SAMPLE FORMAT

MEMORANDUM OF AGREEMENT

Made pursuant to the Economy Act
between
(enter name of servicing agency)
and
(enter name of requiring agency)

(enter MOA reference number)

1. AUTHORITY  (Insert the authority by which the agreement is being executed)

2. BACKGROUND  (Insert any relevant historical information)

3. PURPOSE   (Insert the reason for the agreement)

4. FINANCIAL INFORMATION   (Insert amount of the agreement and any applicable financial line(s) of accounting)

5. PERIOD OF PERFORMANCE   (Explain the duration of the agreement)

6. RESPONSIBILITIES   (Explain what the responsibilities are for the requesting and servicing agency)

7. ORDER REQUIREMENTS   (Insert instructions for placing an order under the agreement and the billing provisions including the name and address of the following offices:

a.  Designated office to receive any required deliverables

b.  Designated office to receive billings and process payments)

8. MODIFICATION OR TERMINATION (Explain the procedures for modifying or terminating the agreement)


 (Insert name, signature and date of servicing and requesting agency officials.)