Form 14417 - Reimbursable Agreement - Non-Federal Entities Page 4
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Legal Terms and Conditions (continued)
2. IRS Costing: The IRS will charge for direct and indirect/overhead costs for reimbursable work. If funds advanced to the IRS are
more than the actual cost of performing the work, the difference will be returned to the Buyer. If the advance received is less than the
actual costs incurred, the Buyer agrees to pay for the additional costs incurred and an amended Form 14417 indicating the increase in
costs must be submitted along with additional funds. See OMB Business Rules for Advance Payment Policies. IRM 1.33.3, Strategic
Planning, Budgeting and Performance Management Process; Reimbursable Operating Guidelines contains the IRS regulations
applicable to costing its reimbursable agreements.
3. Work Delays and Errors: Although the IRS will make every reasonable effort to avoid delays and errors in the performance of this
agreement, the IRS is not responsible for the Buyer’s costs incurred due to any such delays or errors. The Buyer must pay for the cost
of data recompilations or corrections.
4. Data Recordkeeping: The IRS reserves the right to use a copy of all data provided under this agreement.
5. Cancellations: Either the non-federal entity (Buyer) or the IRS (Seller) may cancel this agreement by giving written notice to the
other party 30 days before cancellation. Payment to the IRS shall include actual costs incurred through the cancellation date, plus any
termination costs. The IRS will exercise due diligence to prevent incurring costs after the cancellation date. However, the Buyer shall
also reimburse the IRS for unavoidable commitments up to the date the agreement would have expired. When an accepted order is
cancelled by the Buyer, the Seller is authorized to collect actual costs incurred through the cancellation date, plus any termination costs.
6. Dispute Resolution: Disputes and major differences between non-federal entities and the IRS shall be resolved in a similar manner
to the business rules set out in the Treasury Financial Manual, Volume 1, Bulletin No. 2011-04, Intragovernmental Business Rules,
dated November 8, 2010. See also:
7. Agreement Reference: All communications between parties must refer to the Agreement by the “Project Agreement Number”
(e.g. RA20XXBXXX).
Instructions for Form 14417, Reimbursable Agreement - Non-Federal Entities
(State and Local Governments, Foreign Governments, Commercial Organizations, and Private Businesses)
Note: All information must be typed into the Reimbursable Agreement (Form 14417) other than Authorizing/Approving Officials'
Signatures.
Field
Field Name
Field Action
Number
Enter the IRS-assigned agreement tracking number (e.g. RA20XXBXXX). The numbering scheme is
made up of 4 accounting sections: RA (Reimbursable Agreement); 20XX (fiscal year); B (Alpha
Standard) and XXX (Unique IFS Internal Order Code for the project). Contact the IRS/ Chief Financial
Officer/Corporate Budget to establish new agreement tracking numbers. For agreements recurring from
year-to-year, use existing agreement tracking numbers, updated to reflect the current fiscal year (e.g.
1.a.
IRS agreement tracking number
RA2011B001 to RA2012B001).
Enter the IRS-established unique customer number for the non-federal entity. The IRS Beckley Finance
Center will provide new customer numbers once a signed agreement is received. For non-federal
agreements that recur from year-to-year, IRS Business Unit Reimbursable Coordinators and Project
1.b.
IRS unique customer number
Coordinators should continue to use the same customer numbers.
2.
Program contact information
Buyer Representative
2.a.
Official's name
Enter the name of the Buyer's Program Representative official.
2.b.
Official's title
Enter the title of the Buyer's Program Representative official.
2.c.
Organization name
Enter the Buyer's Organization name.
Enter the address - street number, street name, city, state, and zip code of the Buyer's Program
2.d.
Address
Representative official.
Enter the telephone number of the Buyer's Program Representative official related to the reimbursable
2.e.
Telephone number
agreement.
Enter the fax number of the Buyer's Program Representative official related to the reimbursable
2.f.
Fax number
agreement.
Enter the email address of the Buyer's Program Representative official related to the reimbursable
2.g.
Email address
agreement.
Seller - IRS Budget Office
Reimbursables Coordinator
Enter the name of the IRS Budget Office Reimbursables Coordinator official who will be certifying that
advance payment(s) have been received, confirming work completion, and product delivery and/or
2.a.
Official's name
services being rendered.
2.b.
Official's title
Enter the title of the IRS Budget Office Reimbursables Coordinator official.
14417
Form
(Rev. 2-2013)
Catalog Number 59893X
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