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S <br />With <br />1. DATE OF ORDER 2. CONTRACT ryry0.(Yapy) �— <br />05/29/2015 EROi(MA-15-'0007 <br />3. ORDER N0, 4, REQUISITION/REFERENCC NO. <br />n/a <br />6. ISSUING Orr Mq (Augm, correepondeam to) <br />ICE/Decent Mngt/Detent Contract -LAG <br />nmmigration and Customs Enforcement <br />OffACe of Acquisition f4anagameat <br />24000 Avila Road, Room 7109 <br />Attn: Natasha Nguyen (949)425-7030 <br />Laguna Niguel CA 92677 <br />7. TO: <br />e. NAME OF CONTRACTOR <br />SANTA ANA CITY OF <br />b. GCMPANY NAME <br />a. STREETAODRESS <br />20 CIVIC CENTER PLAZA <br />s, SHIP <br />a. NAME OF CONSIGNEE <br />Bee IGM Facility Location <br />b. STREET AODRE88 <br />c. CITY <br />SHIP VIA <br />❑a, PURCHASE <br />REFERENCEYOUR: <br />Please farnlah the Pollowinp an the Name <br />d CITY antl condlllona apn0lfl80 on bath aides of <br />SANTA ANA a, STATE L ZIP CODE this order and on INA etlached cheat, If any, <br />CA 92701 1110hAdi49 dallvery ea lndlGeted <br />❑ a. SMALL ® b. OTHER THAN SMALL , ❑ 0, DISADVANTAOEn ❑d. WOMEN-OWNEO <br />❑ HILI <br />❑C SCRVICE-DISABLED ❑S, WOMEN OWNED SMALL BUSINESS(WO$B) <br />a. <br />VETERAN -OWNED ELIGIBLE UNDER THE W038 PROGRAM ❑ h, EDWOSB <br />18. PLACE OF 14, GOVERNMENT B/L NO. <br />'I8. DELIVER TC F,O.S, P <br />e, INSPE0110N b, ACCEPTANCE <br />Destination <br />ON OR BEFORE !pale) <br />07/31/2020 <br />Destination <br />17. 9cNEBULS (see reverse Inr,gslacflans) <br />ITEM NO, <br />(A) <br />SUPPLIES OR SERVICES QUANTITY <br />ORDERED <br />UNIT <br />UNIT <br />PRICE <br />(b) <br />DUNS Number; 083153247 <br />d) <br />al <br />COR 2OC: Daniel pompltln, (760) 561-6327 or <br />e-111,111 at daniel.a,pompl.un@lce.dhs,gov <br />This is a Fixed rate !GSA. to .supply <br />Continued ,,, <br />18. 8HIPPINGPOINT <br />10. GROSS SNIPPING WEIGHT <br />20. INVOICE NO, <br />21. MAIL INVOICE TO: <br />A. NAME <br />sNcenuNa <br />DHS, ICE <br />INSTRUCTIONS <br />ON REVERSE <br />b. BT RE GT ACIDRE$S HUrlingt On Firia RCe C.BRt GC <br />(o P.0 BOX) <br />P. o. Box 1620 <br />Attn: iCE-FRO-FOD-FLS <br />raill.ist'on <br />UNITED STA1"EB OF <br />AMERICA BY (81(ingfnie) <br />1RI79p POR LOCAL REPRODUCTION <br />CUa EDITION NOT USABLE <br />PAGE OF PAGES <br />1 2 <br />a STATE I a, ZIP CODE <br />ORDER <br />❑ b. DELIVERY <br />ExaapC forbllllnS Inalydallons on the <br />reverse, this dellvsry order is adb)e01 <br />In <br />inalructlons canlaln.a on the <br />sIda <br />only 0f thls fOmn all` le laa4a4 <br />aupJesf l0 the Iarms and aehdltlana <br />of the above-hllmbarad.sh'., <br />Destination <br />AMOUNT <br />O,QO <br />a. P0, 00 <br />VT 05495-1620 <br />"M—WE (7W -s <br />Roberta 7. Halls <br />TITLE! CONTRACTING/ORDERING OPFICER <br />Net 30 <br />QUANTITY <br />ACCEPTED <br />(a) <br />PF <br />r. <br />17(i) <br />GRAND <br />TOaTJAL <br />Of Ina mum <br />98 CF119a.21](n <br />