Garrison Worksheet

Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command Requesting Activity's DODAAC Requesting Activity's UIC xkxkxkx EX DODAAC EX UIC Requesting Activity's Mission Activity is located (Use drop down to select one) Select one Total Army Enlisted 0 Total Total Other Army Military Military 0 0 Total Military 0 Total DA Civilian 0 Total Other Civilian 0 Total Government 0 Total Contractors 0 Total Personnel 0 Total Army Officers and Warrant Officers Net Square Footage of Space on Fort Meade 0 0 SAM Category Put an X next to Requested Support and email to: Place an X in the box adjacent to the services you request from the Garrison and in the column appropriate for your organization. List Specifics as required. Army Service 1 - Civilian Personnel Services MEADE CPAC-OWCP or 301-677-2442 Service 8 - Military Personnel Services A x Provide Personnel Services B Provide Casualty Operations Services C Provide Deployment Cycle Services D Provide Personnel Processing Services E Provide MilPay Services F Provide Community Mailroom Services G Provide Pre-Transition Services H J Process Individual Personnel Actions and Provide Military Personnel Services to Students/Trainees Non-Army Provide Strength Management Services Provide Human Capital System Automation K Services L Provide Post-Transition Services Service 9 - Substance Abuse A Provide Military Bio-chemical Testing Services B Provide Unit Prevention Leader (UPL) Training C Provide Civilian Biochemical Services Provide Substance Abuse Prevention and Education D Services for Military Personnel Provide Alcohol & Drug Abuse Prevention Training E (ADAPT) Course Provide Employee Assistance Program (EAP) F services for civilian employees Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command Provide Risk Reduction Program (RRP) for Active G Army Units Provide training and education for civilian H employees and supervisors J Provide Substance Abuse Prevention and education for family members and military retirees xkxkxkx Provide Employee Assistance Program (EAP) services for eligible family members and military retirees Service 10 - Army Community Service (ACS) A Community Information Services B Family Advocacy Program C Mobilization & Deployment Support D Financial Readiness E Exceptional Family Member Program F Relocation Readiness G Spouse Employment H Installation Volunteer Management J Army Family Team Building K Army Family Action Plan Service 11 - Child and Youth Services A Child and Youth Services Service 12 - Recreation Programs K A B Office of the Director, Morale, Welfare & Recreation Command and Control of Common Support Services Provide Fitness Services, Individual/Team C Intramural Sports Programs D Provide Library/Information Services E Provide Community/Recreation Programs F Provide Outdoor Recreation Program Provide recreation programs that address special G regional considerations (Remote/isolated or OCONUS) H Provide Automotive Skills Program J Provide Recreational Swim Program K Provide Arts and Crafts Program L Provide Leisure Ticketing Services M Provide Extramural Sports Program N Provide Music and Theater Program Service 14- Continuing Education Services NOT CLS Service 15 - Communication Systems and Systems Support A Communications Service Support Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command xkxkxkx B Telephone And Data Infrastructure C Emergency 911/e911 Telephone Services Emergency Fire/Safety/Security/Other Telephone D Services Non-Tactical Radios and Spectrum Management E Services F Video Teleconference (VTC) Services G Wireless Infrastructure Telecommunications Continuity of Operations H (COOP) & OPLAN Support Services J Range/Field Telephone Services Service 16 - Visual Information Processes A Photography Services B Graphics Arts Services C VI Broadcast Audio/Video Services D VI Multimedia Services E Presentation Support F VI Media /Equipment Support Services Service 17 - Document Management Provide incoming official mail and distribution A management services Provide Freedom of Information Act (FOIA) and B Privacy Act (PA) Services Garrison Commander and Staff) Provide outgoing official mail and distribution C management services Provide Army Records Information Management D System (ARIMS) Services (Garrison Commander and Staff) Review and authenticate local forms and E publications (Garrison Commander and Staff) F Operate Installation Records Holding Area (RHA) Provide advice on procedures to acquire local G printing and reproduction services (Garrison Commander and Staff) Provide publications and forms stocking, H warehousing, and inventory services (Garrison Commander and Staff and other major tenants) Provide pick-up and delivery of official mail to J administrative offices Provide office symbol management (Garrison K Commander and Staff) Provide mailing address management services L (CONUS only) Service 18 - Information Assurance A Network Security Services Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command B Communications Security (COMSEC) Service C DoD Public Key Infrastructure (PKI) Service D Information Assurance (IA) Training E Risk Management/ Accreditation/ Certification Service 19 - Automation A Automation and Network Service Support B Management of Data Network Services C File, Print & Mission Server Support Services Mail Messaging/Collaboration (Email/DMS) and D Storage Services E Desktop/Software/Peripheral Support Services F Automation and Network Continuity of Operations (COOP) and OPLAN Support Services xkxkxkx G Database Administration Services H Web Support Services Service 21- Installation Security Program Management Support NOT CLS Service 22- Antiterrorism A B C D E Execute Proactive, Relevant, and Viable AT Program Management Practices and Advise SMCs Coordinate, Collect, Process, Analyze, and Disseminate Terrorist Threat Information Perform Continuous Antiterrorism Risk Management Develop Viable Antiterrorism Plan Plan, Program, Budget and Execute Resources in Support of Antiterrorism Programs F Plan and Execute Realistic AT Exercises G Conduct Antiterrorism Training Service 23 - Ammunition A Provide Core Ammunition Supply Services B Collect unused/residue ammunition C Provide Ammunition Surveillance Services D Maintain Unit Basic Load (UBL) E Provide Ammunition Amnesty Services F Provide Ammunition Holding Area (AHA) Services Service 24 - Retail Supply A Manage Stockage B Perform Acquisition C D E Support Hazardous Materials Management Program Provide Central Receiving Point Conduct Cataloging Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command xkxkxkx F Perform Stock Accounting G Management of Retention & Excess Stocks H Manage Bulk Petroleum Stockage Determine Stockage Requirements for Bulk J Petroleum Service 26 - Asset Management A Account for Consolidated Installation Property B Reconcile Garrison Property Authorization C Request and Receive Supplies Assign Responsibility for Consolidated Installation D Property Conduct Inventories of Consolidated Installation E Property Perform Adjustments for Lost, Damaged, or F Destroyed Consolidated Installation Property Manage Operational Loads for the US Army G Garrison H Warehouse Redistributable Property J Dispose of Property K Manage Organizational Property Book L Provide Pickup and Delivery Services Provide Force Modernization Equipment Fielding M Support Service 27 - Material Support Maintenance A Manage Materiel Maintenance Program B Provide Materiel Maintenance Support Services C Perform Automotive Maintenance D Perform Construction Maintenance E Perform Combat Vehicle Maintenance F Perform Aviation Maintenance Perform Communications and Electronics G Maintenance H Perform Weapons Maintenance J Perform Rail Maintenance K Perform General Equipment Maintenance Service 28 - Transportation Services A Manage lnstallation Transportation Office Functions B Provide Installation Force Deployment Service Support C Provide Secure Holding Services D Arrange Personal Property Moves E Provide Cargo Movement Services F Manage, provide and operate Army-Owned and non-GSA- leased Vehicles G Manage, provide and operate Mission Essential GSA-Leased Vehicles H Arrange Personnel Movements and Travel Services J Manage, provide and operate Mission Support GSA-Leased Vehicles K Manage, provide and operate "Scheduled Service" GSA-Leased Vehicles Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command xkxkxkx L Manage, provide and operate "On-Call Dispatch" GSA-Leased Vehicles M Manage and provide "U-Drive-It" GSA-Leased Vehicles Service 29 - Food Services Service 30 - Laundry and Dry Cleaning Service 31 - 39 Building (Facilities) Maintenance NOT CLS Service 40 - Maintenance Improved Grounds A Provide grass cutting and trimming services Provide tree pruning and brush/shrub trimming B services C Provide grounds repair services D Provide debris removal services E Provide landscaping maintenance services Provide removal services for grass clippings and F leaves G Provide periodic lawn treatment services H Provide tree removal services Service 41 - Maintenance of Unimproved Grounds Provide fire control services for mission-essential A areas Provide erosion control services for training, range, B maneuver areas, and critical infrastructure C Provide fire control services for other areas Provide maintenance of wetlands used for the D retention and treatment of storm water or wastewater Service 42 - Building Maintenance - Other NOT CLS Service 43 - Maintenance Surfaced Areas NOT CLS Service 44 - Heating and Cooling Services Operate Central Heating and Cooling Plants and A Distribution Systems Provide Purchased Heating and Cooling Services B (primarily for OCONUS installations) Service 45 - Water Services A Fund Fixed Contracts Operate Water Plants, Water Sources and B Distribution System C Provide Water for Mission Uses D E Provide Water for Improved Grounds Maintenance Provide Water for Water Recreation and Outdoor Activities Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command F Provide Water for Golf Courses and Driving Ranges xkxkxkx Service 46 - Waste Water Services A Fund Fixed Contracts Operate Domestic Waste Water Treatment Facilities B and Collection System Operate Industrial Waste Water Treatment Facilities C and Collection System Service 47 - Electrical Services A Fund Fixed Contracts B Operate and Maintain Electrical Distribution System C Provide Electrical Service Service 48 - Other Utility Services A Fund Fixed Contracts Operate and Maintain Natural Gas and/or Propane B Plant and Distribution Systems C D Provide Energy Fuels for Central Plant Operations Provide Energy Fuels for Stand-Alone Heating, Domestic Hot Water, Cooking, Power Generation, and Other Miscellaneous Systems E Fund Utility Connection Charges F Provide Portable Latrines Service 50 - Family Housing Management Service 51 - Army Lodging - Transient Quarters NOT CLS Service 52 - Unaccompanied Personnel Housing Service 53 - Facilities Engineering Services Management Service 54 - Master Planning Service 55 - Real Estate Real Property Service 57 - Custodial Services UNDER DEVELOPMENT Service 58 - 59 Indoor & Outdoor Pest Control Service 60 - Refuse Removal List number of dumpsters and frequency to empty required Service 61 - Snow and Ice Removal Service 62 - Minor Construction NOT CLS Service 64 - Conservation Programs Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command Service 65 - Installation Restoration Program Service 66 - Environmental Compliance Programs Service 67 - Pollution Prevention Programs Service 68 - Fire and Emergency Services Manage and Direct Fire & Emergency Services A Programs B Provide Emergency Dispatch Services Provide Emergency Response Services for C Structure Fires D Provide Emergency Response Services for Aircraft Rescue Fire Fighting (ARFF), as applicable Provide Emergency Response Services for Hazardous Materials (HAZMAT) and Chemical, Biological, Radiological, Nuclear, and High Explosive (CBRNE) Incidents Provide Emergency Response Services for Wild land Fires, as applicable, on Army Installations Only xkxkxkx E F G H Conduct Rescue Operations Provide Fire Prevention Services Provide Specialized Services and Training to J Support the Installation Service 77 - Law Enforcement Services Manage and Direct Law Enforcement (LE) A Operations B Provide LE Emergency Dispatch Services C Provide Law Enforcement Response D Conduct LE Investigations E Deter and Prevent Crime by LE Patrolling F Provide LE Reporting Services G Provide Special Reaction Capability H Provide Specialized LE Services Service 78 - Physical Security A B C Manage and Direct Physical Security (PS) Program Execute Installation Access Control Point (ACP) Operations Conduct Inspections of Commercial and Privately Owned Vehicles (POV) Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command Maintain Alarm Systems for Arms, Ammunition & D Explosives (AA&E) and Sensitive Compartmented Information Facilities (SCIF) E Provide Pass and Registration F Provide and Maintain Enhanced PS Systems as Required to Facilities Other than AA&E and SCIFS xkxkxkx G PS Training/Service to Tenants Service 79 - Administration & Civil Law A Advise the Command and Staff on Admin/Civil Law B Provide Labor and Employment Law Services Service 80 - Criminal Law A Advise Command and Law Enforcement B Conduct Courts-Martial C Provide Non-Judicial Punishment D Support Administrative Separations E Provide Victim/Witness Services F Support Soldier Non-punitive Measures G Provide Military Justice Training H Support Federal/State Prosecutions - Misdemeanors J Support Federal/State Prosecutions - Felonies Service 81 - Client Services A Provide Legal Assistance Provide Legal assistance B (adverse actions) Provide Other Legal Assistance C (service members/eligible civilians) Provide Other Legal Assistance D (family members) Provide Other Legal Assistance E (retirees) F Support Preventive Law Program G Provide Tax Assistance Service 82 - Religious Support A Support Chapter 11 Claims B Support Tort Claims (FTCA, FCA) C Support Other Claims (Art 139, UCMJ claims, etc) D Support Medical Care Recovery Act Claims E Carrier Recovery Service 83 - Chaplain Specific Staff Work Advise the commander and provide religious A support program management to installations in accordance with AR 165-1 Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command xkxkxkx Provide worship services and religious events, B including essential rites, sacraments, and ordinances C Provide required religious education D Provide pastoral care and counseling services E Provide family ministries services Provide professional development and sustainment F training G Provide spiritual growth and sustainment training Service 84 - Public Affairs Office (PAO) Services Service 85 - News Media Affiliation NOT CLS Service 86 - Information Strategies NOT CLS Service 87 - Command Inspections NOT CLS Service 88 - Command Investigations NOT CLS Service 89 - Inspector General Services NOT CLS Service 91 - Installation Management A Exercise Command and Control B Maintain and improve Installation Infrastructure C Provide for Public Safety and Security Provide Services/Programs to Support Training and D Enable Readiness Execute Community, MWR and Family Support E Programs Provide Sound Stewardship of Installation F Resources and the Environment Service 92 - Equal Employment Opportunity (EEO) Services Service 93 - Equal Opportunity (EO) Services NOT CLS Service 94 - Internal Review A Conduct Special Reviews B Conduct Program (Formal) Reviews C Provide Consulting/ Advisory Service D Provide Liaison Services E Perform Follow-up F Oversee Management Control Program Service 95 - Installation Safety & Occupational Health A Manage and direct safety core programs Conduct Workplace Design and Engineering B Review Garrison Worksheet Full Name and Address of Requesting Activity My Activity Full Name and Address of Requesting Activity's Major Command C Provide Required Safety Training and Education Provide Accident Investigation and Reporting D Services E Inspect and Evaluate High Hazards F Implement Hazard Abatement Plan G Inspect and Evaluate Medium Hazards H Inspect and Evaluate Low Hazards J Provide Safety Awareness Programs Service 222 - Plans, Training and Peacetime Mobilization Activities NOT CLS xkxkxkx Funding Annex Agreement Number Support Category Admin Confer Admin Mail Admin Pubs Admin Record Automation Basis for Reimbursement/ Cost No Reimbursement Actual Cost x 25% No Reimbursement No Reimbursement Actual Cost Actual Cost of Overtime/Extended Hours Actual Cost Actual Cost Actual Cost 0 Supplier: Commander Receiver: Unit Factor = 0 1 0 0 1 MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable $0.00 $0.00 $0.00 $0.00 $0.00 - CLS # 17 17 17 17 19 AMSCO 63.1 .Y0.3 .Y0.4 .Y0.5 .X0.1 Reimbursable No Yes No No Yes Cost Factor $0.00 $0.00 $0.00 $0.00 $0.00 Automation 24 19 HR HELP DESK Automation 19 Maintenance Automation 19 Network Automation 19 Password Automation SIPRNET TO 19 BATTALION Automation Support to Tactical Units in 19 Garrison 19 Admin Copier AntiTerrorism On 22 Post Only 16 Audio Visual Yes .X0.6 .X0.7 .XO.8 Yes Yes No $0.00 $0.00 $0.00 $0.00 1 1 1 0 $0.00 $0.00 $0.00 - $0.00 Yes Actual Cost Actual Cost of Overtime/Extended Hours Actual Cost No Reimbursement Actual Cost Overtime Cost/Nonstandard Materials(special paper, a large number of copies or repair/replace damaged equipment, etc) Actual Cost No Reimbursement Actual Cost No Reimbursement $0.00 1 $0.00 - .Y0.1 .7A.1 .XXXX90 Yes Yes No Yes $0.00 $0.00 $37.37 $0.00 1 1 0 1 $0.00 $0.00 $0.00 $0.00 - 16 Audio Visual 83 Chapel 13 Clubs Command 92 Support EEO .XXXX90 .31-.33 .LN 0.64 Yes No Yes No $0.00 $135.68 $0.00 $125.91 1 0 0 0 $0.00 $0.00 - $0.00 $0.00 Funding Annex Agreement Number Support CLS # Category Command 93 Support EO Command Support HQ Command Command 87-89 Support IG Command Support Internal 94 Review Command Support Retention 40, 41, 54, 55, 61 Common Use Community 84 Relations Community 10-11 Services Basis for Reimbursement/ Cost No Reimbursement 0 Supplier: Commander Receiver: Unit Factor = 0 MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable $0.00 AMSCO 0.65 Reimbursable No Cost Factor $1.44 .63.2 .51-.54 No No No Reimbursement No Reimbursement Internal Review is staffed to provide support for Garrison activities only. $75.51 $4.90 0 0 - $0.00 $0.00 $0.00 131096MF No No Reimbursement $0.00 0 - $0.00 132078.W 0.42 .LJ No No No No Reimbursement No Reimbursement No Reimbursement Actual Cost of Monthly Recurring Charges( $3 x _1_ circuits x 12 mo) Actual Cost of Nonrecurring charges (toll charges) $0.00 $0.00 $151.12 0 0 0 - $0.00 $0.00 $0.00 15 Communication .PEXXXX9 Yes $3.00 0 $0.00 - 15 Communication Communication SECRET VTC 15 TO BRIGADE Custodial On 57 Post Only .PEXXXX9 Yes $6.11 0 $0.00 .PEXXXX9 .M4 Yes Under Development Actual Cost Actual Contract Cost Actual Contract Cost ($.03 per sq ft x 1 visit per week x 52 weeks) $0.00 $0.00 1 0 $0.00 - $0.00 Custodial On 57 Post Only .M4 Under Development $0.03 0.00 $0.00 - Funding Annex Agreement Number Support Category Custodial Enhanced Service Education Environmental Clean Up On Post Only Environmental Compliance On Post Only Material Support (Equip) Maint Facility Construction On Post Only Basis for Reimbursement/ Cost Actual Contract Cost for Enhanced Service No Reimbursement 0 Supplier: Commander Receiver: Unit Factor = MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable CLS # AMSCO Reimbursable Under Development No Cost Factor 57 14 .M4 333732 $0.00 $203.84 1 0 $0.00 - $0.00 63 .41 & .42.1 Yes Actual Cost $0.00 1 $0.00 - 64-67 27 .41 & .42.2 .CC Yes Yes Pay any fines due Cost of Parts/OT/ Contracted Cost $0.00 $0.00 1 1 $0.00 $0.00 - 53 132076/781 31-39, Facility Repair 58&59 On Post Only 10 Family Center Fire On Post 68 Only Food On Post 29 Only Human Resources ID 8 Cards 132076/782 131720 .PO .FA-.FF Yes Actual Cost of Projects No for bldgs owned by FGGM/Non-Army must reimburse for this service Actual Cost No No Reimbursement No Yes No Reimbursement $0.00 1 $0.00 - $0.00 $0.00 $0.00 $0.00 0 0 0.00 0 $0.00 $0.00 $0.00 $0.00 - Actual Cost Number of Personnel issued a card every 3 Yes - Incremental years + new Cost employees No Yes No No No No Exempt Pieces Cleaned No Reimbursement No Reimbursement # of Records Serviced No Reimbursement $24.00 $0.00 $0.00 $89.28 $24.33 $408.51 $0.00 0 0 1 0 0 0 0 $0.00 $0.00 - $0.00 $0.00 $0.00 $0.00 $0.00 51&52 Housing & Lodge (19)(9B) 30 Laundry .EO 79-82 Legal .21-.24 12 Libraries On Post .LK Military 8 Personnel .M0 222 Mobilize Support .BD Funding Annex Agreement Number Support Category Basis for Reimbursement/ Cost No Reimbursement No Reimbursement No Reimbursement 0 Supplier: Commander Receiver: Unit Factor = 0 0 0 MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable $0.00 $0.00 $0.00 CLS # AMSCO .63.3 434716.4 0.45 Reimbursable No No No Cost Factor $0.00 $0.00 $18.31 222 Mobilize Support 08 Mortuary Museums Family Morale Welfare 10 Recreation .L No No No Reimbursement No Reimbursement $212.95 $0.00 0 0.00 - $0.00 $0.00 78 Physical Security 0.14 Physical Security 78 Alarm Monitoring Police On Post 77 Only 84-86 Public Affairs 60 Refuse 60 Refuse 95 Safety 21 Security 0.14 .11-.14 .41.43.44 .M1 .M1 0.67 .7B Yes - Incremental Actual Cost of Alarm Cost Monitoring No No No for Army No Reimbursement No Reimbursement Square Footage $0.00 $134.48 $52.81 $0.00 $0.00 $42.76 $19.47 1.00 0 0 0 0 $0.00 $0.00 - $0.00 $0.00 $0.00 $0.00 $0.00 Yes for Non Army Square Footage No No Reimbursement No No Reimbursement Yes/Dedicated telephone and electrical power lines in support of receiver’s IDS service/Key and lock hardware used in support of receiver’s mission requirements. Actual Cost 21 Security Security, Disaster 91 Preparedness Substance Abuse (Social 9 Actions) 24&26 Supply 222 Training .7B $0.00 1 $0.00 - No No Reimbursement $0.00 0 - $0.00 .MB .BC-.BD 121018 No Yes No No Reimbursement Actual Cost No Reimbursement $20.25 $0.00 $13.66 0 1 0 $0.00 - $0.00 $0.00 Funding Annex Agreement Number Support Category Transportaton Services Transportaton Services Transportaton Services Utilities - Heat (See attached Utility Rates Worksheet) Basis for Reimbursement/ Cost Actual Cost No Reimbursement No Reimbursement Square Footage/Metered Usage (used Office space for example) 0 Supplier: Commander Receiver: Unit Factor = 1 0 0 MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable $0.00 $0.00 $0.00 CLS # 28 28 28 AMSCO .DC .DB .DD Reimbursable Yes No No Cost Factor $0.00 $40.60 $52.94 44-48,60 .J1-.J6 No for Army receivers $0.41 0.00 - $0.00 Utilities - Heat (See attached Utility Rates 44-48,60 Worksheet) .J1-.J6 Square Footage/Metered Usage - (used Office Yes Non-Army space for example receivers are rate) - Actual costs required to reimburse for this will depend on service current utility rates Square Footage/Metered Usage - (used Office space for example rate) - Actual costs will depend on current utility rates $0.41 0.00 $0.00 - Utilities - Electric (See attached Utility Rates 44-48,60 Worksheet) .J1-.J6 No for Army receivers $2.10 0.00 - $0.00 Utilities - Electric (See attached Utility Rates 44-48,60 Worksheet) .J1-.J6 44-48,60 Utilities - Water 44-48,60 Utilities - Water 131079.J1B45 131079.J1B45 Square Footage/Metered Usage - (used Office Yes Non-Army space for example receivers are rate) - Actual costs required to reimburse for this will depend on service current utility rates No for Army Actual metered rate for Water per Kgals receivers Reimbursable Actual metered rate for Water per Kgals $2.10 Based on metered usage Based on metered usage 0.00 $4.64 $4.64 $0.00 $0.00 $0.00 Funding Annex Agreement Number Support CLS # Category Utilities - Waste 44-48,60 Water Utilities - Waste 44-48,60 Water 28 Vehicle Support Grand Total Basis for Reimbursement/ Cost Actual metered rate for Waste Water per Kgals Actual metered rate for Waste Water per Kgals 0 Supplier: Commander Receiver: Unit Factor = $6.81 $6.81 1 MACOM: IMCOM NERO MACOM: Estimated Estimated NonReimbursement Reimbursable $0.00 $0.00 $0.00 $0.00 $0.00 AMSCO 131079.J2B46 131079.J2B46 .CB Reimbursable No for Army receivers Reimbursable Yes Cost Factor Based on metered usage Based on metered usage $0.00 Cost of Parts/OT/ Contracted Cost See DD 1144 pg 2, para 11 for billing information. When any employee is required to work overtime to provide services beyond the common level of support for a tenant or other reimbursable customer (e.g., Senior Mission Commander), the employee shall be paid overtime and the customer billed for the cost of the overtime. FGGM Policy Memo 19. 2008 UTILITY RATES The calculated rate for facilities serviced is estimated using energy consumption rates of similar facilities reported in the Commercial Buildings Energy Consumption Survey (CBECS) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. BLDG TYPE/CATEGORY Education Food Sales Food Service Health Care Lodging & Housing Mercantile Office Public Assembly Public Order and Safety Religious Worship Service Warehouse and Storage Other Vacant Calculated Weight for Calculated Weight for Calculated Weight for Calculated Weight for HEAT ELECTRIC Water Waste Water FACTOR - SqFt Rate FACTOR - SqFt Rate FACTOR - SqFt Rate $0.41 $1.23 $0.30 $0.66 $5.61 $0.30 $1.74 $4.70 $0.30 $0.60 $2.01 $0.30 $0.56 $1.56 $0.30 $0.38 $1.79 $0.30 $0.41 $2.10 $0.30 $0.42 $1.50 $0.30 $0.56 $1.68 $0.30 $0.38 $0.65 $0.30 $0.66 $1.32 $0.30 $0.27 $0.80 $0.30 $0.83 $2.64 $0.30 $0.29 $0.33 $0.30 FACTOR - SqFt Rate $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 $0.44 Actual metered rate for Water per Kgals Actual metered rate for Waste Water per Kgals $4.64 $6.81 Page 1 of 2 SUPPORT AGREEMENT 1. AGREEMENT NUMBER 2. SUPERSEDED AGREEMENT NO. 3. EFFECTIVE DATE (YYMMDD) 4.EXPIRATION DATE 5. SUPPLYING ACTIVITY a. NAME AND ADDRESS 6. RECEIVING ACTIVITY a. NAME AND ADDRESS My Activity Supplier POC: SAM, 301-677-5837 meadisacat@conus.army.mil b. MAJOR COMMAND 7. SUPPORT PROVIDED BY SUPPLIER a. SUPPORT (Specify what, when, where and how much) b. BASIS FOR REIMBURSEMENT c. ESTIMATED REIMBURSEMENT Receiver POC: Add Receiver POC email address: b. MAJOR COMMAND xkxkxkx Total Est Reimbursement Total Est NonReimbursement $0.00 $0.00 ADDITIONAL SUPPORT REQUIREMENTS ATTACHED: 8. SUPPLYING COMPONENT a. COMPTROLLER SIGNATURE X YES 9. RECEIVING COMPONENT a. COMPTROLLER SIGNATURE b. DATE SIGNED b. DATE SIGNED c. APPROVING AUTHORITY (1) TYPED NAME (2) ORGANIZATION (4) SIGNATURE (3) TELEPHONE NUMBER b. DATE SIGNED c. APPROVING AUTHORITY (1) TYPED NAME (2) ORGANIZATION (4) SIGNATURE (3) TELEPHONE NUMBER b. DATE SIGNED 10. TERMINATION (Complete only when agreement is terminated prior to scheduled expiration date.) a. APPROVING AUTHORITY SIGNATURE b. DATE SIGNED a. APPROVING AUTHORITY b. DATE SIGNED DD Form 1144, NOV 2001 PREVIOUS EDITION MAY BE USED. 2 of 2 SUPPORT AGREEMENT 11. GENERAL PROVISIONS (Complete blank spaces and add additional general provisions as appropriate: e.g., exceptions to printed provisions, additional parties to this agreement, billing and reimbursement instructions). a. The receiving components will provide the supplying component projections of requested support. (Significant changes in the receiving component's support requirements should be submitted to the supplying component in a manner that will permit timely modification of resource requirements.) b. It is the responsibility of the supplying component to bring any required or requested change in support to the attention of RMO, ATTN: IMNE-MEA-RM, FORT MEADE, MD 20755-5120 prior to changing or canceling support. c. The component providing reimbursable support in this agreement will submit statements of costs to: DFAS-RO/AO ATTN: 012164 8899 E. 56th Street Indianapolis, IN 46249-3200 d. All rates expressing the unit cost of services provided in this agreement are based on current rates which may be subject to change for uncontrollable reasons, such as legislation, DoD directives, and commercial utility rate increases . The receiver will be notified immediately of such rate changes that must be passed through to the support receivers. e. This agreement may be cancelled at any time by mutual consent of the parties concerned. This agreement may also be cancelled by either party upon giving at least 180 days written notice to the other party. f. In case of mobilization or other emergency, this agreement will remain in force only within supplier's capabilities. g. Establishment of a Military Interdepartmental Purchase Request (DD Form 448) will be required for each reimbursable support area to include appropriate funds allotted and a dollar value for the specific support. Monthly billings will be performed through TFO/TBO procedures in accordance with AR 37-1 and DOD 7000.14-R. An information copy will be provided to the Receiver for each billing period. h. Any provisions of this agreement can be reviewed and changed based upon the mutual agreement of both the Supplier and the Receiver. ISA modifications and terminations should be made bilaterally and with sufficient advance notification to permit appropriate funding adjustments to be made during the budget formulation process. If an ISA must be unilaterally terminated, suspended, or significantly modified with less than 180 days notice to other parties of the agreement, the unilateral party must be billed by affected parties for reimbursement of unavoidable termination or reprocurement expenses incurred up to 180 days following the written notification. The 180 days limits and requirement to reimburse for reprocurement expenses do not apply to intragovernmental agreements, and reimbursement for termination costs are subject to negotiation. i. On or about 1 October of each fiscal year/and or quarterly thereafter, the receiver will forward a DD Form 448 (Military Interdepartmental Purchase Request (MIPR). This MIPR authorized reimbursable service charges to the receiver's appropriate up to the amount reflected thereon. All MIPRs or purchase orders must include the following information: Categories of support, Dollars Obligated, ISA Number, Billing Office Address, Accounting Classification/Account Number and Period Funds are available. The MIPR will be forwarded to Resource Management Office, ATTN: IMNE-MEA-RM, Fort George G. Meade, MD 20755-5121. Telephone numbers are: (301) 677-5815 or FAX DSN 622-2212. ADDITIONAL GENERAL PROVISIONS ATTACHED: X YES _______ NO 12. SPECIFIC PROVISIONS (As appropriate: e.g., location and size of occupied facilities, unique supplier and receiver responsibilities, conditions, requirements, quality standards, and criteria for measurement/reimbursement of unique requirements.) a. See Appendix A. b. Purpose is to document support being provided by Headquarters, Fort George G. Meade (Supplier) on behalf of (Receiver). c. Authorized strength is: Army Officers and Warrant Officers Army Enlisted Army Military Other Military Military Civilian Governme Contractor nt s Total Personnel 0 d. Activity is located: e. DODAAC is: 0 0 Select one UIC is: 0 0 0 0 0 0 EX DODAAC EX UIC f. The Receiver is required to respond to all information/data call requests from the Supplier. g. Points of contact are: Supplier h. Mission i. Distribution: ADDITIONAL SPECIFIC PROVISIONS ATTACHED: DD Form 1144, NOV 2001 _X____YES _ NO meadisacat@conus.army.mil Add Receiver POC email address: Support Agreement Block 11. General Provisions (Continuation) W23A71j. The Resource Management Office Budget Program Manager is responsible for coordinating all reimbursement actions for their respective areas with the Receiver. Actual costs that exceed the initial reimbursable order for any fiscal year will require follow-up action to obtain a modification. Follow-up action will be initiated with the customer. k. Costs shown on the DD Form 1144 are estimated costs only. The Receiver will be charged the actual cost of services or engineered costs. The Receiver is will be responsible for nonrecurring charges as well. l. Fort George G. Meade will serve as the Federal municipal jurisdiction for all assigned and tenant activities that cooperate on the military installation. As a municipality, the installation will provide all required municipal services to tenants on a reimbursable basis or through BASOPS funding. Reports and coordination with military services, federal, state and county agencies on behalf of all assigned or tenant activities is a mission of the installation. m. Fort George G. Meade reserves legal jurisdiction for all assigned and tenant activities that operate on the military installation. It will operate magistrate court in conjunction with other appropriate judicial systems to enforce the law. Block 12. Specific Provisions Continued. i. Distribution (continued) Receiving activity Installation Religious Office (5065) Directorate of Logistics (5080) Directorate of Family, Morale, Welfare and Recreation (5070) Resource Management Office (5120) Directorate of Public Works (5115) Equal Employment Opportunity (5010) Commander, Headquarters Command Battalion (5500) Inspector General (5055) Installation Safety Office (ISO) (5005) Directorate of Emergency Services (5045) Public Affairs Office (5025) Installation Legal Office (5030) Plans, Analysis and Integration Office (5000) Directorate of Plans, Training, Mobilization and Security (5090) Directorate of Human Resources (5073) Directorate of Information Management (5365) Residential Communities Initiatives (5132) Internal Review (5150)