I' , CONTRACT~, OFFEROR I' NU~BER r'
Transcript of I' , CONTRACT~, OFFEROR I' NU~BER r'
I' , """~, SOLICITATIONICONTRACTIORDE~.F?~ I ITEMS OFFEROR TO S 12, 17, 23, 24, oS 30 1192117VHQ4CCC0003
2. CONTRACT~,
1
I' ORDER NU~BER
17-P-00012
, SOliCITATION NUMBER
14 ~ ,
FOR SOUCITATION ltrrrr... ~, INFORMATION CALL: ". kb)(6);1
r' OFFER 0lJE OATEA.OCAL TIME
Q.ISSUED BY CODE IICE/ IOSD 10. THISACOOlsmON IS X UNRESTRICTED OR SETASIDE
WOMEN·OWNED SMAlL BUSINESS (WOS8) ELIGIBLE UNDER THE WOMEN-OWNED Investiga t io n s Op s Support Dal l as
I mmigration and Customs Enforceme n t Office of Acquisition Ma nagement 7701 N . Stemmons Freeway , ~b)(6); (b)(7)(C) I Dallas TX 752 47
S~""'L BUS IN ESS
fiUBZONE SMAlL BUSINESS
SERVlCE·DISAB!.ED VETERAN-OWNED SMAll BUSINESS
EOWOSB . ., SIZE STANOARO ¥ b)(4 )
11 , I I
",
nON UNLESS BLOCK IS MARKED
SEE SCHEDUlE
Cyber Crimes Center 1 132 0 Ra ndom Mills Road kb)(6):(b)(7)(C) I Fairfax VA 22030
OFFEROR
Net 30
= Ieee
I
TELEPHONE NO.
, 20 18 488 5 5~b)(6); (b)(7)(C) I
" ITEM NO.
DUNS Number : 03: Oh Cit' POC :
~.
SCHEDULE OF SUPf'lIESISERVICES
I, 703 29
I
130 THISCONTRACT ISA RATEDORDERU NDER Df'AS 115CfR 700)
" '" IFB RFP
=, Ops Support Dal l as
I"=igrnotion a nd Customs Enforcement )FFi of Acquisition Management 7701 N. Stemmons , t~b~)(6~1,~(bXX7Q!)(Ic[l ::JI A;~~~ I
~HS: ICE ,1 . Fina n ce Cen t e r
P .O . Box 1 620 Attn: ICE-HSI-HQ-DIV 4
Ref : HSCEMD- 1 7- P- 00012 ; 11 . VT 05495-1620
" QUANTITY " UNIT PRICE
;,1 POC : 703-293 ~b)(6); (b)(7)(C) 1
is authorized to communicate with concerni n g this purchase order .
O- DIV ,
~seeWS~Che~'du~,e ~~v,~·,,,~~~~'"'~~--~-L~r~~~~I~'--27a. SOliCITATION INCORPORATES BY REFERENCE FAR 52,212' 1, 52,212-4. FAR 52,212·3 AND 52.212·5 ARE ATTACHED. ADDENDA
27b CONTRACTIPURCHASE ORDER INCORPORATES BY REFERENCE FAR 52 212-4 FAR 52 212-5 IS ATTACHED ADDENDA '" '"
ARE NOT ATIACHED.
ARE NOT ATIACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN X 29. AWARD OF CONTRACT: OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND OELiVER
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ONANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
DATED 02/28/2017 Quote " ~tb-")(=4 l==,,
YOUR OFFER ON SOLICITATION (BLOCK 5),
:lOa. SIGNATURE OF OFFERORlCONTRACTOR
3Ob, NAME ANO TITLE Of SIGNER (Type orprint) 13Oc. DATE SIGNED
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
HEREIN, IS ACCEPTED AS TO ITEMS:
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
131<;. DATE SIGNED 31b, NAME OF CONTRACTING OFFICER (Typ<> orprint)
b)(6);(b)(7)(C) I AUTHORIZED FOR LOCAL REPRODUCTION STANDIlRD FORM 1449IREV. 212012) PREVIOUS EDITION IS NOT USABLE Prescribed b~ GSA· FAR (43 CFR) S3 .212
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" ~ " n " " ITEM ~O. SCflEDUlE Of SUPP\.IESlSERIIK;ES QUAHJITY 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-mance : ~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' AUTHORIZED GOVERNMENT REPRESENTATIVE
329· E·MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33 SHIP NUMBER ~. VOUCHER NUMBER 35. AMOUNT VERIFIED 36. PAYMENT 37. CHECK NUMBER
CORRECT FOR
COMPLETE PARTIAL FINAL PARTIAL FINAL
lB. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY
413 I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEIVED AT (Location)
2c. DATE REC'D (YY/MMlDD) 142d. TOTAL CONTAINERS
STANOAAD FDflM 1«9 (REV. 212012) BAC K
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EFERENCE NO. OF DOCUMENT SE ING CONTINUED
CONTINUATION SHEET HSCEMD-17-P-00012
NAME Of OfFEROR OR CONTFV.CTOR
CELLEBRITE INC
ITEM NO.
(A)
1001
SUf>P\.IESiSEIMCCS
(B)
dura t ion of licens ing term .
Accounting Info :
[bXl)(E)
Funded : ~b)(4) Accounting Info :
[bXl)(E)
Funded : [b)(4)
Accounting Info :
[bXl)(E)
Funded : [b)(4)
Period of Performance : [b)(4)
b)(4)
Period of Performance : rb)(4) FOR COMMUNICATI ON OF TH~,~sc70~R~D~E~RC---------------~
Al l communications and invoices must reference t he order number shown in Block 4 4 o n page 1 of t he Purchase Order . Payme nt I nquiries : Questions regarding invoice submission or payment , please
contact ICE Financial Operations at 1 -877-491-652 1 or bye-mail at
. Cus t omerService@ice . dhs . gov . Direc t other i nquiries 6);(b)(7)(C) at the issuing office at (2 14) 90 (or) via e-mail to : b)(6),(b)(7)(C)
The Contractor is reques t ed to acknowledge acceptance of t his purchase order by sign ing in blocks 30a-c o n the front page of the purchase order (SF 1449) and returning a copy of t his page with signature to the Contracting Officer via facsimile to (2 14) 905-5568 or via e-mail to rb)(6);(b)(7)(C) ~ upon receipt .
Continued
NSN 7S4()..()t · t52-8067
QUANTITY ~" (C) (D)
tb)(4)
2018-ICLI-00030 77
UNIT PRICE
(E)
14
AMOUNT
(F)
OPTIONAl. FORM:J.3Il (HI6)
Sponsored by GSA
FAR (03 CFR) 53.'10 000077epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
FERENCE NO. OF DOCUMENT BE ING CONTINUED
CONTINUATION SHEET HSCEMD-17-P-000 12
NAMEOF OFFE ROR OR CONTRACTOR
CELLEBRI TE I NC
ITEM NO.
(A) SUPPUESiSERVlCES
(8)
Pl ease contac t the Con t rac t ing Off i cer if t here are any quest i ons or concerns .
NOTE : The con t ractor s hould not accept any i nstruction that results i n a cha nge to t he s upplies/services ordered herein from a n En t i t y or individual other tha n a Con t racti ng Of ficer at t he issuing office .
*** * *** * ** * *** * * * *** * * * * *** * * * *** * * * * *** ** **
INVO I CE INSTRUCTIONS
1 . Invoice Submission :
Primary me t hod of submission is e mail . shall be submi t ted to : Invoice . Consolida t ion@ice . dhs . gov Attn : ICE- HSI-HQ DIV 4 Invoice
Invoices
Each email shal l be i n a . pdf format ; co ntain o n l y one (1) i nvoice and t he sub j ect li ne of t he e mail wil l annota t e t he invoice number .
Alterna t e method of submission is fax . sha l l be to : 802-288-7658 Attn : I CE- HSI-HQ DIV 4 Invoice
Invoices
Each fax shall have a cover sheet identifying poin t of co ntact , pho ne number and n umber of pages .
Note : 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 hal l co ntain the fo llowing in f ormation :
( i ) Name a nd address of the Contractor . The name , address and DUNS n umber on the invoice MUST matc h t he information i n both the Contract/Agreement a nd the information in the SAM ; ( i i) Du nn a nd Bradstreet (D&B) DUNS number ; (iii) I nvoice date a nd invoice number ; ( i v) Agreement/Contract number , contract line item number and , if app l icable , t he order number ; Cont inued .. .
14
QUANTITY UNIT UNIT PRICE AMOUNT
(e) (D) (E) (F)
NSN 7S4ll-Ot · t52-8067 OPTIOI'W. FORM:J.3Il (HI6)
2018-ICLI -00030 78 Sponsored b\' GSA
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FERENCE NO_OF DOCUMENT BE ING CONTINUED
CONTINUATION SHEET HSCEMD-17-P-000 12
NAMEOF OFFE ROR OR CONTRACTOR
CELLEBRI TE I NC
ITEM NO_
(A) SUPPUESiSERVlCES
(8)
(v) Descript ion, quan t i t y , un i t of measure , unit pr ice and extended price of the items delivered ; (v i ) Shipping number and date of shipment, including the bill of lading number and weight of shipmen t if shipped on Government bil l of lading; (vii ) Terms of any discount for prompt payment offered ; (viii ) Remit to Address ; (ix) Name , t itle, and phone number of person t o notify in event of defective invoice ; (x) Mark i nvoice as " In t erim" (Ongoing performance and addi t ional billing expec t ed) and " Final " (performance comple t e and no additional bill ing) and (x i ) ICE program office designated on order/contract/agreement. (x ii ) Electronic Funds Transfer (EFT) banking informa t ion in accordance with 52 . 232-33 Payment by Elec t ronic Funds Transfer - System for Award Management or 52-232-34 , Payment by Elec t ronic Funds Trans fer - Other than System for Award Management .
I n accorda nce with Co n tract Clause , FAR 52.212-4(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 mation identi fied above is required with each invoice submission .
3 . Payment Inquiries : Ques t ion s regardi ng i nvoice submission or payment , p lease co n tact ICE Financial Ope r ations at 1-877-491-6521 or by e-mail a t OCFO . CustomerService@ice . d h s .gov
I nvoices without the above information 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 7540-01·152-8067
QUANTITY UNIT
(e) (D)
2018-ICLI-00030 79
UNIT PRICE
(E)
14
AMOUNT
(F)
OPTIOI'W. FORM:J.3Il (HI6)
Sponsored by GSA
FAA (03 CFR) 53.'10 000079epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 8
IMPORTANT: Marl<. all ackages and papers with contract 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 oomJspondenc8 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 Fb)(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. COMPANY NAME 3. PURCHASE X b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR 2001 JEFFERSON DAVIS HWY
Quote IIj(b)(4) I E.C$pllo< tH lting instfllC1ions on \he reverse. th is detive<y order Is
SUITE 801 subject to instructions comaiood on this side only of this form and is
Please furnish the following on the terms issued subject to til<! terms and and condrtioos sp&Cif>ed on boIh sides 01 condibons of the abov-e-numberOO
d. CtTY I e. STATE Il ZIP CODE this order and on the attached sheet. ~ contract ARLINGTON VA 22202 an~, incIud iOQ deti.",,", as ioo icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE HMLND SEC INV HQ DIV 4
". BUSINESS CLASSIFICATION (Ched< appropriate box(es)) 12, F.O,B. POINT
3. SMALL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination
t, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUStNESS (WOSB) h. EDWOSB
VETERAN·OWNEO ELlGtBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POtNT 16 DISCOUNT TERMS ON OR BEFORE fate)
a, INSPECTION I b. ACCEPTANCE 09/01/201 Destination Dest ination Net 30
17 SCHEDULE (See reverse for RejeCtions)
QUANTtTY UNIT OUANTtTY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., ", '0' 1" ,., 10 '01
DUNS Number : 831301762
b)(4)
Continued ...
18 SHtPPtNG POINT 19. GROSS SHtPPtNG WEtGHT 20. tNVOtCE 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 ONREVERSE (", po. 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. L tP L:uut:
WILLISTON VT 05495-1620
22. UNtTED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ Fb)(6);(b)(7)(C) I
TITLE: CONTRACTING/OROERING OFFICER
AUTHORIZED FOR LOCAL R~f>ROOUCTlON DPTtONAl FORM 347 1_.212012) PREVIOUS EDtTION NOT USABLE __ .,. GSAiF ..... . . C>~ ".21"~
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CONTRACT NO. (if a n y) 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, o 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
'" IONS ARE APPLICABLE . THIS IS A FIRM FIXED PRICE ORDER .
THE CONTRACTOR SHALL NOTIFY THE GOVERNMENT 30 DAYS PRIOR TO THE EX PIRATION OF ANY
LICENSI NG/ MAI NTENANCE AGREEMENT .
THE GOVERNMENT WI LL NOT BE OBLIGATED TO PAY THE CONTRACTOR ANY AMOUNT IN EXCESS OF THE FIXED- 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 PERIOD OF
HAS BEEN ESTABL ISHED AND
ILIMITA TION OF AUTHORITY
NO person in the Government , other than a Contracting Off i cer , ha s the a u thority to
direction to the Contractor , which the Contractor ' s obliga t ions or
t h is contract in any way . If any representing t he Government , other
than a Con t rac t ing Officer , attempts to ~1 ' contract obligations , cha nge the contract specifications/statement of work or te l l s the contractor to perform some eIIor~ which the Contractor bel ieves to be outside t he scope of this contract , t he Contractor shall immediately no tify t he
Con t rac t ing Officer (PCO) . Contractor personnel shall not compl y with any o r der o r direction which they believe to be outside t he scope o f t h is contract
the order or d i rection is issued by a Contracting Officer .
,,' '"
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I ORDER NO. ,:;_ 00037
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!, "_"<(l$.O,'''''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
,-, '" ,<, '" 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 services , the Contractor is performing at its own r i sk . A f unded G- 51 4 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 of quant i ties i ,
,hall ''j . a n unaut horized comm i tme nt and
complete the ratificat i on process to t hat matter.
Action : N
Info :
of " rbX" (0"., 0001 fbI('
508 COMPLIANCE 29 u . s . c . SECTION 508 OF THE RE HAB I LI TATION AC T (29 U. S . C. 7940) , 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 I ES DEVELOP , PROCURE ,
1 ~:~:' :~'. ~'N~~'yOR USE ELECTRONIC AND INFORMATION II (EIT) , THEY MUST ENSURE THAT IT I S ACCESSIBLE TO PEOPLE WI TH DISABILITIES .
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 EIT 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 Trafficking in Persons {FEB 2009} ; FAR 52 . 232-39 Unenforceabili ty of
Obligation 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 ICE/OAQ .
1. Invoices sha ll 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 po i nt of & i of pages)
,,' '"
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I ORDER NO. ,:;_ 00037
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!, "_"<G$.'-'''''I4$,,,R,S3''3(fj
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ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
07/27/2016
ITEM NO.
,., SUPPUESISERVICES
'" c . By email at : . Consolidation@dhs . gov
submitted by other than t hese me thods will be returned . Contractor
Identification Number (TIN) must be registered in t he Central Contractor Registration (http : //www . ccr . gov) prior to
and shall be nota ted on every invoice I,"<brr<itted to ICE/OAQ on or after 01 March 2008 to ensure prompt payment provisions are met . The ICE program office identified in the delivery order/contract shall also be notated on every invoice. Please send an additional copy of the invoice to
DHS . GOV .
, . In accordance with Section I , Contract
"' , FAR 52 . 212-4 (g) ( 1 ) , Contract ~erms and Conditions , Commercial I tems ,
~::~~i' required with each invoice is as follows :
An invoice must include : (i) Name and address of the Contractor ; (ii) Invoice date and number ;
the
(iii) Con t ract number , contract line item and , if applicable , the order
In" mt ,ee , (iv) Descript ion, quantity , uni t of
, unit price and extended price of t he i t ems delivered ; (v) Shipping number and date of shipment ,
~11 .~ the bil l of lading number and of shipment if shipped o n Government
bill of lading ; (vi) Terms of any discoun t for prompt
offered ; (vii) Name and address of official t o whom
is to be sent ; (viii) Name , ti t le , and phone number of
to not ify i n event of defective lin<vo,ice ; and (ix) Taxpayer Iden t if i cation Number (TIN) The Co n tractor s hal l inc l ude its TI N on the . o n l y if required elsewhere in t his
,,' '"
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6 I PAGE NO
I ORDER NO. ,:;_ 00037
AMOUNT QUANTITY
ACC~~TEO <',
OPTIONAL FORM 348 1_"'f2WI!)
" _ ,,<(l$.O.'AAI4$"'R)S3"3(fj
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ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
07/27/2016
ITEM NO.
,., SUPPUESISERVICES
'" contract . (See paragraph 1 above . ) (x ) El ectronic funds transfer (EFT) ba nki ng
in" (A) The Contractor sha l l inc l ude EFT
i nformation o n the i nvoice on l y if r:qu:red elsewhere in this contract . (B) If EFT banking information i s not required to be o n the invoice , i n order for the i nvoice to be a proper i nvoice , t he Con tractor s hal l have submitted correct EFT
k i T i n formation i n accordance wit h 52 . 232 - 33 , Payme n t by Electronic Fu nds Tra nsfer ; Ce n tra l Contractor Registration . (C) EFT bank i ng information i s not requ i r ed if the Governme n t waived the requireme n t to pay by EFT . DHS / I CE
Operation s - Burlingto n Service I nqu i ry Cente r @
1 - 877 - 491 - 6521 Monday through Friday 8 : 00
AM - 5 : 30 PM EST or at e - mail address . dhs . gov .
withou t t he above i n for mation may be retu rned for res ubmission .
3 . Al l other terms and condition s remain the same .
Officer/COTR : Each Program Office is r e sponsible for acceptance and receipt of goods and/or services . Upon receipt of goods/s e rvices , complete the applicab l e FFMS reports or DFC will not process t he
For questions regarding this Officer : Fb)(6),(b)(7)(C)
202-732 -fb)(6);(b)(7}(C) I
703-29
Officer : rb)(6);(b)(7)(C)
poe , POC :
order :
I,
,,' '"
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7 I PAGE NO
I ORDER NO. ,:;_ 00037
AMOUNT QUANTITY
ACC~~TEO <',
OPTIONAL FORM 348 1_ "f2WI!)
"_,,<G$.'-'''''I4$'''R)S3'T3(fj
000086epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 8
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
07/27/2016 ,- 00037
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
The to t al amoun t of award : ~b)(4) I The e1 for th is award is shown in box (i) .
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, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
2018-ICLI-00030 87 000087epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES
IMPORTANT: Marl<. all ackages and papers with contract and/or order numbers. 1 30
I. DATE OF ORDER 2. CONTRACT NO f'{ acr6 6. SHIP TO: HSCEMD-13- - 001
03/02/2016 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-16-J-00048 192 1160PRHQ16000 9 ICE OFC OF PROFESSNL RESPONSIBILITY
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to) b. STREET ADDRESS ICE INFORMATION TECHNOLOGY DIVISION IMMI GRATION AND CUSTOMS ENFORCEMENT IMMI GRATION AND CUSTOMS ENFORCEMENT 500 12TH STREET SW OFFICE OF ACQU IS I TION MANAGEMENT 801 1 STREET NW kb)(6).(b)(7)(C) I WASHINGTON DC 20536 c. CITY d. STATE a. ZIP CODE
WASHINGTON DC 20024
7. TO; b)(6);(b)(7)(C) f. SHIPVtA
a. NAME OF CONTRACTOR CELLEBRITE USA CORP 8. TYPE OF ORDER
b. COMPANY NAME 3. PURCHASE X b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR 7 CAMPUS DRIVE E.C$pllo< tH lting instfllC1ions on \he
reverse. th is detive<y order Is
subject to instructions comaiood on
this side only of this form and is Please furnish the following on the terms issued subject to til<! terms and 800 condrtioos sp&Cif>ed on boIh sides 01 condibons of the abov-e-numberOO
d. CtTY I e . STATE I; ZIP CODE this order and on the attached sheet. ~ contract PARSIPPANY NJ 07452 an~, incIud iOQ deti.",,", as ind icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule 11 . BUSINESS CLASSIFICATION (Ched< appropriate box(as)) 12, F.O,B. POINT
X 3. SMALL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination t, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUStNESS (WOSB)
h. EDWOSB VETERAN·OWNEO ELlGtBLE UNDER THE WOSB PROGRAM
13 PlACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POtNT 16 DISCOUNT TERMS
ON OR BEFORE fare) a, INSPECTION I b. ACCEPTANCE 30 Days A t er Award Destination Destination Net 30
17 SCHEDULE (See reverse for RejeCtions)
QUANTtTY UNIT OUANTtTY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., '" '0' 1" ,., 10 ,oJ
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 SHtPPtNG POINT 19. GROSS SHtPPtNG WEtGHT 20. tNVOtCE NO. 17(h)
OTAl
(ConI. ,.,,,' 21, MAIL INVOICE TO: ... a. NAME b)(4) I
TO BE IDENTIFIED ON IN DI VIDUAL SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS DELIVERY ORDERS OfoIREVERSE (or po. Box) 17{i)
G~G
TOTAL
C. L:! r'"'' e. L tl-'L:UUI=. b)(4) ...
22. UNtTED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ ~b)(6); (b)(7 )(C) I
TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL R~f>ROOUCTlON DPTtONAl FORM 347 1_.212012) PR~VIOUS ~DtTION NOT USABL~ __ .,. GSAiF ..... . . C>~ ".21"~
2018-ICLI-00030 88 000088epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
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 Fixed-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 " rbX" I bX"
0001 SHIP TO : 5150 EISENHOWER AVENUE
A , VA 222304
ATTN;~ 202-42
~Oll"
0002 (bX" fOil'
Payments are not authorized ;
ING AND PAYMENT PROCEDURE : p lease use t hese 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 date a nd t hereaf t er . 1 . In a cco rdance with Sec t ion G, Contract
Administrat~on Data , invoices sha l l now be na one of t he fo l lowing t hree ,
a . By mail : (S ee Bloc k 21 ) b . By facs imile (fax) at : 802-288-7658
, ; , .. .
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, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
2018-ICLI-00030 89 000089epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
03/02/2016
ITEM NO.
,., SUPPUESISERVICES
'" (include a cover sheet with point of & t of pages)
c . Bye- mail at : . [email protected]
2 . I nvoices submitted by other than these me t hods will be returned . Contractor
Identification Number (TIN) must be registered in t he Central Contrac tor Registration (http : //www . ccr . gov ) prior to
I ~:;~:~t:a.:n:~d shall be notate d o n every i nvoice b to IC E/OAQ on or after 03/01/08 to ensure prompt payment provisions are met . The I CE program office identified in the delivery order/ contrac t sha ll also be
o n every invoice. Please send an additional copy of the invoice to
DHS . GOV . 3 . I n accordance wit h Section I , Contract ('1; I FAR 52 . 212 - 4 (g) (l) , Contract Terms and Conditi o ns, Comme r cia l Items , or FAR 52 . 232 - 25 {a} {3} , Prompt Payment , as app~icable , the information required with each invoice submiss io n is as follows : An invoice must include : (i) Name and address of t he Contractor ; (ii) Invoice date and number ; (iii) Contract number , contract line item
and , if appli cable , t he order
(iv) Description , quantity , unit of , unit price and extended price of
the i tems de l ivered ; (v) Shipping number and date of shipment ,
~ 1 1 ': the bill of l adi ng number and of sh ipme n t if shipped o n Government
bill of lading ; (vi) Terms of any discount for prompt
o f fered ; (vii) Name and address of offic ia l to whom
is to be sent ; (vii i ) Name, ti tle, and phone n umber of
to notify in event of defective lio,vo,ice ; and (ix) Taxpayer Identi f i cation Number (TIN) The Co n tractor shall inc l ude its TI N on t he . o n ly if required elsewhere in this Continued . ..
,,' '"
2018-ICLI-00030 90
3 I PAGE NO
I ORDER NO. ,:;_
00048
AMOUNT QUANTITY
ACC~~TEO <',
OPTIONAL FORM 348 1_ "f2WI!, "_"<(l$.O.'''''I4$,,,R,S3''3(fj
000090epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" OATE OF ORDER
03/02/2016
ITEM NO.
,., SUPPUESISERVICES
'" contract . (See paragraph 1 above . ) (x) El ectron ic funds transfer (EFT) banking
in" (A) The Contractor shall i nc l ude EFT
information o n the invoice only if
r:qu:red elsewhere i n this contract . (B) If EFT banking information is no t required to be on the invoice , in order for the invoice to be a proper invoice , t he Contractor shal l have submitted correct EFT
k i T information in accordance with the applicable solicitation provision , contract
(e.g ., 52 . 232 - 33 , Payment by Elec tronic Fu nds Tra ns f er ; Central Contractor Registration , or 52 . 232 - 34 ,
by El ectronic Funds Transfer ; Othe r Tha n Central Contrac tor Registration) , or
a~pl~cable agency procedures . (C) EFT banking information i s no t required if the Governme nt waived the requireme n t to pay by EFT . 4 . INVOICES WI THOUT THE ABOVE INFORMATION
I ~:'~~'~~'SNOT SUBMITTED BY ONE OF THE APPROVED I ~ (MAIL , FAX , OR EMAIL) MAY BE IRETU'RNED FOR RESUBMISSION .
5 . EACH PROGRAM OFFICE IS RESPONS IBLE 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 INVO I CE MONTHLY
OR QUARTERLY IN ARREARS . 7 . FOR INQU I RING PAYMENT STATUS , VENDORS
CAN CALL DFC CUSTOMER SERVICE AT 214-915-6277 OR FAX AT 214-915-6262 BETWEEN 7 : 30 A . M. AND 4 : 30 P . M., MONDAY THRU FRIDAY
CST . EMAIL ADDRESS IS DFC@DHS . GOV .
below constitutes acceptance of the above ICE Terms and Conditions ; The Co n tractor is reques t ed to acknowledge
of t his delivery order by i n t he space below and returning a
,,' '"
2018-ICLI-00030 91
I PAGE NO
4
I ORDER NO. ,:;_
00048
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
"_,,<(l$.O.'''''I4$'''R)S3' ' 3(fj
000091epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" OATE OF ORDER
03/02/2016
ITEM NO.
,., SUPPUESISERVICES
'" copy of t h is page with signature to t he Contract Specia l ist v i a emai l . The Contractor should no t accept any i nst ruc tion that res u l ts i n a change to t he supplies/services ordered herein from any Ent ity .
FOR QUESTIONS OR CONCERNS PLEASE CONTACT THE FOLLOWING :
SPECIALIST:
~E/OAQ/ l TD.""""",,,,,,,,,, 202_732 --¥b)(6);(b)(7}(C) I
Email : ~b)(6); (b)(7}(C) I
~~~~lO~F;JF ~ CE COR/POC :
DHS/ICE/OPR Desk : 202_421_/(N(6);(b)(7)(C)1
Email : ~b)(6); (b)(7}(C)
ICONTRAC:TOR , . 1 1 ph
120l} , I
The total ,]i,
amount of award : ~b}(4) I. The for this award i",CO"hCoCwCno-"·n~ bOx
(i) .
1<' '"
2018-ICLI-00030 92
I PAGE NO
5
1 OROER NO. ,:;_
00048
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_"'f2WI!,
"_"<(l$.O.'AAI4$,,,R,S3"3(fj
000092epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 4
IM PORTANT: Marl<. all ackages and papers with contract 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-ICE-OPR
5. ISSUING OFFICE (AddfflSS oomJspondenc8 to) b. STREET ADDRESS ICE/ I nfo rmation Technology Division ISU-TECH DPS GROUP
Immigrat ion and Customs Enforcement 5150 EISENHOWER AVENUE
Office of Acquisit ion Management 801 1 Street NW , ~b)(6); (b}(7)(C)
Washington 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 3. PURCHASE b. DELIVERY
c. STREET ADD RE SS REFERENCE YOUR 5300 SHAWNEE ROAD SUITE 100 E.C$pllo< tH lting instfllC1ions on \he
reverse. th is detive<y order Is
subject to instructions comaiood on
this side only of this form and is Please furnish the following on the terms issued subject to til<! terms and and condrtioos sp&Cif>ed on boIh sides 01 condibons of the aboV"e-numberOO
d. CtTY I e . STATE Il ZIP CODE this order and on the attached sheet. ~ contract ALEXANDRIA VA 223122311 a n~ , incIud iOQ deti.",,", as ioo icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE Ofc of Professnl Responsibility
". BUSINESS CLASSIFICATION (Ched< appropriate box(es)) 12, F.O,B. POINT
3. SMALL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination
t, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUStNESS (WOSB) h. EDWOSB
VETERAN·OWNEO ELlGtBLE UNDER THE WOSS PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POtNT 16 DISCOUNT TERMS
ON OR BEFORE fare) a, INSPECTION I b. ACCEPTANCE 30 Days A ter Award Destination Destination Net 30
17 SCHEDULE (See reverse for RejeCtions)
QUANTtTY UNIT QUANTtTY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., '" '0' 1" ,., 10 ,oJ
DUNS Number : 831301762 DO/DPAS Rating : N Exempt Action : N Accounting I nfo : b)(7)(E)
Continued ...
18 SHtPPtNG POINT 19. GROSS SHtPPtNG WEtGHT 20. tNVOtCE NO. 17(h)
OTAL
(ConI. ,.,,,' 21, MAIL INVOICE TO: ... a. NAME
b)(4) I DHS-I CE-OPR
SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS ISU-TECH DPS GROUP ONREVERSE (or p o. Box) 5150 EISENHOWER AVENUE 17{i)
G~G
TOTAL
b)(4) ... C. L:! r'"'' e. L tP L:uut:
ALEXANDRIA VA 22304
22. UNtTED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ kb)(6);(b}(7)(C) I
TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL R~f>ROOUCTlON OPTtONAl FORM 347 1_.212012) PR~VIOUS ~DtTION NOT USABl.~ __ .,. GSAiF ..... . . C>~ ".21"~
2018-ICLI -00030 93 000093epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
03/03/2016 c_ 00006
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
0001 (0"., I rb,
of , ~b)(4) I
ING AND PAYMENT PROCEDURE :
Contractors , please use t hese procedures when you submit an invoice for all
1;' emanating from I CE/OAQ . Thi s ta kes effect 03/01/08 and
to all invoices submitted on that date and thereafter . 1 . I n accordance with Section G, Contract ,rim; , Data , invoices shall now be
via one of the f ol l owing three
a . By mail : (See Bl ock 21) b . By facs im i le (fax) at : 802 - 288 - 7658 (include a cover sheet with point of
& I of pages) c . Bye- mail at :
. Consolidation@dhs . gov , . I nvoices submitted by other than t hese
me t hods will be returned . Contractor Identification Numbe r (TIN) mus t
be registered in t he System for Award
(https : //www . sam . gov/portal/public/SAM/) to award and shall be notated on invoice submitted to ICE/OAQ on or
an~~ 03/01/08 to ensure prompt payment are me t . The ICE program of f ice
identified in t he delivery order/contract shall also be notated on every invoice . Pl, send an additional copy of the
to ICEOCIOITSRACQ@DHS . GOV . 3 . I n accordance with Section I , Contract ('1; , FAR 52 . 212 - 4 (g) (l) , Contract Terms and Conditions, Comme r cia l Items , or FAR 52 . 232 - 25 (a) (3) , Prompt Payment , as app~icable , the information required with each invoice submiss ion i, a, follows : An invoice must include : (i) Name and address of t he Contractor ; Continued . ..
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PREVIOUS EDITION NOT USABLE
2018-ICLI-00030 94 000094epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 3
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
03/03/2016 ,- 00006
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
(ii) Invoice date and number ; (iii) Contract number , contract line item
and , if applicable , t he order (iv) Description , quantity , uni t of
, unit price and extended price of the items de l ivered ; (v) Shipping number and date of shipment ,
~ l , ''j the bill of lading number and of sh ipme n t if shipped o n Government
bill of lading ; (vi) Terms of any discount for prompt
o ffered ; (vii) Name and address of offic ia l to whom
i, to be se n t ; (viii) Name , tit le , and phone n umber of
to notify in event of defective ; and
(ix) Taxpayer Identi f i cation Number (TIN) The Co n tractor shall inc l ude its TI N on t he
o n ly if required elsewhere in this contract . (See pa ragraph 1 above . ) (x, El ectron i c funds transfer (EFT) banking inc<
(A' The Contractor shall i nc l ude EFT information o n the invoice only if
r:qu:red elsewhere i n this contract . (8) If EFT banking information is no t required to be on the invoice , in order for the invoice to be a proper invoice , t he Contractor shal l have submitted correct EFT
k i T information in accordance with the applicable solicitation prov i sion , contract
(e.g ., 52 . 232 - 33 , Payment by Electronic Fu nds Trans f er ; Central Contractor Registration , or 52 . 232 - 34 ,
by El ectronic Funds Transfer ; Othe r Tha n Central Contrac tor Registration) , or a~pl~cable agency procedures . (C) EFT banking information i s no t required if the Gove rnme nt waived the requireme n t to pay by EFT . 4 . I nvoices without t he above information
not submitted by o ne of the approved (mai l, fax , or email) may be f or resubmission .
5 . Each Program Office i, responsible f or Continued . ..
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2018-ICLI-00030 9S 000095epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
, MoO ""
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
OATE OF ORDER
03/03/2016
ITEM NO.
101
SUPPUESISERVICES
1'1 a nd accepta nce of goods
I""vioe, Upon receipt and accepta nce of goods/services , complete the appl icab l e FFMS reports o r DFC wil l not process the
for payment . 6 . For inquiring payme n t status , ve ndors ca n ca l l DFC customer service at 1- 877 - 491 - 6521 between 8 : 00 a . m. a nd 5 : 30 p . m., Monday thr u Friday CST . Emai l address i s ocfo . c ustomerservice@ice . dhs . gov . rl; Incorporated by Reference : FAR 52 . 222 - 50 , " Combati ng Trafficki ng in
, (FEB 2009) FAR 52 . 223 - 16 , " IEEE 1 680 Standard f or the Enviro nme n ta l Assessme n t of Persona l
Products " (DEC 2007) Section 508 Compliance 29 U. S . C . Section 508 of t he
"' Act (29 U.S.C. 794d) , as ame nded by t he - F,- Investment Act of 1 998
(P . L . 105 - 220) , August 7 ,1 998 , (HSAR) 48 CFR 3009 . 10 4- 75 , "Pro hi b i tio n o n
Con tracts with Corporate Expa t ria tes " (JUN 2006}
The total amount of award : . ,~bclc(4"':-_--7~ The looo"""'gao,on for this award is shown in box
(i) .
1<1 I"
2018-ICLI -00030 96
I PAGE NO
4
I OROER NO. ,:;_
00006
AMOUNT
'"
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
"_ "<G$A'''''I4$,,,RIS3, ' 3(fj
000096epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
, FOR 'OR I PAGE 01 PAGES
, M,~,II ",' 1 9
1, DATE OF ORDER 2. CONTRACT NO. (If any) ,
08/26/2016 e. NAME OF CONSIGNEE
3. ORDER NO. '" HSCETE-16-P-00035 1192116VHQ4CCCOO55 DHS ICE HSI HQ DIV4
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to)
I~ ICE/ I nformation Technology Division Immigrat ion and Customs Enforcement Hills
Office of Acquisit ion Management I 801 I Street NW , ~b)(6); (b)(7)(C) I Washington DC 20536 c. CITY . STATE e. ZIP CODE
Fairfax VA ''"'" '"0 INC f.SH IPVIA
a. NAME OF CONTRACTOR SUS TEEN INC OR'" b, COMPANY NAME X a. PURCHASE b. DELIVERY
C90Dl ;Tt~~~~~ CENTER REFERENCE YOUR
DR H$CETE - 16- Q- 00316 E.C$pl lo< tH lling instfllC1ions on \he
SUITE 1500 reverse, th is delive<y order Is
SUbject to instructions comaiood on
this side only of this form and is Please furnish the loIklwing 00 the terms issued subject to the terms 300 800 condrtioos sp&Cif>&d on boIh sides 01 condihons oIlhe 8t)ove-nOmberOO
~rf~-r;NE le . ~~TE I: ; 1 ~1 this order and on the attached shoot, ~ contract
'" an~, incIud iOQ deli.",,", as ioo icated
, , , '"
, See I ICE Hmlnd Sec Inv HQ Div . 4 11. BUSINESS CLASSIFICATION (Ched< appropriate box(as)) 12, F.O,B. POINT
X a. SMALL b, OTHER THAN SMALL c. DISADVANTAGEO d WOMEN·OWNED e. HUBZone Destination f, SERVICE·DISABLED g. WOMEN-OWNED SMALL BUSINESS (WOSB)
h. EDWOSB VETERAN·OWNED ELIGIBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POINT 16 DISCOUNT TERMS
ON OR BEFORE fala) a, INSPECTION I b. ACCEPTANCE 30 Days A ter Award Dest ination Destination Net 30
". QUANTITY UNIT QUANTITY
ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED
1'1 1'1 10' 1" ,., 10 loJ DUNS Number : 797052701 This i, a Firm Fixed Price Purchase Order issued to Sus teen , I nc. This order i ncorporates Quote Numbe rs ICE-SV4R-32 and ICE - SVBB dated 8/05/16 .
Continued ...
18 SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO. 17(h)
OTAl
(ConI. ,.,,,' 21, MAIL INVOICE TO: ... a. NAME (b)(4)
DHS , ICE SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS Burlington Finance Center ONREVERSE (or PO. Box) P . O. Box 1620 17{i)
Attn : I CE-HS I-HQ-DIV 4 G~O
TOTAL
(b)(4) ... c . u r'"'' e. L II-'L:UUI=.
Willis t on VT 05495-1620
22. UNITED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ gb)(6);(b)(7)(C) I
TITLE: CONTRACTING/OROERING OFFICER
AUTHORIZED FOR LOCAL R~f>ROOUCTlON OPTIONAl FORM 347 1_.212012) f>R~VIOUS ~DITION NOT USABL~ __ .,. GSAiF ..... . . C>~ ".21"~
2018-ICLI-00030 97 000097epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/26/20 1 6 c_ 00035
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
'-I '" '<I '" P7~fE
'"~ ACC~~TEO
~ '703 i {7 03}
f /U3
POC for contrac t s o f fice : ~b)(6); (b}(7)(C)
Email : ~b)(6); (b)(7}(C) I 202 -7 32 -~b)(6); (b)(7}(C)
POC for contrac t or : ~b)(6); (b)(7)(C) I Email : ~b)(6); (b)(7}(C)
(9 4 9 ) 78 9-r:b)(6),(b)(7}(C) I
PSC , , b}{' i I NA I CS- , b}{'i
Action : N
I n fo :
, '"
01 " fO"'i
0001 <O"i fb}{'
DHSI CYBER CRIMES CENTER , 11320
HILLS RD ., , b}{Oi,'b}{7}{Ci I FAIRFAX , VA
22030
0002 ,0",
CRI MES CENTER , 11 320 RANDOM HILLS RD., ~b)(6); (b)(7)(C) ~ FA I RFAX , VA 22030 .
0003 <O"' i
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, MoO ""
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
OATE OF ORDER
08/26/2016
ITEM NO.
,., SUPPUESISERVICES
'" I ns tructions :
~- Contract
I
1703} 2 '
Providers/Contractors sha l l fo l low procedures when submitting i nvo ices .
~ . I nvoice Submission : Invoices shall be in a " . pdf" f o rma t in accordance
with the contract terms and condit ions [Con tract Specialist and Contracting Officer to disclose if on a mon th ly bas is or other agreed to terms " ] via ema i l ,
States Postal Service (USPS) or fa csimile as fo l l ows :
a . Email:
Invoice . Consol idatio n@ ice . dhs . gov Cont rac t ing Officer Representative (COR)
or Governmen t Poi n t of Contact (GPOC) Cont rac t Specia l ist/Contracting Officer
Ea c h e ma i l sha l l contain on l y (1) invoice and t he i nvo ice number shall be indicated on t he sub j ect line of the e ma i l .
b . USPS ,
DHS , ICE
Operations - Burlingto n P . O . Box 1620 Williston , VT 05495-1620
ATTN : ICE-HIS-HQ-DIV4
The Co n tractors Data Un i versal Numbering (DUNS) Number must be registered and in the System fo r Award Manag e ment
(SAM) at https : //www . sam . g o v prior t o award and shall be notated on e very i nvo ice
to ensur e prompt payme nt
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2018-ICLI-00030 99
I PAGE NO
3
I OROER NO. ,:;_
00035
AMOUNT QUANTITY
ACC~~TEO <',
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ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 4
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/26/20 16 c_ 00035
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
are met . The ICE program of f ice i de n t if ied i n t he tas k order/con tract sha l l also be notated on every invoice .
c . Facsimile :
" . Invoices shall be submi t ted to : (802}-288-7658
by facsimile shall i nc lude a sheet , po in t of con t ac t a nd the of tot a l pa ges .
by facsimile shall i nc lude a sheet , poi n t of con t ac t a nd the of tot a l pa ges .
Not e : t he Service Providers or Con t rac t ors Du nn a nd Bradstree t (0&8) DUNS Number mus t be reg istered i n t he System fo r Award
(SAM) a t h ttps : //www. sam. gov
t o award a nd shall be nota t ed o n invoice s ubmi t ted to e nsure prompt
p rov i sion s are me t . The ICE program office identified i n the t as k
shall also be not ated o n invoice .
2 . Con tent of I nvo i ces : Each invoice s hall t h e fol l owing information in
with 52 . 21 2 - 4 (g) , as appl icable :
(i) Name and address of t he Con t ractor . The
? ame , addre ss a nd DUNS number on t he MUST match the information in bot h
the Co n tract/Agreement and t he i n formation in the SAM ;
(ii ) Dunn and Brads t reet (D&B) DUNS number ;
(i i i) Invoice da t e and uni q ue i nvo i ce , (iv ) Agreeme n t/Contract number , , if
appl icable , the order number ;
(v, Co n tract Line Ite m Number(s) (CLIN) ; H , ...
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2018-ICLI-00030 100 000100epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
, MoO ""
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
OATE OF ORDER
08/26/2016
ITEM NO.
,., SUPPUESISERVICES
'" q ua n t ity ; un i t of measure ; un i t price a nd exte nded price o f t he items ~ l i' period o f performance {each CL IN
sha l l be ide n t ified separa te l y o n the , , (v i) If applicable , shipping number and date of shipme n t, includ i ng the bill of
,rli, numbe r and we ig h t of shipmen t if
on Government bill of lading ;
(vi i ) Terms of any discount for prompt offered ;
(vii i ) Remit to Address ;
(ix) Name , t i tle , a nd phone number of to notify i n event of an improper
li nv" ice ,
(x) ICE program offi ce des igna t ed on and
(xi) Ma rk invoice as " Interim" (On go i ng
I ~::~::~:::':c: and additional bill ing IE ) and " Final " (pe rforma nce
a~~ no additional billing) comp l e t e
(xii) Electronic Funds Tr ans f e r (EFT) i n forma tio n i n accordance with
52 . 232-33 Payment by Elec t ron ic Fu nds Transfer - System fo r Award Manag e ment or 52-232-3 4, Payme n t by Elect ronic Funds Tra nsfer - Ot her than Sys t em for Award
3 . Ot he r tha n Fi rm Fixed Price (FFP) Type Con tracts : Contrac t types other tha n Firmed
Priced (FFP) may require additio nal i IJ ~' as fo l l ows (tailo r for your requ ireme n t ) :
ALT 1- Time and Materia l Contracts
on T&M Orders mus t comp l y wi t h FAR 52 . 232-7 Payments Under
, ; , , ..
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2018-ICLI-00030 101
I PAGE NO
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I OROER NO. ,:;_
0 003 5
AMOUNT QUANTITY
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, MoO ""
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
OATE OF ORDER
08/26/2016
ITEM NO.
,., SUPPUESISERVICES
'" S and Labor Hour Contracts (Aug 20 12 )
ALT 2 - Cost Contrac ts
a . Cost Plus Award Fee :
The co n tractor may invoice mont hly on t he basis of cos t i ncurred for t he Labor CL I N. The i nvoice shal l i nclude the period of
covered by the i nvo ice and the CL I N number and na me . All hours and cost shal l be reported , and shall be provided for t he current billing mont h and in t otal for proj ect t o date . The con t rac t or shall a lso p rovide the i nvoice i n s preadshee t ~orm with the fo l l owi ng supporti ng
"H" CLIN/Task Tota l Hours : This wil l ide nti f y
al l curren t and cumulative contractor by labor category on the pro j ect
and t heir total CL I N/ Task hour s bi lled . The l isting shal l i nclude separate col umns and
~l. for t he c urrent invoice per i od and the project to date .
CLIN/Task Total Costs : This will identify all curren t and past contractor e mployees by labor category , and rate on the proj ect and t heir total CLIN/task cost billed . The ra te for eac h labor cate gory shall also be
The l is t ing shall include separate
I ~:'::" ~:'~' a nd to ta ls for the curren t invoice If and t he proj ect to date .
The con tracting officer must unila t erally modify the contrac t t o fu nd and allow
of the earned award fee upon of the Award Fee Determining
Officia l (AFDO ) decision . Th e modifi cat ion shal l ( 1 ) include a copy of t he AFDO decision , (2 ) obligate the earned fee
, (3) reference t he award fee of the as authority for pa yme nt , and (4)
pa yme nt of the award fee .
,,' '"
2018-ICLI-00030 102
I PAGE NO
6
I OROER NO. ,:;_
00035
AMOUNT QUANTITY
ACC~~TEO (I}
OPTIONAL FORM 348 1_ "f2WI!)
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000102epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO " " ,"-~" , OATE OF ORDER
08/26/20 16
ITEM NO.
,-, SUPPUESISERVICES
'" The co n trac tor s ha ll be paid the award fee , if any , upon submittal of proper i nvoice to the Burli ngton Financ e Office toget he r with a copy of the co n trac t modif ica t ion
paymen t of the award fee for the applicable award fee p e r i od . The
le" n t,a"t", · s invoice s hal l i nd icate t he of the award fee earned a nd payable
wit h t he app l icable award fee CLIN . The
I ~::~~~::':::~~' s invoice must cite t he 1< accounting data . There wi ll be no provisional , in te r im , or a d va nce b il ling of the award fee .
The award fee wil l be paid with f unds a t the t ime of the AFDO decision .
In many cases , t ha t wil l be in t he f iscal year fo llowing performance . The award fee
not ear ned during a g iven period shal l not be avai l ab l e in fu t ure periods .
b . Cos t Reimbursable CLIN (Ot her Di rec t
Cos t s '
The co n tractor may invoice o n a mo n th l y o n the basis of cost inc u r r ed fo r t he Ot her
. Cost (ODC) CLINs . The invoice s hal l t h e period of perfo rmance covered
by the invoice a nd the CL IN number and na me . I n add i tio n , the con tractor s ha ll
t h e fol l owing detailed information f or each invoice s ubmi tt e d , as app l icable in spreadsheet for m:
Item purchased Cost Date e xpe nse d Do cumentation of pr i or COR approval
Al l cost presen t ations p rovided by the sha l l also include app l icable
indirect cos t .
c . Cos t Reimbursable Travel CLIN : The may i nvoice mon th l y o n t h e basis
,<, ,
'"
2018-ICLI-00030 103
I OROER NO.
UNIT
P7~fE
I PAGE NO
7
,- 00035
AMOUNT QUANTITY
'" ACC~~TEO
OPTIONAL FORM 348 1_"'f2WI!)
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000103epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 8
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/26/2016 ,- 00035
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
of cost incurred . The invoice shall i ncl ude
~he period o f performance covered by the and the CLIN number and name . I n
addition , the contractor shall provide the detailed information for eac h
s ubmi tted , a, applicable in 'h form :
d . Pro j ect Tota l Travel : This will identify all curre n t and cumulative trave l on the
, ;: The listing shall i nc l ude separate and totals foe the followi ng , at a
, ,;,
Date Expensed Authorized Travel Event Number Days of Travel Do cumen tation of COR approva l prior to
shall be in accordance with t he Travel Regulations (FTR) . The
shall be reimbu rsed foe actua l , .", and reasonable cost , not to
the amount shown i n the schedule .
t'LV .l.'-' __ shall not be applied to travel costs . Con t rac tors may apply indirect costs to travel in accordance with the contractors usua l accounting practices consistent with FAR 31 . 2 .
I n order to ensure that an accurate i nvoice is submitted , t he Contractor shall
t he invoi ce with the COR before t he invoice to Financia l Operations
Burlington .
4 , Invoice Inq uiries : Questions rega rding submission oe payment, p lease I CE Financial Operations at
1-8"i7-491-6521 oe bye-mai l at ,em . dhs . gov
The to ta l amount of award : ~b){4 ) I The foe th is award i, shown in box
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2018-ICLI-00030 104 000104epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 9
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
08/26/20 16 ,- 00035
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
.7 (i) .
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, OPTIONAL FORM 348 1_ "f2WI!)
PREVIOUS EDITION NOT USABLE
2018-ICLI-00030 105 000105epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES 2
IMPORTANT: Marl<. all ackages and papers with contract and/or order numbers. 1
I. DATE OF ORDER 2. CONTRACT NO ~f any) 6. SHIP TO: GS-35F-312 A
03/03/2017 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-17-F-00004 192 1 17VHQ4CCC0025 ICE HMLND SEC INV HQ DIV 4
5. ISSUING OFFICE (AddfflSS oomJspondenc8 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)
801 I STREET NW ~b)(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 OXYGEN FORENSICS INC 8. TYPE OF ORDER
b. COMPAN Y NAME 3 . PURCHASE X b. DELIVERY
c. STREET ADDRE SS REFERENCE YOUR 901 N PITT ST STE 170 E.C$pllo< tH lting instfllC1ions on \he
reverse. th is detive<y order Is subject to instructions comaiood on this side only of this form and is
Please furnish the following on the terms issued subject to til<! terms and and condrtioos sp&Cif>ed on boIh sides 01 condibons of the abov-e-numberOO
d. CtTY I e. STATE Il ZIP CODE this order and on the attached sheet. ~ contract ALEXANDRIA VA 22314 a n~ , incIud iOQ deti.",,", as ioo icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE HMLND SEC INV HQ DIV 4
". BUSINESS CLASSIFICATION (Ched< appropriate box(es)) 12, F.O,B. POINT
3 . SMALL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination
t, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUStNESS (Wose) h. EDWOSB
VETERAN·OWNEO ELlGtBLE UNDER THE WOSB PROGRAM
13 PLACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POtNT 16 DISCOUNT TERMS
ON OR BEFORE fare) a, INSPECTION I b. ACCEPTANCE 30 Days A t er Award Destination Dest ination Net 30
17 SCHEDULE (See reverse for RejeCtions)
QUANTtTY UNIT QUANTtTY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., '" '0' 1" ,., 10 ,oJ
DUNS Number : 078884550
T HIS CONTRACT REPLACES ORDER
# HSCETE-16-J-00344 WHICH WAS M ISTAKENLY
AWARDED TD THE WRONG VENDOR .
THIS AWARD IS FOR THE PURCHASE O F OXYGEN
Continued ...
18 SHtPPtNG POINT 19. GROSS SHtPPtNG WEtGHT 20. tNVOtCE NO. 17(h) OTAl
(ConI. ,.,,,' 21, MAIL INVOICE TO: ... a. NAME b}(4)
DHS I CE SEt:: BILLING
INSTRUCTIONS b STREET ADDRESS BURLINGTON FINANCE CENTER OfoIREVERSE (or p o. Box)
PO BOX 1620 17{i)
A T T N ICE-HSI-HQ-DIV 4 G~G
TOTAL
b)(4) I ... C. L:! r'"'' e . L tl-'L:UUI=.
WILLISTON VT 05495-1620
22. UNtTED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ Fb)(6);(b)(7)(C) I
TITLE: CONTRACTING/ORDERING OFFICER
AUTHORIZED FOR LOCAL R~f>ROOUCTlON OPTtONAl FORM 347 1_.212012) PREVIOUS EDtTION NOT USABLE __ .,. GSAiF ..... . . C>~ ".21"~
2018-ICLI -00030 106 000106epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
03/03/2017 '" 7-F-0000 4
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
'-I '" '<I '" P7~fE
'"~ ACC~~TEO
I CS PROPR IETARY SO FTWARE I N SUPPORT OF DHS/IC E OPERATIONAL ACTIV I TI ES AT THE
SECURITY I NVESTIGAT I ONS , DIVISION FOUR . CONTACT THE CONTRACT I NG OFFICER WITH ANY QUESTIONS REGARDING THIS ORDER .
OFFICER : ~b)(6); (b)(7)(C) I EMAIL : Fb)(6);(b)(7)(C) I PSC , rb}(4}
NAIC S , b}(4}
Ac t ion : N Se ns it i ve Award : NONE I nfo :
of " fb}(4}
b}(4}
0001 FORENSICS SU I TE SOFTWARE ! b}(4} I THIS IS A REPLACEMENT CONTRACT
7-F-00004 , WHI CH SUPERSEDES ORDER 4 , WHI CH WAS AWARDED
FISCAL YEAR 2016 . THE CORRECT VENDOR NAME (OXYGEN FORENSI CS) ON CONTRACT .
A NEGOTIATED ADDITIONAL COST I N THE AMOUNT OF ~b)(4 ) IWILL BE ADDED TO THIS ORDER VIA A MODI FICATION . THIS AMOUNT REPRESENTS
TO OXYGEN FORENSICS FOR THE FACT THAT THEY DELIVERED ON THE ORIGINAL nRnI':R IN SEPTEMBER OF 2016 (ALBEIT UNDER THE WRONG AWARD) AND HAVE BEEN WAI TING TO BE PAID FOR APPROXIMATELY FIVE (51 MONTHS .
The obligated amou nt of award : Fb)(4) f The total for t hi s award i s shown in box
(i) .
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PREVIOUS EDITION NOT USABLE
2018-ICLI -00030 107 000107epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE 0
1 PAGES
IMPORTANT: Marl<. all ackages and papers with contract and/or order numbers. 1 15
I. DATE OF ORDER 2. CONTRACT NO f'{ acr6 6. SHIP TO: HSCEMD-13- - 001
OS/25/2017 a. NAME OF CONSIGNEE
3. ORDER NO. 4. REQUISITIONIREFERENCE NO.
HSCETE-17-J-00166 192 1170PRHQ160011 IMMI GRATION AND CUSTOMS ENFORCEMENT
5. ISSUING OFFICE (AddfflSS oomJspondanc8 to)
l ~fi~~AVENUE ICE INFORMATION TECHNOLOGY DIVISION IMMI GRATION AND CUSTOMS ENFORCEMENT OFFICE OF ACQU IS I TION MANAGEMENT 801 1 STREET NW ~b)(6); (b)(7)(C) I WASHINGTON DC 20536 c. CITY d. STATE a. ZIP CODE
ALEXANDRIA VA 22304
7. TO; f. SHIPVtA
a. NAME OF CONTRACTOR CELLEBRITE INC 8. TYPE OF ORDER
b. COMPANY NAME 3. PURCHASE X b. DELIVERY
c. STREET ADDRESS REFERENCE YOUR 7 CAMPUS DRIVE E.C$pllo< tH lting instfllC1ions on \he
reverse. th is detive<y order Is SUITE 210 subject to instructions comaiood on
this side only of this form and is Please furnish the following on the terms issued subject to til<! terms and and condrtioos sp&Cif>ed on boIh sides 01 condibons of the aboV"e-numberOO
d. CtTY I e. STATE I; ZIP CODE this order and on the attached sheet. ~ contract PARSIPPANY NJ 07452 an~, incIud iOQ deti.",,", as ioo icated
9, ACCOUNTING AND APPROPRtATION DATA 10. REQUISITIONING OFFICE
See Schedule ICE OFC OF PROFESSNL RESPONSIBILITY
". BUSINESS CLASSIFICATION (Ched< appropriate box(as)) 12, F.O,B. POINT
3. SMALL b, OTHER THAN SMALL c. DISADVANTAGED d WOMEN·OWNED e. HUBZone Destination t, SERVICE-DISABLED g. WOMEN-OWNED SMALL BUStNESS (WOSB)
h. EDWOSB VETERAN·OWNEO ELlGtBLE UNDER THE WOSB PROGRAM
13 PlACE OF 14. GOVERNMENT BlL NO. 15. DELIVER TO F OB POtNT 16 DISCOUNT TERMS
ON OR BEFORE fare) a, INSPECTION I b. ACCEPTANCE 30 Days A t er Award Destination Destination Net 30
17 SCHEDULE (See reverse for RejeCtions)
QUANTtTY UNIT QUANTtTY ITEM NO SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED ,., ", '0' 1" ,., 10 '01
DUNS Number : 033095568 Program Office (PO) Point of Contact(POC) / Receiving Official (RO) : b)(6);(b)(7)(C)
703 - 55 7 i b)(6);(b)(7)(C) Contracting Officer : b)(6) (b)(7)(C) 202 - 7 3 2 -fb)(6);(b)(7)(C) I Continuea ...
18 SHtPPtNG POINT 19. GROSS SHtPPtNG WEtGHT 20. tNVOtCE 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::Vt::RSt:: (or po. Box) PO BOX 1620 17{i)
ATTN ICE-OPR G~G
TOTAL
b)(4) ... C. L:! r'"'' e. L tl-'L:UUI=.
WILLISTON VT 05495-1620
22. UNtTED STATES OF 23. NAME (Typed)
AMERICA BY (Signature) ~ TI~~;~~~~~~FI?:;I~Rl:IE lING OFFICER
AUTHORIZED FOR LOCAL R~f>RODUCTlON DPTtONAL fORM 347 1_.212012) f>R~VIOUS ~DtTION NOT USABl.~ __ .,. GSAiF ..... . . C>~ ".21"~
2018-ICLI -00030 108 000108epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES
I PAGE NO
SCHEDULE · CONTINUATION 2
, MoO "" ,"-~" , OATE OF ORDER I OROER NO.
OS/25/2017 " 0000 1 7-J-00166
ITEM NO. SUPPUESISERVICES , UNIT AMOUNT QUANTITY
,-, '" ,<, '" P7~fE
'" ACC~~TEO
;~~t~act" i" '~ I
The purpose o f th is Fi rm-Fixed Price (FFP) ,, 1 ;, -<]Order (DO, against Indefinite
I nde fi ni t e Quantity (1010)
13-D-0000 1 i, to purc hase " ' p h t e , Inc . Universal Forensic
De vices (UFEDs) for the U. S . of Homel and Security (DHS) , U. S .
ICE ~~~ents . and Customs Enfor cemen t (ICE )
, I;, r y shal l be ma de wi t hi n 30 days after of order . All ICE HS CEMO-13-D-00001
te r ms and cond i t ions app l y . Ac t ion : N Sensi t ive Award : NONE
I nfo :
of " fb}(4, I fOil"
000 1 FO}(. , I fOil I (b}("
0002 fb}(4, I fO.(.,
I nstructio n s : ICE - NON-ERa Co n tracts
Providers/Contractors s hal l fo l low procedures when submitting i nvoices .
l. Invoice Submission : I nvo ices s hall be in a " . pdf" forma t in accordance
with the contract terms a nd conditions (Con tract Specialist a nd Contracting Officer to disclose if on a mon th ly bas is or othe r agreed to te r ms " ) v i a email ,
States Posta l Servi ce (USPS ) or f acsimi l e " fo llows :
, ; , .. .
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2018-ICLI-00030 109 000109epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
,., SUPPUESISERVICES
'" a . Email :
I nvo i ce . Consolidation@ice . dhs . gov Contracting Officer Represen tative (COR
or Governmen t Point of Con tact (GPOC)
Contract Specialist/Contracting nC'''''' ''',e'''1
Eac h email sha l l con tain on l y (I) invo i ce and t he i nvoice number shall be indica t ed on t he subject line of the email .
b . usps :
DHS , I CE
Operation s - Burlingto n P . O . Box 1620 Wi ll iston , VT 05495 - 1 620
ATTN: I CE-OPR
The Con tractors Da t a (DUNS ) Numbe r
Universal Number ing mus t be re gis t ered and
in the System for Award Management (SAM) at https : /lwww . sam .gov prior t o award and shall be not ated on every i nvoice
to ensure p rompt payme n t ;1 i· are met . The ICE p rog ram office
P',"d<"n t, f ied i n t he t ask order/contract shal l a l so be nota ted on every invo i ce .
c . Facsimi le :
l.l, l' I nvo ices shal l be submitted
t o : (8 02 )-2 88-7658
I S ::~ :" ~"":I~::: by facsi mile shall include a Ie sheet , point of contact and the
of to t al pages .
1 ~:":h~:" ~"":I~::: by facsimil e sha l l include a Ie sheet , point of contact and the
of to t al pages . Note : the Service Providers or Con t ractors Dunn a nd Bradstreet (D&B ) DUNS Number must be r e gistered i n t he Syste m for Award
(SAM) at h ttps : //www . sam . g ov to
H , award and s ha l l b e no tated on
,,' '"
2018-ICLI-00030 110
I ORDER NO.
I PAGE NO
3
7-J-00166
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
"_"<G$.'-'''''I4$,,,R)S3' ' 3(fj
000110epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
,., SUPPUESISERVICES
'" i nvoice submitted to e nsu re prompt provision s are met . The I CE program
office ident ified in the tas k sha ll a l so be nota ted o n
i nvoice .
2 . Content of I nvo ices : Each invoi ce s ha l l contain t he following i nformatio n i n
with 52 . 212-4 (g ) , as applicable :
( i ) Name and address of the Con t rac to r . The name , address and DUNS n umber on t he . MUST ma t ch t he in formation in both t he Con tract/Agreement and t he informa t ion in t he SAM ;
( i i ) Du nn and Brads t reet (O&B) DUNS number :
(iii) I nvoice date and uni q ue i nvoice
(iv ) Agreement/Contract n umber , , if applicable , t h e order numbe r ;
(v) Con trac t Line I t em Number (s) (CL IN ) ; "'"1-' q ua nti ty ; unit of meas ure ;
uni t p rice and extended p rice of t he items ~1i' red , peri od of performance {each CLIN
~hall be i dent ified separately on the , , (vi) If applicable , shipping number and da t e of shipment, i ncluding t he bill of lading number a nd weigh t of shipme nt if
. o n Gover nme n t bill of lading :
(vii) Terms of a ny discou n t for prompt o ffered ;
(v ii i ) Remit to Addr e ss ;
(ix ) Name , title , and phone number of to not ify i n event of an improper
linv"ice ,
,,' '"
2018-ICLI-00030 111
I ORDER NO.
I PAGE NO
4
7-J-00166
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_"'f2WI!,
"_Of(l$.O.'AAI4$",R,S3"3(fj
000111epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
,., SUPPUESISERVICES
'" (x) I CE program office designated o n and
(xi) Mark invoice as "Inte rim" (Ongoi ng and additional bill ing
expected) and " Fina l " (pe rforma nce complete and n o addit iona l bi l ling )
(xii) Electro nic Funds Transfer (EFT ) ~ i l i nfo rma t ion i n accordance with
52 . 232-33 Payment by Elec t roni c Fu nds Transfer - System for Award Ma nagement or 52-232-34 , Payme n t by Electronic Funds Transfer - Ot her t ha n Sys t em for Award
3 . Ot her t ha n Fi rm Fixed Price (FFP) Type : Con t rac t types o t her than
Fi xed Priced (FFP) ma y require additional i nforma tio n as fol lows (tailor for you r requ ireme nt) :
ALT 1 - Time and Mater i al Contracts
on T&M Orde r s mus t comply with FAR 52 . 232-7 Payments Under
s and Labor Hou r Contract s (Aug 2012) .
ALT 2 - Cost Contrac ts
a . Cost Plus Award Fee :
The co n tracto r may i nvoice mont hly on t he basis of cost i ncurred for t he Labor CLIN . The i nvoice sha ll inc lude the period o f
covered by the i nvoice and the CL I N number and name . Al l hou rs a nd cost sha l l be reported , and shall be provided f or t he c urrent bi ll i ng mont h and in tota l f or project to date . The con t rac tor shal l also provide the i nvo i ce i n spreadsheet ~orm with the fo l lowing s upporti ng HOC<
CLIN/Tas k H ,
Tota l Hours : Th is wil l
,,' '"
2018-ICLI-00030 112
I ORDER NO.
I PAGE NO
5
7-J-00166
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ "f2WI!)
"_,,<G$.'-'''''I4$'''R)S3' ' 3(fj
000112epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
10'
SUPPUESISERVICES
1'1 iden t ify all curren t a nd cumulative con tractor e mployees by labor category on the project and their total CL IN/Tas k hours
i ll, The l isting s hall include separate a nd tota l s f o r the c urren t invoice
and t he project to date .
CLIN/Tas k Tota l Costs : Th is will identify all c urrent a nd past contractor
b y labor category , and rate on the project and their total CLIN/task cost
i ll . The rate for each labor category
s ha l l also be s hown . The l isting s hall separate columns and totals for t he i nvo ice period and t he pro j ect to
date .
The con tracting officer must unila t erally modify the contract t o fu nd and al low
of the earned award fee upon of t he Award Fee Determi n i ng
Officia l (AFDO ) decision . The modifi cat ion shal l ( 1 ) include a copy of t he AFDO decision , (2 ) obligate the earned fee
, (3) reference t he award fee of the as authority for payme nt , and (4)
payme nt of the award fee .
The co n tractor s hall be paid the award fee , i f any , upon submi ttal of proper i nvoice t o t he Burli ngton Fina n ce Of f ice toge ther wi t h a copy of the co n tract modif i cati o n
paymen t of the award fee for t he applicable award f ee period . The
' s invoice s ha l l i nd icate t he of the awa r d fee earned a nd payable
wi th the applicable award fee CLIN . The
I ~::~~~;:':::~~' s invoice must ci t e the 1< accoun t ing da t a . There will be no provisiona l , i n t er im , or adva nce bil ling of t he award fee .
The award fee wil l be paid wi th f u nds at t he time o f the AFDO decis ion .
I n ma n y cases , that wil l be i n the f iscal year followi ng pe rforma nce . The award fee Conti nued . ..
1<' I"
2018-ICLI-00030 113
I ORDER NO.
6 I PAGE NO
7-J-00166
AMOUNT
"I
QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ <f2WI!, " _ "<(l$.O.'AAI4$,,,R,S3"3(fj
000113epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
,., SUPPUESISERVICES
'" not earned during a give n per i od sha l l not be available in future periods .
b . Cost Re imb ursable CL IN (Ot her Direct Cos'"
The contractor may invoice on a mon t hly on the basis of cost incurred for t he Other
. Cost (ODC) CLINs . The invoice sha ll the period of performance covered
by t he invoice and the CLIN number and name . In addition , the contractor shall
the following detailed informa t ion for each invoice submi t ted , as app licab l e in spreadsheet form :
I t em purchased Cost Date expensed Documen t ation of prior COR approval
Al l cost presentat i ons provided by the Con tractor s hal l a l so inc l ude appl i cabl e indirect cost .
c . Cost Re imb ursable Trave l CL I N: The may invoice mon th l y o n t he basis
of cost i ncurred . The invoice s hal l include the period of performa nce cove red by the . a nd the CLIN n umber and name . In addition , the co n tractor sha l l provide the ~ l detai l ed information for each
submitted , oh form :
as applicable i n
~ . Project Total Trave l : This will li(jentify all current and cumu l a t ive travel on t he project . The listing shal l include
co l umns and t otals for the at a minimum:
Date Expensed Authorized Trave l Event Number Days of Travel Documen t ation of COR a pprova l prior to
,,' '"
2018-ICLI-00030 114
I ORDER NO.
I PAGE NO
7
7-J-00166
AMOUNT
<', QUANTITY
ACC~~TED
OPTIONAL FORM 348 1_ "f2WI!, "_ "<G$A'''''I4$,,,R,S3, ' 3(fj
000114epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
, MoO "" DATE OF ORDER
OS/25/2017
ITEM NO.
,., SUPPUESISERVICES
'" s hall be in accordance with the
I F::~~::~: t:T:r:ave l Regulations (FTR) . The Ie s hall be reimbursed for actual , ~1 1, ~h and reasonable cos t , not to
the amount show n i n t he schedule .
n . u.1. J. l. shall not be applied t o t ravel cos t s . Con tractors may a pp l y indirect costs to t ravel in accordance with the
us ual accounting practices cons is ten t with FAR 31 . 2 .
I n order t o ens ure t ha t a n accurate i nvoice is submi tted , t he Co nt rac t or shal l
t he i nvoice wi t h t he COR before the i nvoic e to Fi nancial Opera t ion s
Bur l i ng ton.
4 . I nvoice I nquiries : Quest i ons regarding s ubmi ss i on or payment , p l ease ICE Fina nc i al Operat i ons at
77 - 491 - 6521 or bye- mail at lr~n . dhs . gov
The obligated The t ota l for
(i) .
amount of award : ~b)(4 ) ~ t h is award is sho'cwCnCCiCn'-bCCoCx~
,,' '"
2018-ICLI -00030 115
I ORDER NO.
I PAGE NO
8
7-J-00166
AMOUNT
<', QUANTITY
ACC~~TEO
OPTIONAL FORM 348 1_ <f2WI!)
"_"<G$.'-'''''I4$,,,R)S3' ' 3(fj
000115epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS I;' REOUISITION NUMBER I PA~ ~I OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, oS 30 192116VSNOOOO16 1 0 11
2. CONTRACT~, EFFECTIVE CATE ISSUE CATE I:'AWAA~ rH~DER NU~BER
HSCEMD-16-P-00057
15' SOliCITATION NUMBER r~~SOI.ICITAnON
,. FOR SOUCITATION
~ ., NAME I~' TELEPHONE NUMBER (,*,_1_.) r' OFFER 0lJE CATEA.OCAL. TIME
INFORMATION CALL: r:b)(6);(b)(7)(C) 214 905 -[b)(6);(b)(7)(C) I
Q.ISSUED BY COO, ICE/IOSD 10. THISACOUISmON IS , UNRESTRICTED OR SETASIDE , e~
Invest i gations Op' Support Dallas WOMEN·OWNED SMAlL BUSINESS
S~AJ.LBUS IN ESS (WOS8) ELIGIBLE UNDER THE WOMEN.owNED I mmigration and Customs Enforcement HUBZONE SMAlL ..uAII RII""NF.~'" ""or."A~ N..'Jes·gb)(4) I Office of Acquisition Management
BUSINESS EOWOSB
7701 N. Stemmons Freeway , ~b)(6); (b)(7)(C) SERVlCE·DISAB!.ED . ., [b)(4) VETERAN.QWNED SIZE STANOARD' Dallas TX 75247 sw.u. BUSINESS
'1, DELIVERY FOIl FOB DESTINA,. 2, DISCOUNT TERMS 13b, RATING nON UNLESS BLOCK IS Net 30 '" THIS CONT ..... CT IS A MARKED RATEDOIlDERUNDER
t~. METHOD OF SOUCITATION SEE SCHEDUlE Of',o"s (15 CfR 7(0)
'" '" '" 15. DELIVER TO COOEIICE/HSI/SAC SAN ANTO 16. ADMINISTERED BY CODE IICE /IOSD
I nvest i gat i on - SAC Sao Antonio Investigat ions °P' Support Dallas
I mmigration and Customs Enforcement Immigration and Customs Enforcement
40 NE Loop 410 Office of Acquisition Management
Attn : Fb)(6);(b)(7)(C) I 7701 N. Sternrnons Freeway , ~b)(6); (b)(7)(C) I Sa n A n to n io TX 78216 Attn : <>
Dallas TX 75247
17 • . CONTAACTORI CODE 0330955680000 I FACn.1TY 160. PAYMENTWlLl BE MADE BY CODE IICE-HSI-SAC-SANJ OFFEROR W~
CELLEBRITE USA CORP DHS , I CE ATTN ~b)(6 ); (b)(7 )(C) I Burlington Finance Cen t er
7 CAMPUS DRIVE STE 210 P.O . Box 1620
PARSIPPANY NJ 070544413 Attn : ICE-HSI-SAC-San Antonio
Williston VT 05495 - 1620
TELEPHONE NO. 2018488 5 5~b)(6); (b)(7)(C) I 171>. CHECK IF REMmANCE IS DIFFERENT AND PlJT SUCH ADDRESS IN OFFER 181>. SUBMIT INVOICES TOAOORESS SHOWN IN BLOCK 160 U~ESS BLOCK BElOW
IS CHEC~ED SEEA.OOENDU~
" ~. " " " ". ITEM NO. SCHEDlII.E OF SUPPlIESISERVICES OUANTITY UNIT UNIT PRICE ~~
DUNS Number : 033095568
Program POC : b)(6),(b)(7)(C) , 210 321 1 b)(6);(b)(7)(C) I b)(6);(b)(7)(C)
It Program POC : b)(6);(b)(7)(C) 210 321 ~b)(6 ); (b)(7 )(C) I b)(6):(b)(7}(C)
Contracting POC : ~b)(6); (b)(7)(C) 214 - 90 5 i b)(6);(b)(7)(C) I b)(6);(b)(7)(C) I E xempt Action : N De l ivery : 90 Days After Award
Accounting Info :
Co n t inued •• .
(Use Reverse and/or Attach Additional ShBflts as Nacessary)
25. ACCOUNTINGAND APPROPRIATION DATA r6, TOTAL AWARD AMOUNT (For Gov!. Use Only)
See schedule ~b)(4)
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52,212' 1, 52,212-4. FAR 52,212·3 AND 52.212·5 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 ADDENDA
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 IDENTIFIEOABOVE AND ONANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
:lOa. SIGNATURE OF OFFERORlCONTRACTOR
3Ob, NAME AND TITLE Of SIGNER (Type orprinl) 13Oc. DATE SIGNED
29. AWARD OF CONTRACT:
DATED
OFFER
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<J orprinl)
~b)(6); (b)(7 )(C) 131<;. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449IREV. 212012) PREVIOUS EDITION IS NOT USABLE Prescribed b~ GSA· FAR (43 CFR) S3 .212
2018-ICLI-00030 116 000116epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
2 of 11
" ~ " n " " ITEM ~O. SCflEDUlE Of SUPP\.IESlSERIIK;ES QUAHJITY UNIT L1~IT Pft IC£ -" b}(7)(E)
000 1 b)(4) f b)(4) I
The total amount o f award : [ b)(4) I The
obl i gat i on fo< this award i s shown i n box 26 .
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVEO INSPECTEO 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 37. CHECK NUMBER
CORRECT FOR
COMPLETE PARTIAL FINAL PARTIAL FINAL
lB. SIR ACCOUNT NUMBER 39. SIR VOUCHER NUMBER 40. PAID BY
413 I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEIVED AT (Location)
2c. DATE REC'D (YY/MMlDD) 142d. TOTAL CONTAINERS
STANOAAD FDflM 1«9 (REV. 212012) BACK
2018-ICLI-00030 117 000117epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
...... _ .. "', 1 DATE Of ORDER
IGS - 01l 07/27/2016
3 OROER NO
HSCETE-16-F-00037
I FOR
I. REOUISITlONIREfERENCE NO
1192116VHQ4CCC0047
5 ISSUING OFFICE IAddmucotrespot>dence 10) ICEINFORMATION TECHNOLOGY DIVISION IMMIGRATION AND CUSTOMS ENFORCEMENT OFFI CE OF ACQUISITION MANAGEMENT 801 I STREET NW !(b}(6)(b)(7)(C) I WASHINGTON DC 20536
''0
• ,~,
20TO~E JEFFERSON DAV I S HWY
SUITE 801
I_ STATE I' ZIP COOE VA 22202
c DISADVANTA().EO
• HAME Of COtlSIGNEE
ICE HMLND SEC INV HQ DIV 4
I "" "\ "'''' 1 I 8
!:'CITY Id, S,TATE I_ ZPCOOE FAIRFAX I V 122030
• • PURCflASE
Ji"" "h'
e HUBZone
I
•
X t> DELIVERY
Excelll tor blllng "'ftrudorot an ... r_ .. _ o.w.y 0f0eI " ...qect to I'IS!I'uCtIOnI ~_ on
Ihcs SIde "...., oIlhIIlorm rod"
" sued...".a IOu.. ""'If_ c:onddJOnS of IhII -......._
~
I SERVICE.DISABLED VETERAN·O~ED
g 'M)MEN·OU.EO SMALl8USINESS ('M)$BI ELIGIBLE UNDER THE VIOse PROGRAM
h EOWOS8
• INSPECTION Destination
HEM NO ,., SUPPlIES OR SERVICES
'"
I"
,,"~mY
ORDERED UNIT (e) (<I)
DUNS Number ; 831301762 b)(4)
Continued ...
18 SHIPPING POINT
.~,
~,~
WHRlJCTIOi'IS ~ STREET ADDRESS ON_IIU (Cf PO 110>:)
, co
WILLISTON
22 UNrT'EO STATES OF
AMERICA BY (~J
AlIt_,lia fQIIlOC ..... REPRODUCTION ~EVIOUS EO-lION NOT us.o.au;
19 GROSS SHIPPING ¥.EIGHT
21 MAIL INVOICE TO
DHS ICE
BURLINGTON FINANCE CENTER PO BOX 1620 ATTN ICE-HSI-HQ-DIV 4
~ b)(6).(b)(7XC)
2018-ICLI-00030 118
1'~ONOR8EFORE:o:,.~'N l 09/01/2016
UNIT PRICE ,.,
20 INVOICE NO
• 05495- 1620
n NAME (Tyr»d)
b)(4)
bX4)
!bX61.(bX7XCl I
" ,
I
Net 30
"""'"" ~CEPTEO
'"
TITLE CONTRACTINGIOROERJNG OFFICER
OPTIONAL FORM UT (_ .. .m_1. _ ............... CI.1I11.~
000118epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
CONTRACT NO . (if any) GS - 07r-355AA PAGE 2 or a SUPPLEMENTAL INVOICING INFORMATION
If deSIred. this order (or a copy thereof) may be used by the Contraclor as the Contraelor'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 5 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 Sel"tllce, SIZes, quantities, unit prices, and extended
totals. Prepaid shipping costs will be indicated as a separate Item on the InvoICe. Where shipping costs exceed 510 (except for parcel
post), the btiling must be supported by a bill of ladmg or receipt When several orders are Invoiced to an ordenng actiVity dunng the same
bilHng penod, consolldaled periodic biHlngs are encouraged.
RECEMNG REPORT
Quantity In the "Quantity Accepled" column on the face of this order has been: o Inspected, o accepted, o rece ived by me
and conforms to contract Items listed below have been rejeeled for the reasons indicated
SHIPMENT PARTIAl. OATE RECEIVED SK>NATURE OF AUllIORIZED U S GOVT REP I DATE NUMBER """
TOTAL CONTAINERS GROSSv.4'.IGHT R£CEIVEOAT "m
REPORT OF REJECTIOHS
ITEM NO SUPPLIES OR SERVICES UNIT OUAHTITY REASON FOR REJECTION REJECTED
OPTIONA~ FORM ~1 IR .. 212(12) ta...CKI
2018·ICLHl0030 119 000119epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
, ORDER FOR SUPPLIES OR SERVICES
SCHEOULE • CONTINUATION
IM.T'E OF CROER
07/27/2016 I"'''-u ITEM NO SUPPlIESISERVICES
ARE IFIXED PRICE ORDER .
,oj
THIS IS A FIRM
THE CONTRACTOR SHALL NOTIFY THE GOVER~MENT 30 DAYS PRIOR TO THE EXPIRATION OF ANY
LICENSING/MAINTENANCE AGREEMENT .
THE GOVERNMENT WILL NOT BE OBLIGATED TO PAY THE CONTRACTOR ANY AMOUNT IN EXCESS OF THE
AMOUNT COVERING THE EFFECTIVE OF PERFORMANCE IN THE ORDER , AND THE
SHALL NOT CONTINUE ?ER~ORMANCE AND UNTIL THE CONTRACTING OFFICER
II:"~VO,:"I"~"~'O'~::T~~HE CONTRACTOR VERBALLY OR BY MODIFICATION THAT A NEW PERIOD OF
HAS BEEN ESTABLISHED AND
ILIMITA'''''" OF AUTHORITY
in the Government , Officer , has the
other than a authority to
direction to the Contractor , which ~ 1, the Contractor ' s obligations or
I ~::;::~~s this contract 1n any way . If any II representing the Government , other than a Contracting Officer , attempts to alter contract obligations , change the contract specifications/statement of work or tells the contractor to perform some
which the Contractor believes to be outside the scope of this contract , the Contractor shall i~~ediately notify the
I ~;;~:'~::;':~;:,contracting Officer (PCO) . Ie personnel shall not comply with lan~ order or direction which they believe ItO be outside the scope of this contract
the order or direction is issued by la Contracting Officer.
, ,
,OJ
2018-ICLI-00030 120
I PAGE NO
3
16-F-00037
AMOUNT
"
.- ,~~,
_"_''''I''C'~'''I'''''
000120epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE NO
SCHEDULE· CONTINUATION , DATE OF OROER
jlOROER NO 07/27/2016 355M HSCETE-16-F-00037
ITEM NO SUPPlIESlSERVlCES , """ AMOUNT
'" (0' i '01 PRICE
", ,., ,., '01 IIf the makes any changes Ithe authorization of the Contracting v~~~~~r , by modifying this order to include . . devices or services , the
is performing at it.s own risk . funded G- 514 i, required before any goods
or services are provided by the Contractor and no one is authorized to make any
to this order that will increase the obligated amount , other than the Contracting Officer . Any Government
. other than Contracting Officer who directs the Contractor to change this order by increasing of quantities is
an unauthorized co~itment and IShall complete the ratificat.ion
that matter . process to
Action; N
Info :
~Of
0001 fDX" I ~DX
I'"" ·'0 ' UH~/. CYBER CRIMES CENTER 11320 RANDOM HILLS RD . • ~b)(6), (b)(7)(C) I
VA 22030
508 COMPLIANCE 129 U. S . C. SECT I ON 508 OF THE REHABILITATION IACT (29 U. S. C. 7940) . AS AMENDED BY THE , INVESTMENT ACT OF 1998 (P . L .
.. .
~ , , ,
L fORM l48 I~ ...... , .. _ .. _ ... ,"CF~'"l''''
2018-ICLI-00030 121 000121epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE · CONTINUATION
IMPORTANT t.UrI< all - w.h contrKl an<Wor 00'_ rumDers
DATE OF OROlR; I~Oh'TRACT NO 07/27/2016 GS-07F-355AA
ITO! NO SUP9LIESlSERVlCES QUANTITY """ OAOEREO ,., (0' '" '" 105- 220). AUGUST 7 , 1998, REQUIRES THAT WHEN FEDERAL AGENCIES DEVELOP , PROCURE, MAINTAIN, OR USE ELECTRONIC AND INFORMATION TECHNOLOGY (EIT) , THEY MUST ENSURE THAT IT IS ACCESSIBLE TO PEOPLE WITH DISABILITIES . FEDERAL EMPLOYEES AND MEMBERS OF THE PUBLIC WHO HAVE DISABILITIES MUST HAVE ACCESS TO AND USE OF INFORMATION AND SERVICES THAT IS CO~PARABLE TO THE ACCESS AND USE AVAILABLE TO NON-DISABLED FEDERAL EMPLOYEES AND MEMBERS OF THE PUBLIC. ALL EIT WILL COMPLY WITH THE APPLICABLE TECHNICAL AND FUNCTIONAL PERFORMANCE CRITERIA OF SECTION 508 , UNLESS EXEMPT .
FAR 52 . 223-16 IEEE 1680 STANDARD FOR THE ENVIRO~MENTAL ASSESSMENT OF PERSONAL COMPUTER PRODUCTS IS HEREBY INCORPORATED BY REFERENCE .
Included by reference lAW FAR 52 . 222-50 , Combating Trafficking in Persons (FEB 2009) ; FAR 52.232-39 Unenforceability of Unauthorized Obligations (JUN 2013)
ADVANCE PAYMENTS ARE NOT AUTHORIZED. CONTRACTOR SHALL SUBMIT INVOICE MONTHLY OR
QUARTERLY IN ARREARS .
INVOICE PAYME~T INSTRUCTIONS
Please use these procedures when you submit an invoice foc all acquisitions emanating from ICE/OAQ .
l. Invoices shall now be submitted via one of .h. following three methods:
a . By mail : See Block 21 .
b . By facsimile (fax) at : 802-288-7658 (include a cover sheet with point of contact • I of pages)
Continued ...
TQTALCARRIEQ F()RWIlRD TO 1ST PIoGE (1TEIoII l1(HlI > ,...".HORIZEQ ~()II LOCAl. REPOOUCTIOt<
2018-IC U-00030 122
UNIT PRICE ,.,
I PAGE NO
5
I~OERNO HSCETE-16-:-00037
~OU'"
H'
OU-'NTITY ACCEPTED
'"
OPTIONAL ~ORM :W. _ ~\ _ .. _' ..... ' .. c<~I .. " .. ~
000122epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES SCHEDULE - CONTINUATION
DATE OF OROER
07/27/2016 I"'-U" - ,,, ..
rYEM NO
,., stJPPLIESiSERVICES
,OJ
submitted by other than these 'three methods will be returned . Contractor
Identific~tion Number (TIN) must be registered in the Central Contractor
~..,.. ri, (http://www.ccr.gov) prior to and shall be notated on every invoice
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 Ibe notated on every invoice . Please send an
. copy of the invoice to . GOV .
12 . In accordance with Section 1. Contract FAR 52.212-4 (g) (1) , Contract
ITeDnS and Conditions . Conmercial Items . the required with each invoice
I,e,b"i,sioo is as follows :
An invoice must include : (i) Name and address of the Contractor : {iiI Invoice date and number ; (iii) Contract number , contract line item number and . if applicable . the order
(iv) Oescription . quantity. unit of unit price and extended prlce of
Ithe items delivered ; {v} Shipping number and date of shipment .
I ~::~~;~:~i::i the bill of lading number and I_ of shipment if shipped on Government Ibill of lading ; (vi) Terms of any discount for prompt
offered ; (vii) Narr.e and address of official to whom
is to be sent; (viii) pers~n
Name, title , and phone numbe= of to notify in event of defective ; and
(ix) Taxpayer Identification Number {TIN} . The Contractor shall include its TIN on the
only if required elsewhere in this
(c) (d)
2018-ICLI -00030 123
UN" PRICE ,.,
I PAGE: NO
6
IIORDER NO HSCETE-16 f-00037
000123epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE NO
SCHEDULE· CONTINUATION , CATE OF ORDER I' 01/27/2016 355M ·l
rTEM NO SUf'Pl1ES/SERVlCES """ """"" "" .. ,., OJ ,,' I,,, ,., 'n '" (See ~ ,", .~, 1 .bove . ) (,) Slectronic fu nds transfer (SFT) banki ng
(AI The con~ractor shall include EFT banking information on the invoice only if
elsewhere in this cont ract . (B)' If En' banking information i s not
to be on the invoice , in order I th~ invoice to be a proper invoice , the
fo,
shall have submitted correct EIT i nformation in accordance with
" ,,,. 33 , Payment by Electron i c Funds
" Central Contractor Registration . ICI SFT banking information is not required
Ii! the Gove r nment waived the requirement co !~ay by EFT . OHS / ICE
~, Ope r ations ~ Burling t on Se rvice Inquiry Center @
1 ~ 811 - 491 - 6521 Monday through Friday 8 : 00 AM -5 : 30 PM EST or at e-mail add::ess 1r~ rvice@ice .dhs . gov .
without the above information m.y be returned fo, resubmission .
13 . All o t her terms and conditions remain Ithe same .
. ,,', Of:icer/COTR: Each Program Office lis responsible for accepta nce and receipt IOf goods and/or services . Upon receipt of
serv i ces , complet e the appl icable !f FMS r eports or OfC will no' process 'he
for questions regarding this order : Of f icer : ~b)(6); (b)(7){C) f
202-732 b){6).(b){7){C) . Officer : fb)(6).(b)(7)(C) f
Technic.' p~ ~ ) I POC : I, 703 - 1
I
ICOntinued ...
PREVIOUS EDITION NOT U$A8lE .. _ .. _· ... I .. C •• )~',lOO)
2018-ICLl-00030 124 000124epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2
ORDER FOR SUPPLIES OR SERVICES I PAGE ,..0
SCHEDULE · CONTINUATION 8 , DATE OF Of'IOER
07/27/2016 " .. 6-F-00037
ITEM NO SUPPLIESISERVICES "'" AMOUNT aUANTITY
,., ~.,
ACC~;lTEO '0} '0' '" ,., "
IThe total amount of award : ~bX4 ) I The b l, for this awa rd is shown in box
17(il .
, "
__ .. GU '011 I" CI~,,,,,,.,,
2018-ICLI-00030 125 000125epic.org EPIC-17-06-13-ICE-FOIA-20180803-1stInterim-Production-pt2