Facility Management Agreement Executive Approval Form
(Form must be filled out completelv)

This fOI'm should be the cov.r pAge: fOI' .11 new contr.cts .nd torw.rded to the BOSG Aclministr.tive Auistllnt (wjth
cgntACt) for distribution

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Pleue check .ppropri.tte box:

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Proposal

[8] Final Contract

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Contract Modffication/Amendment

Description of Agreement / RFP / Amendment submitted for approval:
Agreement Between CCA and Stewart County, GA and Intergovernmental Service Agreement (IGSA) between
Stewart County, Georgia and ICE

Per Diem (If bered, please specify) : _S..54z:w
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Contract Base Year(s):

CCAIStewart County Agreement : ?I1/06-12/31fU: IGSA Effective Uoon Final Execytion

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Contract Option Year(s):
CCA/ Stewart County Agreement; Additional_Year Periods Uoon Mutual Written
Agreements Between the Parties: IGSA - NIA

Date Submitted to Executive Board:

6119106

By his/her sign.&tu,.. below, the Customet' ReMitions ~n.&ger represents th&t he or she .... submithd the AgreenMnt I RFP I
Amendment to the 8o&rd with supporting summlirMs.net ftnancia;ls.s requiNd by Facility Support Center Policy 1-2.

Kim Porter
Senior Director, Customer Relations
Reviewed and Approved by:

Vice President, Business Development

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Executive Management Signatures of Approval

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Chief ¥utive Officer

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Chief Financ"al Offic
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Chief

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Chief ~
General Counsel