It Staff Augmentation Contract Template

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					                                                     SUPPLIER SALES REPORTING AND IFA PAYMENT INSTRUCTIONS

 How do I determine when reports and payments are due?
 For frequency of reporting and payments refer to the 'Report of Sales' and 'Industrial Funding Adjustment' clauses in your VITA contract.
 How do I complete the report?
 Please complete only one report per contract. Determine which tab to complete by reviewing the table below. Suppliers on the NG contract do not have a contract with
 VITA and therefore are not required to complete VITA supplier reporting requirements. The remaining tabs should be left blank.


         IF YOUR CONTRACT IS:                                            COMPLETE THIS TAB:

         A Staff Augmentation Contract Only                              BLUE - STAFF AUGMENTATION CONTRACTS

         An Advanced IT Contract Only                                    GRAY - ADVANCED IT CONTRACTS
         An IT Contract (Excluding Staff Augmentation & Advanced IT
         Contracts)                                                      GREEN - IT CONTRACTS
         The Northrop Grumman Contract (To be completed by Northrop
         Grumman Only)                                                   ORANGE - NORTHROP GRUMMAN CONTRACT
         Statewide Telco Broadband Contracts (To be completed by
         Broadband Suppliers Only)                                       PURPLE - TELCO BROADBAND CONTRACTS


 How do I submit my reports and payments?
 Please review the table below to determine where to submit reports and payments.



                                           WHERE TO SUBMIT                                        WHAT TO SUBMIT                                HOW TO SUBMIT


                                 ifacoordinator@vita.virginia.gov         • Original Report of Sales                                                  email


                          Virginia Information Technologies Agency
                                   Attention: VITA Controller             • Original IFA Payment
                                   11751 Meadowville Lane                   • Payable to Treasurer of Virginia                                  Mail or electronic
                                      Chester VA 23836                      • Please include contract number report amounts & period                payment
                               VITAController@vita.virginia.gov             • Please include copy of Report of Sales for backup



 What happens if I do not report my sales or submit payments?
 Supplier reporting is a contractual obligation. Failure to comply with reporting and payment requirements may result in default of Contract.




13f56b51-735e-4478-8270-43482d0c269f.xls                                               6                                                                             7/1/201111:05 AM
                                                                                     SUPPLIER REPORT OF SALES
                                                                                  STAFF AUGMENTATION CONTRACTS

                                                                       Month:                          Quarter:                                        Year:

Contract Number:                                                                                                      Supplier Federal Tax ID:
Supplier Name:                                                                                                        Supplier IFA Contact Name:
Address:                                                                                                              Phone Number:
City:                                                                  State:            Zip:                         Fax Number:
SWaM Designation:                                                                                                     Email Address:

Total Sales                                       0.00
Total IFA                                         0.00
                               Sub-contractor      Sub-contractor                                                                                                            Approved
  Sub-contractor (If         SWaM Designation (if Federal Tax ID (If                                                                            Position                     by Agency   PO Number / eVA
    applicable)                 applicable)         applicable)                 Agency / Institution                  Consultant Name         Classification   Hourly Rate   Secretary       Number             Total $ Amt




TOTAL SALES                                                                                                                                                                                                               $0.00
TOTAL IFA DUE (When making IFA payment please include contract number on check)                                                                                                                                           $0.00
                                                     VITA Attn: VITA Controller 11751 Meadowville Lane Chester VA 23836 and •
Effective July 30 2007 please submit this report to: Π                                                                     VITA Attn: VITA IFA Coordinator ifacoordinator@vita.virginia.gov




              13f56b51-735e-4478-8270-43482d0c269f.xls                                                            6                                                                                    7/1/201111:05 AM
                                                                                  SUPPLIER REPORT OF SALES
                                                                                   ADVANCED IT CONTRACTS

                                                                    Month:                            Quarter:                                 Year:

Contract Number:                                                                                                       Supplier Federal Tax ID:
Supplier Name:                                                                                                         Supplier IFA Contact Name:
Address:                                                                                                               Phone Number:
City:                                                               State:         Zip:                                Fax Number:
SWaM Designation:                                                                                                      Email Address:

Total Sales                               0.00
Total IFA                                 0.00
                        Sub-contractor SWaM Sub-contractor                                                                                                                                                         Approved   Approved
  Sub-contractor (If       Designation (if     Federal Tax ID (If                                                                        Consultant           Position      Hourly Rate/   PO Number/   Approved     APR      by Agency
     applicable)             applicable)         applicable)                 Agency / Institution                 Consultant Name        Start Date        Classification    Fixed Fee     eVA Number     APR       Number    Secretary   Project Name   Description of Work             Total $ Amt




TOTAL SALES                                                                                                                                                                                                                                                                                      $0.00
TOTAL IFA DUE (When making IFA payment please include contract number on check)                                                                                                                                                                                                                  $0.00
                                                     VITA Attn: VITA Controller 11751 Meadowville Lane Chester VA 23836 and •
Effective July 30 2007 please submit this report to: Π                                                                     VITA Attn: VITA IFA Coordinator ifacoordinator@vita.virginia.gov




                13f56b51-735e-4478-8270-43482d0c269f.xls                                                                                               6                                                                                                              7/1/201111:05 AM
                                                                                                 SUPPLIER REPORT OF SALES
                                                                                                       IT CONTRACTS

                                                            Month:                                 Quarter:                                Year:

Contract Number:                                                                                                Supplier Federal Tax ID:
Supplier Name:                                                                                                  Supplier IFA Contact Name:
Address:                                                                                                        Phone Number:
City:                                                      State:              Zip:                             Fax Number:
SWaM Designation:                                                                                               Email Address:

Total Sales                  0.00
Total IFA                    0.00
                                                                                                                                                                       Approved by Agency
               PO Number / eVA Number                                     Agency / Institution                                   Description of Order                       Secretary          Total $ Amt




  Total                                                                                                                                                                                                                $0.00
TOTAL IFA DUE (When making IFA payment please include contract number on check)                                                                                                                                        $0.00

                                                     VITA Attn: VITA Controller 11751 Meadowville Lane Chester VA 23836 and •ITA Attn: VITA IFA Coordinator ifacoordinator@vita.virginia.gov
Effective July 30 2007 please submit this report to: Π                                                                     V




        13f56b51-735e-4478-8270-43482d0c269f.xls                                                                6                                                                                   7/1/201111:05 AM
                                                                                       SUPPLIER REPORT OF SALES
                                                                                     NORTHROP GRUMMAN CONTRACTS

                                                                Month:                           Quarter:                                 Year:

Contract Number:                                                                                             Supplier Federal Tax ID:
Supplier Name:                                                                                               Supplier IFA Contact Name:
Address:                                                                                                     Phone Number:
City:                                                         State:              Zip:                       Fax Number:
SWaM Designation:                                                                                            Email Address:

Total Sales                  0.00
Total IFA                    0.00

                     Invoice Number                                       Agency / Institution                                  Description of Order                                 Total $ Amt




  Total                                                                                                                                                                                            $0.00
TOTAL IFA DUE                                                                                                                                                                                      $0.00
                                                     VITA Attn: VITA Controller 11751 Meadowville Lane Chester VA 23836 and •ITA Attn: VITA IFA Coordinator ifacoordinator@vita.virginia.gov
Effective July 30 2007 please submit this report to: Π                                                                     V
                                                                                                   SUPPLIER REPORT OF SALES
                                                                                                 TELCO BROADBAND CONTRACTS

                                                                                Month:                                  Quarter:                               Year:

           Contract Number:                                                                                                          Supplier Federal Tax ID:
           Supplier Name:                                                                                                            Supplier IFA Contact Name:
           Address:                                                                                                                  Phone Number:
           City:                                                               State:              Zip:                              Fax Number:
           SWaM Designation:                                                                                                         Email Address:

           Total Sales                        0.00
           Total IFA                          0.00

              AGENCY
            INSTITUTION               SERVICE                                                                                         SERVICE                          MONTHLY     SERVICES BILLED
           OR CUSTOMER             INSTALLATION                                                                                    INSTALLATION    INSTALL & ONE       SERVICE     TO? (VITA OR END
               NAME                  LOCATION        SERVICE DESCRIPTION           BROADBAND SERVICE TIER (i.e. 1-7)                   DATE        TIME CHARGES        CHARGE            USER)        TOTAL $ AMT




           TOTAL SALES                                                                                                                                                                                         $0.00
           TOTAL IFA DUE (When making IFA payment please include contract number on check)                                                                                                                     $0.00
                                         VITA Attn: VITA Controller 11751 Meadowville Lane Chester VA 23836 and VITA Attn: VITA IFA Coordinator ifacoordinator@vita.virginia.gov
           Please submit this report to: Œ




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