Orange County (New York) - Funding Order For IGSA With ICE
Orange County (New York) - Funding Order For IGSA With ICE
ORDER FOR SUPPLIES OR SERVICES J PAGE or PAGES '2
IMPORTANT: Mark all packages and papers with contract andlor ordor numbers. I 1
1_DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIPTQ:
DROIGSA-08 - 0026 a. NAME OF CONSIGNEE
08/1212008
3. ORDER NO. 14.REaUISITlONIREFERENCE NO.
ICE Detention & Removal
HSCEDM- 08-F-IG051 FN Y0800 14
5. ISSUING OFFICE (Address correspondence to) b. STREET ADDRESS
ICE/Detention Mngt/Detention IGSAs Immigration and Cust oms Enf orcement
Immigra t ion and Customs Enforcement 801 I Street, NW
Office of Acquisition Management Suite 900
425 I Street NW , Suite 2208
Washington DC 2053 6 c. Cln' Id.STATE l:e. ZJPcoDE
Wash ington DC 20536
7. TO: f. SHIP VIA
a. NAME OF CONTRACTOR
COUNTY OF ORANGE 8. TYPE OF ORDER
b. COMPANY NAME [] a. PURCHASE ([I b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR:
Except for bHling instructions on the
265 MAIN STREET reverse, this delivery order is subject
to instructions contained Ofl lIlis side
ooly oflhis form and is issued
Please furnish the following on the terms subject to the terms and conditions
and conditions specified on both sides Of of the above-numbered contract.
dCITY
GOSHEN
J e. STATE
NY
1;1. ZIP CODE
1092 42410
this order and on the attached sheet, if any.
including delivery as indicated.
9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE Detention & Removal
11. BUSINESS CLASSIFICATION (Check appropriate box(es») 12. F.O.B. POINT
o a. SMAlL o b. OTHER THAN SMALL D c. DISADVANTAGED D g . SERVICE-
DISABLED Destina tion
D d. IfoJOMEN-OVVNED D e. HUBZone o f. EMERGING SMALL
BUSINESS
VETERAN·
OVVNED
-
13. PLACE OF 14, GOVERNMENT 6fL NO. 15. DELIVER TO F.O.B. POINT 16. DISCOUNT TERMS
ON OR BEFORE (Dale)
a. INSPECTION l!:l.ACCEPTANCE 30 Days After Award
Destination Des tina t i on
17. SCHEDULE. (See reverse ror ReJections)
aUANTITY UNIT QUANTITY
ITEM NO. SUPPLIES OR SERVICES OROERED UNIT PRICE AMOUNT ACCEPTED
(8) (b) (e) (d) (e) I~ (9)
DUNS Number: 012981593
This task order is issued against IGSA
#DROIGSA-OB-0026 for the care and detention
of adult male / f emale Immigration & Customs
Enforcement (ICE) detainees.
Accounting Info :
Continued ...
18. SHIPPING POINT 19. GROSS SHIPPING \rVEIGHT 20. INVOICE NO. 17(h)
TOTAL
(Coot.
pages)
21. MAIL INVOICE TO:
a. NAME U. S. DEPT. OF HOMELAND SECURITY $1,154,476.60 ~
SEEB/UING
INSTRUCTIONS b. STREET ADDRESS U.S. IMMIG. AND CUS TOMS ENFORCEMENT
ON REVERSE (or P.O. Box) OFFICE OF DETENTION AND REMOVAL 17(1)
801 I STREET, N.W. , SUITE 800 GRANO
TOTAL
c. CITY
~lASH INGTON
l' STATE e. ZIP CODE
20536
$1,154,476.60
~
I
~ ~ ""
.ll~£rnJ
22. UNITED STATES OF AMERICA 23. NAME (Typed)
BY (Slgn,tu,,) ~ C/;/J % :..; Susan D. Erickson
TITLE: CONTRACTING/ORDERING OFFICER
At.JTHORIZED FOR l OCAl REPRODUCTION OPTtONAL FORM 347 lR1to.lI2OOSJ
PREVIOUS EomOtli NOT USABlE ~brGSAII'-'R43CFF!5l.2 1J(.J
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
ORDER NO.
6 HSCEDM-08-F-IGOS1
ITEM NO. SUPPllESISERVICES UNIT AMOUNT QUANTlTY
PRICE ACCEPTED
(A) (E) (F) (G)
0001 DETENTION FY08-- Detention and care 133.93 1, 154, 476 . 60
deta ined at the ORANGE COUNTY
IC()RI,EI:TIONAL FACILITY, at a daily detainee
I.J. x"Q-rate of $133.93 per day, per
x 8620 Bed days
. Christopher Shanahan,
Ross ,
Jera ld Neveleff,
~~c"a, " "s t: Ms. Stephanie Baker,
t ot al amount of award: $1 ,1 54,476.60 .
obligation for this award is shown in
1 7 (i) .
FORM
P'e$Crib~d by GSA
FAR(~ 8 eFR) 53.213(c)
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