Form 89-800 Contract completion/amendment

OMB Control #0648-0266
Expires 10/2021
NOAA FORM 89-800
(Exp 10/21)
Prescribed by NOAA Inspection Manual 25

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

CONTRACT OF AGREEMENT FOR:
SERVICE CONTRACT
APPROVED ESTABLISHMENT
CONTRACT HACCP - QMP
SEASONAL - START DATE
END DATE

CONTRACT NO.

DATE
NEW CONTRACT

AMENDMENT

ABOVE FOR AGENCY USE ONLY

We,

located at
hereby make application for

a new contract

an amendment to our contract no.

for inspection services as follows:

PRODUCTS COVERED

Contact information for billing:
Name
Address
Address
City, State, Zip
Phone
E-mail
Location of facilities if different from above:
Attach addendum for additional locations

Name
Address

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.

Address
City, State, Zip
Phone
E-mail
1.
2.
3.
4.
5.
6.
7.

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 services per week at the currently established rate for the type of services
rendered or number of HACCP-QMP or Approved Establishment audits deemed necessary by NMFS.
The regulations contained in Part 260 of Title 50 CFR are hereby incorporated by reference. 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
a contract
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
Signature
Title
Date

APPROVAL
NATIONAL MARINE FISHERIES SERVICES
Signature of approving officer

TITLE Steven Wilson, Deputy Director, Seafood Inspection Program
Date

Supersedes NOAA form 89-800 (01-73), (10-80), (01/92) (8/2018) and 89-829 (3-74)
PRA Burden Statement
This information collection is authorized under 50 CFR §260.96. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden to the Seafood Inspection Program, 1315 East-West Highway, Silver Spring, MD 20910. All
responses to this information collection are required to obtain benefits. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork
Reduction Act, unless that collection of information displays a currently valid OMB control Number.