DHS/ICE Burlington Finance Center PO Box 1620 Williston, VT 05495-1620 Attention: ICE DRO FOD Washington DC Invoice Invoice for Housing at the: Town of Farmville / ICA Farmville LLC TIN # 54-6001272 DUNS# 40156218 116 North Main Street Farmville, VA. 23901 130.1 Housing Invoice # Agreement Order Number Payment Terms: DROIGSA-08-0021 70CDCR18FIGR00173 Payment due upon receipt Monthly Invoice: May Date: 6/1/2019 5/31/2019 Headcount equals 500 or less Number of Days at guaranteed rate Guaranteed Day Rate 31 60,375 Headcount 501 - 736 Daily Rate 6,830 28.26 Headcount 737-1036 Daily Rate 530 54.59 Number of Residents Number of Detainee Days Guaranteed Rate Incremental Rate Incremental Rate TOTALs: Housing 22,860 501 737 - 736 1036 GRAND TOTAL: Language Line Indigent Mail Xray Machine Charges 1,871,625.00 193,015.80 28,932.70 $ 2,093,573.50 $ 2,093,573.50 April May April TOTAL 100.20 116.55 3,528.00 $2,097,318.25 Town of Farmville LLC TIN # 54-6001272 Facility Name ICA Farmville Detention Center Address 508 Waterworks Road Farmville, VA. 23901 Division Housing Service Contact Person Carol Anne Seal 434-392-2119 Phone Address 116 North Main Street Farmville, VA. 23901 6/1/2019 130.1 Invoice Date Invoice Number Agreement Number DROIGSA-08-0021 Order Number 70CDCR18FIGR00173 Monthly Invoice: May 5/31/2019 Date: 6/1/2019 Headcount equals 500 or less Number of Days at guaranteed rate Guaranteed Day Rate 31 60,375 Headcount 501 - 736 Daily Rate 6,830 28.26 Headcount 737-1036 Daily Rate 530 54.59 Number of Residents Number of Detainee Days Guaranteed Rate Incremental Rate Incremental Rate TOTALs: Housing 22,860 501 - 736 737 - 1036 GRAND TOTAL: Language Line Indigent Mail Xray Machine Charges 1,871,625.00 193,015.80 28,932.70 $ 2,093,573.50 $ 2,093,573.50 April May April TOTAL 100.20 116.55 3,528.00 $2,097,318.25 ICA Farmville Housing Invoice Date 5/1/2019 5/2/2019 5/3/2019 5/4/2019 5/5/2019 5/6/2019 5/7/2019 5/8/2019 5/9/2019 5/10/2019 5/11/2019 5/12/2019 5/13/2019 5/14/2019 5/15/2019 5/16/2019 5/17/2019 5/18/2019 5/19/2019 5/20/2019 5/21/2019 5/22/2019 5/23/2019 5/24/2019 5/25/2019 5/26/2019 5/27/2019 5/28/2019 5/29/2019 5/30/2019 5/31/2019 Based On ICA Headcount Base Rate Incremental Incremental (A) ICA Farmville Headcount OMS 500 501 - 736 737 - 1036 120.75 28.26 54.59 Above 501-736 Above 736 TOTAL 761 756 236 236 25 20 68,409.11 68,136.16 770 770 236 236 34 34 68,900.42 68,900.42 771 774 236 236 35 38 68,955.01 69,118.78 731 713 231 213 0 0 66,903.06 66,394.38 712 719 719 212 219 219 0 0 0 66,366.12 66,563.94 66,563.94 719 700 219 200 0 0 66,563.94 66,027.00 672 676 172 176 0 0 65,235.72 65,348.76 667 673 167 173 0 0 65,094.42 65,263.98 733 794 233 236 0 58 66,959.58 70,210.58 793 779 780 236 236 236 57 43 44 70,155.99 69,391.73 69,446.32 770 763 236 236 34 27 68,900.42 68,518.29 763 236 236 27 27 68,518.29 68,518.29 236 221 27 0 68,518.29 66,620.46 217 210 0 0 66,507.42 66,309.60 708 208 0 66,253.08 Total 22860 6830 530 2,093,573.50 Avg 737 763 763 721 717 710