Dd Form 1144 - Support Agreement printable pdf download

SUPPORT AGREEMENT

1. AGREEMENT NUMBER

2. SUPERSEDED AGREEMENT NO.

3. EFFECTIVE DATE

4. EXPIRATION DATE

(YYYYMMDD)

(Provided by Supplier)

(If this replaces another agreement)

(May be "Indefinite")

20121210

20130930

5. SUPPLYING ACTIVITY

6. RECEIVING ACTIVITY

a. NAME AND ADDRESS

US Military Academy

ASA(ALT)

Institute for Innovation and Development

ATTN: SAAL-ZT

Jefferson Hall, Room 1107

103 Army Pentagon

West Point, NY 10996 Phone: 845-938-5868

Washington, DC 20310-0103 Phone: 703-594-6283

b. MAJOR COMMAND

US Military Academy

ASA(ALT)

7. SUPPORT PROVIDED BY SUPPLIER

a. SUPPORT (Specify what, when, where, and how much)

b. BASIS FOR REIMBURSEMENT

c. ESTIMATED REIMBURSEMENT

Mission Title/Name: Army S&T Innovation Studies

Government Labor (Two Title

$213,248

Period of performance: 20121210-20130930

10 professors, History of

Funds Expire for Obligation: 20130930

Innovation)

(1) The authority for this agreement: "Economy Act" (31

U.S.C. 1535)

Total

$213,248

(2) A description of the material or services required. -

see BLOCK 12

(3) The dollar limits and any authority to exceed applicable:

$213,248

(4) The financing source or fund citation:

Pending

(5) The delivery requirements - SEE BLOCK 12

(6) The payment provisions. via IPAC

(7) The duration of the agreement - Thru FY13

(8) All communication of ordering activity against this

agreement will commence by telephone, e-mail, and other

supplemental forms used for internal controls.

(9) No funding adjustments authorized without prior approval

or change to agreement.

NAME/PHONE (DSN)/EMAIL for all:

SEE BLOCK 13

ADDITIONAL SUPPORT REQUIREMENTS ATTACHED:

YES

8. SUPPLYING COMPONENT

9. RECEIVING COMPONENT

a. COMPTROLLER SIGNATURE

b. DATE SIGNED

a. COMPTROLLER SIGNATURE

b. DATE SIGNED

POTTS.DAVID.RIC

Digitally signed by

POTTS.DAVID.RICHARD.1037635339

12/12/12

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI,

HARD.1037635339

ou=USA, cn=POTTS.DAVID.RICHARD.1037635339

Date: 2012.12.12 14:36:02 -05'00'

c. APPROVING AUTHORITY

(1) TYPED NAME

Burkholder, Nathan

Graham, John

(2) ORGANIZATION

(3) TELEPHONE NUMBER

(2) ORGANIZATION

(3) TELEPHONE NUMBER

ASA(ALT)

Institute for Innovation and Development

(703) 594-6283

(845) 938-5868

SAAL-ZT

US Military Academy

(4) SIGNATURE

(5) DATE SIGNED

(4) SIGNATURE

(5) DATE SIGNED

10. TERMINATION

(Complete only when agreement is terminated prior to scheduled expiration date.)

a. APPROVING AUTHORITY SIGNATURE

b. DATE SIGNED

d. DATE SIGNED

c. APPROVING AUTHORITY SIGNATURE

DD FORM 1144, NOV 2001

PREVIOUS EDITION MAY BE USED.

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Dd Form 1144 - Support Agreement

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