \b Peace Corps Responsibilities\par\par

A.\tab Supplies, Materials, Equipment\par\b0\parThe Government agrees to provide to the Contractor all required supplies,materials, and equipment necessary for the performance of the servicesrequired.\par\par\b B.\tab Travel\tab\par\b0\parThe payment contained in Section B.2. of this contract \ul\b\i doesnot\ulnone\b0\i0 include any costs for travel. The Government will arrange forand pay, subject to the provisions of Section I.1., paragraph B., the travel coststo and from the site as follows: (1) If travel begins from the Contractor's placeof residence, round trip travel costs between the place of performance and

residence; or (2) If travel begins at a place other than the Contractor'sresidence, round trip travel costs between the place of performance and thatplace; and (3) All other travel costs necessary for the performance of thecontract. Travel will be performed under Government Travel Orders issued inconnection with this contract and no travel is authorized under this contractuntil the contract is fully executed by both parties.\par\parAll air travel called for in the performance of this contract shall be scheduledand undertaken in accordance with Section I.1. of this contract.\par\par\b C.\tab Per Diem\b0\tab\par\parThe payment contained in Section B.2. of this Schedule \ul\b does not\ulnone\b0

include per diem for the Contractor during the performance of this contract. TheContractor agrees to accept and Peace Corps agrees to provide suitable housing inconjunction with travel authorized in performance of this contract. The PeaceCorps Country Director will determine whether suitable housing is available. Thecontractor will not be reimbursed for lodging costs when the contractor resideswithin a personally owned residence, or the residence of a family member or otherperson with whom the contractor has a close personal relationship.\par\parPer diem for in-country services under this contract, when authorized, will bepaid in accordance with the prevailing Peace Corps in-country per diem rate(s)established for the locality pursuant to Peace Corps Manual Section 813.Contractor is advised that such rates as authorized by the Peace Corps CountryDirector will normally be less than, but in no event may exceed, the per diem

rates authorized in the Standardized Regulations (Government and Civilian ForeignAreas) issued by the U.S. Department of State. All per diem is based on alodging-plus system, which limits reimbursement to actual lodging expenses plus anamount for meals and incidental expenses (M&IE). In all instances, where PeaceCorps provides housing, no lodging expense is allowed. When meals are providedtotally or partially at Government expense, the M&IE allowance will be reduced inaccordance with Peace Corps policy.\par\par\b H.2.\b0 \b Per Diem Advance\par\b0\parFor travel between the Contractor's H.O.R. and the country where work is to be


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are responsible to coordinate work within the terms of this contract. A writtencopy is available upon request from the Contracting Officer. \par\parE. If the contractor\rquote s conduct is not in accordance with paragraph A, B, Cand D, above, the contract may be terminated.\par\parF. The Contracting Officer\rquote s Representative (COR) for this contract isindicated in clause G.4.b., Contract Management. The COR will monitor contractor

performance and notify the contractor and Contracting Officer of any deficiencies.The COR is not authorized to change any of the terms and conditions of thiscontract. Changes may only be made by a properly signed written modification tothe contract signed by the Contracting Officer.\par\parG. Cooperation with the Inspector General. \~Contractors will report promptlysuspected wrongdoing, including instances of fraud, waste, abuse, andmismanagement involving Peace Corp personnel, staff, Volunteers, programs,contractors, and operations as well as criminal, civil, and administrativemisconduct and other violations of law, regulations, and non-compliance with PeaceCorps policies and procedures. \~In accordance with the requirements outlined inPeace Corp Manual MS 861, Contractors will cooperate fully and promptly withrequests by the Inspector General for information and data relating to Peace Corps

programs, including by providing or making available all requested records,reports, memoranda and other information which are in their possession and bycooperating fully and truthfully with the OIG during the course of an audit,investigation, or evaluation. Knowingly furnishing false or misleading informationto an OIG representative during the course of an authorized OIG function orunreasonable refusal to answer questions or provide information or documentationreasonably related to any authorized OIG function may result in termination ofthis contract or other appropriate action. See PC MS 861 for further guidance\par\b\parH.5.\b0 \b Contract Registration\b0\par\parIf local law or decree requires that one or both parties to this contract registerit with designated authorities to ensure compliance with such law or decree, the

entire burden of such registration shall rest upon the Contractor.\par\par\b H.6.\b0 \b Taxes\b0\par\parThe Contractor is solely responsible for the payment of all taxes and any othercharges of a public nature which are or may be assessed against this contract orthe Contractor. \par\par\b H.7.\b0 \b Compliance with Local Laws\par\b0 \par\pard\tx540\tx1080\tx1620\tx2160\tx2700 The Contractor shall comply with allapplicable laws and all rules and regulations having the force of law which dealwith or relate to the performance of this contract. The contractor also agrees to

immediately notify the Country Director if the contractor is arrested or chargedwith any offense during the term of this contract. A failure to notify on thepart of the contractor shall constitute inadequate performance.\par\par\pard\b H.8.\b0 \b Contractor Liability\b0\par\pard\tx540\tx1080\tx1620\tx2160\tx2700\par1)\tab Section 10(j) of the Peace Corps Act, 22 U.S.C. 2509(j), providesmalpractice indemnity for personal services contractors furnishing medicalservices to Peace Corps Volunteers and Trainees.\par\pard\nowidctlpar\sb240\qj 2) Insert the following in contracts withcontractors who are authorized the non-exclusive use of Peace Corps vehicles:\par


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\pard\ri-180\par\ldblquote In consideration of the agreement of the Peace Corps to permit theContractor to use a Peace Corps vehicle, it is agreed that the Contractor will besolely responsible for any claim arising from an accident involving a Peace Corpsvehicle that occurs while the vehicle is in the possession of the Contractor. \par\parTherefore, the Contractor shall hold and save Peace Corps, its officers, agentsand employees harmless from all liability for any costs and expenses, for or on

account of any or all suits or damages of any character whatsoever, resulting frominjuries or damage sustained by any person or persons or property by virtue ofperformance of this contract.\par\parFurthermore, the Contractor agrees to indemnify the Peace Corps for any liabilitythat the Peace Corps incurs as a result of such a claim, including reasonableattorney's fees. The Contractor agrees that any settlement entered into by thePeace Corps with respect to such an accident is conclusive with respect to theContractor.\par\parThe Peace Corps agrees to give notice to the Contractor of any claims made againstit as a result of any such vehicle accident, and agrees not to enter into anysettlement agreement with respect to any such claim unless the Contractor fails to

assume full responsibility for the defense thereof without cost to the PeaceCorps.\rdblquote\par\par\pard\box\brdrdb\brdrw15 \ri-180\fs20 NOTE: The Contracting Officer maysubstitute an appropriate indemnification provision in contracts providing forexclusive use of a Peace Corps vehicle by a contractor.\par\pard\b\fs22\parH.9.\b0 \b Health and Accident Insurance Requirements\par\b0\parThe Contractor is required to carry health and accident insurance during theperformance period of this contract, which provides a minimum of $10,000.00coverage. This is a pre-contract cost that can be reimbursed up to the not-to-exceed limit set-forth on page 2 of the contract. \par

\parThe Contractor shall provide sufficient proof of such insurance coverage to theContracting Officer prior to the execution of this contract and the execution ofoption periods.\par\parPeace Corps will not be responsible for providing medical care or treatment to theContractor in the event of illness of injury. Contractors are encouraged toconsider the limitations in their present medical coverage and decide whetheradditional coverage is needed.\par\par\b H.10\b0 . \b Third Party Liability Insurance Requirement\par\b0\parThe Contractor is required to carry comprehensive general liability ($25,000.00

bodily and property damage) insurance. The Contractor will provide sufficientproof of such insurance coverage to the Contracting Officer prior to the executionof this contract and the execution of option periods. This is a pre-contract costthat can be reimbursed up to the not-to-exceed limit set-forth on page 2 of thecontract. \par\parThe Contractor is authorized to use a Government-furnished vehicle for conductingPeace Corps business only after he/she has secured and currently maintainscomprehensive automobile liability ($25,000.00 bodily and property damage)insurance.\par\ulw\par


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\ulnone\b H.11.\b0 \b Medical Emergency\b0 \b Evacuation Insurance\b0\par\parThe Contractor is required to carry medical evacuation insurance for himself orherself and their accompanied dependents. The Contractor shall provide sufficientproof of such insurance coverage to the Contracting Officer prior to the executionof the contract and the execution of option periods. This is a pre-contract costthat can be reimbursed up to the not-to-exceed limit set-forth on page 2 of thecontract. \par

\par\b H.12\b0 . \b Subcontracts\par\b0\parNo part of this contract shall be subcontracted or assigned by the Contractor.\par\b\par\parH.13.\b0 \b Publicity\par\b0\parThe Contractor shall make no publicity announcements or issue other publicrelations material mentioning the Contractor's connection with Peace Corps withoutthe advance written concurrence of the Contracting Officer.\par\par\b H.14.\b0 \b Foreign Currency\par

\b0\parThe Contractor shall, to the maximum extent possible, exchange United Statescurrency for local currency in-country through a Disbursing Officer of the UnitedStates or through an exchange source designated by the United States Embassy.\par\ulw\b\par\ulnone H.15.\b0 \b Cost Reimbursement\b0\par\parThe contractor, with the CD\rquote s prior written approval, shall be reimbursedin local currency for the necessary and reasonable costs of supplies and/orservices acquired by the Contractor overseas for the conduct of the contractobjectives.\par\pard\nowidctlpar\sb240\qj In order to obtain reimbursement for reimbursablecosts, the Contractor shall submit a signed invoice itemizing purchases, supported

by original receipts, and prior written approval of CD on a bi-weekly basis. Ifprior written approval of the CD is not received then reimbursement will not beapproved.\par\pard\par\b H.16.\b0\tab\b Confidentiality\par\b0\f1\fs20\par\f0\fs22 It is understood that the Contractor shall comply with the provisions ofthe Privacy Act, 5 U.S.C. 552a, and the policies of the Peace Corps concerning theuse and disclosure of information, including but not limited to individuallyidentifiable health information. The Contractor shall maintain theconfidentiality of protected information, but will extend confidentiality to theCountry Director and other appropriate Peace Corps staff to the extent that theyneed to know the information to perform their duties. Failure of the Contractor

to comply with these requirements shall be grounds for the immediate terminationby the Peace Corps Contracting Officer under the termination clause of thiscontract . The Contracting Officer shall determine as a question of fact whetherthe Contractor has violated such requirements concerning confidentiality. \par\par\b H.17.\b0 \tab\b False Statements\b0\par\parThe Contractor in executing this contract certifies that the information providedto the Contracting Officer by the contractor was full, accurate, and complete.The penalty for false statements is prescribed in 18 U.S.C 1001.\par\par


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\b H.18.\b0\tab\b Records\b0\par\parThe Contractor shall maintain appointment books, medical records, documents,prescriptions notations and other evidence of services rendered under thiscontract. The records shall be subject at all reasonable times to inspection andaudit by the Director, Office of Medical Services, or his or her authorizedrepresentative.\par\par

\b H.19.\b0\tab\b Training\par\b0\parIn the event the Contractor receives pay as well as some or all of the additionalexpenses incurred for non-government training that exceeds 40 hours,\cf2 \cf0 toinclude Continuing Medical Education (CME) and Medical Overseas Staff Training(MOST) conferences\f1\fs24 ,\f0\fs22 the Contractor agrees to execute a ContinuedService Agreement (MS744, Attachment B) before actually taking the training. TheAgreement shall require the Contractor to continue providing services to the PeaceCorps for a period equal to at least three times the length of the trainingperiod, unless the contract is involuntarily terminated; and to reimburse thePeace Corps the amount for the additional training expenses in the event theContractor voluntarily terminates the contract before the training or the requiredperiod of continued service is completed.\par

\pard\sb100\sa100 A Contractor, whose next option period will be exercised in thethree months following a scheduled CME or MOST conference, will be invited inaccordance with the Office of Medical Service's practice.\par\pard\qj In the event the contractor fails to complete any contract year, baseyear or any option period, the contractor herein agrees that he or she shall beresponsible for reimbursing the Government for any training expenses theGovernment has incurred on behalf of the contractor during that period unless thecontract has been terminated for the convenience of the Peace Corps.\par\page\b SECTION I - CONTRACT CLAUSES\par\b0\fs18\par\pard\sb240\sa240\sl288\slmult1\cf3\b\scaps\fs22 I.1. \lang9\b0 Preference forU.S.-Flag Air Carriers (FAR 52.247-63, June\~2003) \par\pard\sl288\slmult1\scaps0 (a) \i Definitions\i0 . As used in this

clause\emdash \par\par\ldblquote International air transportation\rdblquote means transportation by airbetween a place in the United States and a place outside the United States orbetween two places both of which are outside the United States. \par\par\ldblquote United States\rdblquote means the 50 States, the District of Columbia,and outlying areas. \par\par\ldblquote U.S.-flag air carrier\rdblquote means an air carrier holding acertificate under \cf1\ul 49\~U.S.C.\~Chapter\~411\cf3\ulnone . \par\par(b) Section\~5 of the International Air Transportation Fair Competitive Practices

Act of\~1974 (\cf1\ul 49\~U.S.C.\~40118\cf3\ulnone ) (Fly America Act) requiresthat all Federal agencies and Government contractors and subcontractors use U.S.-flag air carriers for U.S. Government-financed international air transportation ofpersonnel (and their personal effects) or property, to the extent that service bythose carriers is available. It requires the Comptroller General of the UnitedStates, in the absence of satisfactory proof of the necessity for foreign-flag airtransportation, to disallow expenditures from funds, appropriated or otherwiseestablished for the account of the United States, for international airtransportation secured aboard a foreign-flag air carrier if a U.S.-flag aircarrier is available to provide such services. \par\par


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(c) If available, the Contractor, in performing work under this contract, shalluse U.S.-flag carriers for international air transportation of personnel (andtheir personal effects) or property. \par\par(d) In the event that the Contractor selects a carrier other than a U.S.-flag aircarrier for international air transportation, the Contractor shall include astatement on vouchers involving such transportation essentially as follows: \par\pard\sb240\sa240\sl288\slmult1\qc\scaps Statement of Unavailability of U.S.-Flag

Air Carriers \par\pard\li240\ri240\sb240\sa240\sl288\slmult1\scaps0 International airtransportation of persons (and their personal effects) or property by U.S.-flagair carrier was not available or it was necessary to use foreign-flag air carrierservice for the following reasons (see section\~\cf1\ul 47.403\cf3\ulnone of theFederal Acquisition Regulation): [\i State reasons\i0 ]: \par__________________________________________________ \par\pard\sb240\sa240\sl288\slmult1\qc (End of statement) \par\pard\qj\cf0\lang1033\par\b\parI.2. Government Property\par\b0\line The Government agrees to provide the Contractor the following supplies,materials and/or equipment for use in the Contractor's performance of

services:\par\par\pard\fi-720\li720\qj A.\tab All required and proper medical supplies andmedicines including biologicals for the \par\pard\li720\qj Contractor's treatment of Peace Corps Trainees and Volunteers.Such supplies and medicines shall be used exclusively for the treatment of PeaceCorps Volunteers and Trainees and other persons deemed eligible by the CountryDirector, except that the Contractor shall be permitted to use malaria prophylaxisfrom the Peace Corps inventory for the Contractor and any authorizeddependent.\par\pard\fi-720\li720\qj\parB.\tab A Peace Corps motor vehicle, including maintenance and fuel, \ulw forofficial use\ulnone in the performance of this contract. The Contractor may be

liable for accidents or injuries resulting from operation of a Peace Corpsfurnished vehicle. The Country Director may authorize in writing, underextraordinary circumstances, use of a privately owned vehicle, including paymentof a mileage allowance, if a Peace Corps vehicle is not available. If an accidentoccurs during an authorized business use of a privately-owned vehicle, the PeaceCorps will not be responsible for third-party claims that are covered by privateinsurance, nor will the Peace Corps pay the contractor for damage to the vehicle.In addition to a valid driver's license for the country of assignment, theContractor shall maintain at a minimum, such vehicle and comprehensive liabilityinsurance coverage as specified herein.\par\parC.\tab The necessary office furniture and equipment.\par\pard\qj\par

\pard\li720\qj The Contractor shall protect and preserve property in thepossession of the Contractor in which the Government has an interest. Damage to,or loss of U.S. Government Property when it is due to the Contractor's negligenceshall result in the Contractor being liable for repair or replacement thereof.The Government may withhold from amounts otherwise due the Contractor any amountthe Contracting Officer determines to be necessary to protect the Governmentagainst loss because of loss or damage to Government materials, supplies andequipment in the possession of the Contractor.\par\pard\qj\par\b I.3. Termination (Personal Services) - (FAR 52.249-12, APR 1984)\ulw\par\ulnone\par


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\b0 The Government may terminate this contract at any time upon at least 15 days'written notice by the Contracting Officer to the Contractor. The Contractor, \ulwwith the written consent of the Contracting Officer\ulnone , may terminate thiscontract upon at least 15 days' written notice to the Contracting Officer.\par\par\b I.4. Breach of Contract/Termination\par\b0\parIn accordance with the provision of Section I.3, \ul Termination\ulnone , the

Peace Corps reserves the right to terminate this contract for cause.\par\par\pard\qj\tx540\tx1080 A statement of reasons shall be provided to the Contractorin the event (1) he commits a breach or violation of any of his obligations hereincontained, (2) a fraud was committed in obtaining this contract, (3) the PeaceCorps Country Director determines the contractor has engaged in misconduct, or (4)he resigns, quits, or leaves his assigned place of work before completion of theperformance of this contract. \par\page\b I.5. Incomplete Performance\par\pard\qj\par\b0 The contractor agrees that the Government may, by written notice to theContractor, terminate the whole or any part of this contract in any one of thefollowing circumstances:\par

\par\pard\fi-720\li720\qj A. If the Contractor fails to perform the servicesspecified herein; or\par\pard\qj\parB. If the Contractor fails to perform any of the other provisions of thiscontract, or so fails to make progress as to endanger performance of this contractin accordance with its terms, and in either of these circumstances does not curesuch failure within a period of 10 days after receipt of notice from theContracting Officer specifying such failure.\par\pard\nowidctlpar\sb240\qj\b In the event the contractor has failed to completeone full year of the contract, the contractor hereby agrees to reimburse the PeaceCorps for: 1) any storage costs for household and personal effects; 2) traveland transportation costs from their home to the post for himself or herself,

authorized dependents, and household and personal effects, and 3) all returntravel and transportation costs for himself or herself, dependents, and householdand personal effects from the post, unless the contract has been terminated forthe convenience of the Peace Corps.\par\pard\qj\b0\parIn the event the contractor has completed one year of his or her contract andfails to complete the first option period, properly exercised by the Peace Corpsin accordance with the contract terms and conditions, the contractor herein agreesthat he or she shall be responsible for paying for storage of household andpersonal effects and return travel for himself or herself, dependents, andhousehold and personal effects from the post, unless the contract has beenterminated for the convenience of the Peace Corps. \par\par

Contractors returning home during their second and third option periods shouldrefer to contract Section B.3., points 4., and 5. of the contract for repatriationguidelines. \par\par\pard\qj\tx540\tx1080\tx1620\tx2160\tx2700\b I.6. Covenant Against ContingentFees\par\b0\parThe Contractor warrants that no person or selling agency has been employed orretained to solicit or secure this contract upon agreement or understanding for acommission, percentage, brokerage, or contingent fee, except bona fide employeesof a bona fide established commercial or selling agency retained by the contractor


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for the purpose of securing business. For breach of this warranty, the PeaceCorps shall have the right to annul this contract without liability or in itsdiscretion, to deduct from the contract price or consideration the full amount ofsuch commission, percentage, brokerage, or contingent fee.\par\pard\qj\tx540\tx1080\par\pard\b I.7.\b0 \b Interest on Overdue Payments\line\ul\b0\line\ulnone A.\tabThe Prompt Payment Act, Public Law 97-177 (96 Stat. 85; 31 U.S.C. 3901) isapplicable to payments under this contract and requires the payment to the

contractor of interest on overdue payments and improperly taken discounts.\par\par\pard\qj\tx540\tx1080 B.\tab Determinations of interest due will be made inaccordance with the provisions of the Prompt Payment Act and 5 CFR Part 1315.\par\par\pard\qj\b I.8. Clauses Incorporated by Reference (FAR 52.252-2, FEB 1998)\ulw\par\ulnone\par\b0 This contract incorporates one or more clauses by reference, with the sameforce and effect as if they were given in full text. Upon request, theContracting Officer will make their full text available. Also, the full text of aclause may be accessed electronically at this/these addresses: \ulwww.arnet.gov\ulnone\par\pard\nowidctlpar\par

52.202-1\tab Definitions (July 2004)\par\pard\fi-960\li960\tx540\tx960 52.203-3\tab \tab Gratuities (Apr 1984)\par\pard\fi-855\li855\tx540\tx855\tx1080 52.203-5\tab \tab Covenant AgainstContingent Fees (Apr 1984)\par\pard\qj 52.217-9\tab Option to Extend the Term of the Contract (MAR 2000)\par\pard\fi-1080\li1080\tx540\tx1080 52.222-26\tab \tab Equal Opportunity (Mar2007)\par\pard\nowidctlpar\sb240\qj\tx540 52.222-36 \tab Affirmative Action for Workerswith Disabilities (Jun 1998)\par\pard\tx540\tx1080 52.224-1 \tab Privacy Act Notification (APR 1984)\par\pard\qj 52.224-2 \tab Privacy Act (APR 1984)\par\pard\tx540\tx1080 52.232-1\tab \tab Payments (Apr 1984)\tab\par52.232-3\tab\tab Payments under Personal Services Contracts (April 1984)\par

52.232-18 Availability of Funds (APR 1984)\par52.232-25 \tab \tab Prompt Payment (Oct 2008)\par52.233-1\tab \tab Disputes (Jul 2002)\par52.233-4\tab\tab Applicable Law for Breach of Contract Claim (October 2004)\par\pard\fi-1080\li1080\tx540\tx1080 52.243-1\tab \tab Changes - Fixed Price (Aug1987)\par\pard\fi-720\li720\par\pard\qj\page\b SECTION J - LIST OF ATTACHMENTS\par\par\pard\b0\fs24\par\pard\qj\fs18\par\fs22 Statement of Work\par\par

Receiving Report, and Payment Voucher (PC 2059)\par\parContractor's Release\par\pard\s1\sb240\qc\ul\b\page\ulnone\fs28 Attachment A\par\pard\qc\b0\fs20\par\pard\s1\sb240\qc\fs48 STATEMENT\par\pard\s3\li360\qc\b\fs24 OF\par\pard\s2\sb120\qc\b0\fs48 WORK\fs24\par\pard\qj\fs22\par

\par\par


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\pard\ri-1620\fs20\par\trowd\trgaph108\trleft-108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs\cellx1530\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs\cellx7650\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrd

rb\brdrw15\brdrs\cellx9990\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs \cellx10890\pard\intbl\nowidctlpar\ri-2106\f3\fs14 PC-2059\cell\pard\intbl\s1\sb240\ul\b\f4\fs24 PURCHASE ORDER, RECEIVING REPORT\par\pard\intbl\nowidctlpar\ri-2106\ulnone\f3 AND PAYMENTVOUCHER\b0\f1\fs20\cell\pard\intbl\nowidctlpar\fs16 PURCHASE ORDER NO.\cellDATE\cell\row\trowd\trgaph108\trleft-108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs\cellx7650\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs\cellx9180\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrd

rb\brdrw15\brdrs \cellx10890\pard\intbl\nowidctlpar\b PURCHASER: \b0 THE UNITEDSTATES GOVERNMENT - THIS DOCUMENT PREPARED AT\par\fs20 Peace Corps\parOffice of Contracts\par1111 20\super th\nosupersub ST., NW\parWashington, DC 20526 \cell\fs16 OF-263\cell D.0. VOU. NO.\par\par\cell\row\trowd\trgaph108\trleft-108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs\cellx7650\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw15\brdrs

\cellx9180\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs \cellx10890\pard\intbl\nowidctlpar\b VENDOR:\par\b0\f3\par\par\f1\cell CONTRACT NO.\par\cell B.U. VOU. NO.\cell\row\trowd\trgaph108\trleft-108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx7650\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx9180\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrd

rb\brdrw30\brdrs \cellx10890\pard\intbl\nowidctlpar ORDER IS HEREBY PLACED WITHTHE ABOVE-NAMED VENDOR FOR THE ARTICLES DESCRIBED BELOW TO BE FURNISHED TO -\par\par\cell DATE\par\par_____________\parACCOUNT\par\cell PAID BY\cell\row\trowd\trgaph108\trleft-108\trrh180\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clvmgf\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\cellx630\clvmgf\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw1


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5\brdrs\cellx6840\clvmgf\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\cellx8100\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx9720\clvmgf\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw30\brdrs \cellx10890\pard\intbl\nowidctlpar\par\cell\pard\intbl\nowidctlpar\qc\cell\cell UNIT

PRICE\cell\cell\row\trowd\trgaph108\trleft-108\trrh180\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrb\brdrw30\brdrs\cellx630\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx6840\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx8100\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx8910\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx9720\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw30\brdrs \cellx10890\pard\intbl\nowidctlpar\cell\pard\intbl\nowidctlpar\qc\cell\cellCOST\cell PER\cell\cell\row\trowd\trgaph108\trleft-

108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrb\brdrw30\brdrs\cellx630\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx6840\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx8100\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx8910\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx9720\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw30\brdrs \cellx10890\pard\intbl\nowidctlpar\fs20\cell \par\par

\fs18\par\par\par\par\par\par\ldblquote The personal services listed heron were required by and used in theperformance of the work under the contract referred to on this voucher and thatpayment therefore, has not been received.\rdblquote\fs20\cell\par\par\par\par\par

\par\cell\cell\cell\par\par\par$______\cell\row\trowd\trgaph108\trleft-108\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs\cellx4320\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw15\brdrs\clbrdrb\brdrw30\brdrs


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\cellx8460\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw30\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw30\brdrs \cellx10890\pard\intbl\nowidctlpar\fs16 SIGNATURE OF ORDERINGOFFICER\cell TITLE\par\par\cell TOTAL\parAMOUNT\par\pard\intbl\nowidctlpar\qr\b\f3 \b0\f1\cell\row\trowd\trgaph108\trleft-108\trrh699\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3

\clvmgf\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrt\brdrw15\brdrs\cellx4320\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs \cellx10890\pard\intbl\nowidctlpar\par\par\par\par\par\par\par\par\fs20\cell\fs16 AVAILABILITY OF FUNDS\par\fs20\cell\row\trowd\trgaph108\trleft-108\trrh532\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3

\clvmrg\clbrdrl\brdrw30\brdrs\cellx4320\clvmgf\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\cellx6030\clvmgf\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\cellx8910\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs\cellx10890\pard\intbl\nowidctlpar\fs16\cell\pard\intbl\nowidctlpar\qc\par\pard\intbl\nowidctlpar\par\par\par\par\par

\par\cell\par\par\par\par\par\par\par\cell\cell\row\trowd\trgaph108\trleft-108\trrh597\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clvmrg\clbrdrl\brdrw30\brdrs\cellx4320\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\cellx6030\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw30\brdrs

\cellx8910\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs\cellx10890\pard\intbl\nowidctlpar\cell\pard\intbl\nowidctlpar\qc\cell\pard\intbl\nowidctlpar\cell\cell\row\trowd\trgaph108\trleft-108\trrh363\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\clvmrg\clbrdrl\brdrw30\brdrs\clbrdrb\brdrw15\brdrs\cellx4320\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs\cellx6030\clvmrg\clbrdrl\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrdrb\brdrw15\brdrs\cellx8910\clbrdrl\brdrw15\brdrs\clbrdrt\brdrw15\brdrs\clbrdrr\brdrw30\brdrs\clbrd


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in connection with the Contract. By signing this Release, I am also giving up andextinguishing forever any similar claims that any of my heirs, successors, orassignees may have under this Contract.\par\parThis Release is effective on this ____day of _____________, 20_ _.\par\par\fs24\par\tab\tab\tab\tab\tab ___________________\par

\tab\tab\tab\tab\tab (Contractor's Signature)\par\par\tab\tab\tab\tab\tab ___________________\par\tab\tab\tab\tab\tab (Print Contractor's Name)\par\par\parWitnessed by:\par\par_________________\par(Signature)\par\par_________________\par\pard\qj (Print Witness's Name)\fs22

\par\par\par\par\par\par\pard \par\pard\qj\b\par}#

peace corps ms 744 attachment e (pcmc lt contract template)

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