Form 89-800 Contract completion/amendment

NOAA FORM 89-800
(02/29/2012)
Prescribed by NOAA Inspection Manual 25

U.S. DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE

CONTRACT OF AGREEMENT FOR:

1 IN-PLANT SERVICES
1 HACCP
1 PLANT / VESSEL SANITATION SERVICE
1 LOT INSPECTIONS
1 SEASONAL OR TEMPORARY - START DATE__________ END DATE__________
Do not include a year if services will be required annually

CONTRACT NO.
100-000DATE
1 NEW CONTRACT

1 AMENDMENT

ABOVE FOR AGENCY USE ONLY

We, _____________________________________________________________________________________________ located at
___________________________________________________________________________________ hereby make application for
1 a new contract 1 an amendment to our contract no. _________ for inspection services as follows:

Contact information for billing:
Name________________________________________
Address______________________________________
Address______________________________________
City, State, Zip_ _______________________________
Phone_______________________________________
E-mail_______________________________________
Location of facilities if different from above:
Name________________________________________
Address______________________________________
Address______________________________________
City, State, Zip_ _______________________________
Phone_______________________________________
E-mail_______________________________________
1.
2.
3.
4.
5.

6.
7.

PRODUCTS & PROCESSES COVERED
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
All payments must be received within thirty days
of the invoice date. Charges for late payments will
be at the percentage rate based on the current value
of funds transmitted in treasury fiscal requirement
manual bulletins for each calendar quarter.

Inspection services to commence on ______________ or as soon thereafter as appears practical to the National Marine Fisheries Service,
National Oceanic and Atmospheric Administration, United States Department of Commerce (hereinafter referred to as NMFS).
NMFS will furnish the service of Federal inspection of the aforementioned services at the aforesaid designated official establishment and also
furnish inspection reports in accordance with the applicable regulations of NMFS in effect at the time of such service is rendered.
The applicant agrees to a minimum of either _______ hours of inspection per __________ at the currently established rate for the type of
services rendered or number of HACCP audits deemed necessary by NMFS.
The regulations contained in Part 260 of Title 50 CFR are hereby incorporated by reference and a copy is attached hereto. The applicant
agrees to all the provisions, conditions and requirements set forth in the regulations and instructions contained in the Inspection Manual for
the type of services rendered.
Upon approval of this application by NMFS, it shall constitute 1 a contract 1 an amendment to contract no. __________ between the
undersigned applicant and NMFS in accordance with the terms and conditions provided herein.
This contract may be cancelled by either party by giving sixty days written notice.
Additional provisions to this contract are attached.

APPLICANT
Name______________________________________

NATIONAL MARINE FISHERIES SERVICES

Signature___________________________________

__________________________________________

Title_______________________________________

TITLE Timothy Hansen, Director, Seafood Inspection Program

Date_______________________________________

Date_______________________________________

Supersedes NOAA form 89-800 (01-73), (10-80), (01/92) and 89-829 (3-74)

APPROVAL

Signature of approving officer