JHU WORK AGREEMENT
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PROGRAM TITLE: *
APL CHARGE NUMBER (TA): *
WORK AGREEMENT (WA) NO: *
JHU PRINCIPAL INVESTIGATOR: *
JHU SCHOOL/DIVISION: *
APL TECHNICAL REPRESENTATIVE: *
APL FISCAL REPRESENTATIVE:*
STATEMENT OF WORK:
PRIME CONTRACT NO.:
DELIVERABLES:
SPECIAL PROVISIONS ATTACHED:
Yes
No
AMENDMENT NO. (if applicable): *
AMENDMENT PURPOSE (if applicable):
PERIOD OF PERFORMANCE: Work Agreement Execution Date through _______
(The Work Agreement execution date is the date of the APL Contract Representative's signature.)
Will any JHU Students work at the APL Campus under this Agreement? _____
If yes, please list their names and citizenship status (i.e. US citizen, green card holder, or foreign national):
BUDGET DATA
See attached budget which fully details the estimated cost.
Note to budget preparer: The budget must include detailed pricing data adequate to establish reasonableness of
the proposed costs, including labor categories, level of effort, salaries, ODC's broken out by type (e.g. travel, material,
etc.), and indirect costs. For any materials and/or equipment, provide supporting documentation to show the basis for
the quoted prices (e.g. vendor quotes, price history, engineering estimate, etc.). If travel costs are included, provide
detail concerning the travel destination, number of persons traveling, number of days per trip, transportation costs,
lodging and per diem, car rental, etc. CV's/resumes should also be provided for grad students to help establish
reasonableness of their proposed stipends.
Salary
Fringe
Subtotal
$0.00
Travel
Total Direct
$0.00
Indirect Costs
Total
$0.00
ALL COSTS WILL BE REIMBURSED IN ACCORDANCE WITH SUBPART 31.3 OF THE FAR
WORK AGREEMENT CEILING
Previous
This Action
Cumulative
$0.00
$0.00
$0.00
Previous
WORK AGREEMENT FUNDING
This Action
Cumulative
$0.00
$0.00
$0.00
APPROVAL SIGNATURES
JHU DIVISIONAL DEAN'S OFFICE
DATE
APL CONTRACT REPRESENTATIVE
♦Invoices should be sent per the attached invoicing instructions.♦
Rev. 12/2208
DATE
AGREEMENT INFORMATION
(A)
Defense Priorities and Allocations Systems (DPAS) Rating: *
(B)
This is a rated order certified for national defense use and the University shall follow all the requirements of
the Defense Priorities and Allocations System regulation (15 CFR 700). COMMENT: Delete sentence if
DPAS is N/A and type "none" in rating field; OR type appropriate rating DO-, DX-; Regardless of number of
tasks, if two (2) or more different DPAS ratings exist, create table (Task, TO No., TA No., DPAS Rating).
(C)
DoD Security Classification: *
(D)
DD 254 Contract Security Classification Specification: does not apply
INVOICING
A.
The University shall submit invoices once monthly. Invoices may be submitted in one of the following three
ways. DO NOT SUBMIT INVOICES IN MORE THAN ONE MANNER EACH MONTH. Invoices sent by any
other method could significantly delay payment. The APL preference is PDF, which should provide the
quickest processing time.
1.
Mail original invoice to:
The Johns Hopkins University Applied Physics Laboratory
P.O. Box 1299
Laurel, Maryland 20725-1299
B.
2.
Fax invoice to: 240-456-2332
3.
Email invoice attachment in PDF Format to: APL-ACCOUNTS-PAYABLE@JHUAPL.EDU .
Invoices submitted via email attachment will not be accepted if submitted in any format other than
PDF. If submitting via email, the subject line must contain the University’s Name, Contract
Number, and Amount of current invoice. Invoices submitted in PDF Format must still be signed as
per paragraph B.5. below.
In order for payment to be made, invoice(s) shall include the following:
1.
2.
3.
4.
5.
APL Contract Number
Billing Period
Specific Task Number
Dollar Amount for each Task
Signed certification statement as per below:
"The undersigned hereby certifies that all payments requested are for appropriate purposes and in
accordance with the agreement.”
NAME
C.
TITLE
DATE”
The University shall invoice by Task and shall include current and cumulative charges by Task number (as
listed in the Statement of Work) for each of the following cost elements:
1.
2.
3.
4.
5.
6.
7.
Rev. 12/2208
Labor costs per category
Travel costs
Material costs
Lower-tier Subcontract costs
Any other direct costs
Overhead costs
F&A costs
D.
Documentation necessary to validate travel and other direct costs shall be provided upon request. Copies of
original receipts are required to support reimbursement of all lodging and airline expenses. Copies of
original receipts are also required to support other travel-related expenses when the individual expense is
$75.00 or more and are to be kept on file and made available upon request.
E.
The University shall ensure that all labor charges are fully supported by Effort Reports certified correct by
the signature of the individual performing the work and the administrator cognizant of the hours, days or
other work unit delivered by the individual in direct performance of this Work Agreement. Upon APL's
request, the University shall provide access to the Effort Reports related to this Work Agreement, crossreferenced to the invoice on which the time was invoiced. All Accounting records related to this Agreement,
including salary documentation, shall be kept on file and made available to APL upon request.
GOVERNMENT PROPERTY
Any instrumentation, equipment or other non-consumable hardware procured by said University segments for
performance of work under a Work Agreement, and charged to the Work Agreement, shall be accountable by the
University under this Work Agreement, shall be marked, tagged or otherwise identified as such by the said University
segment and shall be subject to return to APL at the completion of the Work Agreement. The property shall be cared
for in general accordance with FAR Part 45. Title to property procured or furnished under Government funds shall
remain with the Government; otherwise title shall remain with the Grantor. No non-consumable property shall be
procured for the performance of this Work Agreement unless authorized by APL in the Work Agreement or by
separate correspondence from the APL Contract Representative.
COMPLIANCE WITH INTERNATIONAL TRAFFIC IN ARMS REGULATIONS (ITAR) REGULATIONS
The University agrees to comply with all applicable U.S. export control laws and regulations, specifically the
requirements of the International Traffic in Arms Regulation (ITAR), 22 CFR 120 et seq. The University agrees that,
except as allowed under applicable U.S. laws and regulations, no export controlled item, data, or services, furnished
to it hereunder will be disclosed to any foreign person, firm, or country, including foreign persons employed by or
associated with, or under contract with the University, without the authority of an export license or applicable license
exemption. The University shall first notify and obtain the written consent of APL prior to submitting any request for
authority to export any such technical data or services. The University agrees to maintain an export compliance plan
and take measures to ensure that no technical data is disclosed and no defense services are furnished to foreign
persons except as authorized hereunder.
Rev. 12/2208