lYl?l. IU. 0.13m? WU. f- 3 STATES DEPARTMENT 9h JUSTICE UNITED STATES SERVICE INTERGOVERNMENTAL COOPERATIVE AGREEMENT NUMBER 03-47-00 This agreement is between the United States Marshals Service, and Cass County, Nebraska, in accordance with the terms and conditions set forth in Articles I through XII and Schedules A, B, and C. The following individuals are authorized, by law; to accept and commit to this agreement on the behalf of the: UNITED MARSHALS SERVICE CASS COUNTY, NEBRASKA SIGNATURE: SIGNATURE TYPED W. Marshall TYPED NAME: Richard Stone TITLE: Director TITLE: Chairman . Board of County Commissioners Cass County Courthouse ADDRESS: 600 Army Navy Drive ADDRESS: 346 main Street Arlington, VA. 22202-4210 Plattsmouth, NE 68048 EFFECTIVE DATE: {?zz/00 DA 1im 2gL /(only sigmmies mquked by sum 01' 10a! law) TE: SIGNATURE 1 TYPED NAME: J'o Cleveland TYPED NAME: William c- 1 1" Brueggeman TITLE: Acting United States Marshal TITLE: Sheriff District of Nebraska ADDRESS: 145 North Street ADDRESS: 215 North 17"? Street . Plattsmouth, NE 68048 Omaha, NE 68102 DATE: 3 {2.099 SIGNATURE: DATE: 46/;ng (Gran Speci list) Us; (NOTE: This cooperative agreement is neither binding nor effective unless Signed by the Director, urs. Marshals Service.) MARCH 2015 ICE 2012030300029104 OR OR SUPPLIES OR SERVICES IMPORTANT: Mark all packages and papers with contract andlor order numbers. PAGE OF PAGES 1 4 1. DATE OF ORDER 05/25/2012 2. CONTRACT NO. (Ifany) 47-00-007 9 8. NAME OF CONSIGNEE 3. ORDER No. I611 6 4. REQUISITIONIREFERENCE No. 192112FSP00000176 6. SHIP TO: ICE Enforcement Removal s. ISSUING OFFICE {Address correspondence to) ICE/Detent Mngt/Detent Contracts?DC Immigration and Customs Enforcement b, STREET ADDRESS 801 I Street, NW Immigration and Customs Enforcement AUTHORIZED FOR LOCAL REPRODUCTION PREWOUS EDITION NOT USABLE OPTIONAL FORM :47 (Rev. moon) Why MAR a CFR 532nm Office of Acquisition Management suite 900 801 I Street NW, Suite 910 Washington Dc 20535 c. CITY . d. STATE e. ZIP CODE Washington Dc 20536 7. TO: I. SHIP VIA 8. NAME OF CONTRACTOR CASS COUNTY SHERRIF 3? we 0F ORDER COMPANY NAME a. PURCHASE e. DELIVERY STREET ADDRESS REFERENCE YOUR: 3 3 6 MAIN ST Except for billing instructions on the reverse, this delivery is subject to instructions contained on this side only of this form and is issued Please tumish the following on the terms We? ?0 mm? and mums and conditions speci?ed on both sides of 0? 91? mvmumbe?ed '1 CITY 9. STATE 1. ZIP CODE 9?55 ?imam W- PLATTSMOUTH NE 68048?1957 mm? ?mm? 9. ACCOUNTING AND APPROPRIATION DATA Io. OFFICE See Schedule ICE Enforcement Removal 11. BUSINESS CLASSIFICATION (Check appmp?ate box(es)) 12. FOB. POINT a. SMALL b. OTHER THAN SMALL [3 DISADVANTAGED g. De 5 inat i on DI AB d. WOMEN-OWNED e. I. EMERGING SMALL VETERAN- BUSINESS OWNED 13. PLACE OF 14. GOVERNMENT BIL N0. 15. DELIVER To F.O.B. POINT 16. DISCOUNT TERMS ON OR BEFORE Date) a. INSPECTION b. ACCEPTANCE 3 0 Days A te Award Destination Destination Net 30 11. SCHEDULE (See reverse for Rejections) QUANTITY UNIT QUANTITY ITEM No. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED (C) (0) (9) DUNS Number: 966321890 CONTACT INFORMATION Program Office: Leah Phifer, 952-853?5919 Program Office POC: Mershon 952-853-5923 Cont racting Officer: Charles James Continued 1e. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO. (Cont Pages) 21. MAIL INVOICE TO: DHS, ICE $71,501.88 SEE BILLING INSTRUCTIONS b. STREET Burl ington Finance Center ?Rm? (or Box) . o. Box 1620 170) Attn: GRAND TOTAL QCITY $71?501'88 Williston VT 054 95-1620 22. UNITED STATES OF 23. NAME (Typed) AMERICA BY (Signature) Cha rles . James ?6 TITLE: OFFICER MARCH 2015 ICE 2012030300029105 meNo 2 SUPPLIES OR SERVICES ULE - CONTINUATION IMPORTANT: Mark all packages and papers with com and/or order numbers. DATEOFORDER CONTRACTNO. ORDERNO. 05/25/2012 47-00?0079 HEMNO. SUPPUESBERWCES AMOUNT OUANNTY ORDERED PRICE ACCEPTED (8) (C) (9) (0 (9) 202-732-2544 Contract Specialist: Ian Somppi, 202?732-2670 The purpose of this task order against USMS is to provide adult detention, transportation, guard services, and sack lunches for ICE detainees at the Cass County Detention facility. The task order period of performance is June 1, 2012 to IMay 31, 2013. Funding is estimated through June 30, 2012. Additional funds may be applied to future invoicing. Exempt Action: Period of Performance: 06/01/2012 to 05/31/2013 0001 Detention Services: Daily bed rate 1196 EA 58.53 70,001.88 $58.53/day Accounting Info: BA 31-12-00-000 18-62-0800-00-00-00-00 -- 000000 Funded: $70,001.88 0002 Transportation: Based on GSA mileage 1 EA 1,500.00 1,500.00 reimbursement rate Accounting Info: BA 32-23-00-000 18?62?0800-00-00-00-00 000000 FUnded: $1,500.00 Invoicing Instructions: . 1. In accordance with Article XII, 'Enrollment, Invoicing and Payment, revise paragraph (B) "Invoicing" to read as follow: Invoices shall be submitted via one of the following three methods: A. By mail: DHS ICE Burlington Finance Center Continued TOTAL CARRIED FORWARD To 1ST PAGE (ITEM $71 .501 .88 macaw FOR LOCAL @00an OPTIONAL FORM 348 (an. m; PREVIOUS EDITION NOT USABLE byme (436110512136) MARCH 2015 ICE 2012030300029106 IMPORTANT: Mam all packages and papers with contract and/or order numbers. SUPPLIES OR SERVICES I ULE - CONTINUATION 3 PAGE NO DATE OF ORDER 05/25/2012 CONTRACTNO. 47-00-0079 ORDER NO. ITEM NO. m) (M ORDERED (Q QUANTITY UNIT UNH AMOUNT oumnnv ACCEPTED (m P.O. Box 1620 illiston, VT 05495-1620 Attn: B. By facsimile (fax): (include a cover sheet with point of contact of pages) 802-288-7658 C. By e-mail: Invoice.Consolidation@dhs.gov Invoices submitted by other than these three methods will be returned. The contractor's Taxpayer Identification Number (TIN) must be registered in the Central Contractor Registration prior to award and shall be notated on every invoice submitted to ICE to ensure prompt payment provisions are met. The ICE program office shall also be notated on every invoice. 2. The information required with each invoice submission is as follows: a. The name and address of the facility; b. Invoice date and number; c. Agreement number, Task Order Number and line item number. d. Terms of any discount for prompt payment offered; e. Name, title, and phone number of person to notify in event of defective invoice; f. Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this Agreement. Items a. through E. must be on the cover page of each invoice submission. Invoices without the above information may be returned for resubmission. 3. All other terms and conditions remain the same. All terms and conditions are in accordance Continued TOTAL CARRIED FORWARD TO IST PAGE (ITEM AUTHORIZED FOR LOCAL REPODUCTION PREVIOUS EDITION NOT USABLE MARCH 2015 ICE 2012030300029107 $70.00 OPTIONAL FORM 348 (Rn. moon) SC DULE - CONTINUATION SUPPLIES OR SERVICES PAGE NO IMPORTANT: Mam all packages and papers wiih centred andlor order numbers. MARCH 2015 ICE 2012030300029108 DATE OF ORDER CONTRACT NO. ORDER NO. 05/25/2012 47-00-0079 ITEM NO. uurr uurr AMOUNT QUANTITY ORDERED PRICE ACCEPTED (0) (6) (0 (9) with USMS 47-00-007 9 . The total amount of award: $71, 501 . 88 . The obligation for this award is shown in box 1 7 i . TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM $0.00 AUTHORIZED FOR LOCAL REPOOUCTION OPTIONAL FORM 348 (Rev. PREVIOUS EDITION NOT USABLE