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Joint Funding Agreement - U.S. Geological Survey
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Joint Funding Agreement - U.S. Geological Survey
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3/28/2025 4:32:18 PM
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Board of Public Works
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Contracts
Document Date
1/24/2017
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9. USGS will issue billings utilizing Department of the Interior Bill for Collection (form DI-1040). Billing documents are <br />to be rendered annually. Payments of bills are due within 60 days after the billing date. If not paid by the due date, <br />interest will be charged at the current Treasury rate for each 30 day period, or portion thereof, that the payment is <br />delayed beyond the due date. (31 USC 3717; Comptroller General File B-212222, August 23, 1983). <br />Form 9-1366 U.S. Department of the Interior Agreement#: 17EMNF0000024 <br />(April 2015) U.S. Geological Survey Customer#: 6000001348 <br />Joint Funding Agreement <br />FOR <br />Water Resource Investigations <br />USGS Technical Point of Contact <br />Name: <br />Paul Buszka <br />Supv Hydrologist (GeoChem) <br />Address: <br />5957 Lakeside Blvd. <br />Indianapolis, IN 46278 <br />Telephone: <br />(317)600-2779 <br />Fax: <br />(317)290-3313 <br />Email: <br />pmbuszka@usgs.gov <br />USGS Billing Point of Contact <br />Name: <br />Tonja Clark <br />Administrative Officer <br />Address: <br />5957 Lakeside Blvd. <br />Indianapolis, IN 46278 <br />Telephone: <br />(317) 600-2723 <br />Fax: <br />(317)290-3313 <br />Email: <br />trclark@usgs.gov <br />U.S. Geological Survey <br />United States <br />Department of Interior <br />Signature <br />MICHAEL <br />By GRIFFIN -"' ---I' — Date: Dec 21, 2016 <br />Name: Michael Griffin <br />Title: Director <br />Name: <br />Address: <br />Telephone: <br />Fax: <br />Email: <br />Project #: NF009SB <br />TIN M 35-6001201 <br />USGS DUNS #; 949289961 <br />Customer Technical Point of Contact <br />Michelle Smith <br />Director of Water Quality and <br />Waste Water Laboratory <br />830 N Michigan St <br />South Bend, IN 46602 <br />(574)235-5797 <br />msmith@southbendin.gov <br />Customer Billing Point of Contact <br />Name: <br />Michelle Smith <br />Director of Water Quality and <br />Waste Water Laboratory <br />Address: <br />830 N Michigan St <br />South Bend, IN 46602 <br />Telephone: <br />(574)235-5797 <br />Fax: <br />Email: <br />msmith@southbendin.gov <br />City of South Bend, Water Works <br />Signatures <br />B A-! W✓\ 1)Ak— Date: ��aJ (? <br />Name: <br />Title: <br />By 14A, <br />Name:—��— <br />Title: <br />By-- Date: / r. ' C,hr % <br />Name: <br />Title: <br />
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