ORDER FOR SUPPLIES OR SERVICES I

 

PAGE OF PAGES

 

 

 

 

 

 

 

 

 

 

 

a. NAME OF CONTRACTOR
HENDERSON COUNTY OF

IMPORTANT: Mark all packages and papers with contract andlor order numbers. . 3
1. DATE OF ORDER 2. CONTRACT NO. (Ifany) S. SHIP To:
0 9/15/2 008 1 a. NAME 
3. ORDER NO. 4. REQUISITIONIREFERENCE NO. I
FAT080624 ICE Detention Removal
5. ISSUING OFFICE (Address correspondence to} I b. STREET ADDRESS
ICE Detention /Detent ion IGSAs Immigrat i on and Gus toms Enforcement
Immi grat ion and Customs EnfOrcement 801 I St reet I NW
Office of Acquisition Management 3111139 900
425 I Street NW, Suite 2208
Washington DC 2 0536 0. CITY d. STATE 6. CODE
Washington  
- 7. TO: f. SHIP VIA

 

8. TYPE OF ORDER

 

b. COMPANY NAME

 

Ea. PURCHASE

b. DELIVERY

 

 

 

. c. STREETADORESS REFERENCE 
375 EAST

CITY 9. STATE f. ZIP CODE

HENDERSONVILLE NC 287925027

 

 

Please furnish the following on the terms
and conditions speci?ed on both sides of
this order and on the attached Sheet. if any.
including delivery as indicated.

 

Except for billing instructions on the
reverse. this delivery order is subject
to contained on this side
only of this form and is issued
subject to the terms and conditions
of the above-numbered contract.

 

9. ACCOUNTING AND APPROPRIATION DATA

See Schedule

 

10. REQUISITIONING OFFICE
ICE Detention Removal

 

 

 

11. BUSINESS CLASSIFICATION (Check appropriate boxfesj) 12. F.O.B. POINT.
. . SERVICE- . .
a. SMALL b. OTHER THAN SMALL [1 c. DISADVANTAGED DISABLED De St lnat mu
d. WOMEN-OMED e. f- EMERGING SMALL VETERAN-
BUSINESS OWNED
13. PLACE OF 14. GOVERNMENT BIL NO. 15. DELIVER To EDS. POINT 1S. DISCOUNT TERMS

 

 

b. ACCEPTANCE

 

ON OR BEFORE (Date)

 

 

 

 

 

 
  
 

 

 

 

 

 

 

 

 

 

 

 

 

a. INSPECTION 30 Days After Award
Destination Destination .
SCHEDULE (See reverse for Rejections)
QUANTITY UNIT QUANTITY
ITEM NO. SUPPLIES OR SERVICES ORDERED UNIT mice AMOUNT- ACCEPTED

DUNS Number: 091255869
Field-POO: Debbie Ellis
Page Edenfie - 
Raymond imonse
Leeanna McGinmr COTR,
Continued . . .
1S. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE No. 1?32; 
(Cont.
Pages)
21. MAIL INVOICE TO:
0H3: ICE $150,000.00 
ssearnme 
INSTRUCTIONS b. STREET ADDRESS Burl ington Finance Center
UNREVERSE (or  Box) - . BOX  0 . 
Attn: FOO?Atlanta GRAND
TOTAL
90'? d. STATE $150,000.00 
Willisth VT 05495?1620

 

 

 

 

 

BY (Signature)

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE

22. UNITED STATES OF AMERICA  .
I 1

NJ

 

23. NAME {Typed}

Jerald H. Neveleff
TITLE: CONTRACTINCIORDERING OFFICER-

FORM 347 (Rev. 312005)
Press-med by SSAIFAR 43 CFR 53.21qu

 

 

 

ORDER FOR SUPPLIES OR SERVICES PAGE OF PAGES

 

 

 

 

 

 

SCHEDULE - CONTINUATION 2 3
IMPORTANT: Mark all packages and papers with contract andlar order numbers. 
DATE OF ORDER CONTRACT NO. ORDER NO.
09/15/2008 HSCEDM-OS-F-IGOGQ
SUPPUESEERVEES I OUANDTYUNH UNW AMOUNT OUANDTY
ORDERED ACCEPTED
(B) (C) (E) (F) (G)

 

 

Program POC: Vicki Taylo b?nw 
M.J. Bates? 

OAQ POC: Jerald Neveleff, Contracting

  

Contract

This task order is for the housing of adult
alien detainees in Henderson County, North
Carolina. This is issued in accordance with
award 

Period of Performance: 09/15/2008 to
10/18/2008

0001 DETENTION BEDSPACE FOR 50 BEDS $71.96 1?37.076l EA 71.96 125,000.00
PER DAY .

$71.96 per bed 50 beds 34 days 
$125,000.00

Product/Service Code: 5206
Product/Service Description: GUARD
SERVICES

 

Accounting Info:

b2 Low

    

Funded: $125,000.00

0002 TRANSPORTATION ESTIMATED AT $25,000 AND 1371.3658 EA 18.23 25,000.00
ADDITIONAL GUARD SERVICES $18.23 PER
HOUR

$18.23 per hour_x 1,3Tl hours $25,000
Product/Service Code: 8206
.Product/Service Description: GUARD
SERVICES

 

Accountin I

    

Funded: $25,000.00
Continued 

 

 

 

 

 

 

 

TOTAL CARRIED FORWARDTO PAGE (ETEM 
NSN 7540-01-152?3032 50343.10, FORM 34:: (Rev. 6:95}

Prescnbe' by GSA
FAR (4a 53.213th

 

 

 

 

 

 

 

 

 

ORDER FOR SUPPLIES OR SERVICES PAGE OF PAGES
SCHEDULE-CONRNUAHON 3 3
IMPORTANT: Mark all packages and papers with contract andlor order numbers.
DATE OF ORDER CONTRACT NO. ORDER NO.
.09/15/2003 
ITEM NO. SUPPLIESISERVICES QUANTITY UNIT UNIT AMOUNT QUANTITY
ORDERED ACCEPTED
(A) . (C) (D) (E) IF) 

 

17(i}.

 

The total amount of award: $150,000.00. The
obligation for this award is shOwn in box

 

 

 

 

 

 

NSN 7540-01-152?8082

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 

503-484 D1

OPTIONAL FORM 348 (Rev. 6195)

Prescribed by GSA
FAR (d8 GFR153213M