2.2.1-70CDCR26R00000016_RFP_Section A.pdf

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Attached to
ICE TELERADIOLOGY SERVICES
Solicitation number
70CDCR26R00000016
Issued by

About this file

This is a Standard Form 1449 (SF 1449) Solicitation/Contract/Order for Commercial Products and Services issued by the Department of Homeland Security Immigration and Customs Enforcement (ICE) Office of Acquisition Management for teleradiology services.

Solicitation Details and Contract Structure:

Solicitation Number 70CDCR26R00000016 was issued on 06/11/2026 with an offer due date of 07/07/2026 at 1200 CT. Contact: Genna Braden, 214-905-8309. This is a Women-Owned Small Business (WOSB) set-aside with 100% reserved for WOSB entities. The solicitation is designated as a Request for Proposal (RFP) for commercial services (NAICS 621512, Product/Service Code Q522 - Radiology Services). The contract incorporates FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5 by reference.

Contract Line Items and Period of Performance:

The contract includes a base period of one year from award plus four one-year option periods (total five years) following Revolutionary Federal Acquisition Regulation Overhaul (RFO) 17.2 Deviation 25-36. The base period consists of a 120-day transition-in period and a 245-day operational period. Line items include: CLIN 0001 - 100,000 EA Chest X-Ray services; CLIN 0002 - 5,000 EA Other Than Chest X-Ray services; CLIN 0003 - Registration Fees (1 Level of Order) covering Alexandria Staging Facility, El Paso Processing Center, Eloy Detention Center, Florence Service Processing Center, Houston Contract Detention Center, Jena-LaSalle ICE Processing Center, Krome Service Processing Center, Montgomery Processing Center, Pearsall South Texas ICE Processing Center, Port Isabel Service Processing Center, and Tacoma Northwest ICE Processing Center; and CLIN 0004 - Transition-In services (4 months). Comparable option line items (1001-1003, 2001-2003, 3001-3003, 4001-4003) are included for four successive option periods. All line items are firm-fixed-price basis. Invoicing procedures beginning December 9, 2024 will use the IPP.gov platform, with registration required for payment. Alternative invoice submission methods include email (Invoice.Consolidation@ice.dhs.gov) or mail to DHS ICE Financial Service Center Burlington. Inquiries regarding payment should be directed to 1-877-491-6521, Option #3.

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File Type Posted
2.4.1-A0005_70CDCR26R00000016.pdf PDF
2.4.1-A0005_70CDCR26R00000016_RFP Sections B-M_Red-Line.pdf PDF
2.4.1-A0005_70CDCR26R00000016_RFP Sections B-M_Clean.pdf PDF
2.4.1-A0003_70CDCR26R00000016.pdf PDF
2.4.1-A0004_70CDCR26R00000016.pdf PDF
2.4.1-A0004_70CDCR26R00000016_RFP Sections B-M_Clean.pdf PDF
2.4.1-A0004_70CDCR26R00000016_RFP Sections B-M_Red-Line.pdf PDF
2.4.1-A0003_70CDCR26R00000016_RFP Sections B-M_Red-Line.pdf PDF
2.4.1-A0003_70CDCR26R00000016_RFP Sections B-M_Clean.pdf PDF
2.4.1-A0002_70CDCR26R00000016_RFP Sections B-M_Red-Line.pdf PDF
2.4.1-A0002_70CDCR26R00000016_RFP Sections B-M_Clean.pdf PDF
2.4.1-A0002_70CDCR26R00000016.pdf PDF
2.4.1-A0001_70CDCR26R00000016_RFP Sections B-M_Clean.pdf PDF
2.4.1-A0001_70CDCR26R00000016_RFP Sections B-M_Red-Line.pdf PDF
2.4.1-A0001_70CDCR26R00000016.pdf PDF
2.2.1-Attachment 4 - Question Template.docx DOCX document
2.2.1-Attachment 2 - Past Performanceand Experience Form v4.docx DOCX document
2.2.1-Attachment 1 - PWS.pdf PDF
2.2.1-Attachment 3 - Pricing Template.xlsx XLSX spreadsheet
2.2.1-Attachment 1 - PWS_Appendix 3.pdf PDF
2.2.1-Attachment 1 - PWS_Appendix 2.xlsx XLSX spreadsheet
2.2.1-Attachment 1 - PWS_Appendix 1.xlsx XLSX spreadsheet
2.2.1-70CDCR26R00000016_RFP_Sections B-M.pdf PDF
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Text version

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

DATED.

OFFER

ADDENDA

ADDENDA

70CDCR26R00000016

SEE PWS

DETENTION COMPLIANCE AND REMOVALS

ICE Office of Acquisition Management 500 12th St SW

WASHINGTON DC 20024

07/07/2026 1200 CT

GENNA BRADEN

214-905-8309

70CDCR 100.00

GENNA BRADEN

621512

$19

06/11/2026

This solicitation is for teleradiology services for the Immigration and Customs Enforcement

(ICE) Health Service Corps (IHSC) in accordance with the terms outlined in sections A-M of this request for proposal (RFP), including all

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

attachments (see section J). The resultant contract from this solicitation has an anticipated period of performance that will include a base period of one year from the date of contract award and four, one-year option periods in accordance with Revolutionary

Federal Acquisition Regulation Overhaul (RFO)

17.2 (Deviation 25-36). Included in the base period is a 120-day transition-in period and a

245-day operational period. All below dates are estimated dates.

0001 100000 EAChest X-Ray

Anticipated Award Type: Firm-fixed-price

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

0002 5000 EAOther Than Chest X-Ray

Anticipated Award Type: Firm-fixed-price

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

0003 1 LORegistration Fees

Alexandria Staging Facility - Louisiana:

$XX.XX

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

NSN 7540-01-152-8067

El Paso Processing Center - Texas: $XX.XX

Eloy Detention Center - Arizona: $XX.XX

Florence Service Processing Center - Arizona:

$XX.XX

Houston Contract Detention Center - Texas:

$XX.XX

Jena - LaSalle ICE Processing Center -

Louisiana: $XX.XX

Krome Service Processing Center - Florida:

$XX.XX

Montgomery Processing Center - Texas: $XX.XX

Pearsall South Texas ICE Processing Center -

Texas: $XX.XX

Port Isabel Service Processing Center - Texas:

$XX.XX

Tacoma Northwest ICE Processing Center -

Washington: $XX.XX

This CLIN will be billed on a FFP basis at the unit prices specified above in accordance with the PWS and all other terms and conditions of this contract as applicable per state regulation. Note, the contractor shall not bill the government if a state does not require registration or does not charge registration fees.

Anticipated Award Type: Firm-fixed-price

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

0004 4 MOTransition-In

120 Days

This is a FFP CLIN and will be billed on a monthly basis at the unit prices specified below in accordance with the PWS and all other terms and conditions of this contract.

Anticipated Award Type: Firm-fixed-price

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

1001 100000 EAChest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

08/27/2027

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

1002 5000 EAOther Than Chest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2027

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

1003 1 LORegistration Fees

Alexandria Staging Facility - Louisiana:

$XX.XX

El Paso Processing Center - Texas: $XX.XX

Eloy Detention Center - Arizona: $XX.XX

Florence Service Processing Center - Arizona:

$XX.XX

Houston Contract Detention Center - Texas:

$XX.XX

Jena - LaSalle ICE Processing Center -

Louisiana: $XX.XX

Krome Service Processing Center - Florida:

$XX.XX

Montgomery Processing Center - Texas: $XX.XX

Pearsall South Texas ICE Processing Center -

Texas: $XX.XX

Port Isabel Service Processing Center - Texas:

$XX.XX

Tacoma Northwest ICE Processing Center -

Washington: $XX.XX

This CLIN will be billed on a FFP basis at the unit prices specified above in accordance with the PWS and all other terms and conditions of this contract as applicable per state regulation. Note, the contractor shall not bill the government if a state does not require registration or does not charge registration fees.

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2027

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

SERVICES

2001 100000 EAChest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2028

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

2002 5000 EAOther Than Chest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2028

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

2003 1 LORegistration Fees

Alexandria Staging Facility - Louisiana:

$XX.XX

El Paso Processing Center - Texas: $XX.XX

Eloy Detention Center - Arizona: $XX.XX

Florence Service Processing Center - Arizona:

$XX.XX

Houston Contract Detention Center - Texas:

$XX.XX

Jena - LaSalle ICE Processing Center -

Louisiana: $XX.XX

Krome Service Processing Center - Florida:

$XX.XX

Montgomery Processing Center - Texas: $XX.XX

Pearsall South Texas ICE Processing Center -

Texas: $XX.XX

Port Isabel Service Processing Center - Texas:

$XX.XX

Tacoma Northwest ICE Processing Center -

Washington: $XX.XX

This CLIN will be billed on a FFP basis at the unit prices specified above in accordance with the PWS and all other terms and conditions of this contract as applicable per state regulation. Note, the contractor shall not bill the government if a state does not require registration or does not charge registration fees.

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2028

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

3001 100000 EAChest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2029

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

3002 5000 EAOther Than Chest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2029

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

3003 1 LORegistration Fees

Alexandria Staging Facility - Louisiana:

$XX.XX

El Paso Processing Center - Texas: $XX.XX

Eloy Detention Center - Arizona: $XX.XX

Florence Service Processing Center - Arizona:

$XX.XX

Houston Contract Detention Center - Texas:

$XX.XX

Jena - LaSalle ICE Processing Center -

Louisiana: $XX.XX

Krome Service Processing Center - Florida:

$XX.XX

Montgomery Processing Center - Texas: $XX.XX

Pearsall South Texas ICE Processing Center -

Texas: $XX.XX

Port Isabel Service Processing Center - Texas:

$XX.XX

Tacoma Northwest ICE Processing Center -

Washington: $XX.XX

This CLIN will be billed on a FFP basis at the unit prices specified above in accordance with the PWS and all other terms and conditions of

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C) this contract as applicable per state regulation. Note, the contractor shall not bill the government if a state does not require registration or does not charge registration fees.

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2029

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

4001 100000 EAChest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2030

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

4002 5000 EAOther Than Chest X-Ray

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2030

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

4003 1 LORegistration Fees

Alexandria Staging Facility - Louisiana:

$XX.XX

El Paso Processing Center - Texas: $XX.XX

Eloy Detention Center - Arizona: $XX.XX

Florence Service Processing Center - Arizona:

$XX.XX

Houston Contract Detention Center - Texas:

$XX.XX

Jena - LaSalle ICE Processing Center -

Louisiana: $XX.XX

Krome Service Processing Center - Florida:

$XX.XX

Montgomery Processing Center - Texas: $XX.XX

Pearsall South Texas ICE Processing Center -

Texas: $XX.XX

Port Isabel Service Processing Center - Texas:

$XX.XX

Tacoma Northwest ICE Processing Center -

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Washington: $XX.XX

This CLIN will be billed on a FFP basis at the unit prices specified above in accordance with the PWS and all other terms and conditions of this contract as applicable per state regulation. Note, the contractor shall not bill the government if a state does not require registration or does not charge registration fees.

Anticipated Award Type: Firm-fixed-price

(Option Line Item)

08/27/2030

Product/Service Code: Q522

Product/Service Description: RADIOLOGY

SERVICES

ICE – IPP INVOICE INSTRUCTIONS

Beginning December 9, 2024 all invoicing procedures will take place on www.IPP.gov.

Vendors must be registered www.IPP.gov.

Registration on www.IPP.gov is required to receive payment.

Invoices will not be accepted by any other method.

1. The contractor shall be active in the System for Award Management (www.SAM.gov) for invoice processing. Besides the information identified below, a proper invoice shall also include contractor’s Unique Entity Identifier (UEI) number; the ICE Program Office; and state whether the invoice is “INTERIM” or “FINAL”.

2. In accordance with Contract Clauses, FAR

52.212-4 (g) (1), Contract Terms and Conditions

- Commercial Items, or FAR 52.232-25 (a) (3), Prompt Payment, as applicable, the information required with each invoice submission is as follows:

"...An invoice must include-

(i) Name and address of the Contractor. The name, address and UEI number on the invoice

MUST match the information in both the

Contract/Agreement and the information in SAM;

(ii) Unique Entity Identifier (UEI) number;

(iii) Invoice date and number;

(iv) Contract number, line items and, if

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C) applicable, the order number;

(v) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(vi) Shipping number and date of shipment, including the bill 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;

(ix) Name, title, and phone number of person to notify in event of defective invoice;

(x) ICE Program Office designated on the order/contract/agreement; and

(xi) Whether the invoice is “Interim” or

“Final”

3. Invoice submission: The above information will be required to complete the invoice submission requirements within IPP. Please refer to www.IPP.gov for additional information on Getting Started, Benefits, Features, and

Enrollment.

Invoices without the above information may be returned for resubmission.

The contractor shall follow the above invoicing procedures unless the Contracting Officer or

Contracting Officer's Representative determines that the below procedures shall be followed.

INVOICE INSTRUCTIONS

1. The contractor shall be active in the System for Award Management (www.SAM.gov) for invoice processing. Besides the information identified below, a proper invoice shall also include;

contractor’s Unique Entity Identifier (UEI) number; the ICE Program Office; and state whether the invoice is “INTERIM” or “FINAL”.

2. In accordance with Contract Clauses, FAR

52.212-4 (g) (1), Contract Terms and Conditions

- Commercial Items, or FAR 52.232-25 (a) (3), Prompt Payment, as applicable, the information required with each invoice submission is as follows:

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

"...An invoice must include-

(i) Name and address of the Contractor. The name, address and UEI number on the invoice

MUST match the information in both the

Contract/Agreement and the information in SAM;

(ii) Unique Entity Identifier (UEI) number;

(iii) Invoice date and number;

(iv) Contract number, line items and, if applicable, the order number;

(v) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(vi) Shipping number and date of shipment, including the bill 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;

(ix) Name, title, and phone number of person to notify in event of defective invoice;

(x) ICE Program Office designated on the order/contract/agreement; and

(xi) Whether the invoice is “Interim” or

“Final”

3. Invoice submission: shall be submitted via one of the following two methods. Improper invoices or those submitted by means other than these two methods will be returned. Email is the preferred method.

a. Primary method of submission is email. The

Contractor shall submit one (1) invoice in PDF format per e-mail and the subject line of the e-mail will reference the invoice number of the attached invoice to:

Invoice.Consolidation@ice.dhs.gov

Attn: ICE/ERO/FHQ/DMD Invoice

b. Mail:

DHS, ICE

Financial Service Center Burlington

Attn: ICE/ERO/FHQ/DMD Invoice

P.O. Box 1620

Williston, VT 05495-1620

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

4. Payment Inquiries: Questions regarding invoice submission or payment, please contact

Financial Service Center Burlington at

1-877-491-6521, Option # 3 or by e-mail at

OCFO.CustomerService@ice.dhs.gov

Invoices without the above information may be returned for resubmission.

Solicitation/Contract/Order for commercial products and commercial services
Requisition number
Contract number
Award/Effective date
Order number
Solicitation number
Solicitation issue date
For solicitation information call:
Name
Telephone number
Offer due date/local time
Issued by
Code
This acquisition is
NAICS
Size standard
Delivery for free on board (FOB) destination unless block is marked
Discount terms
This contract is a rated order under the defense priorities and allocations system - DPAS
Rating
Method of solicitation
Deliver to
Code
Administered by
Code
Contractor/Offeror
Code
Facility code
Telephone number
Check if remittance is different and put such address in offer
Payment will be made by
Code
Submit invoices to address shown in block 18a unless block below is checked
Accounting and appropriation data
Total award amount
Solicitation incorporates by reference
Addenda
Contract/purchase order incorporates by reference
Addenda
Contractor is required to sign this doc. and return:
Award of contract: reference
Signature of offeror/contractor
Name and title of signer
Signer date signed
Signature of contracting officer
Name of contracting officer
Contracting officer date signed
Authorized for local reproduction. Previous edition is not usable
Standard Form 1449 (Rev. 11/2021)
Quantity in column 21 has been
Signature of authorized government representative
Date
Printed name and title of authorized government representative
Mailing address authorized government representative
Telephone number of authorized government representative
Email number of authorized government representative
Ship number
Voucher number
Amount verified correct for
Payment
Check number
Stock record (S/R)
S/R account number
S/R voucher number
Paid by
I certify this account is correct and proper for payment
Signature and title of certifying officer
Date
Received by
Received at
Date received
Total containers
Standard Form 1449 (rev. 11/2021) Back

File details come from the government source that posted it. Updated .