(b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029308 I. CON TRACT ID CODE PAGE OF AMENDMENT OF OF CONTRACT 2. NO. 3. EFFECTIVE DATE . 4. REQ. N0 5. PROJECT N0. (Ifapp?cable) . Pm See Bloclc 16 6. ISSUED BY - cons 7. ADMINISTERED BY OF OTHER THAN ITEM 5) CODE ICEJDMIDGDC ICE Detention Management- Contracts ICE Detention Management Contracts . Immigrations and Customs Enforcement? Of?ce ofAcquisition Management Immigrations and Customs Enforcement! Of?ce ofAcqaisition Management 801 I Street NW. Suite 930 . i 801 {Street NW, Suite 930 Washington. DC20536 . Washington, DC 20536 8. NAME AND ADDRESS OF CONTRACTOR (No, Street County, State, and Zip Code) AMENDMENT OF SOLICITATION NO. HAMPTON ROADS REGIONAL JAIL . . . - . 2690 Sunburst Lane . I VA23701 . . 93. DATED (SEE ITEM I I) K4 IDA. MODIFICATION OF CONTRACTIORDER NO. . CODE: 1259982310000 FACILITY CODE: . 10B. DATED (SEE ITEM 11) 091070012 . 11. THIS IT EM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS El The above numbered, solicitation is amended as set forth in item 14. The hour and date speci?ed for receipt of Offers [3 is extended Cl is not extended. Offers must aclmowledge receipt ofthis amendment prionto the hour and date speci?ed in the solicitation or asamended by one of the following methods: By completing Items 8 and 15, and returning copies of the amendment; By acknowledging receipt ofthis amendment on each copy of the offer submitted; or By separate letter or telegram which includes a reference to the solicitation and amendment numbers, FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. It?by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date speci?ed. 12. ACCOUNTING AND APPROPRIATION DATA ({fReqnirea'} See Schedule 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS 0F CONTRACISIORDERS, IT MODIFIES THE CONTRACT N0., AS DESCRIBED IN ITEM 14 A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify; Authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A. - . B. THE ABOVE CONTRACTIORDER IS MODIFIED .TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying a?ice, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43,103 C. THIS SUPPLEMENTAL IS ENTERED PURSUANT TO AUTHORITY OF: D. OTHER (Steam) type quodrf?cation and authority) Mutual Agreement of the" Parties E- IMPORTANT: is NOT ?3 is required to sign this document and retain 1 copies to the issuing of?ce. 14. DESCRIPTION OF AMENDMENTMODIFICATION (Organized by UCF section headings, including solicitationfcontract Subject matter where feasible. . The purpose of this modi?cation is to incorporate ICE 201! Performance Based Detention Standard 2.11 - Sexual Abuse and Assault Prevention and Intervention. Should there be a con?ict with between this standard and any other term and condition of the agreement identi?ed in Block IDA on this modi?cation, you are to contact the Contacting Of?cer for clari?cation. All other teens andcorlditions remain unchanged. Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect. 15A. NAM . 16A. NAME AND TITLE OF CONTRACTING OFFICER 150. DATE . 16C. DATE SIGNED (bus), (Wm 3/ \b 433} . . 1vnl.\u I Ul?lyl (REV. Previous Edition Unusable - - Prescribed by GSA FAR (48 CFR) 53.243 MARCH 2015 ICE-201203030.0029.309 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029310 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(4) (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029311 REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF SHEET A034 01 0 9000 0 3 2 I 5 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. SUPELIESISERVICES QUANTETY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F) Number 8: Mileage Rate: Pursuant to current GSA federal travel allowance rates Replace Article XII, Enrollment, Invoicing and Payment, paragraph Invoicing, with the following: Invoicing Instructions: Service Providers/Contractors shall use these procedures when submitting an invoice. 1. Invoice Submission: .1nvoices shall be submitted in a .pdf format on a via email to: Each email shall contain only one (1) invoice and the subject line of the email will annotate the invoice number._ The emailed invoice shall include the "bill to" address shown below: DHS ICE Financial Operations Burlington P.O. Box 1620 ATTN FDG Williston, VT 05495?1620 Note: the Service Provider's or Contractor's Dunn and Bradstreet DUNS Number must be registered in the System for Award Management (SAM) at prior to award and shall be notated on every invoice submitted to ensure prompt payment provisions are met. The ICE program office identified in the task order/contract shall also be notated on every invoice. 2. Content of Invoices: Each invoice submission shall contain the following information: Name and address of the Service Provider/Contractor. Note: the name, address and DUNS number on the invoice MUST match the information in both the Contract/Agreement and the information in the SAM. If payment is remitted to another entity, the name, address and DUNS information of that entity must also be provided which will require Government Continued NSN 7540?01-152?306? MARCH 2015 ICE 2012030300029312 OPTIONAL FORM 336 {4-86) Sponsored by GSA FAR (48 CFR) 53.110 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF 5 NAME OF OFFEROR 0R CONTRACTOR I HAMPTON ROADS REGIONAL JAIL ITEM NO. (A) SUPPUESSERVBES (B) QUANTHY (C) UNH (D) (E) AMOUNT (F) . for resubmission. verification before payment can be processed; (ii) Dunn and Bradstreet DUNS Number; Invoice date and invoice number; (iv) Agreement/Contract number, contract line item number and, if applicable, the order number; Description, quantity, unit of measure, unit price and extended price of the items delivered; (vi) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading; (vii) Terms of any discount for prompt payment offered; Remit to Address; (ix) Name, title, and phone number of person to notify in event of defective invoice; and 3. Invoice Supporting Documentation. In order to ensure payment, the.vendor must also submit supporting documentation to the Contracting Officer's Representative (COR) identified in the contract as described below. Supporting documentation shall be submitted to the COR or contract Point of Contact (POC) identified in the contract or task order with all invoices, as appropriate. See paragraph 4 for details regarding the safeguarding of information. Invoices without documentation to support invoiced items, containing charges for items outside the scope of the contract, or not based on the most recent contract base or modification rates will be considered improper and returned Supporting documentation requirements include: Firm Fixed Price Items (items not subject to any adjustment on the basis of the contractor's cost experience, such as pre-established guaranteed minimums for detention or transportation): do not require detailed supporting documentation unless specifically requested by the Government. Fixed Unit Price Items (items for allowable incurred costs, such as detention and/or transportation services with no defined minimum quantities, stationary guard or escort services, transportation mileage or other Minor Charges such as sack lunches and detainee wages): shall be fully supported with documentation substantiating the costs and/or reflecting the Continued NSN 1?540-01-152-806? MARCH 2015 ICE 2012030300029313 OPTIONAL FORM 336 (4-36) Sponsored by GSA FAR (48 CFR) 53.110 CONHNUAUONSHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF I 5 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. (A) (B) (C) QUANTITY UNIT (D) (E) AMOUNT (F) established price in the contract and submitted in .pdf format. Detention Services (other than firm fixed price): (1) Bed day rate; (2) Resident's/detainee's check?in and check-out dates; (3) Number of bed days multiplied by the bed day rate; (4) Name of each detainee; (5) Resident's/detainee's identification information Transportation Services (other than firm fixed price): (I) The mileage rate being applied for that invoice. (2) billing reports listing transportation services provided; number of miles; transportation routes provided; locations serviced and/or names/numbers of detainees transported; an itemized listing of all other charges; and, for reimbursable expenses travel expenses, special meals, etc.) copies of all receipts. Stationary Guard Services (other than firm fixed price): (1) The itemized invoice shall state the number of hours being billed, the duration of the billing (times and dates) and the name of the that was/were guarded. Other Direct Charges: The invoice shall include appropriate supporting documentation for any direct charge billed for. reimbursement. 4. Safeguarding Information: As a contractor vendor conducting business with Immigration and Customs Enforcement (ICE), you are required to comply with DHS Policy regarding the safeguarding of Sensitive Personally Identifiable Information (PII). Sensitive PII is information that identifies an individual, including an alien, and could result in harm, embarrassment, inconvenience or unfairness. Examples of Sensitive PII include information such as: Social Security Numbers, Alien Registration Continued or NSN 7540-01-152?3067 MARCH 2015 ICE 2012030300029314 OPTIONAL FORM 336 (4-86) Sponsored by GSA FAR (43 CFR) 53.110 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING PAGE OF NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL HEMNO. (A) SUPPLIESISERVICES (B) QUANTHY um? (D) (E) AMOUNT (F) Numbers (A?Numbers), or combinations of information such as the individualgs name or other unique identifier and full date of birth, citizenship, or immigration status. As part of your obligation to safeguard information, the follow precautions are required: ?Email supporting documents containing Sensitive PII in an attachment with password sent separately. ?Never leave paper documents containing Sensitive PII unattended and unsecure. When not in use, these documents will be locked in drawers, cabinets, desks, etc. so the information is not accessible to those without a need to know. ?Use shredders when discarding paper documents containing Sensitive PII. -Refer to the DHS Handbook for Safeguarding Sensitive Personally Identifiable Information (March 2012) found at for more information on and/or examples of Sensitive PII. 5. If you have questions regarding payment, - ICE Financial Operations at - {inhn- I I Exempt Action: All other terms and conditions remain the same. NSN 7540?01-152-806? MARCH 2015 ICE 2012030300029315 OPTIONAL FORM 336 (4-85) Sponsored by GSA FAR (48 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029316 22? 23. 24x. ITEM NO. SCHEDULE OF QUANTITY UNIT UNIT PRICE AMOUNT 0001 Detention Bed Rate at mX4) EA OTOO Product/Ser?ice code: 3206 Product/Service Description: GUARD mx4) 0002 Estimated Mileage Rate for Transportation_at HR 0.00 NXM Product/Service Code: S206 Product/Service Description: GUARD All other terms and conditions remain the same. The obligated amount of The total for this award is shown in box 26. 323. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED El INSPECTED ACCEPTED. AND CONFORMS TO THE CONTRACT. EXCEPT AS [3 NOTED: . 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE manmm 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32a MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 329. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33- SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED 36. PAYMENT 37. CHECK NUMBER - CORRECT FOR I . COMPLETE PARTIAL [3 FINAL PARTIAL FINAL . . 38. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY 413. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 428. RECEIVED BY 41b. SIGNATURE AND TITLE OF. CERTIFYING OFFICER 41c. DATE 42b. RECEIVED AT (Location) 420. DATE 42d. TOTAL CONTAINERS MARCH 2015 ICE 2012030300029317 STANDARD FORM 1469 (REV. (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(4) (b)(4) (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029318 MARCH 2015 ICE 2012030300029319 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for ausin Federa! Detainees Article 1. Purpose A. Purpose. The purpose of this Intergovernmental Service Agreement (IGSA) is to establish an Agreement between the Immigration and Naturalization Service (INS), a component of the Department of Justice, and a state or local government agency (Service Provider) for the detention and care of persons detained under the authority of the Immigration and Nationality Act, as amended. The term ?Parties? is used in this Agreement to refer jointly to INS and the Service Provider. All persons in the custody of the INS will be referred to as ?Administrative Detainee?. This term recognizes that INS detainees are not charged with criminal violations and only held in custody to assure their presence throughout the administrative hearing process, and to assure their presence for removal ?'om the United States pursuant to a lawful ?nal order by the Immigration Court, the Board of Immigration Appeals or other Federal judicial body. B. Responsibilities. This Agreement sets forth the responsibilities of INS and the Service Provider. The Agreement states the services the Service Provider shall perform satisfactorily to receive payment from INS at the prescribed rate. C. Guidance. The Parties will determine the detainee day rate in accordance with OMB Circular A-87, Cost Principles for State, Local, and Indian Tribal Govermnents (Attachment A) and the INS Jail Services Cost Statement (Attachment B). Article II. General A. Funding. The obligation of INS to make payments to the Service Provider is contingent upon the availability of Federal funds. The INS will, however, neither present detainees to the Service Provider nor direct performance of any other services until the INS has the appropriate funding. B. Subcontractors. The Service Provider shall notify and obtain approval from the INS if it intends to house INS detainees in a facility other than that speci?ed on the cover page of this document. If either that facility, or any ?iture one, is operated by an entity other than the Service Provider, INS shall treat that entity as a subcontractor to the Service Provider. The Service Provider shall ensure that any subcontract includes all provisions of this Agreement, and shall provide INS with copies of all subcontracts in existence during any part of the term of this Agreement. The INS will not either accept invoices from, or make payments to, a subcontractor. C. Consistent with law. Any provision of this Agreement contrary to applicable statutes, regulation, policies, or judicial mandates is null and void, but shall not necessarily affect the balance of the Agreement. Department of ustlce Immigration and Naturalization Service I ntergavemmen tal Service Agreem cut for Housing Federal Detainees Article Covered Services A. Bed space. The Service Provider shall provide male/female beds on a space available basis. The Service Provider shall house all detainees as determined within the classi?cation system. The INS will be ?nancially liable only for the actual detainee days as de?ned in Paragraph C. of this Article. B. Basic needs. The Service Provider shall provide adult INS detainees (gender as speci?ed in Paragraph A. of this Article) with safekeeping, housing, subsistence, medical and other services in accordance with this Agreement. In providing these services, the Service Provider shall ensure compliance with all applicable laws, regulations, ?re and safety codes, policies, and procedures. If the Service Provider determines that INS has delivered a person for custody who is under the age of 18, the Service Provider shall not house that person with adult detainees, and shall notify the INS immediately. The types and levels of services shall be those the Service Provider routinely affords to other inmates. - C. Unit of service and ?nancial liabilitv. The unit of service will be a ?detainee ?day? (one person per day). The detainee day begins on the date of arrival. The Service Provider may bill INS for the date of an'ival but not the date of departure. For example: If a detainee is brought in at 1900 Sunday and is released at 0700 on Monday, the Service Provider may bill for 1 detainee day. If a detainee is brought in at 0100, Sunday and is released at 2359 Monday, the Service Provider may bill for only 1 detainee day. The INS shall be reSponsible to pay for only those beds actually occupied. D. Interpretive services. The Service Provider shall make Special provisions for non- English speaking, handicapped or illiterate detainees. The INS will reimburse the Service Provider for any costs associated with providing commercial written or telephone language interpretive services, and upon request, will assist the Service Provider in obtaining translation services. The Service Provider shall provide all instructions verbally (in English or the detainee?s native language as appropriate) to detainees who cannot read. The Service Provider shall include the amount that the Service Provider paid for such services on their regular invoice. The Service Provider shall not use detainees for translation services, except in emergency situations. If the Service Provider uses a detainee for translation service, it shall notify INS within 24 hours. MARCH 2015 ICE 2012030300029320 Department of Justice Immigration and Naturalization Service Intergovernmental Service A greem em for Housing Federal Detainees E. Escort and Transnortation services. The Service Provider will provide, upon request and as scheduled by INS, necessary escort and transportation services for INS detainees to and from designated locations. Escort services will be required for escorting detainees to court hearings, escorting witnesses to the courtroom and staged with the INS judge during proceedings. Transportation services shall be performed by at least two (2) quali?ed sworn law enforcement or correctional of?cer personnel employed by the Service Provider and under its policies, procedures and authorities. All costs for escort and tranSportation services shall be listed separately. When utilizing INS vehicles the Service Provider will be reimbursed for actual guard hours provided only. Article IV. Receiving and Discharging Detainees A. Required activity. The Service Provider shall receive and discharge detainees only from and to either properly identi?ed INS personnel or other properly identi?ed Federal law enforcement of?cials with prior authorization from INS. Presentation of US. Government identi?cation shall constitute proper identi?cation. The Service Provider shall ?lmish receiving and discharging services twenty-four (24) hours per day, seven (7) days a week. The INS shall ?irnish the Service Provider with reasonable notice of receiving or discharging detainee(s). The Service Provider shall ensure positive" identi?cation and recording of detainees and INS of?cers. The Service Provider shall not permit medical or emergency discharges except through coordination with on-duty INS of?cers. B. Restricted release of detainees. The Service Provider shall not release INS detainees from its physical custody to any persons other than those described in Paragraph A of this Article for any reason, except for either medical, other emergent situations, or in response to a federal writ of habeas corpus. If an INS detainee is sought for federal, state or local court proceedings, only INS may authorize release of the detainee for such purposes. The Service Provider shall contact INS immediately regarding any such requests. C. Service Provider right of refusal. The Service Provider retains ?nal and absolute right either to refuse acceptance, or request removal, of any detainee exhibiting violent or disruptive behavior, or of any detainee found to have a medical condition that requires medical care beyond the scope of the Service Provider?s health provider. In the case of a detainee already in custody, the Service Provider shall notify the INS and request such removals, and shall allow the INS reasonable time to make alternative arrangements for the detainee. D. Emergency evacuation. In the event of an emergency requiring evacuation of the Facility, the Service Provider shall evacuate INS detainees in the same manner, and with the same safeguards, as it employs for persons detained under the Service Provider?s authority. The Service Provider shall notify INS within two hours of such evacuation. MARCH 2015 ICE 2012030300029321 Department of Justice Immigration and Naturalization Service Intergovernmental Service A greem eat for Housing Federal Detainees Article V. INS Detention Standards The Service Provider shall ensure compliance with the INS detention standards (?nd under and Department ofJustice core detention standards to be provided by INS. The Service Provider may adopt, adapt or establish alternative procedures, provided they meet or exceed the standard. As additional INSKDOJ detention standards are issued, and/or changed, they will be incorporated by issuance of a bi~lateral modi?cation. Compliance will be made within ninety (90) days from the effective date of this agreement. Article VI. Medical Services A. Ausnices of Health Authority. The Service Provider shall provide INS detainees with on-site health care services under the control of a local government designated Health Authority. The Service Provider shall ensure equipment, supplies, and materials, as required by the Health Authority, are furnished to deliver health care on?site. B. Level of Professionalism. The Service Provider shall ensure that all health care service providers utilized for INS detainees hold current licenses, certifications, andx?or registrations with the State andfor City where they are practicing. The Service Provider shall retain a registered nurse to provide health care and sick call coverage unless expressly stated otherwise in this Agreement. In the absence of a health care professional, non-health care personnel may refer detainees to health care resources based upon protocols developed by United States Public Health Service (USPHS) Division of Immigration Health Service (DIHS). Healthcare or health trained personnel may perform screenings. C. Access to health care. The Service Provider shall ensure that on-site medical and health care coverage as de?ned below is available for all INS detainees at the facility for at least eight (8) hours per day, seven (7) days per week. The Service Provider shall ensure that its employees solicit each detainee for health complaints and deliver the complaints in writing to the medical and health care staff. The Service Provider shall furnish the detainees instructions in his or her native language for gaining access to health care services as prescribed in Article Paragraph D. D. On?site health care. The Service Provider shall furnish on-site health care under this Agreement. The Service Provider shall not charge any INS detainee an additional fee or co?payment for medical services or treatment provided at the Service Provider?s facility. The Service Provider shall ensure that INS detainees receive no lower level of on-site medical care and services than those it provides to local inmates. On?site health care services shall include arrival screening within 24 hours of arrival at the Facility, sick call coverage, provision of over-the-counter medications, treatment of minor injuries lacerations, sprains, contusions), treatment of special needs and mental health assessments. Detainees with chronic conditions shall receive prescribed treatment and follow-up care. MARCH 2015 ICE 2012030300029322 4 Department of Justice Immigration and Naturalization Service Intergovernmental Service A greem cut for Housing edem! Detainees E. Arrival screening. Arrival screening shall include at a minimum TB screening, planting of the Tuberculin Skin Test (PPD), and recording the history of past and present illnesses (mental and physical). F. Unacceptable medical conditions. If the Service Provider determines that an INS detainee has a mediCal condition which renders that person unacceptable for detention under this Agreement, (for example, contagious disease, condition needing life support, uncontrollable violence), the Service Provider shall notify INS. Upon such noti?cation the Service Provider shall allow INS reasonable time to make the prOper arrangements for further disposition of that detainee. G. DIHS Pie-approval for non-emergent off?site care. The DIHS acts as the agent and ?nal health authority for INS on all off-site detainee medical and health related matters. The relationship of the DIHS to the detainee equals that of physician to patient. The Service Provider shall release any and all medical information for INS detainees to the DIHS representatives upon request. The Service Provider shall solicit DIHS approval before proceeding with non-emergency, off-site medical care (cg. off site lab testing, eyeglasses, cosmetic dental prosthetics, dental care for cosmetic purposes). TheyService Provider shall submit supporting documentation for non-routine, off?site medicalfhealth services to DIHS. (See Attachment D.) For medical care provided outside the facility, the DIHS may determine that an alternative medical provider or institution is more cost- effective or more aptly meets the needs of INS and the detainee. The INS may refuse to reimburse the Service Provider for non-emergency medical costs incurred that were not pre-approved by the DIHS. The Service Provider shall send all requests for pre-approval for non?emergent off-site care to: Steven Wacha Managed Care Coordinator 3400 Concord Road York, PA 17402 Phone: (877) 23(4)c Fax: (877) 234-5885 The Service Provider is to notify all medical providers approved to furnish off?site health care of detainees to submit their bills in accordance with instructions provided to: UP UP Health Services P.0. Box 10250 Gaithersburg, MD 20898-0250 Phone: (833) 0 Fax: (888) 383-3957 MARCH 2015 ICE 2012030300029323 Department of Justice Immigration and Naturalization Service In terga vernmen ta! Service A greem em for Housing edera! Detainees H. Emergency medical care. The Service Provider shall ?lmish 24 hour emergency medical care and emergency evacuation procedures. In an emergency, the Service Provider shall obtain the medical treatment required to preserve the detainee?s health. The Service Provider shall have access to an off site emergency medical provider at all times. The Health Authority of the Service Provider shall notify the DIHS Managed Care Coordinator by calling the telephone number listed in paragraph above as soon as possible, and in no case more than seventy-two hours after detainee receipt of such care. The Health Authority will obtain pre~authorization from the DIHS Managed Care Coordinator for service(s) beyond the initial emergency situation. I. Off-site guards. The Service Provider shall provide guards at all times detainees are admitted to an outside medical facility. The Service Provider shall submit a separate invoice f0r guard services with its regular billing. J. DIHS visits. The Service Provider shall allow DIHS Managed Care Coordinators reasonable access to its facility for the purpose of liaison activities with the Health Authority and associated Service Provider departments. Article VII. No Employment of Unauthorized Aliens Subject to existing laws, regulations, Executive Orders, and addenda to this Agreement, the Service Provider shall not employ aliens unauthorized to work in the United States. Except for maintaining personal living areas, persons detained for INS shall not be required to perform manual labor. Article Period of Performance This Agreement shall remain in effect inde?nitely, or until terminated by either Party upon 60 days written notice, unless an emergency situation requires the immediate relocation of detainees, or the Parties agree to a shorter period under the procedures prescribed in Article X. Article IX. Inspection A. Jail Agreement Inspection Report. The Service Provider shall allow INS to conduct inspections of the facility, as required, to ensure an acceptable level of services and acceptable conditions of con?nement as determined by the INS. No notice to the Service Provider is required prior to an inspection. The INS will conduct such inspections in accordance with the Jail Agreement Inspection Report a copy of which is included as an attachment to this Agreement. The Jail Inspection Report stipulates minimum requirements for ?refsafety code compliance, supervision, segregation, sleeping utensils, meals, medical care, confidential communication, telephone access, legal counsel, legal library, visitation, and recreation. The INS will share ?ndings of the inspection with the Service Provider?s facility administrator to promote improvements to facility operation, conditions of con?nement, and level of service. MARCH 2015 ICE 2012030300029324 6 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees B. Possible termination. If the Service Provider fails to remedy de?cient service INS identi?es through inspection, INS may terminate this Agreement without regard to the provisions of Articles and X. C. Share ?ndings. The Service Provider shall provide INS copies of facility inSpections, reviews, examinations, and surveys performed by accreditation sources. D. Access to Detainee Records. The Service Provider shall, upon request, grant INS access to any record in its possession (regardless of whether the Service Provider created the record) concerning any alien whom it has detained pursuant to this Agreement. This right of access shall include, but not be limited to, incident reports, records relating to suicide attempts, and behavioral assessments and other records relating to the alien?s behavior while in Service custody. Furthermore, the Service Provider shall retain all records where this right of access applies. The retention period will be at least two years from the date of the detainee?s discharge from the Service Provider?s custody. Article X. Modi?cations and Disputes A. Modi?cations. Actions other than those designated in this Agreement will not bind or incur liability on behalf of either party. Either party may request a modi?cation to this agreement by submitting a written request to the other. A modi?cation will become part of this Agreement only after the INS Regional Contracting Of?cer and the authorized signatory of the Service Provider have approved it in writing. B. Disputes. The INS Regional Contracting Of?cer and the authorized signatory of the Service Provider are the parties to settle disputes, questions, and concerns arising from this Agreement. Settlement of diSputes shall be memorialized in a written modi?cation between the INS Regional Contracting Of?cer and authorized signatory of the Service Provider. Article Adjusting the Detainee Day Rate The INS shall reimburse the Service Provider at the detainee day rate shown on the cover page of this document. The Parties may adjust that rate 12 months after the date of signing, and every 12 months thereafter. The Parties shall base the rate and adjustments on the principles set forth in OMB Circular A-87. Such adjustments shall be effective on the ?rst day of the month following execution of the modi?cation. MARCH 2015 ICE 2012030300029325 Department of Justice Immigration and Naturalization Service Intergovernmental Service A greem en: for Housing edera! Detainees Article XII. Enrollment, Invoicing, and Payment A. Enrollment in electronic funds transfer. The Service Provider shall provide the INS of?ce with the information needed to make payment by electronic funds transfer (EFT). Since January 1, 1999, INS has made all payments only by EFT. The Service Provider shall identify their ?nancial institution and related information on Standard Form 3881, Automated Clearing House (ACH) VendorMiscellaneous Payment Enrollment Form, (Attachment F). The Service Provider shall submit a completed SF 3881 to the INS payment of?ce prior to submitting its initial request for payment under this Agreement. If the EFT data changes, the Service Provider shall be responsible for providing updated information to the INS payment of?ce. . B. Invoicing. The Service Provider shall submit an original itemized invoice containing the following information: the name and address of the facility; the name of each INS detainee, his or her A-number, and his or her specific dates of detention; the total number of detainee days; the daily rate; the total detainee days multiplied by the daily rate an itemized listing of all other charges; and the name, title, address, and phone number of the local of?cial responsible for invoice preparation. The Service Provider shall submit invoices within the ?rst ten working days of the month following the calendar month when it provided the services, to: US. Immigration Naturalization Service Washington District Of?ce 4420 North Fairfax Drive ATTN: Deportation Unit Arlington, VA 22203-161 1 Phone: (202) 3011654 Fax: (202) 307-1598 C. Pay1_nent. The INS will transfer funds electronically through either an Automated Clearing House subject to the banking laws of the United States, or the Federal Reserve Wire Transfer System. The Prompt Payment Act applies to this Agreement. The Act requires INS to make payments under this Agreement the 30?11 calendar day after the Deportation of?ce receives a complete invoice. Either the date on the Government?s check, or the date it executes an electronic transfer of ?inds, shall constitute the payment date. The Act requires INS to pay interest on overdue payments to the Service Provider. The INS will determine any interest due in accordance with the Act. MARCH 2015 ICE 2012030300029326 MARCH 2015 ICE 2012030300029327 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees Article Government Furnished Property A. Federal Pronertv Furnished to the Service Provider. The INS may furnish federal property and equipment to the Service Provider. Accountable property remains titled to INS and shall be returned to the custody of INS upon termination of the agreement. The suspension of use of bed space made available to INS is agreed to be grounds for the recall and return of any or all government furnished property. B. Service Provider Resoonsibilitv. The Service Provider shall not remove INS property from the facility without the prior written approval of INS. The Service Provider shall report any loss or destruction of such property immediately to INS. Article XIV. Hold Harmless and Indemni?cation Provisions A. Service Provider held harmless. The INS shall, subject to the availability of funds, save and hold the Service Provider harmless and indemnify the Service Provider against any and all liability claims and costs of whatever kind and nature, for injury to or death of any person(s), or loss or damage to any property, which occurs in connection with or incident to performance of work under the terms of this Agreement, and which results from negligent acts or omissions of INS of?cers or employees, to the extent that INS would be liable for such negligent acts or omissions under the Federal Tort Claims Act, 28 USC 2691 et seq. B. Federal Government held harmless. The Service Provider shall save and hold harmless and indemnify federal government agencies to the extent allowed by law against any and all liability claims, and costs of whatsoever kind and nature for injury to or death of any person or persons and for loss or damage to any property occurring in connection with, or in any way incident to or arising out Of the occupancy, use, service, operation or performance of work under the terms of this Agreement, resulting from the negligent acts or omissions of the Service Provider, or any employee, or agent of the Service Provider. In so agreeing, the Service Provider does not waive any defenses, immunities or limits of liability available to it under state or federal law. C. Defense of suit. In the event a detainee ?les suit against the Service Provider contesting the legality of the detainee?s incarceration andfor immigrationfcitizenship status, INS shall request that the US. Attorney?s Of?ce, as appropriate, move either to have the Service Provider dismissed from such suit, to have INS substituted as the proper party defendant, or to have the case removed to a court of proper jurisdiction. Regardless of the decision on any such motion, INS shall request that the US Attorney?s Of?ce be responsible for the defense of any suit on these grounds. Department of Justice Immigration and Naturalization Service Intergovernmental Service A greem en: for Housing ederai Detainees D. INS recoverv right. The Service Provider shall do nothing to prejudice right to recover against third parties for any loss, destruction of, or damage to US. Government property. Upon request of the Contracting Of?cer, the Service Provider shall, at the expense, furnish to INS all reasonable assistance and 000peration, including assistance in the prosecution of suit and execution of the instruments of assignment in favor of INS in obtaining recovery. Article XV. Financial Records A. Retention of records. All ?nancial records, supporting documents, statistical records, and other records pertinent to contracts or subordinate agreements under this Agreement shall be retained by the Service Provider for at least three years for purposes of federal examinations and audit. The 3~year retention period begins at the end of the ?rst year of completion of service under the Agreement. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the expiration of the 3-year period, the records must be retained until completion of the action and resolution of all issues which arise from it or until the end of the regular 3?year period, whichever is later. B. Access to records. The INS and the Comptroller General of the United States, or any of their authorized representatives, shall have the right of access to any pertinent books, documents, papers or other records of the Service Provider or its sub-recipients. Which are pertinent to the award, in order to make audits, examinations, excerpts, and transcripts. The rights of access must not be limited to the required retention period, but shall last as long as the records are retained. C. Delinquent debt collection. The INS will hold the Service Provider accountable for any overpayment, or any breach of this Agreement that results in a debt owed to the Federal Government. The INS shall apply interest, penalties, and administrative costs to adelinquent debt owed to the Federal Government by the Service provider pursuant to the Debt Collection Improvement Act of 1982, as amended. Article XVI. Provision of Space to INS and EOIR A. Service Provider responsibilities. The Service Provider shall provide suitable support, office and administrative space, for use by INS. As necessary, the Service Provider will provide suf?cient safe and secure storage space for all INS detainee baggage. In addition, the Service Provider agrees, if required, to ?irnish acceptable of?ce and administrative space to the Executive Of?ce of Immigration Review (EOIR). The Service Provider shall bear all costs associated with the use of ail and office space by INS and EOIR those for preparing, operating and maintaining such facilities for INS and EOIR, and incurred for temporarily relocating the Service Provider?s employees). MARCH 2015 ICE 2012030300029328 10 Department of ustlce Immigration and Naturalization Service Intergovernmental Service Agreement for Housing ederai Detainees The Service Provider shall equip the of?ce and administrative space furnished to INS and EOIR with a telephone system compatible with the federal telephone network. The Service Provider shall furnish the security and janitorial services for this space. The Service Provider shall include all costs associated with providing space or services under this Paragraph in the calculation of the detainee rate day rate. (Note: the Service Provider shall have no obligation under this Paragraph unless the Parties negotiate speci?c terms for such space or services.) B. Federal Government responsibilities. The INS will incur the costs of installing computer cabling, telephone lines and any additional telephone trunk lines and telephone switch equipment which may be required. The INS will be reSponsible for payment of INS long-distance telephone bills for INS staff. End of document Attachments: A. OMB Circular B. INS Jail Services Cost Statement Form C. DIHS I?m-authorization Form D. Jail Agreement Inspection Report E. SF 3881, ACH VendorMiscellaneous Payment Enrollment Form 11 MARCH 2015 ICE 2012030300029329 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029330 (b)(6), (b)(7)c ORDER FOR SUPPLIES OR SERVICES . PAGE OF PAGES IMPORTANT: Mark all packages and papers with contract andfor order numbers. 1 I 3 1. DATE OF ORDER 2. CONTRACT NO. (Ifany) . 6. SHIP TO: 09/12/2007 - a. NAME OFCONSIGNEE 3. ORDER NO. 4. REOUISITIONIREFERENCE NO. De artment of Homeland Securit . . - - . 5. OFFICE {Address correspondence to) I b. STREET ADDRESS - ICE /Detention Detent ion IGSAS Immigrat ion Customs Enforcement Immigration and Customs Enforcement . WaShingtOD DiStriCt Office Office of Acquisition Management Slut? 300 I 425 I Street-NW, Suite 2208 2675 Prosperlty Avenue Washington DC 2 053 6 - 0' CITY STATE 6. ZIP CODE . . . . Fairfax I I VA 22031-4906 7. To: . r. SHIP VIA a. NAME OF CONTRACTOR - I HAMPTON ROADS REGIONAL JAIL {1wa OF ORDER b- COMPANY NAME Ia, PURCHASE - b. DELIVERY STREET ADDRESS REFERENCE YOURELMHURST LANE Except for reverse, delivery order IS . ATTENT ION DIRECTOR OF ADMIN I STRAT ION - subject to instructions contained on - this side oniy of this form and is Piease furnish the following on the terms issued sum-ed to the terms and and conditions specified on both sides of conditions of {he abovemumbered dl chY 8' STATE ZIP CODE this orderjnd Enlihe attach? sitzet, if contract . . any, Inc Ing Ivery as In Ica .- PORTSMOUTH VA 237012745 . S, ACCOUNTING AND APPROPRIATIONIDATA 10. REOUISITIONING OFFICE . 5 See Schedule Immigration and Customs Enforcement . 11, BUSINESS CLASSIFICATION (Check appropriate boxfesi) - ?12. FOB. POINT E..- . a. SMALL i O. OTHER THAN SMALL I c. DISADVANTAGED g. 3:225WOMEN-OWNED I: e. I: f- SMALL BUSINESS 0 Fr) 13. PLACE OF 14. GOVERNMENT SIL NO. 15. DELIVER TO FOB. POINT 15. DISCOUNT TERMS i ON OR BEFORE (Date) i a. INSPECTION b. ACCEPTANCE 30 Days After Awe rd . . Destination Destination .- Net 30 SCHEDULE {See reVerse for Rejections) i . OUANTITV UNIT . QUANTITY ITEM NO. SUPPLIES OR SERVICES -, . ORDERED UNIT PRICE AMOUNT ACCEPTED InNumber: I I DUNS Number: 125908231 1 This Task Order is issued against the Inter?Government? Services Agreement (IGSA) NO . for the following services: Continued 18. SHIPPING POINT . '19. GROSS SHIPPING WEIGHT 20. INVOICE No. ?7th - - TOTAL (Cont. 21. MAIL INVOICE TO: pages) I a NAME Deoartment of Homeland Securitv $81, 000 00 . . INSTRUCTIONS b. STREET ADDRESS Citi zenship Irnmigrat ion Services .ONREVERSE. (orPO. Box! 2675 Prosperity Avenue . 17m Suite 300 - . GRAND - TOTAL CICITY "30005; $81, 4 Fairf: 203l~4906 22. UNITED STATES OF AME -. BY (SIgnature) - - A TINGIORDERINS OFFICER - - FDR LOCAL REPROD . OPTIONAL. FORM 5.47 ms. sauna} PREVIOUS EDITION NOT USABLE - PTasoribed by OSAIFAR 43 CFR 53.21393} MARCH 2015 ICE 2012030300029331 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(7)e MARCH 2015 ICE 201203030.0029332 ORDER FOR SUPPLIES OR SERVICES SCHEDULE - CONTINUATION IMPORTANT: Mark all packages and papers with contract andfor order numbers. 3 PAGE OF PAGES 3 DATE OF ORDER CONTRACT NO. ORDER NO. 09/12/2007 ITawNo. SUPPUESEERWCES uwn AMOUNT QUANHTY ORDERED ACCEPTED M) (D m) E) f) (m The total amount of award: $81,000r00. The obligation for this award is shown in box 17(i). NSN 7540-01-152?3082 50348-101 MARCH 20:15 ICE 2012030300029333 TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(Hj) OPTIONAL FORM 348 ev. by GSA FAR :45 53.213{c} (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029334 (b)(6), (b)(7)c ORDER FOR SUPPLIES OR SERVICES - PAGE ?0 SCHEDULE-CONHNUAHON I - . . 2 IMPORTANT: Mark all packages and papers with contract andlor order numbers. - I DATE OF ORDER CONTRACT NO. ORDER NO. - 06/13/2012 - . ITEM NO. SUPPLIESISERVICES . QUANTITY UNIT UNIT - AMOUNT - QUANTITY . ORDERED PRICE . ACCEPTED (C) If} 202473Qrwr(bX9c The purpose of this task order is to fund 12,221 bed days and transportation services against Immigration and Naturalization 'Agreement Number: with Hampton Roads RegiOnal Jail, VA. We anticipate that this will be sufficient to fund one month of services. Exempt Action: Period of Performance: 06/01/2012 to 06/30/2012 0001 Detention Bed Rate at $75.69. 925,007.49 Product/Service Code: 3206 Product/Service Description: GUARD Accounting Inf I mxne Funded: $925,007.49 0002 Estimated Mileage Rate for Transportation 4,950.00 at $0.55 Product/Service Code: 8206 Product/Service Description: GUARD Accounting Info: (bX?e Funded: $4,950.00 - All other terms and conditions remain the same. The total amount of award: $929,957.49. The obligation for this award is shown in box 17(1). - - TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 1704)) :j . $929,957.49 AUTHORIZED FOR - OPTIONAL FORM 348 (Rev. 42006) NOT USABLE . - I - Presa'ibed by Gen FAR (43 CFR) 53.2136) MARCH 2015 ICE 2012030300029335 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029336 PAGE OF CONTINUATION SHEET 63 @0001 6 2 3 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL WEMNO. AMOUNT (A) (B) (C) . (E) b. With this closeout modification, the contractor hereby reieases the Government from any and all liability under this contract. Exempt Action: Period of Performance: 08/01/2012 to 01/15/2014 Change Item 0001 to read as follows{amount shown is the total amount): 0001 DETAINEE 7,256, 424 . 59 CLIN 0001 decreases as follows: From: $7,313,773 32 By: $57,348.73 To: $7,256,424.59 (MDL 13 14 Product/Service Code: 8206 Product/Service Description: GUARD Accounting Info: Funded: $0.00 Accountino Info: Funded: $0.00 Accountino Info: Funded: Accountinc Info: Funded: SU.UU Accountino Info: Funded: $0.00 Act-'0qu inc: Info OPHONAL FORM 336 (4-38} Sponsored by GSA FAR (48 NSN 7540014528067 MAR-CH: .20312030303029331. . SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF b) NNMEOFOFFERORORCONTRACTOR ROADS REGIONAL JAIL (C) (D) AMOUNT ETEM NO. (A) (B) Funded: Accountinc TnFn- Funded: Accounting Info: Funded: $0.00 The funding currently allotted to this task order is presently available for payment. The Service Provider agrees to perform to the point that does not exceed the total amount currently allotted to the items currently funded under this Task Order. The Service Provider is not authorized to continue to work on those item(s) beyond that point. The Government will not be obligated to reimburse the Service Provider in excess of the amount allotted to those item(s) for performance beyond the funding allotted. All other terms and conditions remain the-same. NSN OPTIONAL FORM 336 (486} Sponsored by GSA FAR (48 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029339 REFERENCE NO. OF DOCUMENT BEING CONTINUED AGE OF 0003 Product/Service Code: 3206 Product/Service Accounting Info: Description: HOUSEKEEPING- GUARD mxne 0- . Funded: $5,118.21 'All other terms and conditions remain the same. SHEET 2 2- NAME OF OFFEROR OR CONTRACTOR ROADS REGIONAL JAIL ITEM No. SUPPLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F) FOB: Destination . Period of Performance: 06/01/2012 to 07/31/2012 Change.Item 0001 to read as follOws(amount shown is the total amount): 0001 Detention Bed Days 1,874,992.68 Product/Service Code; 3206 Product/Service Description: Accounting Info: Funded: $949,985.19 Add Item 0003 as follows: CLIN 2: Mileage. 5,118.21 NSN7540-01-152-8IJHVIARCH 2015 ICE 2012030300029340 OPTIONAL FORM 336 (4-86) Sponsored by GSA FAR {48 CFR) 53.110 -- (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029341 REFERENCE NO. OF DOCUMENT CONTINUED PAGE OF SHEET 2 3 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAEL ITEM NO. SUPPLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F) FOB: Destination Period of Performance: 08/01/2012 to 09/30/2012 Change Item 0001 to read as follows(amount shown is the total amount): 0001 Detention Bed Days mX4) 2,774,946.78 CLIN 0001 is increased as follows: From: $1,874,992.68 By: $899,954.10 To: $2,774,946.78 CLIN 0001 quantity is increased as follows: jFrom: 24,772 By: 11,890 To: 36,662 Product/Service Code: .3206 Product/Service Description: GUARD Accounting Info: -- Funded: $0.00 Accounting Info: Funded: $899,954.10 Change Item 0003 to read as follows(amount shown is the total amount): 0003 Transportation Mileage in accordance with GSA I mx4) 7,651.79 CLIN 0003 is increased as follows: From: $5,118.21 By: $2,533.58 To: $7,651.79 CLIN 0003 quantity is increased as follows: From: 9,222 By: 4,565 To: 13,787 Product/Service Code: 8206 Product/Service Description: GUARD Accounting Info: Funded: $0.00 Accounting Info: Continued NSN 7540-01-152-8067 MARCH 2015 ICE 2012030300029342 OPTIONAL FORM 336 (4-86) Sponsored by GSA FAR (48 CFR) 53.110 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF 3 3 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAI ITEM NO. SUPPLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) A (D) (E) (F) Funded: $2,533.58 Funding 1 estimated, additional funds may be applied to future invoicing . NSN OPTIONAL FORM 335 {4-86) MARCH 2015 ICE 2012030300029343 Sponsored by GSA FAR (48 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029344 REFERENCE NO. OF DOCUMENT BEING CONTINUED I PAGE OF SHEET 2 2 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM No. - QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) - (C) (D) . (E) (F) FOB: Destination Period of Performance: 08/01/2012 to 10/31/2012 Change Item 0001 to read as follows(amount shown is the total amount): 0001 Detention Bed Days (bx4) 3,645,381.78 CLIN 0001 is increased as follows: From: $2,774,946.78 By: $870,435.00 To: $3,645,381.78 CLIN 0001 quantity is increased as follows: From: 36,662 By: 11,500 To: 48,162 Product/Service Code: 3206. Product/Service Description: GUARD Accounting Info: -- rundeo: Tn-Fn- Funded: $0.00 Funded: $870,435.00 Funding is estimated, additional funds may be applied to future invoicing. NSN 754001-152:8067 OPTIONAL FORM 335 (6-86) Sponsored MARCH 2015 ICE 2012030300029345 mama) 53m (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029346 REFERENCE NO. OF DOCUMENT BEING CONTINUED - I PAGE OF - - - 2 2 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL SUPPUESBERWCES - - QUANHTYUNW AMOUNT (A) - (B) (C) (D) IE) (F) CONHNUAHONSHEET Discount Terms: -Net 30 FOB: Destination . Period of Performance: 08/01/2012 to 10/31/2012 Change Item 0001 to read as follows(amount shown is the total amount): 0001 Detention Bed Days .- mx4) .3,655,372;86 CLIN 0001 is increased as follows: From: $3,645,381.78 By: $9,991.08 To: quantity is increased as follows: From: 48,162 By: 132 To: 48,294 Product/Service Code: 8206 . Product/Service Description: GUARD ACcounting Info:_ ?X7b . Funded: $9,991;08 Accounting Info: runded: $0.00- Accountinn TnFn- Funded: $0.00 Funding is estimated, additional funds may be applied to future invoicing. - 2-8067 - . - . OPTION LFORM 336 4-36 751?? 15 MARCH 2012030300029347 . . . PAR (43 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029348 . PAGE OF - . . 2 2- NAME OF OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL "arewwo. - AMOUNT. (A) . (B) - (D) (F) All other terms and conditions remain the same. Exempt Action: Discount Terms:l Net 30 FOB: Destination . . . Period of Performance: 08/01/2012 to 12/31/2012 Change Item 0001 to read as foliows(amouut shown is the total amount): 0001 Detention Bed Days (bx4) 5,255,300.08 - CLIN 0001 is increased as follows: Frem: $3,655,372.86' By: $1,599,935.22 To: $5,255,308.08 CLIN 0001 quantity is increased as fellows: '-From: 48,294 By: 21,138 To: 69,432 Product/Service Code: S206 Product/Service Description: GUARD Accounting Info: - Funded: $0.00 Tn'Fn (bX?e Funded: $0.00 Accountind Info: EUHGEQ: Accounting Info: -- Funded: 599, 935. 22 NSN 7540-01-152-3067 I . OPTIONAL FORM 335 (4-86} - - - Sponsored by GSA FAR (45 53.110 MARCH 2015 ICE 2012030300029349 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029350 REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE. OF 2 3 NAME OF OFFEROR OR CONTRACTOR - HAMPTON ROADS REGIONAL JAIL ITamNo. . SUPPUESBERWCES AMOUNT (B) (D) (E) All other terms and conditions remain the same. Exempt Action: . Discount Terms: Net 30 FOB: Destination - Period of Performance: 08/01/2012 to 03/27/2013 Change Item 0001 to read as follows(amount shown is the total amount): 0001 Detention Bed Days (bx6L(bX7m 6,412,532.49 CLIN 0001 is increased as follows: From: $5,255,308.08 By: $1,157,224.41 To: $6,412,532.49 CLIN 0001 quantity is increased as follows: From: 69,432 By: 15,289 To: 84721 Product/Service Code: 8206 Product/Service Description: HOUSEKEEPING- GUARD Accountind Infa- Funded: $0.00 Th?Fn- (bX?e r_ Funded: $0.00 Account-inn TnFn- Funded: $0.00 Accounting.Info: tunded: $1,157,224.41 Change Item 0003 to read as follows(amount shown is the total amount): 0003 Transportation Mileage in accordance with GSA (bX4) 17,559.65 ProdUct/Service Code: 8206 Product/Service Description: GUARD Continued ..: MARCH 2015' ICE- 2012030300029351 - OPTIONAL FORM 336 (4-86) Sponsored by GSA FAR {43 CFR) 53.110 REFERENCE NO. OF DOCUMENT BEING CONTINUED . . PAGE OF SHEET - - -3 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. SUPPLIESISERVICES - UNIT UNIT PRICE AMOUNT (A) (B) - (C) (D) (E) (F) Accountina Info - J. PU . UU Accountinq Info: Funded: $0.00 Accounting Info: Funded: 907 . 8.6 NSN 754001452305? . OPTIONAL FORM 336 (4-36) Sponsored by GSA . FAR (48 CFR) 53.110 MARCH 2015 ICE 2012030300029352 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029353 REFERENCE NO. OF DOCUMENT BEING CONTINUED GAGE 0F SHEET 2 - 2 - NAME oF OFFEROROR CONTRACTOR HAMPTON ROADS REGIONAL JAIL SUPPUEQSEHWCES QUAanvumn? AMOUNT (A) (B) (C) (D) (E) Exempt Action: Discount Terms: Net 30 FOB: Destination Period cf Performance: 08/01/2012 to 03/27/2013 -Chenge Item 0001_to reed as foliows{amount shown is the total amount):? 0001 Detention Bed Days (bxq ICLIN 0001 is increased as follows: From: $6,412,532.49 By: $379,963.80 To: $6,792,496.29 CLIN 0001.quantity is increased as follows: From: 84,721 By: 5,020 To: 89,741 Product/Service Code: 5206 Product/Service Description: GUARD Accounting Info: Funded: $0.00 Accounting Info: Funded: $0.00 Accountino Info: .. Funded: $0.00 Accountinq'lnfo: (bxne _f Funded: $0.00_ Accountinq Info: (bxne I Funded: $379,963.80 6,792,496.29 I NSN 7540-01-152-806? MARCH 2015IICE 2012030300029354 . OPTIONAL FORM 336 [4-86) Sponsored by GSA FAR (48 53.110 AMENDMENT OF OF CONTRACT 1' CONTRACT '9 CODE PAGE OF PAGES 1 I 2 2. AMENDMENTIMODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITIONIPURCHASE REO. NO. PROJECT NO. (Ifapplicabie) 6. ISSUED BY CODE ICE DC 7. ADMINISTERED BY {Ifotnerihan Item 6) CODE II CE DC ICE/Detent Mngt/Detent Contracts?DC ICE/Detent Mngt/Detent Contracts-DC Immigration and Customs Enforcement Immigration and Customs Enforcement Office of Acquisition Management Office Of Acquisition Management 801 I Street NW, Suite 910 801 I Street NW, Suite 910 Washington DC 20536 Washington DC 20536 8. NAME AND ADDRESS OF CONTRACTOR (No, sneer. wunry, State and ZIP Code) 9A. AMENDMENT OF SOLICITATION NO. HAMPTON ROADS REGIONAL JAIL 2690 ELMHURST LANE ATTENT ION IRECTOR OF ADMIN I STRATION PORTSMOUTH VA 237 0127 4 5 10A. MODIFICATION OF CONTRACTIORDER NO. I62 63 10B. DATED (SEE ITEM 13) CODE 1259082310000 06/13/2012 11. THIS ITEM ONLY APPLIES TO AWE-MOMENTS OF SOLICITATIONS : The above numbered solicitation is amended as set torth in Item 14. The hour and date speci?ed for receipi of Offers 7 [its extended. 1] is not extended. Otters must acknowledge receipt of this amendment prior to the hour and date speci?ed in the solicitation or as amended. by one of the following methods: By completing Items 8 and 15. and returning copies of the amendment; By acknowledging receipt 0? this amendment on each copy of the offer submitted; or By separate letter or telegram which inctudes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT tN REJECTION OF YOUR OFFER. it by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter. provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date speci?ed. 12. ACCOUNTING AND APPROPRIATION DATA {Ifrequrredj Net inc reaseSee Schedule - 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTSIORDERS. IT MODIFIESTHE CONTRACTIORDER NO. AS DESCRIBED IN ITEM 14. A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: {Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT B. THE ABOVE NUMBERED CONTRACTIORDER IS MODIFIED To REFLECT THE ADMINISTRATIVE CHANGES {such as changes in paying Of?ce, appropriation date, etc.) SET FORTH IN ITEM 14. PURSUANT TO THE AUTHORITY OF FAR 43.10303). C. THIS SUPPLEMENTAL AGREEMENT [3 ENTERED INTO PURSUANT TO AUTHORITY OF: D. OTHER (Specify type of modi?cation and authority} In accordance with E. IMPORTANT: Contractor is not. is required to Sign this document and return copies to the issuing of?ce. 14. DESCRIPTION OF AMENDMENTIMODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.) DUNS Number: 125908231 Program Office POC: i03?285- Contracting Officer 202-73 Contract Specialist 202?232 The purpose of this modification is to provide funding for detention bed days for ICE detainees. This will increase the total amount obligated as follows: From: $6,815,005.94 By: $1,000,091.91 To: $7,815,097.91. Continued Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A. as heretofore changed, remains unchanged and in full force and effect. 15A. NAME AND TITLE OF SIGNER {Type orprint} I16A NAME AND TITLE OF CONTRACTING OFFICER (Type orpn'nt} 153. CONTRACTORIOFFEROR 15C. DATE SIGNED 160. DATE SIGNED (W6), - (Signature of person authorized to sign} . I I 5 NSN 7540-01-152-8070 STANDARD FORM 30 (REV. 10-83) Previous edition unusabte Prescribed by GSA FAR (48 53.243 MARCH 2015 ICE 2012030300029355 REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF CONTINUATION SHEET 2 63/ P00008 2 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL WEMNO. SUPPUESSERVBES QUANHTYUNW AMOUNT (A) (B) (C) (D) (E) (F) All other terms and conditions remain the same. Exempt Action: FOB: Destination Period of Performance: 08/01/2012 to 03/27/2013 Change Item 0001 to read as follows(amount shown is the total amount): 0001 Detention Bed Days mX4) ?,792,588.26 CLIN 0001 is increased as follows: From: $6,792,496.29 By: $1,000,091.97 To: $7,792,588.26 - CLIN 0001 quantity is increased as follows: From: 89,741 By: 13,213 To: 102,954 Product/Service Code: 3206 Product/Service Description: HOUSEKEEPING- GUARD Accountinq Info: Oxne Funded: $0.00 Accountinq Info: Oxne bunded: Accounting Info: Oxne Accounting Info: Oxne runueu: PU.UU Accountinq Info: Oxne Funded: $0.00 Accountinq Info: Oxne Funded: 000, 091 . 97 NSN 7540-01?152-3067 MARCH 2015 ICE 2012030300029356 OPTIONAL FORM 336 {4-86) Sponsored by GSA FAR {48 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029357 CONTNUATION SHEET REFERENCE No. OF DOCUMENT CONTINUED PAGE OF 2 2 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM No. QUANTITY UNIT UNIT PRICE AMOUNT (A) (13} (C) (E) Period of Performance: 08/01/20 12 to 03/27/2013 All other terms and conditions remain the same . NSN 754001452806? OPTIONAL FORM 335 (4-86) Sponsored by GSA MARCH 2015 ICE 2012030300029358 FAR (48 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029359 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT CONTINUED AGE OF 2 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL NO. SUPPLIESISERVICES QUANTUY UNIT PRICE AMOUNT (A) (C) (D) (E) (F) Change Item 0001 to read as follows(amount shown is the total amount): .0001 Detention Bed Days (bxq CLIN 0001 is increased as follows: From: $6,792,496.29 By: To: $7,792,588.26 CLEN 0001 quantity is increased as follows: From: 89,741 By: 13,213 To: 102,954 Product/Service Code: Product/Service Description: GUARD Accounting Tth' (bX?e Funded: $0.00 Accountind Info: (bXUe Funded: $0.00 Accountinq?lnfo: (bXUe Funded: $0.00 Accounting InFo' (bXUe Funded: $0.00 Accounting Info: (bXUe Funded: $0.00 Accountind Info: Funded: $0.00 The funding provided in this order (or modification) is the amount presently available for payment and allotted to this task order. The service provider agrees to perform to the point that does not exceed the total amount currently Continued 7,792,588.26 NSN 75494314 52-305? MARCH 2015 ICE 2012030300029360 OPTEONAL FORM 335 (4-36] Sponsored by GSA FAR (43 CFR) 53.110 SHE - REFERENCE NO. OF DOCUMENT BEING CONTINUED AGE OF 3 NAME oI= OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. - QUANTITY UNIT . UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F) allotted to the items currently'funded under this task order. The service proVider is not authorized to continue to work on those item(s} beyond that point. The Government will not be obligated to reimburse the service provider in exoess of the amount allotted to those itemts) for performance beyond the funding allotted. All other terms and conditions remain the same. NSN FORM 333 (4-83] Sponsored by GSA FAR (48 53.110 MARCH 2015 ICE 2012030300029361 I (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029362 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c I REFERENCE HQ OF DOCUMENT BEING CQWNUED wwE' CF CLIN OOGI is decgeased as fellows: Exam: By: $582,056.10 To: $7,210,532.15 CLIN 0601 quantity is decreased as'follows: From: 102,954 By: T699115: 95,264 Productf?exvice Code: 5206 Product/Service Descriptian: GUAHD Requisition.No: 192112FDG31006M18.1, 192112FDGHAM90126, 192113FDGHAMP0126.1, 193112FDGHAM90126.2: 192112FDGHAMP0126.3. Accountina Info 3* (bX7)e a; Tnfa: unaw- (bX7)e Funded: $0.00 Accountina Info: nun?nun? (bX7)e c?m?umw 2 I 3 NMHEOFonmmonoagownwunna WTON ROADS REGIONAL JAIL - aUANnTvunn. AMOUNT (C) (D) (E) (F) FOB: Destination Period of Performance: oa/o1x2012 to Change Item 0001 to read as foliowa?amount shown is the total amount}: ??nded: hr-rnn'nr-I nn ?1?th (bX7)e We: Accountina Info: .wun-u usu? (bX7)e Handed: Accoantina Info: (bX7)e NSN 7m1-1muar MARCH 2015 ICE 2012030300029363 OPTIONM. FORM 335 (oz-ea} Spousm-dby 68R FAR {43 cm} 53.1 :9 REFERENQE no. OF DOCUMENY BEWG comm I WEST AGE OF NAME OF omen on commdron ROADS REGIONAL. JAIL Quarmw um (D) (E) AMOUNT yum?nu unu? Funded: ?$582; 056.10 . The funding provided in this ordgr Ior modification) is the amount presently available for payment and allotted to this task order. The service providar agrees to perform to the point that doas not exceed the total amount currently allotted to the items currently funded under this task order. The service provider is not authorized to continua to work on those item(s}' beyond that point; The Gavernmant will not be obligated to reimburse the service provider in excess of qhe amuunt allotted to those item{s) for performance beyond the funding All'cher terms and conditionaremain the same. NSN 1549-1411-15sz MARCH 2015 ICE 2012030300029364 034mm. Fund! 333 {we} summed by GSA m: (43 cm 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029365 (b)(4) (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e MARCH 2015 ICE 201203030.0029366 ?X7b Hf i PAGE OF SHEET 63/900012 - 3 3 NAMEOFoneRononeo?umunna I HAMPTON ROADS REGIORAL JAIL . . ?nmm - - SUPPLIEMEWGES oummv vim UNIT PRICE (m (B) . (m . - (F) Funded: $103,r 241. 16 The funding provided in this is the amount presently available for payment and allotted to this Task Order. The Serviee Provider agrees to perform to the point that does not exceed the total amount currently aliotted to the items currently funded under this Task Greer.- The Service Provider is not authorited Ed continue to i work on those item(s) beyond that point. 'The . i Government will not be obligated to reimburse ?he - Service Provider in excess of the amount allotted to those item(s} for performance beyond the funding allotted. - I - ?.56 All othen terms and.eonditions remain the same. 5 ?51. A i" 2' . ..asimmease?hzlmemm .. . NSN 7549-01-1'52-3067 - . OPTIONAL FORM 333 less} awnammuyGSA FAR (48 CFR) 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029368 REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF SHEET 1 0/ 63 /900013 2 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL WEMNO. SUPPUESSERVEES AMOUNT (Invoice Submission: Invoices shall be submitted in a .pdf format on a basis via email to: (W6), Each email shall contain only one (1) invoice and the subject line of the email will annotate the invoice number. The emailed invoice shall include the "bill to" address shown below: DHS, ICE Financial Operations Burlington P.O. Box 1620 ATTN: ERO-FDG Williston, VT 05495-1620 Note: the Service Provider's or Contractor's Dunn and Bradstreet DUNS Number must be registered in the System for Award Management (SAM) at prior to award and shall be notated on every invoice submitted to ensure prompt payment proviSions are met._The ICE program office identified in the task order/contract shall also be notated on every invoice. I 2. Content of Invoices: Each invoice submission shall contain the following information: Name and address of the Service Provider/Contractor. Note: the name, address and DUNS number on the invoice MUST match the information in both the Contract/Agreement and_ the information in the SAM. If payment is remitted to another entity, the name, addreSs and DUNS information of that entity must also be provided which will require Government verification before payment can be processed; (ii) Dunn and Bradstreet DUNS Number; Invoice date and invoice number; (iv) Agreement/Contract number, contract line item number and, if applicable, the order number; Description, quantity, unit of measure, unit price and extended price of the items delivered; (vi) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading; (vii) Terms of any discount for prompt payment Continued NSN 7540-Gi-152-306? OPTIONAL FORM 336 (4-86) Sponsored by GSA MARCH 2015 ICE 2012030300029369 FAR (48 CFR) 53.110 REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF CONTWUATION SHEET 63 13 3 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL ETEM N0. QUANTETY {mu UNIT PRICE AMOUNT (A) (B) (C) (D) (E) - (F) offered; Remit to Address; (ix) Name, title, and phone number of person to notify in event of defective invoice; and 3. Invoice Supporting Documentation. In order to ensure payment, the vendor must also submit supporting documentation to the Contracting Officer's Representative (COR) identified in the contract as described below. Supporting documentation shall be submitted to the COR or contract Point of Contact (POC) identified in the contract or task order with all invoices, as appropriate. See paragraph 4 for details regarding the safeguarding of information. Invoices without documentation to support invoiced items, containing charges for items outside the scope of the contract, or not based on the most recent contract base or modification rates will be considered improper and returned for resubmission. Supporting documentation requirements include: Firm Fixed Price Items (items not subject to any adjustment on the basis of the contractor's cost experience, such as pre?established guaranteed minimums for detention or transportation): do not require detailed supporting documentation unless specifically requested by the Government. Fixed Unit Price Items (items for allowable incurred costs, such as detention and/or transportation services with no defined minimum quantities, stationary guard or escort services, transportation mileage or other Minor Charges such as sack lunches and detainee wages): shall be fully supported with documentation substantiating the costs and/or reflecting the established price in the contract and submitted in .pdf format. Detention Services (other than firm fixed price): (1) Bed day rate; (2) check?in and check?out dates; (3) Number of bed days multiplied by the bed day rate; (4) Name of each detainee; Continued NSN 7540-01452-3567 OPTIONAL FORM 336 (4-85) Sponsored by GSA MARCH 2015 ICE 2012030300029370 FARM CFR) 53.110 RE . SHEET FE ENCE NO OF DOCUMENT BEING CONTINUED PAGE OF 5 NAME OF OFFEROR OR CONTRACTOR . HAMPTON ROADS REGIONAL JAIL ITEM NO. (A) (B) (C) QUANTITY UMT (E) AMOUNT (F) (5) Resident's/detainee's identification information fixed price): invoice. (2) billing reports listing serviced and/or names/numbers of detainees all receipts. fixed price): Other Direct Charges: reimbursement. 4. Safeguarding Information: (PII). Sensitive PII is information that could result in harm, embarrassment, inconvenience or unfairness. Examples of Sensitive PII include information such as: Numbers (A?Numbers), or combinations of citizenship, or immigration status. As part of your obligation to safeguard separately. Continued Transportation Services (other than firm (1) The mileage rate being applied for that transportation services provided; number of miles; transportation routes provided; locations transported; an itemized listing of all other charges; and, for reimbursable expenses travel expenses, special meals, etc.) copies of Stationary Guard Services (other than firm (1) The itemized invoice shall state the number of hours being billed, the duration of the billing (times and dates) and the name of the that was/were guarded. The invoice shall include appropriate supporting documentation for any direct charge billed for As a contractor vendor conducting business with Immigration and Customs Enforcement (ICE), you are required to comply with DHS Policy regarding the safeguarding of Sensitive Personally Identifiable Information identifies an individual, including an alien, and Social Security Numbers, Alien Registration information such as the individual's name or other unique identifier and full date of birth, information, the follow precautions are required: ?Email supporting documents containing Sensitive PII in an attachment with password sent ?Never leave paper documents containing Sensitive NSN 7540-01-152?806? MARCH 2015 ICE 2012030300029371 OPTIONAL FORM 336 (436) Sponsored by GSA FAR (48 CFR) 53.110 NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL HEMNO. (A) SUPPLJESISERVICES QUANTITY (B) (E) AMOUNT (F) PII unattended and unsecure. When not in use, these documents will be locked in drawers, cabinets, desks, etc. so the information is not accessible to those without a need to know. ~Use shredders when discarding paper documents containing sensitive PII. ?Refer to the DHS Handbook for Safeguarding Sensitive Personally Identifiable Information (March 2012) found at for more information on and/or examples of Sensitive PII. 5. If you have questions regarding payment, please contact ICE Financial Operations at 1-877-49L (6), - Exempt Action: Period of Performance: 08/01/2012 to 05/31/2013 All other terms-and conditions remain the same. NSN 754001452306? MARCH 2015 ICE 2012030300029372 OPTIONAL FORM 336 (4-36) Sponsored by GSA FAR (48 53.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029373 SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED AGE OF 2 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL AMOUNT (A) (B) (C) (D) (E) (F) currently allotted to the items currently funded under this Task Order. The Service Provider is not authorized to continue to work on those item(s) beyond that point. The Government will not be obligated to reimburse the Service Provider in excess of the amount allotted to those item(s) for performance beyond the funding allotted. NSN 754001-152-806VIARCH 2015 ICE 201203030.0029374 OPTIONAL FORM 336 (4-86) Sponsored by GSA FAR (48 CFR153110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029375 (b)(4) (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e (b)(7)e MARCH 2015 ICE 201203030.0029376 REFERENCE NO. OF DOCUMENT BEING PAGE OF CONTINUATION SHEET 3 3 NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. SUPPLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT (A) (B) (C) (D) (E) (F) Funded: $0.00 The funding currently allotted to this task order is presently available for payment. The Service Provider agrees to perform to the point that does not exceed the total amount currently allotted to the items currently funded under this TaSk Order. The Service Provider is not authorized to continue to work on those item(s) beyond that point. The Government will not be obligated to reimburse the Service Provider in excess of the amount allotted to those item{s) for performance beyond the funding allotted. All other terms and conditions remain the same. OPTIONAL FORM 336 (4-36) Sponsored by GSA FAR (48 CFR) 53.110 NSN 754001452306? MARCH 2015 ICE 2012030300029377 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029378 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED l4? F-IGO32 PAGE OF NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAI imMNo (A) (B) QUANTNY (C) (D) (E) AMOUNT (F) 0001 allotted to this task order. The service provider agrees to perform to the point that does not exceed the total amount currently allotted to the items funded under this task order. The service provider is not authorized to continue to work on those item(s) beyond that point. The Government will not be obligated to reimburse the service provider in excess of the amount allotted to those item(s) for performance beyond the funding allotted. Exempt Action: Accounting Info: FOB: Destination Period of Performance: 01/16/2014 to 08/15/2014 Change Item 0001 to read as follows(amount shown is the obligated amount): DETENTION SERVICES Funding for this CLIN is increased: Quantity for this CLIN is increased: From:236 By:8 Toz244 Product/Service Code: 3206 Product/Service Description: GUARD Quantity: (bX4) Quantity: 605.52 NSN 7540-01-152-8067 MARCH 2015 ICE 2012030300029379 OPTIONAL FORM 336 (4-88) Sponsored by GSA FAR (48 CFR) 53.110 MARCH 2015 ICE 201203030.0029380 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029381 (b)(6), (b)(7)c ORDER FOR SUPPLIES OR SERVICES _Mark packages-antiger Mined andlotorg?njbeL DATE OF ORDER CONTRACT NO. 03/04/2014 IMPORTANT: PAGE NO ORDER NO. Hscenled-E~Ioo32 ITFMNO. SUPPUESEERVEES UNW AMOUNT QUANTWY ORDERED ACCEPTED (ICE detainees. It is a continuation of services from task order Exempt Action: Accounting Info: Period of Performance: 01/16/2014 to 04/30/2014 0001 Detention Beds (bX4) 13,926.96 Product/Service Code: 8206 Product/Service Description: HOUSEKEEPI GUARD Invoicing Instructions: Service Providers/Contractors shall use these procedures when submitting an invoice. l. Invoice Submission: Invoices shall be submitted in a .pdf format on a basis via email to: Each email shall contain only one (1) invoice and the subject line of the email will annotate the invoice number. The emailed invoice shall include the "bill to" address shown below: DHS, ICE Financial Operations Burlington P.O. Box 1620 ATTN: Williston, VT 05495?1620 Note: the Service Provider's or Contractor?s Dunn and Bradstreet DUNS Number must be registered in the System for Award Management (SAM) at prior to award and shall be notated on every invoice submitted to ensure prompt payment provisions are Continued TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 170-1)) $13,926.96 PREWOUSEWWONNOTUSAHI MARCH 2015 ICE 2012030300029382 OPTIONAL FORM 343 (Rev. W) Prescribed by GSA FAR (41-6 CPR: 53.2mm ORDER FOR SUPPLIES OR SERVICES _Hm_ m_W' SCHEDULE-CONWNUANON Marital! packages and papers with-contract andior order numbers. I DATE OF ORDER CONTRACT NO. 03/04/2014 PAGE NO ORDER NO. ITEM NO. SUPPLIESISERVICES (a (m QUANTWY ORDERED (m UNIT (n UMT (a AMOUNT QUANTITY ACCEPTED (e met. The ICE program office identified in the task order/contract shall also be notated on every invoice. 2. Content of Tnvoices: Each invoice submission shall contain the following information: Name and address of the Service Provider/Contractor. Note: the name, address and DUNS number on the invoice MUST match the information in both the Contract/Agreement and the information in the SAM. If payment is remitted to another entity, the name, address and DUNS information of that entity must also be provided which will require Government verification before payment can be processed; (ii) Dunn and Bradstreet DUNS Number; Invoice date and invoice number; (iv) Agreement/Contract number, contract line item number and, if applicable, the order number; Description, quantity, unit of measure, unit price and extended price of the items delivered; (vi) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading; (vii) Terms of any discount for prompt payment offered; Remit to Address; (ix) Name, title, and phone number of person to notify in event of defective invoice; and 3. Invoice Supporting Documentation. In order to ensure payment, the vendor must also submit supporting documentation to the Contracting Officer's Representative (COR) identified in the contract as described below. Supporting documentation shall be submitted to the COR or contract Point of Contact (POC) identified in the contract or Continued TOTAL CARRIED FORWARD TO1ST PAGE (ITEM AUTHORIZED FOR LOCAL REPODUCTION PREVIOUS EDITION NOT USABLE MARCH 2015 ICE 201203030.0029383 "Mn 11x $0.00 Prescribed by GSA FAR (48 53.213") ORDER FOR SUPPLIES OR SERVICES . - Mark all papkages and papers witncontract andlor order nurnhers. DATE OF ORDER CONTRACT NO. 03/04/2014 ORDER NO. PAGE NO QUANHTY ORDERED (e ITEM NO. SUPPLIESISERVICES UNIT (m UNIT PRICE (e AMOUNT QUANTWY ACCEPTED e) task order with all invoices, as appropriate. See paragraph 4 for details regarding the safeguarding of information. Invoices without documentation to support invoiced items, containing charges for items outside the scope of the contract, or not based on the most recent contract base or modification rates will be considered improper and returned for resubmission. Supporting documentation requirements include: Firm Fixed Price Items (items not subject to any adjustment on the basis of the contractor?s cost experience, such as pre?established guaranteed minimums for detention or transportation): do not require detailed supporting documentation unless specifically requested by the Government. Fixed Unit Price Items (items for allowable incurred costs, such as detention and/or transportation services with no defined minimum quantities, stationary guard or escort services, transportation mileage or other Minor Charges such as sack lunches and detainee wages): shall be fully supported with documentation substantiating the costs and/or reflecting the established price in the contract and submitted in .pdf format. Detention Services (other than firm fixed price): (1) Bed day rate; (2) Resident's/detainee's check~in and check?out dates; Number of bed days multiplied by the bed day rate; (4) Name of each detainee; (5) Resident's/detainee's identification information Transportation Services (other than firm fixed price): Continued TOTAL CARRIED FORWARD TO IST PAGE (ITEM My} AUTHORIZED FOR LOCAL IRE-REDUCTION EDITION NOT USABLE MARCH 2015 ICE 201203030.0029384 $000 OPTIONAL FORM 348 (Rev MODE) Prescribed by GSA FAR {48 cm} 53.21am ORDER FOR SUPPLIES OR SERVICES IMPORTANT: Mark packages and papers with contract andfor order numbers. DATEOFORDER 03/04/2014 CONTRACTNO. ACB-2-H-0010 SCHEDULE - PAGE NO . - - .. . ORDER NO. ITEM NO. {a SUPPLIESISERVICES (m QUANTITY ORDERED (d UNIT N) UMT AMOUNT QUANTHY ACCEPTED The mileage rate being applied for that invoice. (2) billing reports listing transportation services provided; number of miles; transportation routes provided; locations serviced and/or names/numbers of detainees transported; an itemized listing of all other charges; and, for reimbursable expenses travel expenses, special meals, etc.) copies of all receipts. Stationary Guard Services (other than firm fixed price): The itemized invoice shall state the number of hours being billed, the duration of the billing (times and dates) and the name of the that was/were guarded. Other Direct Charges: The invoice shall include appropriate supporting documentation for any direct charge billed for reimbursement. 4. Safeguarding Information: As a contractor or vendor conducting business with Immigration and Customs Enforcement (ICE), you are required to comply with DHS Policy regarding the safeguarding of Sensitive Personally Identifiable Information (PII). Sensitive P11 is information that identifies an individual, including an alien, and could result in harm, embarrassment, inconvenience or unfairness. Examples of Sensitive PII include information such as: Social Security Numbers, Alien Registration Numbers (A?Numbers), or combinations of information such as the individual's name or other unique identifier and full date of birth, citizenship, or immigration status. As part of your obligation to safeguard information, the follow precautions are required: ~Email supporting documents containing Continued TOTAL CARRIED FORWARD TO15T PAGE (ITEM AUTHORIZED FOR LOCAL REPODUCTION PREVIOUS EDITION NOT USABLE MARCH 2015 ICE 201203030.0029385 $0.00 OPTIONAL FORM 343 [Rev 442006) by GSA FAR (4E ORDER FOR SUPPLIES OR SERVICES . alpackagesfnd papers convict andfor order nirnEirs. CONTRACT NO. DATEOFORDER 03/04/2014 6 ORDER NO, PAGE NO QUANWTYUNW ORDERED (o w) ITEM NO. SUPPLIESISERVICES UMT (a AMOUNT QUANTWY ACCEPTED Sensitive PIT in an attachment with password sent separately. ?Never leave paper documents containing Sensitive PII unattended and unsecure. When not in use, these documents will be locked in drawers, cabinets, desks, etc. so the information is not accessible to those without a need to know. +Use shredders when discarding paper documents containing sensitive PII. ~Refer to the DHS HandbOOk for Safeguarding Sensitive Personally Identifiable Information (March 2012) found at march2012.pdf for more information on and/or examples of Sensitive PII. 5. If you have questions regarding payment, please contact ICE Financial Operations at 1?877?4 ?6%(bx by e?mail at The fund provided in this order is the amount presently avaliable for payment and alloted to this Task Order. The Service Provider agrees to perform to the point that does not exceed the total amount currently alloted to the items currently funded under this Task Order. The Service Provider is not authorized to contine to work on those item(s) beyond that point. The Gowerment will not be obligated to reimburse the Service Provider in excess of the amount alloted to those item(s) for performance beyond the funding alloted. The total amount of award: $13,926.96. The obligation for this award is shown in box 17(1). TOTAL CARRIED FORWARD TO 1ST PAGE AUTHORIZED FOR LOCAL REPODUGTJON PREVIOUS EDITION NOT USABLE MARCH 2015 ICE 201203030.0029386 $000 OPTIONAL FORM 34% [Rem-1.2006) Presa'ibed by GSA FAR ma MARCH 2015 ICE 201203030.0029387 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c REFERENCE No. OF DOCUMENT BEING CONTINUED PAGE OF NAME OF OFFEROR 0R CONTRACTOR HAMPTON ROADS REGIONAL JAIL HEMNO (A) (B) oumnnv (C) UMT (D) (E) AMOUNT (F) 0001 Exempt Action: Delivery: 30 Days After Award Discount Terms: Net 30 Delivery Location Code: ICE ENFORCEMENT REMOVAL IMMIGRATION AND CUSTOMS ENFORCEMENT 801 I STREET NW SUITE 900 WASHINGTON DC 20536 Accounting Info: FOB: Destination Period of Performance: 01/16/2014 to 07/31/2014 Change Item 0001 to read as follows(amount shown is the obligated amount): Detention Beds Funding for this CLIN is increased: Quantity for this CLIN is increased: From:184 By252 Toz236 Product/Service Code: 8206 Product/Service Description: GUARD 3,935.88 NSN 7540-01-152-8067 MARCH 2015 ICE 2012030300029388 OPTIONAL FORM 336 (4.35) Sponsoted by GSA FAR (48 CFR) 63.110 (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(4) (b)(4) (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029389 (b)(6), (b)(7)c (b)(6), (b)(7)c luxurious 13:30 FAX ACB 003 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees Article I. Purpose A Purpose. The purpose of this Intergovernmental Service Agreement (IGSA) is to establish an Agreement between the Immigration and Neutralization Service (INS), a component of the Department of Justice, and a state or local government agency (Service Prcw'der) for the detention and care of persons detained under the authority of the Immigration and Nationality Act, as amended. The term ?Parties? is used in this Agreement to refer jointly to INS and the Service Provider. All persons in the custody of the INS will be referred to as ?Administrative Detainee?. This term recognizes that detainees are not charged with criminal violations and only held in custody to assure their presence throughout the administrative hearing process, and to assure their presence for removal from the United States pursuant to a lawful ?nal order by the Immigration Court, the Board of Immigration Appeals or other Federal judicial body. B. Responsibilities. This Agreement sets forth the responsibilities of INS and the Service Provider. The Agreement states the services the Service Provider shall perform satisfactorily to receive payment from INS at the prescribed rate. C. Guidance- The Parties will determine the detainee day rate in accordance with OMB Circular Cost Principles for State, Local, and Indian Tribal Governments (Attachment A) and the Jail Services Cost Statement (Attachment B). Article II. General A. Funding- The obligation of INS to make payments to the Sentice Provider is contingent upon the availability of Federal ?mds. The DIS will, however, neither present detainees to the Service Provider nor direct performance of any other services until the INS has the appropriate funding- B. Subcontractors. The SerVice Provider shall notify and obtain approval from the INS if it intends to house detainees in a facility other than that speci?ed on the cover page of this document. If either that facility, or any future one, is operated by an entity other than the Service Provider, INS shall treat that entity as a subcontractor to the Service Provider. The Service Provider shall ensure that any subcontract includes all provisions of this Agreement, and shall provide INS with copies of all subcontracts in existence during any part of the term of this Agreement- The INS will not either accept invoices or make payments to, a subcontractor. C. Consistent with law. Any provision of this Agreement contrary to applicable statutes, regulation, policies, or judicial mandates is null and void, but shall not necessarily affect the balance of the Agreement. MARCH 2015 ICE 201203030.0029390 twat/2002 13:30 Fall ace PPM 004 .V Department of Justice Immigration and Naturalization Service Intergovernmental Sewice Agreement for Housing Federal Detainees Article Covered Services A. Bed space- The Service Provider shall provide maleffemale beds on a space available basis. The Service Provider shall house all detainees as determined within the classi?cation system. The DIS will be ?nancially liable only for the actual detainee days as de?ned in Paragraph C. of this Article. B. Basic needs. The Service Provider shall provide adult INS detainees (gender as speci?ed in Paragraph A. of this Article) with safekeeping, housing, subsistence, medical and other Services in accordance with this Agreement. In providing these services, the Service Provider shall ensure compliance with all applicable laws, regulations, ?re and safety codes, policies, and procedures. If the Service Provider determines that INS has delivered a person for custody who is under the age of 13, the Service Provider shall not house that person with adult detainees, and shall notify the immediately. The types and levels of services shall be those the Service Provider routinely affords to other inmates. C. Unit of service and ?nancial liability. The unit of service will be a ?detainee?day? (one person per day). The detainee day begins on the date of arrival. The Service Provider may bill for the date of arrival but not the date of departure. For example: If a detainee is brought in at 1900 Sunday and is released at 0700 on Monday, the Service Provider may bill for 1 detainee day. if a detainee is brought in at 0100, Sunday and is released at 2359 Monday, the Service Provider may bill for only 1 detainee day. The IN shall be responsible to pay for only those beds actually occupied- D. Intemretive s, ervices. The Service Provider shall make special provisions for non- English speaking, handicapped or illiterate detainees- The 1N3 will rehnburse the Service Provider for any costs associated with providing commercial written or telephone language interpretive services, and upon request, will assist the Service Provider in obtaining translation services. The Service Provider shall provide all instructions verbally (in English or the detainee?s native language as appropriate) to detainees who cannot read. The Service Provider shall include the amount that the Service PIOVider paid for such services on their regular invoice. The Service Provider shall not use detainees for translation services, except in emergency situations. If the Service Provider uses a detainee for translation service, it shall notify within 24 hours. MARCH 2015 ICE 201203030.0029391 10X24x?2002 13:30 PM: ACB PPM @005 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreemenrfor Housing Federal Detainees E- Escm and Transportation services- The Service Provider will provide, upon request and as scheduled by INS, necessary escort and transPortation services for INS detainees to and hem designated locations. Escort services will be required for escorting detainees to court hearings, escorting witnesses to the courtroom and staged with the judg? during proceedings. Transportation services shall be performed by at least two (2) quali?ed sworn law enforcement or correctional of?cer personnel employed by the Service Provider and under its policies, procedures and authorities. All costs for escort and transportation services shall be listed separately. When utilizing INS vehicles the Service Provider will be reimbursed for actual guard hours previded only. Article IV. Receiving and Discharging Detainees A. Required activity. The Service Provider shall receive and discharge detainees only from and to either properly identi?ed INS personnel or other properly identi?ed Federal law enforcement of?cials with prior authorization from INS. Presentation of U.S. Government identi?cation shall constitute proper identi?cation. The Service Provider shall furnish receiving and discharging services twenty-four (24) hours per day, seven (7) days a week. The INS shall furnish the Service Provider with reasonable notice of receiving or discharging detainee(s). The Service Provider shall ensure positive" identification and recording of detainees and INS officers. The Service Provider shall not permit medical or emergency discharges except through coordination with on?duty INS of?cers. B- Restricted release of detainees. The Service Provider shall not release INS detainees from its physical custody to any persons other than those described in Paragraph A of this Article for any reason, except for either medical, other emergent situations, or in response to a. federal writ of hcbeos corpus. If an INS detainee is sought for federal, state or local court proceedings, only INS may authorize release of the detainee for such purposes. The Service Provider shall contact INS immediater regarding any such requests. C. Semice Erovider right of refusal. The Service Provider retains ?nal and absolute right either to refuse acceptance, or request removal, of any detainee exhibiting violent or disruptive behavior, or of any detainee found to have a medical condition that requires medical care beyond the scope of the Service Provider?s health provider. In the case of a detainee already in custody, the Service Provider shall notify the INS and request such removals, and shall allow the INS reasonable time to make alternative arrangements for the detainee. D- Emergency evacuation- In the event of an emergency requiring evacuation of the Facility, the Service Provider shall evacuate INS detainees in the same manner, and with the same safeguards, as it employs for persons detained under the Service Provider?s authority- The Service Provider shall notify INS within two hours of such evacuation. MARCH 2015 ICE 201203030.0029392 16:31 Far ace one Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees Article V. INS Detention Standards The Service Provider shall ensure compliance with the INS detention standards (?nd under and Department of Justice core detention standards to be provided by INS. The Service Provider may adopt, adapt or establish alternative procedures, provided they meet or exceed the standard. As additional detention standards are issued, andfor changed, they will be incorporated by issuance of a bi-lateral modi?cation. Compliance will be made within ninety (90) days from the effective date of this agreement- Article VI. Medical Services A. Auspices of Health Authority. The Service Provider shall provide INS detainees with on-site health care services under the control of a local government designated Health Authority. The Service Provider shall ensure equipment, supplies, and materials, as required by the Health Authority, are furnished to deliver health care on?site. B. Level of Professionalism. The Service Provider shall ensure that all health care service providers utilized for INS detainees hold current licenses, certi?cations, and! or registrations with the State and/or City where they are practicing. The Service Provider shall retain a registered nurse to provide health care and sick call coverage unless expressly stated otherwise in this Agreement In the absence of a health care professional, non-health care personnel may refer detainees to health care resources based upon protocols developed by United States Public Health Service CUSPI-IS) Division of Immigration Health Service (DIE-IS). Healthcare or health trained personnel may perform screenings. C. Access to health care. The Service Provider shall ensure that on-site medical and health care coverage as de?ned below is available for all INS detainees at the facility for at least eight (8) hours per day, seven (7) days per week. The Service Provider shall ensure that its employees solicit each detainee for health complaints and deliver the complaints in writing to the medical and health care staff. The Service Provider shall furnish the detainees instructions in his or her native language for gaining access to health care services as prescribed in Article Paragraph D. D. On?site healthcare. The Service Provider shall ?lmish on-site health care under this Agreement. The Service Provider shall not charge any INS detainee an additional fee or coupayment for medical services or treatment provided at the Service Provider?s facility. The Service Provider shall ensure that INS detainees receive no lower level of on?site medical care and services than those it provides to local inmates. Orr?site health care services shall include arrival screening within 24 hours of arrival at the Facility, sick call coverage, provision of over-the-counter medications, treatment of minor injuries (cg, lacerations, sprains, contusions), treatment of Special needs and mental health assessments. Detainees with chronic conditions shall receive prescribed treatment and follow-up care. MARCH 2015 ICE 201203030.0029393 feat/3002 16:31 Fax ACE PPM 007 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees E. Arrival screening. Arrival screening shall include at a minimum TB screening, planting of the Tuberculin Skin Test (PPD), and recording the history of past and present illnesses (mental and physical). F. Unacceptable medical conditions. Ifthe Service Provider determines that an detainee has a medical condition which renders that person unacceptable for detention under this Agreement, (for example, contagious disease, condition needing life support, uncontrollable violence), the Service Provider shall notify INS. Upon such noti?cation the Service Provider shall allow INS reasonable time to make the preper arrangements for ?nther diaposition of that detainee. G. Dl?? Ere~approval for non-emergent off-site care- The DII-IS acts as the agent and fmal health authority for INS on all off-site detainee medical and health related matters. The relationship of the to the detainee equals that of physician to patient. The Service Provider shall release any and all medical niformation for INS detainees to the DIE-IS representatives upon request. The Service Provider shall solicit approval before proceeding with non-emergency, off?site medical care (cg. off site lab testing, eyeglasses, cosmetic dental prosthetics, dental care for cosmetic purposes). The?JSei-vice Provider shall submit supporting documentation for non-routine, off-site mediceib?health services to DIE-IS. (See Attachment D.) For medical care provided outside the facility, the DH-IS may determine that an altemative medical provider or institution is more cost? effective or more aptly meets the needs of INS and the detainee. The INS may reinse to reimburse the Service Provider for non-emergency medical costs incurred that were not pro-approved by the DIHS. The Service Provider shall send all requests for pro?approval for non-emergent off-site care to: Steven Wacha Managed Care Coordinator 3400 Concord Road York, PA 17402 Phone: (s77) 23?: Fax: (377) 234-5385 The Service Provider is to notify all medical providers approved to ?imish off-site health care of detainees to submit their bills in accordance with instructions provided to: UP UP Health RD. BOX 10250 Gaithersburg, 20393-0250 Phone: {338) 33am), )0 Fax: (333) 383-3957 MARCH 2015 ICE 201203030.0029394 ?10;24r_2002 13:31 FAX ace @003 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreemenrfor Housing Federal Detainees H. Emergency medical care. The Service Provider shall furnish 24 hour emergency medical care and emergency evacuation procedures- In an emergency, the Service Provider shall obtain the medical treatment required to preserve the detainee?s health. The Service Provider shall have access to an off site emergency medical provider at all times- The Health Authority of the Service Provider shall notify the DIHS Managed Care Coordinator by calling the telephone number listed in paragraph above as soon as possible, and in no case more than seventy-taro hours after detainee receipt of such care. The Health Authority will obtain pro-authorization from the DII-IS Managed Care Coordinator for service(s) beyond the initial emergency situation. I. fo?site guards. The Service Provider shall provide guards at all times detainees are admitted to an outside medical facility. The Service Provider shall submit a separate invoice for guard services with its regular billing. J. DIE-IS visits. The Service Provider shall allow Managed Care Coordinators reasonable access to its facility for the purpose of liaison activities with the Health Authority and associated Service Provider departments. Article VII. No Employment of Unauthorized Aliens Subject to existing laws, regulations, EXecutive Orders, and addenda to this Agreement, the Service Provider shall not employ aliens unauthorized to work in the United States. Except for maintaining personal living areas, persons detained for INS shall not be required to perform manual labor. Article Period of Performance This Agreement shall remain in effect inde?nitely, or until terminated by either Party upon 60 days written notice, unless an emergency situation requires the immediate relocation of detainees, or the Parties agree to a shorter period under the procedures prescribed in Article X. Article IX. Inspection A. Jail Agreement Rmort. The Service Provider shall allow INS to conduct inspections of the facility, as required, to ensure an acceptable level of services and acceptable conditions of con?nement as detemiined by the INS. No notice to the Service Provider is required prior to an inspection. The INS will conduct such inspections in accordance with the Jail Agreement lnsPection Report a copy of which is included as an attachment to this Agreement. The I ail Inspection Report stipulates minimum requirements for ?refsafety code compliance, supervision, segregation, sleeping utensils, meals, medical care, con?dential communication, telephone access, legal counsel, legal library, visitation, and recreation. The INS will share ?ndings of the inspection with the Service Provider's facility administrator to promote improvements to facility operation, conditions of confinement, and level of service. MARCH 2015 ICE 201203030.0029395 log/2442002 16:31 FAX ACB 009 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees B. Possible teminatigg- If the Service Provider fails to remedy de?cient service identi?es through inepectitm, INS may terminate this Agreement without regard to the provisions of Articles and X. C. Share findings. The Service Provider shall provide copies of facility inspections, roviews, examinations, and surveys performed by accreditation sources. D. to Detainee Records. The Service Provider shall, upon request, grant INS access to any record in its possession (regardless of whether the Service Provider created the record) concerning any alien whom it has detained pursuant to this Agreement. This right of access shall include, but not be limited to, incident reports, records relating to suicide attempts, and behavioral assessments and other records relating to the alien?s behavior while in Service custody. Furthermore, the Service Provider shall retain all records where this right of access applies. The retention period will be at least two years from the date of the detainee?s discharge from the Service Provider?s custody. .5 Article X. Modi?cations and Disputes A. Mog??cations. Actions other than those designated in this Agreement will not bind or incur liability on behalf of either party- Either party may request a modi?cation to this agreement by submitting a written request to the other. A modi?cation will become part of this Agreement only after the INS Regional Contracting Of?cer and the authorized signatory of the Service Provider have approved it in writing. 13. Disputes. The Regional Contracting O?cer and the authorized signatory of the Service Provider are the parties to settle disPutes, questions, and concerns arising from this Agreement. Settlement of disputes shall be memorialized in a written modi?cation between the INS Regional Contracting Of?cer and authorized signatory of the Service Provider. Article XL Adjusting the Detainee Day Rate The INS shall reimburse the Service Provider at the detainee day rate shown on the cover page of this document. The Parties may adjust that rate 12 months after the date of signing, and every 12 months thereafter. The Parties shall base the rate and adjustments on the principles set forth in OMB Circular let-87. Such adjustments shall be effective on the ?rst day of the month following execution of the modi?cation. MARCH 2015 ICE 201203030.0029396 13:31 FarDepartment of Justice Immigration and Naturalization Service Intergovernmental Service A greem ear for casing Federal Detainees Article XII. Enrollment, Invoicing, and Payment A. Enrollment in electronic funds transfer. The Service Provider shall provide the of?ce with the information needed to make payment by electronic funds transfer (EFT). Since January 1, 1999, has made all payments only by EFT. The Service Provider shall identify their ?nancial institution and related infonnation on Standard Form 3881, Automated Clearing House (ACH) Payment Enrollment Form, (Attachment F). The Service Provider shall submit a completed SF 3881 to the INS payment of?ce prior to submitting its initial request for payment under this Agreement- If the EFT data changes, the Service Provider shall be responsible for providing updated information to the payment of?ce. B. Invoicing. The Service Provider shall submit an original itemized invoice containing the following information: the name and address of the facility; the name of each detainee, his or her A-number, and his or her speci?c dates of detention; the total number of detainee days; the daily rate; the total detainee days multiplied by the daily rate an itemized listing of all other charges; and the name, title, address, and phone number of the local of?cial responsible for invoice preparation. The Service Provider shall submit invoices within the ?rst ten working days of the month following the calendar month when it provided the services, to: US. Immigration Naturalization Service Washington District Of?ce 442.0 North Fairfax Drive ATTN: Deportation Unit Arlington, VA 22203-1611 Phone: (202)3010 Fax: (202)307?1 -: C. Payment. The DIS will transfer funds electronically through either an Automated Clearing House subject to the banking laws of the United States, or the Federal Reserve Wire Transfer System. The Prompt Payment Act applies to this Agreement. The Act requires IN to make payments under this Agreement the 30'? calendar day after the Deportation of?ce receives a complete invoice. Either the date on the Government's check, or the date it executes an electronic transfer of funds, shall constitute the payment date. The Act requires INS to pay interest on overdue payments to the Service Previder. The INS will determine any interest due in accordance with the Act. MARCH 2015 ICE 201203030.0029397 ?lo/2452002 13:31 Fall acs PPM 011 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees Article X?l. Government Furnished Property A. Federal Property Fornished to the Service Provider. The INS may furnish federal property and equipment to the Service Provider. Accountable property remains titled to INS and shall be returned to the custody of INS upon termination of the agreement. The suspension of use of bed space made available to INS is agreed to be grounds for the recall and return of any or all government furnished property. B. Service Provider Responsibility. The Service Provider shall not remove INS property ?om the facility without the prior written approval of INS. The Service Provider shall report any loss or destruction of such property immediately to INS- Article XIV. Hold Harmless and Indemni?cation Provisions A. Service Provider held harmless. The INS shall, Subject to the availability of funds, save and hold the Service Provider hannless and indemnify the Service Provider against any and all liability claims and costs of whatever kind and nature, for injury to or death of any person(s), or loss or damage to any property, which access in connection with or incident to performance of work under the terms of this Agreement, and which results from negligent acts or omissions of INS of?cers or employees, to the extent that INS would be liable for such negligent acts or omissions under the Federal Tort Claims Act, 23 USC 2691 er seq. B. Federal Govermnent held harmless. The Service Provider shall save and hold harmless and indemnify federal government agencies to the extent allowed by law against any and all liability claimis, and costs of whatsoever kind and nature for injury to or death of any person or persons and for loss or damage to any property occurring in connection with, or in any way incident to or arising out of the occupancy, use, service, operation or perfonnance of work under the terms of this Agreement, resulting ?'om the negligent acts or omissions of the Service Provider, or any employee, or agent of the Service Provider. In so agreeing, the Service Provider does not waive any defenses, immunities or limits of liability available to it under state or federal law. C. Defense of suit. In the event a detainee ?les suit against the Service Provider contesting the legality of the detainee?s incarceration andfor irnrnigrationfcitizenship status, INS shall request that the US. Attorney?s Of?ce, as appropriate, move either to have the Service Provider dismissed ?om such suit, to have INS substituted as the proper party defendant, or to have the case removed to a court of proper jtu-isdiction- Regardless of the decision on any such motion, INS shall request that the US. Attorney?s Of?ce be responsible for the defense of any suit on these grounds. MARCH 2015 ICE 201203030.0029398 lexzifaooa 16:32 Fax ace 012 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees D. INS recoverv right. The Service Provider shall do nothing to prejudice right to recover against third parties for anyr loss, destruction of, or damage to U.S- Government property. Upon request of the Contracting Of?cer, the Service Provider shall, at the expense, furnish to INS all reasonable assistance and cooperation, including assistance in the prosecution of suit and execution of the instruments of assignment in favor of INS in obtaining recovery. Article XV. Financial Records A. getenti on All ?nancial records, supporting documents, Statistical records, and other records pertinent to contracts or subordinate agreements under this Agreement shall be retained by the Service Provider for at least three years for purposes of federal examinations and audit. The 3-year retention period begins at the end of the ?rst year of completion of service under the Agreement. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the expiration of the 3-year period, the records must be retained until completion of the action and resolution of all issues which arise from it or until the end of the regular 3?year period, whichever is later. B- Access to records- The INS and the Comptroller General of the United States, or any of their authorized representatives, shall have the right of access to any pertinent books, documents, papers or other records of the Service Provider or its sub-recipients. Which are pertinent to the award, in order to make audits, examinations, excerpts, and transcripts- The rights of access must not be limited to the required retention period, but shall last as long as the records are retained. C. Delinguent debt collection- The INS will hold the Service Provider accountable for any overpayment, or any breach of this Agreement that results in a debt owed to the Federal Government. The INS shall apply interest, penalties, and administrative costs to a delinquent debt owed to the Federal Gravemrnent by the Service provider pursuant to the Debt Collection Improvement Act of 1932, as amended. Article XVI. Provision of Space to INS and EOIR A. Service Provider responsibilities. The Service Provider shall provide suitable support, of?ce and administrative space, for use by INS. As necessary, the Service Provider will provide suf?cient safe and secure storage space for all INS detainee baggage. In addition, the Service Provider agrees, if required, to furnish acceptable of?ce and administrative space to the Executive Of?ce of Immigration Review (EDIE). The Service Provider shall bear all costs associated with the use of jail and of?ce space by INS and BOIR g. those for preparing, operating and maintaining such facilities for and E013, and inctn-red for temporarily relocating the Service Provider?s employees). MARCH 2015 ICE 201203030.0029399 10 twat/2002 13:32 FAX ace PPM 013 Department of Justice Immigration and Naturalization Service Intergovernmental Service Agreement for Housing Federal Detainees The Service vaider shall equip the of?ce and administrative space furnished to W8 and with a telephone system compatible With the federal telephone network- The Service Provider shall furnish the security and janitorial services for this space. The Service Provider shall include all costs associated with providing space or services under this Paragraph in the calculation of the detainee rate day rate. (Note: the Service Previder shall have no obligation under this Paragraph unless the Parties negotiate speci?c terms for such space or services.) 13. mm. The INS will incur the costs of installing computer cabling, telephone lines and any additional telephone trunk lines and telephone switch equipment which may be required. The INS Will be responsible for payment of INS long-distance telephone bills for INS staff. End of document Attachments: A. OMB Circular B- INS Jail Services Cost Statement Form "3 C. DIHS Pro-authorization Form D- I ail Agreement Inspection Report E. SF 3331, ACH VendorMsceliancous Payment Enrollment Form MARCH 2015 ICE 201203030.0029400 ll (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c (b)(6), (b)(7)c MARCH 2015 ICE 201203030.0029401 SEP 28 200? HP LHSERJET 3200 REFERENCE NO. as DOCUMENT some oommueo 0010 01 NAME OF OFFEROR on common HAMPTON ROADS REGIONAL JAIL ITEM No. UNIT (C) (D) UNIT-FREE (E) AMOUNT and accepted. Vendor should not mail invoices directly to the Dallas Finance Center (DFC) Dallas Finance Center will not process an invoices without proper certification. Also copy of the invoice will be sent to: U.S. Department of Homeland Security Immigration and Customs Enforcement mm Office 0 quiSi Management 425 I Street NW, Room 2208 Washington, DC 20536 NSN MARCH 2015 ICE 2012030300029402 OPTIONAL FORM 338 (II-66) Sponsored by GSA FAR ?43 651153.110 1. CONTRACT DCODE PAGE OF PAGES AMENDMENT OF SOUCITATIONIMODIFICATTON OF CONTRACT 2 2. AMBIDMENTIMODIFICATTON NO. 3. EFFECTIVE DATE 4. REO. N0. 5. PROJECT No. (Ifapplitable) P00001 09/26/2007 6. ISSUED BY CODE 7.ADMNISTERED BY (Ifotherthanltem 6) CODE ICE/Detention Mngt/Detention IGSAs ICE/Detention Mngt/Detention IGSAs Immigration and Customs Enforcement Immigration and Customs Enforcement Office of Acquisition Management Office of Acquisition Management 425 I Street NW, Suite 2208 425 I Street NW, Suite 2208 Washington DC 20536 Attn: <> Washington DC 20536 8. NAME AND ADDRESS OF CONTRACTOR (No, street, comfy, State map Code) 9A AMENDMENT OF SOLICITATION No. HAMPTON ROADS REGIONAL JAIL 2 6 90 ELMHURST LANE 9B. DATED (SEE ITEM 11) ATTENTION DIRECTOR OF ADMINISTRATION PORTSMOUTH 10A MODIFICATION OF NO. ACB-2-H-0010 108. DATED (SEE ITEM 11) 0?05 1259082310000 09/26/2007 11. THIS ITEM ONLY APPLIES To AMENDMENTS OF soucmmous Elisextended. Elisnotextended. inthesolicitatimorasamended, byoneofthefolowing methods: Byoomplet'ng temsBand15,andtetming separate letter or teIegam wIich includes a refetenoe to the aid aneminent turbeis. FAILURE OF YOUR ACKNOWIJEDGENENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPEC FIED MAY RESULT IN REJECTION OF YOUR OFFER If by Wanddategpect?ed' . 12. ACCOUNT NG AND APPROPRIATION DATA (If required) See Schedule 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF IT MODIFIES THE NO. AS DESCRIBED IN ITEM 14. ONE A THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Spedfy authority) THE CHANGES SET FORTH ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN TTEM 10A B. THE ABOVE NUMBERED IS MOD FIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying o?oe, appropnation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR C. THIS SUPPLEMENTAL AGREEMENT IS WERED INTO PURSUANT TO AUTHORITY OF: D. OTHER (Specify type ofmodi?oation and authority) Mutual agreement between both parties EIMPORTANT Contractor Disnot 14. DESCRIPTION OF oiganized by UCFsection headings, including solidta?on?oontrad subject matter where feasible.) Tax ID Number: DUNS Number: 125908231 The purpose of this modification is to increase the Transportation Guard rate from (W4) to to this agreement. All other terms and conditions remain unchanged. INVOICE INSTRUCTIONS: Send one original invoice to the Program Office to Office of Detention Removal Operations, 2675 Prosperity Ave, Suite 315, Fairfax, VA 22031?4906. The Program Office Official must determine if goods/services have been received Continued 15A NAME AND TITLE OF SIGNER (Type or print) 16A NAME AND TITLE OF CONTRACTING OFFICER (Type orprint) 158. 150. DATE SIGNED 168. UNITED STATES OF AMERICA 166. DATE SIGNED (Wedmaa?on?zedtosim) (WMWOM NSN 7540-01-152?8070 STANDARD FORM 30 (REV. 10-83) Previous edition musdJIe Presetibed by GSA FAR (48 CFR) 53.243 MARCH 2015 ICE 2012030300029403 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF NAME OF OFFEROR OR CONTRACTOR HAMPTON ROADS REGIONAL JAIL ITEM NO. (A) SUPPL ESISERVICES (B) QUANTITY (C) UNIT (D) UNIT PRICE (E) AMOUNT (F) and accepted. Vendor should not mail invoices directly to the Dallas Finance Center (DFC), Dallas Finance Center will not process an invoices without proper certification. Also copy of the invoice will be sent to: U.S. Department of Homeland Security Immigration and Customs Enforcement Attm I (bxa), Office of Acquisition Management 425 I Street NW, Room 2208 Washington, DC 20536 NSN 754M1-152-80MARCH 2015 ICE 2012030300029404 OPTIONAL FORM 336 (4436) Sponsoted FAR (48 CFR) 53.110