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epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001001
EFERENCE NO.OF DOCUMENT SE ING CONTINUED
CONTINUATION SHEET HSCEMD-l6-P-000l7
NA/.OE Of OfFEROR OR CONTFV.CTOR
GUIDANCE SOFTWARE INC
ITEM NO.
(A) SUf>P\.IESiSEIMCCS
( B )
Service Providers shall follow these procedures when submitt ing invoices .
1 . I nvoice Submission : Invoices shall be submitted in a ". pdf" f ormat i n accordance wi t h the con t ract terms and conditions via email , Un ited Sta t es Postal Service {USPS } or facsimile as foll ows :
a . Email :
~b)(6);(b)(7)(C)
Receiving Official Point-of-Con t act (POC)
Alternate Receiving Official Point-of-Contact (ALT . POC)
Procurement POC
Each email shall contain only (1) invoice and t he i nvoice number shall be indicated on the sub j ect l ine of t he email .
b . USPS :
DHS , ICE Financial Operations - Burlington P . O. Box 1620 Williston , VT 05495-1620
ATTN: ICE/ HSI/HQ /DIV4
The Contractors Data Universal Numbering System (DUNS) Number must be registered and active in t he System for Award Management (SAM) at https : //www . sam . gov prior to award and sha ll be notated on every invoice submitted to ensure prompt payment provisions are me t . The ICE program office identified in t he tas k order/contract shall also be notated on every invoice .
c . Facsimile :
Alternative Invoices shall be submitted
to : (802) - 288 - 7658
Continued .. .
NSN rS4()"()1·152-806r
QUANTITY UNIT UN IT PRICE
(e) (D) ( E )
20
AMOUNT
(F)
OPTIONAl FORM:J.3Il (HI6)
Sponsored by GSA
FAR (03 CFR) 53.'10
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001002
FERENCE NO_OF DOCUMENT BEING CONTINUED
CONTINUATION SHEET HSCEMD-16-P-000 17
NAMEOF OFFE ROR OR CONTRACTOR
GUIDANCE SOFTWARE INC
ITEM NO_
(A) SU PPUESiSERVlC ES
(8)
Submissions by facsimile shall include a cover sheet , point of contact and the n umber of total pages . Note : the Service Prov iders or Contractors Dunn and Bradstreet (D&B ) DUNS Number mus t be registered in t he System for Award Mana geme nt (SAM) at h t tps : //www . sam . gov prior to award and shall be notated o n every invoice submi t ted to ensure p rompt paymen t provis ions are me t . The ICE p rogram office identi f ied in the con t ract shall also be anotated o n every invoice .
2 . Content of I nvo ices : Each invoice shall contain t he fo l lowin g i nformation in accordance wit h 52 . 212-4 (g) , as applicable :
Ii} Name and address of t he Contractor . The name , address and DUNS number o n t he invo ice MUS T match the information i n both t he Contract/Agreement and the i nformation in the SAM ;
Ii i) Du nn and Bradstreet (D&B) DUNS number ;
(iii ) I nvoice date and un ique invoice n umber ;
(iv) Contract number (HSCEMD- 16-P-0017) ;
{v} Contract Li ne Item Number{s} (CLIN : 0001 or 0002) ; Description ; quant i ty ; un i t of measure ; u nit price and extended price of t he items delivered , period of performance (each CL IN shall be identified separately on the invoice) ;
(vi) If applicable , shipping number and date of shipment , including the bi l l of lading number and weight of shipment if shipped on Government bill of lading ;
(vii) Terms of any discount for prompt payment offered ;
(viii) Remit to Address ;
( i x) Name , title , and phone number of person to notify in event of an improper invoice ;
Continued
NSN rS41l-01·152-806r
QUANTITY UNIT UNIT PRICE
(e) (D) (E)
20
~"' (F)
OI'TIOi'IAl FORM:J.3Il (HI6) Sponsored by GSA
FAA (03 CFR) 53.'10
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001003
FERENCE NO_OF DOCUMENT BE ING CONTINUED
CONTINUATION SHEET HSCEMD-16-P-00017
NAMEOF OFFEROR OR CONTRACTOR
GU IDANCE SOFTWARE INC
ITEM NO_
(A) SUPPUESiSERVlC ES
(8)
(x) ICE program office designa ted on order/contract/agreement and
(xi) Mark invoice as " I nterim" (Ongoing performance and additiona l bi l ling expec t ed) and "Final " (performance comp le t e and no additional bill ing)
(xii) Electronic Funds Transfer (EFT) banking i nformati o n in accordance with 52 . 232-33 Payment by Electronic Funds Transfer - System for Award Mana geme n t or 52-232-34 , Payme n t by Elec tronic Funds Transfe r - Other than System for Award
Mana geme n t .
3 . In order to ensure that an accura t e invoi ce is submitted, t he Contractor shall coordina t e t he i nvoice with the Receiving Officia l POC or Alternate Receiving Official POCOR before sending the invoice to Financial Operations Burlington .
4 . Invoice Inquiries : Questions regarding i nvoice submission or payment , p lea se contact ICE Financial Operations at 1-877-491 e-mail at b)(6);(b)(7)(C)
NSN rS41l-01 ·152-806r
QUANTITY UNIT UNIT PRICE
(e) (D) (E)
b)(6);(b)(7)(C)
20
~"' (F)
OI'TIOi'IAl FORM:J.3Il (HI6) Sponsored by GSA
FAA (03 CFR) 53.'10
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001004
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 11. CONTRACT 10 CODE I PAG1E OJ PAGES
1 2. AMENOM ENTIMOOIFICATION '0 J EFFECTIVE DATE 4 . REQUISITION/PURCHASE REO. NO. 15. PROJECT NO. (If 9pp/icab/$)
POOOO2 See Bl ock 16e 6. ISSUED BY CODE I CE/roSD
Inves tiga t ions 0p' Support Dallas I mmigration a nd Cus t oms En forcement Office of ACqUisitionw:;~a~ 7701 N . St emmons Freeway , ; I Da l l as TX 75247
8. NAME AND ADDRESS OF CONTRACTOR (No"
e 7
S P
ELLEBRI TE USA CAMPUS DRIVE
UI TE 210 ARS I PPANY NJ
CORP
07054
CODE 0330955680000
_t, cotHIly. Srl>l<t !HId ZIP C_J
FACILITY CODE
7. ADMINISTERED BY (lfolherfhan item 6) CODE I
1' 1 9A. AMENDMENT OF SOLICITATION NO.
98. DATED (SEE/TEM II)
x lOA. MODIFICATION OF CONTRACT/ORDER NO. HSCEMD-16-P-QOO33
lOB. DATED (SEE ITEM 13)
04/25/2016 11. THIS ITEM ONLY A PPLIES TO AM ENDMENTS OF SOt.lCITATIONS
Th .. abo ... numbered soholabon IS amended as set forth., Ilam 14. The OOur and dal .. specified for r_ptof Off .. rs 1S " .Ianded. 1S oot axtended .
Offers must ad<nowk!dqe roce< pt of this amendment prior to the OOur and date specified in the solicitation or as amended. by one of the following methods: l a) By completing
Items 8 and 15. and retuming ~es 01 the amendment; Ib) By acknowledging rece<pl Ql this amendment on each copy Qf the Qffe< submitted ; or Ie) By
separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR AC KNOWLEDGEMENT TO BE RECEIVEOAT
THE PLACE DESIGNATED FOR THE RECEtPT OF OFFERS PRtOR TO THE HOUR AND DATE SPECIFIED MAY RESULT tN REJECTION OF YOUR OFFER II by
"';rtue of this amendment you desire to change an offer a lready submitted. such change may be made by telegram or Jette<. pro"';ded ead! telegram or Jener makes
refe<ance to the .... icitation and th is amendment and is recei'ffld prior to the openi!!9 00ur and date specified.
12. ACCOUNTING AND APPROPRIATION DATA (If required)
13. THIS ITEM ONLY A PPLIES TO MODIFICATION OF CONTRAC TS/ORDERS. IT MODlFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
CHECI< ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO; (SpeOfy aulllority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO, IN ITEM lOA.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MOOIFIED TO REFLECT THE ADM INISTRATIVE CHANGES (such as changes in paying office, approprialion date. elc.) SET FORTH tN ITEM 14. PURSUANT TO THE AUTHORtTY OF FAR43, 103{b).
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANTTOAUTl10RITY OF:
D. OTHER (Specify type of mocilficalion and I>ulhority)
X Closeout lAW FAR 4 . 804 Cl oseout of Con t !"act Fi l es
E. IMPORTANT: Contractor is required to sign this document and retum ~"" to the issuing office.
14. DESCRIPTION OF AMENDM ENT/MODIFICATION (Orr;amzed by UCF soctkJn headingS, mdudtng solicitation/conlracl subject mafterwh"", feaSible.)
DUNS Numbe!" : 033095568 Points of Con t ac t :
P!"og !"am POC : .~~b~)1;6)~; (b~):17;)IC;')~;;:::::::::::::::::::::::::::'L:..7 0:::3; - 2 8 7 - b)(6);(b)(7)(C) Alterna t e POC : Fb)(6);(b)(7)(C) ~ 703-287- b)(6);(b)(7)(C) Contract special~i::':'t", ""1"b)"16:<;);("'b);;'17;;)I7'C') ------------rr J 21 4 - 905 ~b)(6); (b)(7 )(C) I
The purpose o f t his modif i cation is to close out th i s order . and a l l i nvo i ces paid .
All wo!"k has been complete
Exempt Action : Y Sensitive Awa!"d : ~b)(7)(E ) I Pe riod of Perfo rma nce : rLb_)1~4 ) ____________________ --"1 E. cepl as pro'o'ided herein all terms and oond itions of the document refereoced in ~em 9 Aor l OA as heretolore changed remains unchanged and in lui force and effect
15A NAME AND TITLE OF SIGNER (Type or prtnt)
158. CONTRACTOR/OFFEROR
/Signo'ur. 01 (#Wf! ""r/lotiud '" sigtl)
NSN 7540-01·152-8070
Previous ed ition unusable
I OC. DATE SIGNED
16A. NAME AND T ITLE OF CONTRACTING OFFICER (Type orprint)
b)(6);(b)(7)(C) I 16B UNITED STATES OF AM ERICA
($9'l;llur. ol e_ring 0tIic00tJ
16C. DATE SIGNED
STANDARD FORM 30 (REV 10-83)
Prescribed by GSA
FAR 148 CFR) 53.243
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001005
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES
IMPORTANT: Mali<. all ackages and papers with contracl and/or order numbers. 1 11
I . DATE OF ORDER 2. CONTRACT NO (If any) 6. SHIP TO:
08/12/2016 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
192 116VPHOOOO03 11 I nvestigat i on - SAC Phoe ni x HSCEMD-16-P-00092
5. ISSUING OFFICE (AddfflSS oomJspondanc8 10) b. STREET ADDRESS I nves tiga t ions Op, Support Da l las Immigration a nd Customs Enforceme nt I mmigration and Cus t oms En forcement 4041 N. Ce ntra l
Att n : ~b)(6); (b)(7)(C) Aven ue , ~b)(6); (b)(7)(C)
I I Offi ce of Acquisit i on Managemen t 770 1 N. Stemmons Free way , ~b)(6); (b)(7)(C)
Dallas TX 75247 c. CITY d. STATE e. ZIP CODE
Phoeni x AZ 85012
7. TO; CELLEBRI TE USA CORP f. SHIP VIA
a. NAME OF CONTRACTOR CELLEBRITE USA CORP 8. TYPE OF ORDER
b. COMPANY NAME X a. PURCHASE b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR 7 CAMPUS DRIVE Quote j ~b)(4 ) I E,C$pt 10< bO iling instructions on \he
SUI TE 210 reverse. th is delive<y order Is
Dated Aug 12 ,2 01 6 subject to instructions cootaOood on
this side only of this form and is Please furnish the following on the terms issued subject to the terms and and condrtioos specif>ed on bolh sides of condihons of !he aoo-v-e-numbere<:l
d. CtTY I e . STATE I; ZIP CODE this order and on the attached shoot. ~ contract PARSIPPANY NJ 07054 an~, iodud iOQ deli.",,", as ioo icated
9, ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE
Se e Sc hedul e I CE Hml nd Sec I nu SAC Phoe ni x
". BUSINESS CLASSIFICATION (Checl< appropriale box(as)) 12, F.O,B. POINT
a. SWILL X b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone
f, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUSINESS (Wose) h. EDWOSB
VETERAN·OWNEO ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. IS. DELIVER TO F OB POINT 16 DISCOUNT TERMS ON OR BEFORE (Dale)
a, INSPECTION I b. ACCEPTANCE 90 Days After Receipt of Des t ination Destinat i on Orde r Ne t 30
17 SCHEOULE (See ",verse for RejeCtions)
QUANTITY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT ,., ", '0' 1"
DUNS Number : 033095568 -Primar y POC : Kb)(6);(b)(7)(C) L 602-200- Kb)(6);(b)(7)(C) I b)(6);(b)(7)(C)
Alt . POC : b)(6);(b)(7)(C) 602 - 200 - b)(6);(b)(7)(C) b)(6);(b)(7)(C) o n t ~nuea ...
18 SHIPPING POINT 19. GROSS SHIPPING WEIGHT
21, MAIL INVOICE TO:
a. NAME Departme nt of Homela nd Sec urity
SEt:: BILL ING
INSTRUCTIONS b STREET ADDRESS Burl i ng t on Finance Center ONREVERSE (or PO. Box) P . O. Box 1620
ATTN: HQ/HS I SAC Phoeni x
C. L:! r'"'' Willis t on VT
22. UNITED STATES OF
AMERICA BY (Sigm!ture) ~ AUTHORIZED FOR LOCAL R~ f>ROOucnoN
f>R~VIOUS EDITION NOT USABLE
UNIT QUANTITY
PRICE AMOUNT ACCEPTED ,., 10 '01
20. INVOICE NO. 17(h)
OTAl
(ConI. ,.,,,' b)(4) I ...
17{i)
G~O
TOTAL
b)(4) I ... e. L IP L:uut:
05495- 1279 23. NAME (Typed)
~b)(6); (b)(7)(C) I TITLE: CONTRACTING/ORDERING OFFICER
OPTIONAl fORM 347 1"".212012) __ o,-GSM'"" •• c.-R".21l(f1
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001006
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/12/2016 ,- 00092
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
'-I '" '<I '" P7~fE
'"~ ACC~~TEO
POCs will schedule training and with Cellebrite if needed .
POCs are not authori zed to change the terms and conditions of this order.
The contractor i, requested t o acknowledge of this order by signing in the
be l ow and re tu rning a copy of this p~~e with signature to the contracting officer via fa x - 214-905-5568 or email-
" " '
, " . Da t e
Action : N I nfo :
0001 fb}(' } fbi' }
FOR COMMUNICATION OF THIS ORDER
Al l communications and invoices mus t order number HSCEMD-16-P-00092 .
NOTE , The contracto r shou l d not accept any t ha t results in a change to the
~u~~ l ies ordered here in from an Entity or . ,el i, ;,1 o t her than a Contracting Officer at t he issuing office .
Instructions :
shall use these procedu r es when H . , --
"'oc~~ • , OPTIONAL FORM 348 1_"'f2WI!) PREVIOUS EDITION NOT USABLE
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001007
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 3
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/12/2016 ,- 00092
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
an invoice .
l. I nvoice Submission :
hima,y method of submission i, email . shall be submitted t o :
Each e mail sha l l be i n a . pdf forma t ; con~ai n o n l y one (li invoice and the
line of t he e mail will annotate the n umber .
method of submission i, fax . shall be submitted to :
802 - 288 - 7658
Each fax shall have a cover sheet identifying point of contact , phone n umbe r and n umbe r of pages .
Not e , The Contractor ' s Dunn and Bradstreet (D&B) DUNS number mus t be active in the
for Award Ma nageme n t (SAM) at https : //www . sam.gov .
2 . Content of Invoices : Each invoice l1h T1 i· sha l l contain t he following
,
(i) Name and address of t he Contractor .
~he name , address and DUNS n umber on the MUST match the in f orma t ion in both
the Co n tract/Agreement and t he information in the SAM ; (H) Dunn and Bradstreet (D&B) DUNS n umber ; (Hi) I nvoice date and invoice number ; (iv) Agreement/Contract n umbe r , contract line item number and , if applicable , the
numbe r ; (v) Descrip t i on , quantity , u nit of meas ure , un i t price and extended price of t he items , (vi) Shipping n umber and date o f shipment ,
- I . ''': the bill of lading number and of sh ipme n t if shipped o n Government
Continued . ..
"'oc~~ • , OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001008
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 4
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/12/2016 ,- 00092
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
'-I '" '<I '" P7~fE
'" ACC~~TEO
bi ll of lading ; (vii) Terms of a ny discou n t for prompt
o f f ered ; (viii) Remit to Address ; (ix) Name , title , a nd phone number of
to notify in event of defective ,
(xl Whether the invoice i, "Interim" or " a nd
(xi) I CE program o ffi ce designated on
"" I n accordance with Contract Clause , FAR
52 . 212-4{g) O} , Contrac t Terms and Conditions - Commerc ia l Ite ms , or FAR 52 . 232-2S(a} {3} , Pr ompt Payme nt , as applicable , t h e information identified
is r equired wit h each i nvoic e
3 _ Payme n t Inquiries : Questions regarding submission or payment, p lease
II I I CE Financial Operations at 1-877-491 " I The to t a l amount o f award : ~b)(4) I The
, ;; , for th is award i, shown i n box (i) .
"'oc~~ I
, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001009
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 4
IMPORTANT: Mali<. all ackages and papers with contracl and/or order numbers. 1
I . DATE OF ORDER 2. CONTRACT NO f!f acr6 6. SHIP TO: HSCEMD- 13- - 001
04/28/201 7 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCEMD- 17-J-00025 192 117VSSOOOOOO02 HSI SELLS
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to) b. STREET ADDRESS I nves tiga t ions Op, Support Da l l as Attn : ~)(6); (b)(7)(C) I I mmigration and Cus t oms En forcement State wy 88
Offi ce of Acquisit i on Managemen t Mile Pos t 11 2 . 5
770 1 N. Stemmons Free way , ~b)(6); (b)(7)(C) I ATT : ~b)(6); (b)(7)(C) I c. CITY d. STATE e. ZIP CODE
Dallas TX 75247 Sells AZ 85634
7. TO; f. SHIPVtA
a. NAME OF CONTRACTOR CELLEBR ITE INC 8. TYPE OF ORDER
b. COMPANY NAME 3 . PURCHASE X b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR 7 CAMPUS DRIVE Quote ~b)(4) I E,C$pt 10< bO lting instructions on \he
SUI TE 210 reverse. th is delive<y order Is
Dated Marc h 19 , 2017 SUbject to instructions coma iood on
this side only of this form and is Please furnish the following on the terms issued subject to the terms and and condrtioos spe-cif>ed on bolh sides of condihons of !he a boV"e"'umbere<:l
d . CtTY I e . STATE I; ZIP CODE this order and on the attached shoot. ~ contract PARSIPPANY NJ 07452 an~, iodud iOQ deli.",,", as ioo icated
9, ACCOUNTING AND APPROPRtATION OATA 10. REQUISITIONING OFFICE
Se e Sc hedul e I CE Hml nd Sec I nv SAC Phoe ni x
". BUSINESS CLASSIFICATION (Checl< appropriate box(as)) 12, F.O,B. POINT
3 . SWILL b, OTHER THAN SMALL X c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination f, SERVICE-DISABLED g. WOMEN..()WNED SMALL BUSINESS (WOSB)
h. EDWOSB VETERAN·OWNEO ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. IS. DELIVER TO F OB POINT 16 DISCOUNT TERMS
ON OR BEFORE f atal a, INSPECTION I b. ACCEPTANCE 30 Da ys A t er Award Des t ination Dest ination Ne t 30
17 SCHEOULE (See reverse for RejeCtions)
QUANTITY UNIT QUANTITY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., ", '0' 1"
DUNS Number : 033095568 ,
Primar y POC : ~b)(6); (b)(7)(C) ~ 520-383 b)(6);(b)(7)(C) b)(6);(b)(7)(C) -Secondory POC : ~b)(6); (b)(7)(C) ~ Co nt inued ...
18 SHIPPING POINT 19. GROSS SHIPPING WEIGHT
21, MAil INVOICE TO:
a. NAME Departme nt of Homela nd Sec urity
SEt:: BILL ING
INS TRUCTIONS b STREET ADDRESS Burl i ng t on Finance Center OfoIREVERSE (or PO. Box) P . O. Box 1620
ATTN: HSI - SAC - Phoen ix
C. L:! r'"'' Willi s t on VT
22. UNITED STATES OF
AMERICA BY (Signature) ~ AUTHORIZED FOR LOCAL R~ f>ROOucnoN
PREVIOUS EDITION NOT USABLE
,., 10 '01
20. INVOICE NO. 17(h)
OTAl
(ConI. ,.,,,' b)(4) ...
17{i)
G~O
TOTAL
e . L II-'L:UUI=. b)(4) I ...
05495- 1279 23. NAME (Typed)
~b)(6); (b)(7)(C) I TITLE: CONTRACTING/ORDERING OFFICER
OPTIONAl fORM 347 1_.212012) __ o,-GSM'"" •• c.-R".21l(f1
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001010
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
04/28/2017 " 0000 1 7-J-00025
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,,' '" P7~fE
'" ACC~~TEO
520- 22
The contractor i, requested to acknowledge of t h is order by signing i n the
below and returning a copy of t h is page with signature to the contracting officer via fax- 214-905-5568 or ema i l-
I·
."
", Date
All vendor warranties , explicit or
implicit , pe rtai n ing to the items o r ide n tified on this o rder are
as part of this order .
All terms and co ndi t io n s of con t rac t 13- D-0000l hereby apply t o th is
- ;; , ,L 'f order . Ac t ion : N Se n s it i ve Award : NONE
I nfo ,
0001 ,Oil" I"""
FOR COMMUNICATION OF TH IS ORDER
All commu nications and invoices mus t order number HSCEMD-17-J-00025 .
NOTE , The contracto r should not accept a ny t ha t resul t s i n a change t o the
supplies ordered here in from a n Entity or ...
"'oc~~ I
, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001011
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
04/28/2017
ITEM NO.
,., SUPPUESISERVICES
'" other t ha n a Contracting Officer at the issuing office .
Instruc t ions :
I ~::~,~: ~:' ~:::' shall use t hese procedures when I., I':J an i nvoice .
1. I nvoice Submission :
. -J method of submission is email .
~'hall be . '0 to , I
Each ema i l shall be i n a . pdf format ; only one (1) invoi ce and t he line of the email will annotate t he n umber.
1 1'~~' :.:::;:::~e me t hod of submission is fax . il shal l be submitted to : 802-288-7658
Ea c h fax shal l have a cover shee t ide n t ify i ng point of contact , phone number and number of pages .
Note : The Con t rac tor ' s Du nn and Brads treet (D&B) DUNS n umber must be active in t he
for Award Management {SAM} at h t tp s : //www . sam . gov .
2 . Co n t en t of Invoices : Each invoi ce "h n;' shall contain the fo llowing
( i ) Name and address of t he Con t rac to r . The name , address and DUNS n umbe r on the . MUST ma tch t he in formation in both t he Con trac t/Agreemen t and t he information in t he SAM ; (ii ) Du nn and Brads t reet (D&B) DUNS numbe r ; (iii ) Invoice date and invoice number ; (iv ) Agreement/Con t rac t n umbe r , contract line item numbe r and , if a ppl i cab l e , the
number ;
,<, '"
I ORDER NO.
I PAGE NO
3
7-J-00025
AMOUNT
'"
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
P_ ,,<G$.'-'toAl4$"'R)S3"3(Ij
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001012
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
04/28/2017
ITEM NO.
1.' SUPPUESISERVICES
1'1 (v) Descrip t i on , quantity , u nit of meas ure , un i t price and extended price o f t he items ,H, ,
(vi) Shipping n umber and date o f shipment , the bill of l ading number and
of sh ipme n t i f shipped o n Government bill of lading ; (vii) Terms of any discou n t for prompt
o f fered ; (vii i ) Remit to Address ; (ix) Name , t i tle , and phone number of
to notify in event of defective linv"ice , (x) Whethe r the invoice is "Interim" or "I"i " and (xi) I CE program o ffi ce designated on
I n accordanc e with Contrac t Clause , FAR 52 . 212-4 (g) (l) , Contrac t Terms and
- Comme rcia l Ite ms , or FAR 52 . 232-25(a) (3 ) , Prompt Payment , as a~pl icable , t h e information identified
is r equired wit h each i nvoice uh " ' '
3 . Payme n t I nqu iries : Questions rega rding submission or payment, p lease I CE Financial nr at
1-877 491 -j "'
The to ta l , H ,
{i} .
amoun t o f award : rLb~I(~41~~~I .. The for th is award is shown i n box
1<1 I'>
I
I ORDER NO.
I
4 I PAGE NO
7-J-00025
AMOUNT
'"
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!, P_ OfG$.'-,/>AI4$",R,S3"3(fj
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001013
SOLICITATIONICONTRACTIORDE~.F?~ I ITEMS OFFEROR TO S 12, 17, 23, 24, oS 30
I' , """~, 1192117VHQ4CCC0003
2. CONTRACT~,
1
I' ORDER NUI.OBER
17-P-00012
, SOliCITATION NUMBER
14 ~ ,
FOR SOUCITATION ltrrrr.... ~, INFORMATION CALL: ". Kb)(6);1
Q.ISSUED BY CODE IICE/IOSD
Investigations Ops Support Dal las I mmigration and Customs Enforcement Office of Acquisition Ma nagement 7701 N . Stemmons Freeway , ~b)(6); (b)(7)(C) I Dallas TX 75247
", I I
",
nON UNLESS BLOCK IS
MARKED
SEE SCHEDUlE
Cyber Crimes Center 1 1320 Random Mi lls Road
Kb )(6);(b)(7)(C) I Fairfax VA 22030
OFFEROR
Net 30
= Ieee
I
TELEPHONE NO.
, 2018488 5 5~b)(6); (b)(7)(C) I
~. " ITEM NO. SCHEDULE OF SUPPlIESISERVICES
DUNS Number : 03: Oh Cit· POC :
PVC .
I, 703 29
1
r. OFFER CUE OATEA.OCAL TIME
10. THISACOO lsmON IS X UNRESTRICTED OR SETASIDE
WOMEN·OWNED SMAlL BUSINESS
(WOS8) ELIGIBLE UNDER THE WOMEN-OWNED SM ..... LBUSINESS
fiUBZONE SMAlL
BUSINESS
SERVlCE·DISAB!.ED VETERAN-OWNED
SMAll BUSINESS
EOWOSB .. , w.tCs, ~b)(4 ) I SIZE STANDARD ¥ b)( 4)
130 THISCONTRACT ISA
RATEDORDERU NDER
Of'A.S 115 CfR 700)
" '" IFB RFP
=, ops Support Dallas
I"=ig,notion and Customs Enforcement )FFi of Acquisition Ma nagement 7701 . N. Stemmons , t~b~)(6~);~(bj[)(7Q!)(Ic[l ::JI A;~~~ I
~HS: ICE ,.-1 . Finance Center
P.O . Box 1620 Attn : ICE-HSI-HQ-DIV 4
Ref : HSCEMD- 17 - P- 00012 i 1 1 . VT 05495-1620
" OUANTITY " UNIT PRICE
O-DIV ,
;,1 POC : 703 - 29 3 -~b)(6); (b)(7)(C) I
is authorized to communica t e with concerning this purchase order .
';:Mx;ru;rr;,~~"~ (VU~"'~'R·S,'~·",~·'·~"~&;O~'~A~"",~h"A~d~d~"~km~·CS~h~"~""'~'~~~~'-----------JL------L--1l"r cno;;~~ ~~~~~~~o,;",",,---------See schedule ~ I
27a. SOliCITATION INCORPORATES BY REFERENCE FAR 52,212·1, 52,212-4 . FAR 52,212·3 AND 52.2 12·5 ARE ATTACHED. ADDENDA '" '"
ARE NOT ATTACHED.
ARE NOT ATTACHED 27b CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52 212-4 FAR 52 212-5 IS ATTACHED ADD€.NDA
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DEliVER
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ONANY AOOITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
:lOa. SIGNATURE OF OFFERORlCONTRACTOR
3Ob, NAME AND TITLE Of SIGNER (Type orprinl)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
13Oc. DATE SIGNED
X 29. AWARD OF CONTRACT: OFFER
DATED 02/28/2017 Quote ~ctb-,,)(=4l==,J
YOUR OFFER ON SOLICITATION (BLOCK 5).
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
HEREIN, IS ACCEPTED AS TO ITEMS:
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
31b, NAME OF CONTRACTING OFFICER (Typ<> orprint) 13k DATE SIGNED
b)(6);(b)(7)(C) I I STANDARD FORM 1449IREV. 212012) Prescribed b~ GSA· FAR 1411 CFR) SJ .212
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2 of 14
" ~ " n " " ITEM ~O. SCflEDUlE Of SUPP\.IESlSERIIK;ES QUAHTITY UNIT L1~IT Pft IC£ -" However- , Cellebdte SHALL NOT ACCEPT ANY
INSTRUCTI ONS THAT RESULTS IN A CHANGE TO THE
SERVICES HEREIN .
Co ntr-act i ng Officer- : ~b)(6); (b)(7)(C) I, 214 - 90 5 Eb)(6);(b)(7)(C)
1
Exempt Actio n : Y Sensitive Awar-d : ~b)(7)(E) I Per-iod of Per-for-ma nce : ~b)(4) I
0001 b)(4) f b)(4) I
b)(4)
Continued . . . 32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED. AND CONFORMS TO THE CONTRACT. EXCEPT AS NOTED:
32b. SIGNATURE OF AUTl10RIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32e MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 321 TELEPHONE NUMBER Of' AUTHORIZEO GOVERNMENT REPRESENTATIVE
329· E·MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33 SHIP NUMBER ~. VOUCHER NUMBER 35. AMOUNT VERIFIED 36. PAYMENT 31. CHECK NUMBER
CORRECT FOR
COMPLETE PARTIAL FINAL PARTIAL FINAL
36. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY
41a I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 423 RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEJVED AT (Location)
2c. DATE REC'D (YY/MMlDD) 142d. TOTAL CONTAINERS
STANOAAO FOfIM 1«9 (REV. 212012) SACK
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EFERENCE NO. OF DOCUMENT SE ING CONTINUED
CONTINUATION SHEET HSCEMD- 17-P-00012
NA/.OE Of OfFEROR OR CONTFV.CTOR
CELLEBRI TE I NC
ITEM NO.
(A )
1001
SUf>P\.IESiSEIMCCS
( B )
dura t ion of licensing term .
Accounting Info :
[b)(7)(E)
Funded : ~b)(4 ) Ac c o un ti ng Info :
[b)(7)(E)
Funded : [b)(4)
Accounting Info :
[b)(7)(E)
Funded : [b)(4)
Peri od of Performance : [b)(4)
b)(4)
Peri od of Performance : rb)(4) FOR COMMUNICATION OF TH~,~sc70~R~D~E~RC---------------~
Al l commu n i cat i ons and invoices must re f e r e nce t he order number shown in Bloc k 4 4 o n page 1 of t he Pur c hase Order . Pa yme nt I nquiries : Questions regarding invoice submission or payment , please contact I CE Fi nancial Operations at 1 877- 4 91 y e-mail at
b)(6);(b)(7)(C)
i nqu i ries o f fice at b)(6);(b)(7)(C)
to b)(6);(b)(7)(C)
(2 14) 905
Di rec t at the
-ma~
other issuing to :
The Con t rac t o r is reques t ed to ac knowledg e acceptance of t his pu rc hase order by sign i ng in blocks 30a-c o n t he front p age of the pu rc hase order (SF 1449) and returning a copy of t h i s page wit h signature to the Contracting Officer via facs imile to (214) 905-55 68 o r via e-ma il to rb)(6);(b)(7)(C) ~ upo n r eceip t .
Continued
NSN r S4()"()1·152-806r
QUANTITY ~" UNIT PRICE
(C) ( D) (E)
[b)(4)
14
AMOUNT
(F)
OPTIONAl FORM:J.3Il (HI6)
Sponsored by GSA
FAR (03 CFR) 53. '1 0
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FERENCE NO. OF DOCUMENT BE ING CONTINUED
CONTINUATION SHEET HSCEMD- 17-P-00012
NAMEOF OFFE ROR OR CONTRACTOR
CELLEBRI TE I NC
ITEM NO.
(A) SUPPUESiSERVlC ES
( 8 )
Pl ease contac t t he Con t rac t ing Off icer if t here are a ny quest i ons or concerns .
NOTE : The con t ractor should not accept an y i nstructio n that results i n a cha nge to t he s upplies/serv ices orde r ed here i n from a n Ent i ty or i ndividual other tha n a Con t racti ng Of f i cer at t he i ssui ng of f ice .
******* * ****** * ***** * ****** * ***** * ****** ** **
INVO I CE INSTRUCTIONS
1 . Invoice Submission :
Primary me thod of submission is e mai l . s hal l be submi t ted to :
~b)(6); (b)(7)(C)
Attn : I CE HSI-HQ DIV 4 Invoice
I nvoices
Each ema i l shal l be i n a . pdf f ormat ; co ntain o n l y one (1) i nvo ice and t he sub j ect li ne of the e ma i l wil l annota t e the invoice n umber .
Al ternate method of s ubmiss i on is fax . sha l l be to : 802-288-7658 Attn : I CE- HSI-HQ DIV 4 Invoice
I nvoices
Each fax shall have a cover sheet ident ifying po in t o f co ntact , p ho ne numbe r and n umber of pages .
No t e : The Contractor ' s Dun n and Bradstreet (D&B) DUNS number must be active in the System for Award Ma nageme n t (SAM) at h ttps : //www . sam. gov .
2 . Content of Invoices : Each invoice s ubmission s ha l l co nta i n the fo l l owi ng in f o rma t i on :
Ii} Name a nd address of the Contractor . The name , address and DUNS numbe r on the invoice MUST matc h t he information i n both the Contract/Agreement a nd the information in the SAM ; I i i ) Du nn a nd Bradstreet (D&B ) DUNS numbe r ; (iii) I nvo ice d a te a nd invoice number ; ( i v) Agreement/Contract number , contra ct l ine item number and , i f app l icable , t he order number ; Conti nued .. .
14
QUANTITY UNIT UNIT PRICE ~"' (e) ( D) (E) ( F )
NSN rS41l-01·152-806r OI'TIOi'IAl FORM:J.3Il (HI6) Sponsored b\' GSA
FAA (03 CFR) 53. '1 0
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FERENCE NO_OF DOCUMENT BE ING CONTINUED
CONTINUATION SHEET HSCEMD-1 7-P-00012
NAMEOF OFFE ROR OR CONTRACTOR
CELLEBRI TE I NC
ITEM NO_
IA) SUPPUESiSERVlC ES
(8)
(v) Descript ion , quan t i t y , uni t of measure , unit p rice and extended price of the i tems delivered ; (v i ) Shipping number and da t e of shipment, i nc l ud i ng t he bill of lading n umber and weight of shipmen t if shipped on Government bill of lading ; (vii ) Terms of any discount for prompt payme nt offered ; (viii ) Remit to Address ; (ix) Name , t itle , and ph one number of person t o notify in event of defective i nvoice ; {x} Mark i nvo ice as " In t erim" {On go i ng performance and addi t ional billing expec t ed} and " Final " (pe rforma nce comple t e and no additional bill ing) and (x i ) ICE program office designated on order/contract/agreement. (x ii ) Elect roni c Funds Transfe r (EFT) banking i nformation in accordance with 52 . 232-33 Payment by Elec t ronic Funds Transfe r - System f o r Award Mana gement or 52-232-34 , Payment by Elec t ronic Funds Trans fer - Other t han System f or Award Mana geme nt .
I n accorda nce with Co n tract Clause , FAR 52 . 2 l 2- 4( g) (1) , Contrac t Terms and Condi t io n s --Commercial I t ems , or FAR 52 . 232-25{a) (3) , Prompt Payment , as applicable , the i n for ma tio n identi f i ed above i s required wit h each invoice submission .
3 . Payment Inqu iries : Ques t ion s regard ing i nvoice submission or payme n t , p lease co n tact ICE Fina ncial Ope r ations at 1-877-491 r y
e-mail a t CFb")1,,6)"';I,,b),,'7,,)IC,,)'---__________ --'1
I nvoices without t he above i nformation may be retur ned for resubmissio n.
The t otal a mou n t of award : ~b)(4) I. The obligation for this award is shown i n box 26 .
NSN rS41l-01·152-806r
QUANTITY UNIT UNIT PRICE
IC) ID) IE)
b)(6);(b)(7)(C)
14
~"' IF)
OI'TIOi'IAl FORM:J.3Il (H I6) Sponsored by GSA
FAA (03 CFR) 53.'10
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ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 8
IMPORTANT: Mali<. all ackages and papers with contracl and/or order numbers. 1
I. DATE OF ORDER 2. CONTRACT NO £: any) 6. SHIP TO: GS-07F-355 A
07/27/2016 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-16-F-00037 192 1 16VHQ4CCC0047 ICE HMLND SEC INV HQ DIV 4
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to) b. STREET ADDRESS ICE INFORMATION TECHNOLOGY DIVISION IMMI GRATION AND CUSTOMS ENFORCEMENT
IMMIGRATION A ND CUSTOMS ENFORCEMENT 11320 RANDOM HILLS ROAD
OFFICE OF ACQUIS I T ION MANAGEMENT ~b)(6); (b)(7 )(C) I
801 I STREET NW Kb)(6);(b)(7)(C) I WASHINGTON DC 20536 c. CITY d. STATE e. ZIP CODE
FAIRFAX VA 22030
7. TO; ~b)(6); (b)(7)(C) I f. SHIPVtA
a. NAME OF CONTRACTOR MSAB INCORPORATED 8. TYPE OF ORDER
b. COMPAN Y NAME a. PURCHASE X b. DELIVERY
c. STREET ADDRE SS REFERENCE YOUR 2001 JEFFERSON DAVIS HWY
Quote fl\(b)(4) I E,C$pt 10< bO lting instructions on \he reverse. th is delive<y order Is
SUITE 801 subject to instructions cootaOood on this side only of this form and is
Please furnish the following on the terms issued subject to the terms and and condrtioos specif>ed on bolh sides of condihons of !he aboV"e-numbere<:l
d. CtTY I e. STATE Il ZIP CODE this order and on the attached shoot. ~ contract ARLINGTON VA 22202 a n~ , iodudiOQ deli.",,", as ioo icated
9, ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE HMLND SEC INV HQ DIV 4
". BUSINESS CLASSIFICATION (Checl< appropriate box(as)) 12, F.O,B. POINT
a. SWILL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination
f, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUSINESS (WOSB) h. EDWOSB
VETERAN·OWNEO ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. IS. DELIVER TO F OB POINT 16 DISCOUNT TERMS
ON OR BEFORE fate) a, INSPECTION I b. ACCEPTANCE 09/01/201 Des t ination Dest ination Net 30
17 SCHEDULE (See ",verse for RejeCtions)
QUANTITY UNIT OUANTITY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., ", '0' 1" ,., 10 '01
DUNS Number : 831301762
b)(4)
Continued . ..
18 SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO. 17(h) OTAl
(ConI. ,.,,,' 21, MAil INVOICE TO: ... a. NAME b)(4) I
DHS I CE SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS BURLINGTON FINANCE CENTER ONRt::VERSt:: (or p o. Box)
PO BOX 1620 17{i)
A T T N ICE-HS I-HQ-DIV 4 G~G
TOTAL
b)(4) I ... C. L:! r'"'' e. LIP L:uut:
WILLISTON VT 05495-1620
22. UNITED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) Kb)(6);(b)(7)(C) I ~ TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL R~f>RODucnoN f>R~VIO\JS EDITION NOT USABLE
OPTIONAl fORM 347 1"".212012) __ o,-GSM'"" •• c.-R".21l(f1
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CONTRACT NO. (i f a ny) GS-07F-355AA PAGE 2 OF 8
SUPPLEMENTAL INVOICING INFORMATION
If desired , this order (or a copy thereof) may be used by the Contractor as the Contractor's invoice, instead of a separate invoice, provided the following statement. (signed and dated) is on (or attached to) the order: ·Payment is requested in the amount of $ . No
other invoice will be submitted." However, if the Contractor wishes to submit an invoice, the following information must be provided:
contract number (if any), order number. item number(s). description of supplies or service. sizes. quantities, unit prices, and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice. Where shipping costs exceed $10 (except for parcel post), the billing must be supported by a bill of lading or receipt. When several orders are invoiced to an ordering activity during the same
billing period. consolidated periodic billings are encouraged.
RECEIVING REPORT
Quantity in the "Quantity Accepted" column on the face of this order has been: D inspected, D accepted, D received by me
and conforms to contract Items listed below have been rejected for the reasons indicated
SHIPMENT PARTiAl OATE RECEIVED SIGNATURE OF AUTHORIZED u.S GOVT REP. I DATE NUMBER FINAL
TOTAL CONTAINERS GROSS WEIGHT RECEIVED AT TITLE
REPORT OF REJECTIONS
ITEM NO. SUPPLIES OR SERVICES UNIT QUANTITY REASON FOR REJECTION REJECTED
OPTIONAL FORM :W7 (Rev. 212012) (BACK)
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ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO " " DATE OF ORDER
07/27/2016
ITEM NO.
,., SUPPUESISERVICES
'" I ONS ARE APPL I CABLE . THIS IS A FIRM FIXE D PRICE ORDER .
THE CONTRACTOR SHALL NOTIFY THE GOVERNMENT 30 DAYS PRIOR TO THE EXP IRAT ION OF ANY
LICENSING/MAINTENANCE AGREEMENT .
THE GOVERNMENT WILL NOT BE OBLIGATED TO PAY THE CONTRACTOR ANY AMOUNT IN EXCESS OF THE FI XED- PRICE AMOUNT COVERING THE EFFECTIVE
OF PERFORMANCE IN THE ORDER , AND THE SHALL NOT CONTINUE PERFORMANCE
10"LE<',S"3' AND UNTIL THE CONTRACTING OFFICER NOTIFIES THE CONTRACTOR VERBALLY OR BY WRITTEN MODIFICATION THAT A NEW PE RI OD OF
HAS BEEN ESTAB LISHED AND
ILI MI TA TION OF AUTHORI TY
NO person in the Gover nme n t , ot her tha n a Con tracti ng Off i cer , has the a u thori ty to
directio n to the Contractor , which the Contractor ' s obligations or
t his con tract in any way . If any representi n g t he Governme n t , other
tha n a Con t rac t ing Officer , attempts to ~1 ' contract obligations , cha nge the con tract specifications/statemen t of work or tell s the con tractor to perform some eIIor~ which the Co n tracto r bel i eves to be outside t he scope o f this con t rac t , t he Con tractor s hal l i mmediately notify t he
Con t rac t ing Officer (PCO) . Con tractor personnel shal l not compl y with any order or direction which they believe to be outside t he scope of t h is con tract
the order or d i rection is issued by a Contracting Officer .
,<, '"
I PAGE NO
3
I ORDER NO. ,:;_ 00037
AMOUNT
'"
QUANTITY
ACC~~TED
OPTIONAL FORM 348 1_ "f2WI!, P_"<(l$.O,'M.I4$,,,R,S3"3(fj
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ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 4
, MoO " " ,"-~" , OATE OF ORDER I OROER NO.
07/27/20 16 c_ 00037
ITEM NO. SUPPU ESISERVICES , UNIT AMOUNT QUANTITY
'-I '" '<I '" P7~fE
'" ACC~~TEO
I f the Contractor makes a ny cha nges wi thout the a uthorization o f t he Contracti ng Officer , by modifying this order to i nclude
devices or se r vices , the Contractor is performing at its own r i sk . A f unded G- 514 i s requi r ed before a ny goods or services are provided by the Contractor and no one is a uthorized to make a ny
to t his order that will increase the obl igated amou nt , other tha n t he Contracting Off i cer . Any Government . ,rli' ~ l other t han Contracting Of f i ce r who d i rects the Contractor to c hange t h is
by increasing o f quant i ties i ,
,hall ''j . a n unauthorized comm i tme nt and
complete the ratificat i on process to t hat matter.
Action : N
Info :
of " rb,(' , (0"' 1
0001 fbI('
508 COMPLIANCE 29 u . s . c . SECTION 508 OF THE RE HAB IL I TATION AC T (29 U. S . C. 79 40) , AS AMENDED BY THE
INVES TMENT ACT OF 1998 (P . L. h , .. .
"'oc~~ I
, OPTIONAL FORM 348 1_"'f2WI!) PREVIOUS EDITION NOT USABLE
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ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO " " DATE OF ORDER
07/27/2016
ITEM NO.
,., SUPPUESISERVICES
'" 105 - 220} , AUGUST 7, 1998 , REQUIRES THAT WHEN FEDERAL AGENC IE S DEVE LOP , PROCURE ,
1 ~:~:' ~~'. ~'N~~' yOR USE ELECTRON I C AND INFORMATION II (EIT) , THEY MUST ENSURE THAT IT I S ACCESSIBLE TO PEOPLE WI TH DISAB IL I TI ES .
EMPLOYEES AN D MEMBERS OF THE PUBLIC WHO HAVE DISABILITIES MUST HAVE ACCESS TO AND USE OF INFORMATI ON AND SERV I CES THAT IS
TO THE ACCESS AND USE AVAILABLE TO NON- DISABLED FEDERAL EMPLOYEES AN D
OF THE PUBLIC. ALL EI T WILL COMPLY WI TH THE APPLICABLE TECHN I CAL AND
PERFORMANCE CR I TE RIA OF SEC TION 508 , UN LE SS EXEMPT .
FAR 52 . 223-16 IEEE 1680 STANDARD FOR THE
I E;:~:.~~'~~E~~~~ ASSESSMENT OF PERSONAL Ie PRODUCTS IS HEREBY INCORPORATED BY
by refere nce lAW FAR 52 . 222-50 ,
IC,'mt ,a t in,"q Traff icking in Persons {FEB 2009} ; FAR 52 . 232-39 Unenforceabil ity of
Obliga t io n s (JUN 2013)
PAYMENTS ARE NOT AUTHORIZED . SHALL SUBMIT INVOICE MO NTHLY OR
I N ARREARS .
PAYMENT INSTRUCTIONS
use these procedures whe n you submit an invoice for all acquisitions ema na ting fro m I CE/OAQ .
1 . Invoices sha l l n ow be submitted via one of the fo l lowing t h ree methods :
a . By ma i l : See Bl ock 21 .
b . By facs imile (fax) at : 802-288-7658
( i nc l ude a cover sheet wi t h point of & i of pages)
,<, '"
I PAGE NO
5
I ORDER NO. ,:;_ 00037
AMOUNT
'"
QUANTITY
ACC~~TED
OPTIONAL FORM 348 1_ "f2WI!, P_"<G$.'-'AAI4$,,,R,S3"3(fj
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ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
07/27/2016
ITEM NO.
I.' SUPPUESISERVICES
1'1 c . By
submitted by other than t hese me thods will be returned . Contractor
Identification Number (TIN) must be r egis tered in t he Central Contractor Registration (http : //www . ccr . gov) prior to
and shall be nota ted on every invoice I,",brr,itted to ICE/OAQ on or after 01 March 2008 to ensure prompt payment provisions are met . The ICE program office identified in the delivery order/contract shall also be nota ted on every invoice. Please send an ~1 'f t .h· . to ~b)(ij'; lb)({)(C) I
L . In accordance with Section I , Contract ~ 1, , FAR 52 . 212-4 (g) (1) , Contract ~erms and Conditions , Commercial I tems , the
~::~~i' required with each invoice is as follows :
An invoice must include : (i) Name and address of the Contractor ; (ii) Invoice date and number ; (iii) Con t ract number , contract line item
and , if applicable , the order
In" mt ,e" (iv) Descript ion, quantity , unit of
, unit price and extended price of t he i t ems delivered ; (v) Shipping number and date of shipment ,
~11 .~ the bil l of lading number and of shipment if shipped o n Government
bill of lading ; (vi) Terms of any discoun t for prompt
offered ; (vii) Name and address of official t o whom
is to be se n t ; (viii) Name , ti t le , and phone number of
to not ify i n event of defective lin,vc,ice ; and (ix) Taxpayer Iden t if i cation Number (TIN) The Co n tractor s hal l inc l ude its TI N on the . o n l y if required elsewhere in t his
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6 I PAGE NO
I ORDER NO. ,:;_ 00037
AMOUNT QUANTITY
ACC~~TED
'"
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P_ OfG$.'-'AAI4$",R)S3"3(f)
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001024
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION I
PAGE NO
7
, MoO " " OATE OF ORDER
07/27/2016 I ORDER NO. ,:;_
00037
ITEM NO.
,., SUPPU ESISERVICES
'" contract . (See paragraph 1 above . ) (x ) El ectronic funds transfer (EFT) ba n ki ng
in" (A) The Contractor sha l l inc l ude EFT
i n formation o n the i nvoice on l y if
r:qu:red elsewhere in this contract . (8) If EFT banking information i s n ot
requ ired to be o n the invoice , i n order for the i nvoice to be a proper i nvoice , t he Con tractor s hal l have submitted correct EFT
,<, '"
k i T i n formation i n accordance wit h 52 . 232 - 33 , Payme n t by Electronic Fu nds Tra nsfer ; Ce n tra l Contractor Registration . (e) EFT banking information i s not requ ired if the Governme n t waived the requ ireme n t to pay by EFT . DHS / I CE
Operation s - Burlingto n I I
'lSie;='~V~i~C;e~'~n~q~U~'~' r~y~~ C '~~~~@""~~oo--II----~~II-"-----------r ' - 877- ';' 8 , 00 AM 5 : 30 PM E31 or at ; 1 addre;~
I
withou t t he above i n for mation may
be retu rned for res ubmission .
3 . Al l other terms and condition s remain the same .
Officer/COTR : Each Program Office is r e sponsible for acceptance and receipt of goods and/or services . Upon receipt of goods/s e rvices , complete the applicable FFMS reports or DFC will not process the
For questions regarding this Officer : Fb)(6); (b)(7)(C)
202-732 -fb)(6); (b)(7)(C) I
703-29 Officer : rb)(6);(b)(7)(C)
poe , POC :
order :
I,
AMOUNT
'"
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
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epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001025
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 8
, MoO " " ,"-~" , OATE OF ORDER I OROER NO.
07/27/2016 ,- 00037
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
The to t al amoun t of award : ~b )(4 ) I The e1 for th i s award i s shown in box (i) .
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, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001026
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES
IMPORTANT: Mali<. all ackages and papers with contracl a nd/or order numbers. 1 30
I. DATE OF ORDER 2. CONTRACT NO f'{ acr6 6. SHIP TO: HSCEMD-13- - 001
03/02/2016 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-16-J-00048 192 1160PRHQ16000 9 ICE OFC OF PROFESSNL RESPONSIBILITY
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to) b. STREET ADDRESS ICE INFORMATION TECHNOLOGY DIVISION IMMI GRATION AND CUSTOMS ENFORCEMENT IMMI GRATION AND CUSTOMS ENFORCEMENT 500 12TH STREET SW OFFICE OF ACQU IS I TION MANAGEMENT 801 1 STREET NW kb)(6);(b)(7)(C) I WASHINGTON DC 20536 c. CITY d. STATE e. ZIP CODE
WASHINGTON DC 20024
7. TO; b)(6);(b)(7)(C) f. SHIPVtA
a. NAME OF CONTRACTOR CELLEBRITE USA CORP 8. TYPE OF ORDER
b. COMPAN Y NAME a. PURCHASE X b. DELIVERY
c. STREET ADD RE SS REFERENCE YOUR 7 CAMPUS DRIVE E,C$pt 10< bO lting instructions on \he
reverse. th is delive<y order Is
subject to instructions coma iood on
this side only of this form and is Please furnish the following on the terms issued subject to the terms and aoo condrtioos spe-cif>ed on bolh sides of condihons of the aboV"e-numberOO
d. CtTY I e . STATE I; ZIP CODE this order and on the attached shoot. ~ contract PARSIPPANY NJ 07452 a n~ , iodudiOQ deli.",,", as ind icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule 11 . BUSINESS CLASSIFICATION (Chec/( appropriate box(as)) 12, F.O,B. POINT
X a. SWILL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination f, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUSINESS (WOSB)
h. EDWOSB VETERAN·OWNEO ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. IS. DELIVER TO F OB POINT 16 DISCOUNT TERMS
ON OR BEFORE fatal a, INSPECTION I b. ACCEPTANCE 30 Days A t er Award Des t ination Dest i nation Ne t 30
17 SCHEOULE (See ",verse for RejeCtions)
QUANTITY ITEM NO SUPPLIES OR SERVtCES ORDERED UNtT ,., '" '0' 1"
DUNS Number : 033095568 The Depa rtment of Homeland Securi t y (DHS) , U. S . Immigration and Customs Enforcement (ICE) , ut il izes contract HSCEMD-13-D-00001 b)(4)
I Continued . ..
18 SHIPPING POtNT 19. GROSS SHIPPING WEIGHT
21, MAil INVOICE TO:
a. NAME TO BE IDENTIFIED ON INDIVIDUAL
SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS DELIVERY ORDERS ONREVERSE (or po. Box)
c . lA r'"'' 22. UNITED STATES OF
AMERICA BY (Signature) ~ AUTHORIZED FOR LOCAL R~f>RODucnoN f>R~VIOUS EDtTlON NOT USABLE
UNIT OUANTtTY
PRICE AMOUNT ACCEPTED ,., 10 ,oJ
20. INVOICE NO. 17(h)
OTAl
(ConI. ,.,,,' b)(4) I ...
17{i)
G~G
TOTAL
e. L II-'L:UUI=. b)(4) ...
23. NAME (Typed)
~b)(6); (b)(7 )(C) I TITLE: CONTRACTING/ORDERING OFFICER
OPTIONAl fORM 347 1"".212012) __ o,-GSM'"" •• c.-R".21l(f1
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001027
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
03/02/2016 " 0000 1 c_ 00048
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,,' '" P7~fE
'" ACC~~TEO
Fore nsic Extraction Devices (UFEDs) for I CE age n ts .
This is a Fi xed-Priced Delivery order . ~ l i, ~1 shall be made within 30 days after
of order . All I CE HSCEMD-13-D-0000I terms and conditions apply .
Action : N
I n fo :
of " rb,(', I b}("
0001 SHIP TO : 5150 EISENHOWER AVENUE
A , VA 222304
ATTN;~ 202-42
~Oll"
0002 (b}(" fOil'
Payments are not authorized ;
ING AND PAYMENT PROCEDURE : p lease use these p rocedures
when you submit an invoice f o r all emana t ing from ICE/OAQ . This
ta kes effect 03/01/08 and per t ai ns t o all invoices submit t ed on t ha t da t e a nd t hereaf t er . 1 . In a cco rdance with Sec t ion G, Contract
Administrat~o n Data , invoices sha l l now be na one of t he f ollowing t hree ,
a . By mail : (S ee Bloc k 21) b . By f acsimile (fax) at : 802-288-7658
, ; , .. .
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, OPTIONAL FORM 348 1_ "f2WI!)
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epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001028
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO " " DATE OF ORDER
03/02/2016
ITEM NO.
,., SUPPU ESISERVICES
'" (i nclude a cover s heet & t of pages)
;BY e~' at -
with poi n t of
I 2 _ I nvoices submi t ted by other tha n these
methods wil l be returned . Co n tractor Ide ntification Number (TIN) must
be registered i n t he Central Con tractor Registration (http : //www . ccr . gov) prior to
I ~:;~:~t:a.:n:~d shall be notated o n every i nvoice b to IC E/OAQ o n or after 03/0 1 /08 to ens ure promp t payme n t provis i ons are met . The I CE program office i de ntified in the de l ivery order/contract sha ll a l so be
o n every i nvo i ce . Please se nd an addit i ona l copy of the invoice to
I j . I n wi th I , Co n tract rL , FAR 52 . 212 - 4 (g) (l) , Co n tract Terms and Condi t ion s , Commercia l Items , or FAR 52 . 232 - 25 {a} {3} , Prompt Payme n t , as app~ icable , the information required with each invoice submission is as fo l lows : An invoice must inc l ude : (i) Name and address of the Contractor ; (i i ) Invoice date a nd number ; (i i i) Contract number , con tract l i ne i tem
and , i f app l icable , t he order
(iv) Description , q ua ntity , unit of , unit price a nd extended price of
the items de l ivered ; (v) Sh ipping number a nd date of sh i pme n t ,
~11 ': the b il l of l ading number a nd of sh i pme n t if shipped o n Gover nme n t
bi ll o f lading ; (v i ) Terms of a n y discount for prompt
o f fered ; (v i i) Name a nd address of offic i al to whom
is to be se n t ; (v i ii) Name , tit l e , a nd phone n umber o f
to notify i n event of defective lio,Yo,ice ; and (i x ) Ta x payer Identif i cation Number (TI N) The Co n tractor sha ll include its TI N o n the . o n ly if required elsewhere in this Conti nued . ..
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3 I PAGE NO
I ORDER NO. ,:;_
00048
AMOUNT QUANTITY
ACC~~TEO
'"
OPTIONAL FORM 348 1_"'f2WI!,
P_ "<G$.'-'''-AI4$,,,R,S3' ' 3(fj
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001029
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO " " DATE OF ORDER
03/02/2016
ITEM NO.
I.' SUPPUESISERVICES
1'1 con tract . (See paragraph 1 above . ) (x ) El ectron i c funds transfer (EFT) ba n ki ng
in" (A) The Contractor sha l l inc l ude EFT
i n formation o n the i nvo i ce on l y if
r:qu:red elsewhere in this contract . (B) If EFT banking information i s not required to be o n the invoice , in order for the i nvoice to be a proper i nvo i ce , t he Con tractor s hal l have submitted correct EFT
k i T i n formation i n accordance wit h the appl icable solicitation prov i sion , con tract
(e . g ., 52 . 232 - 33 , Payment by Electronic Funds Trans f er ; Central Con tractor Registration, or 52 . 2 32- 34 ,
by El ectronic Funds Tra nsfer ; Other Tha n Central Con tractor Registratio n ) , or
a~pl~cable agency procedures . (C) EFT bank i ng information i s not required if the Governme n t waived the requ ireme n t to pay by EFT . 4 . INVOICES WI THOUT THE ABOVE I NFORMATION
I ~:'~ ~'~~'SNOT SUBM ITTED BY ONE OF THE APPROVE D I ~ (MAIL , FAX, OR EMAIL) MAY BE IRE:TDIRNE D FOR RESUBM I SS I ON .
5 . EACH PROGRAM OFFICE IS RESPONSIBLE FOR RECEIPT AND ACCEPTANCE OF GOODS AND/OR
UPON RECEIPT AND ACCEPTANCE OF GOODS/SERVICES , COMPLETE THE APPLICABLE
FFMS REPORTS OR DFC WILL NOT PROCESS THE FOR PAYMENT .
6 . ADVANCE PAYMENTS ARE NOT AUTHORIZED . SHALL SUBMIT AN INVOICE MONTHLY
OR QUARTERLY IN ARREARS . 7 . FOR INQUIRING PAYMENT STATUS , VENDORS
CAN CALL DFC CUSTOMER SERVICE AT 214-9 15-6262 BETWEEN
7 : 30 A . M. AND 4 : 30 P . M., MONDAY THRU FRIDAY
CST . EMAIL ADDRESS IS
~ be l ow ' accepta n ce of the above ICE Terms a nd Conditions ; The Contractor is requested to ackn ow l edge
of t h is del ivery order by i n the space below and returni ng a
1<' '"
I PAGE NO
4
I ORDER NO. ,:;_
00048
AMOUNT
'"
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
P_"<(l$.O.'AAI4$,,,R)S3"3(fj
epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001030
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
03/02/20 16
ITEM NO.
,., SUPPUESISERVICES
'" copy o f t h is pa ge wit h signature to t he Cont r act Specia l is t v i a emai l . The Contractor s hou l d not accept any i nst ruction that r esu l ts i n a c han ge to t he suppl i es/se r vices ordered herei n from an y Ent ity "
FOR QUESTIONS OR CONCERNS PLEASE CONTACT THE FOLLOWING :
SPECIALIS T :
~E/OAQ/ I TO""""""""",,,,, 202_732 --¥b)(6);(b)(7)(C) I
Email : ~b)(6); (b)(7 )(C) I
~~~~10~F;JF ~ CE COR/POC :
DHS/ICE/OPR De s k : 202_421_jIN(6);(b)(7)(C)1
Email : ~b)(6); (b)(7 )(C)
ICONTRAC:TOR , , 1 1 ph
120l} , I
The total , 1 i,
amoun t of awa r d : ~b)(4 ) I. The for t his awa r d i",CO"hCoCwCno-""n~ bOx
( i ) .
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I PAGE NO
5
1 ORDER NO. ,:;_
00048
AMOUNT
'"
QUANTITY
ACC~~TED
OPTIONAL FORM 348 1_"'f2WI!,
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epic.org EPIC-17-06-13-ICE-FOIA-20181113-4thFinal-Production 001031
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 4
IMPORTANT: Mali<. all ackages and papers with contracl a nd/or order numbers. 1
I . DATE OF ORDER 2. CONTRACT NO (If any) 6. SHIP TO:
03/03/2016 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-16-P-00006 192 1160PRHQ160007 DHS- I CE-OPR
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to) b. STREET ADDRESS I CE/Info rmat i on Tech nol ogy Di vision ISU-TECH OPS GROUP I mmigration and Cus t oms En forcement 5150 EISENHOWER AVENUE
Offi c e of Acquisit i on Managemen t 80 1 1 Stree t NW , ~b)(6); (b)(7)(C)
Was h i ngton DC 20536 c. CITY d. STATE e. ZIP CODE
ALEXANDRIA VA 22304
7. TO; ~b)(6); (b)(7 )(C) I f. SHIPVtA
a. NAME OF CONTRACTOR MSAB INCORPORATED 8. TYPE OF ORDER
b. COMPAN Y NAME X a. PURCHASE b. DELIVERY
c. STREET ADD RE SS REFERENCE YOUR 5300 SHAWNEE ROAD SUITE 100 E,C$pt 10< bO lting instructions on \he
reverse. th is delive<y order Is
subject to instructions cootaOood on
this side only of this form and is Please furnish the fol lowing on the terms issued subject to the terms and and condrtioos specif>ed on bolh sides of condihons of !he aboV"e-numbere<:l
d. CtTY I e . STATE Il ZIP CODE this order and on the attached shoot. ~ contract ALEXANDRIA VA 223 122311 a n~ , iodudiOQ deli.",,", as ioo icated
9, ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE
Se e Sc hedul e I CE Otc of Pro t essn l Responsibility
". BUSINESS CLASSIFICATION (Checl< appropriate box(as)) 12, F.O,B. POINT
a. SWILL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Desti nation
f, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUSINESS (Wose) h. EDWOSB
VETERAN·OWNEO ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. IS. DELIVER TO F OB POINT 16 DISCOUNT TERMS
ON OR BEFORE f ate) a, INSPECTION I b. ACCEPTANCE 30 Da ys A t er Award Des t ination Dest ination Ne t 30
17 SCHEOULE (See ",verse for RejeCtions)
QUANTITY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT ,., '" '0' 1"
DUNS Number : 831301762 DO/DPAS Rating : N Exe mp t Ac t ion : N Accoun ti ng I nfo : b)(7)(E)
Co n t inued . ..
18 SHIPPING POINT 19. GROSS SHIPPING WEIGHT
21, MAil INVOICE TO:
a. NAME DHS- I CE-OPR
SEt:: BILL ING
INSTRUCTIONS b STREET ADDRESS ISU-TECH OPS GROUP ONRt::VERSt:: (or p o. Box) 5150 EISENHOWER AVENUE
C. L:! r'"'' ALEXANDRIA VA
22. UNITED STATES OF
AMERICA BY (Signature) ~ AUTHORIZED FOR LOCAL R~ f>ROOucnoN
f>R~VIOUS ~DITION NOT USABL~
UNIT QUANTITY
PRICE AMOUNT ACCEPTED ,., 10 ,oJ
20. INVOICE NO. 17(h)
OTAl
(ConI. ,.,,,' b)(4) I ...
17{i)
G~G
TOTAL
b)(4) ... e. L IP L:uut:
22304 23. NAME (Typed)
kb)(6);(b)(7)(C) I TITLE: CONTRACTING/ORDERING OFFICER
OPTIONAl fORM 347 1"".212012) __ o,-GSM'"" •• c.-R".21l(f1