ML16250A380

NRC Form 441A - Appendage to the U.S Nuclear Regulatory Commission Security Agreement

ML16250A380
Person / Time
Issue date:	11/30/2015
From:	NRC/OCIO/GEMSD/IMSB
To:
References
Download: ML16250A380 (1)

Text

NRC FORM 441A U.S. NUCLEAR REGULATORY COMMISSION (11-2015)

APPENDAGE TO THE U.S. NUCLEAR REGULATORY COMMISSION SECURITY AGREEMENT It is further agreed, on this day of , by and between the United States of America through the U.S. Nuclear Regulatory Commission's Office of Administration and which has entered into the Security Agreement to which this appendix is made a part that the branches and/or facilities listed below, owned and/or operated by said contractor are included in and covered by the provisions of the said Security Agreement, and Certificate Pertaining to Foreign Interests, Standard Form 328.

NAME OF PLANT OR FACILITY NUMBER AND STREET ADDRESS CITY, STATE & ZIP CODE CONTRACTOR (Typed Name)

THE UNITED STATES OF AMERICA BY (Signature of Government Representative) BY (Signature of Authorized Contractor Representative)

AUTHORIZED REPRESENTATIVE OF THE GOVERNMENT TITLE (of Authorized Contractor Representative)

(Typed Name of Government Agency)

ADDRESS NRC FORM 441 (11-2015) Page 1 of 1