AMENDMENT OF SOUCITATIONIMODIFICATION OF CONTRACT '0 PAGE ?555 1 I 5 2. AMENDMENTMODIFICATION No. 3. EFFECTIVE DATE 44 REQUISITIONIPURCHASE REO. No. 54 PROJECT NO. ("mural P0000). See Block 16C 6. ISSUED BY CODE 6) CODE ICE/Detention Compliance Removals ICE/Detention Compliance .9 Removals Immigration and Customs Enforcement Immigration and Customs Enforcement Office of Acquisition Management Office of Acquisition Management 801 I Street, NW Suite 930 801 I Street NW, suite 930 WASHINGTON DC 20536 Washington DC 20536 5. NAME AND ADDRESS OF CONTRACTOR mu. Star-map cm; A. AMENDMENT OF SOLICITATION NO COUNTY OF CIBOLA ATTN COUNTY OF CIBOLA T98 DATED (SEEITEM II) 515 HIGH ST GRANTS NM 870202526 108. DATED (SEE ITEM CODE 0544423480000 [mummies 10/28/2016 11. THI IT ONLY APPLIES TO AMENDMENTS OF D?Ihe above numbered solicitation is amended as set forth in Item 14. The hour anddate speci?ed for reoebt OfOIIera Dis extended. Ell: not extended. Otter: mmtedmowledgereoehtofthis amendmentpriortothe hour-nddete .byoneotthetolowing methods: (apaycompleting Itemae and 15. andreturning copiesotthe amendment; or(c) 8y separate letter or telegram which Include: a reference to the solicitation amendment numbers. OF YOUR ACKNOWLEDGEMENT 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 or this amendment you desire to change an otter already stunned such Change may be made by telegram or letter. provided each telegram or letter makes earlier-mum tothem?ggmenddatem?ted: 12. ACCOUNTING AND APPROPRIATION DATA (If required) See Schedule 13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTSIORDERS. IT MODIFIES THE CONTRACTIORDER NO. As DESCRIBED IN ITEM 14. 235.95%. A THIs CHANGE ORDER Is ISSUED PURSUANT TO (Spea?fy authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A. 8. THE ABOVE NUMBERED IS MODIFIED TO REFLECT THE ADMNISTRATNE CHANGES (such as changes In paying Mice. appropriation dale, etc.) SET FORTH IN ITEM 14. PURSUANT TO THE AUTHORITY OF FAR 43.10303). C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF O. OTHER (Speary type or meditation and authority) Bilateral Modification 5. IMPORTANT: Contractor Dis rim~ is to sign this doament and return 1 copies to the issuing Of?ce. 14. DESCRIPTION OF (Organized by UCF section headings, including subject marrer ?more feasible.) DUNS Number: 054442348 "mu? Program PO: Bernadette Davis 915?856?5513 COR: Tonya Sims 915?856-5540 0" 9 0"?44 ?4 ALT COR: Todd Mitchell 915-856-5539 (g (33(5) at a. .1 5 OAQPOC: . Contracting Officer: William Quigley 202?732-2120 Contract Specialist: Arnold Casterline 202?732?2394 3?98": 30:: . ,0 9?17 Warden: Brian Koehn 520?483?7717 NEW Continued Except as provided herein, al terms and conditions Ollhe doment referenced 'n Iem IDA as heretolore dunged, remains unchanged and In tuttforoe and Meet. 15A. NAME AND TITLE OF SIGNER (Type orprt?nt) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type orpn?no Lid: j/Ze William Quig/l?eyn 158. NTRACTORIOFFEROR 150. DATE SIGNED 168 UN of AM I 18C(mummubdw MCICMOM I NSN 7540014524070 I STANDARD FORM 30 (REV. 1m) Previous edition mable Prescribed by GSA FAR (48 CFR) 53.243 017 (33:48 Pm 201700232 Page 10f7B? 02? p3 @9895 02/92/?lerk and Recorde REFERENCE NO. OF DOCUMENT same coumuen HKE 0F 2 5 NM OF OFFEROR OR CONTRACTOR COUNTY OF CIBOLA HEMNO. (A) swmeszseawcss (B) QUANTITY UNIT (C) (D) UNIT PRICE (E) mourn (F) The purpose of this modification to the IGSA for the Cibola County Correctional Center located in Milan New Mexico is to capture the agreement for additional medical staff and add transportation services in support of the Cibola County Correctional Center. The increase in medical staff has resulted in changes to CLINs 0001,0002, and 0003. The Transportation Services have been added as CLINs 0004 Fixed routes and 0005 On Demand Transportation. Cibola County hereby agrees to: 1) staff medical posrtions as per the attached Medical Staffing Plan (Attachment 2) provide detainees with access to a language line that offers trained interpreters over the phone and/or via video remote, including instant access to interpreters who speak Spanish and Haitian Creole; 3) Cibola County must hire interpreters, with at least one Spanish language interpreter and at least one Haitian Creole language interpreter to provide interpreter services at the medical clinic and, when available, at other facility locations. 4) On demand Transportation in support of the Cibola County Correctional Center may only be performed at the direction of the COR, ALT COR and/or the Contracting Officer. ICE hereby agrees to: 1) place no more than 500 detainees in the facility until sufficient medical staff(as determined by ICE Health SerVice Corps has been hired and cleared and the Mental jHealth unit (MHU) will not be operational until sufficient medical staff (as determined by ICE Health Service corps has been hired and cleared. The detainee population will be allowed to incrementally increase as the number of cleared staff_increases towards full medical staff(57 FTEs), as determined by limit new intakes to 250 per week; ?3)detail-a Detention Service Manger (DSM) to :Cihola at least two weeks a month. Furthermore the El Paso Field Office Field Medical Coordinator (FMC) will conduct weekly calls with the Cibola Health Service Continued NSN 7540-01-152-0067 701700232 Page 20f7B: 024 @9896 02/02/2017 03:48 PM Clerk and Recorder I Soonsmd by GSA FAR (u CPR) 53.1w REFERENCE NO. OF DOCUMENT BEING CONTINUED AGE OF NAME OF OFFEROR 0R CONTRACTOR COUNTY OF CIBOLA ITEM NO. SUPPLIESISERVICES QUANTITY NIT UNrr PRICE AMOUNT (A) (B) (C) (D) (E) (F) Administrator to discuss any issues or concerns; inspection contractor will conduct a full 2011 annual inspection of Cibola 90 days after the first detainee is admitted. The inspection will include a Quality of Medical Care (QMC) review by a registered nurse and medical subject matter expert (SME). IHSC will also conduct a site visit at Cibola within 6 weeks of detainees first arriving at the facility and then at least quarterly for the first year, to monitor the quality of care. Attachment Medical Staffing Plan Attachment 7~Tz Transportation Staffing Plan Exempt Action: Delivery Location Code: DHS, ICE Burlington Finance Center P.O. Box 1620 Attn: Williston VT 05495-1620 USA Period of Performance: 10/28/2016 to 10/27/2021 Change Item 0001 to read as follows(amount shown is the obligated amount): 0001 Fixed Rate after ramp up for Detention 60 MO 2,547,179.57 Services 0~ 847 detainees $2,547,179.57 per month Obligated Amount: $0.00 Product/Service Code: 5206 Product/Service Description: GUARD Delivery: 11/01/2016 Change Item 0002 to read as follows(amount shown is the obligated amount): 0002 Bed Day rate 490925 EA 55.43 848 and above: $55.43 Obligated Amount: $0.00 Product/Service Code: 5206 Product/Service Description: GUARD Delivery: 11/01/2016 Change Item 0003 to read as follows(amount shown Continued NSN 754001 -1 524067 201700232 Page 30f7B' 024 @9897 02/020017 03 48 PM meme r-k and Recorder OPYIONAL FORM 336 (5-86) Sponsored by GSA PAR (43 53.110 SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE or 4 I 5 NAME OF OFFEROR OR CONTRACTOR COUNTY OF CIBOLA ITEM NO. QUANTITY mm UNIT PRICE AMOUNT (the obligated amount): 0003 Ramp up Bed Day Rate Ramp: Fixed rate for month 1: Initial four weeks