03/12/2013 Agreement "T'''� Transportation
5 1 Security AWARD
�.. Administration
1 AWARD TYPE 2 AWARD NUMBER 3 REQUISITION NUMBER
Other Transaction Agreement HSTS0213HSLR041 2113203SLR041
4 PARTICIPANT 5 ISSUED BY
Name&Address: EYW Name &Address:
Transportation Security Administration
Key West International Airport Threat Assessment & Sector Management (TASM)
3491 South Roosevelt Blvd. 10W-409N. TSA-25
Key West, Florida 33040-5295 601 S. 12' Street
Arlington VA 20598-6025
Email: HSTS02RA@dhs.gov
FAX: 703-603-4022
6 APPLICATION TITLE & DATE
Law Enforcement Officer Reimbursement Agreement Program
HSTS02-12-R-SLR349
7 PROGRAM PERIOD 8 FISCAL DATA
Total Program Period 10/1/2012 through 9/30/2015 Federal Share: $175,200.00
Funding/Budget Period: 10/1/2012 to 9/30/2013 Appropriation No.
5AV134A000D2013ADE010GE000031006100616SLR
Effective Date: Date of Signature by TSA Contracting 5903001107010000-4101
Officer Obligated: $58,400.00
9 PARTICIPANT PROGRAM COORDINATOR 10 TSA CONTRACTING OFFICER TECHNICAL
REPRESENTATIVE (COR)
Lt. Mitch Snider Aimee Jackson, Program Manager
Key West International Airport Transportation Security Administration
3491 South Roosevelt Blvd. 601 S. 12th Street. TSA-18
Key West, Florida 33040-5295 East Tower (E8-206S)
Arlington, VA 20598-6018
Telephone: 571-227-1532
e-Mail: aimee.jackson@dhs.gov
11 ADMINISTRATIVE DATA 12 FAADS DATA
Program: Chief Operating Officer State Code: Florida
Legislative Authority: 49 U.S.C. §§ 106(m) and 114(m)(1) Congressional District: 1
Aviation and Transportation Security Act, Pub. L. 107-71, EIN: 5960000749 DUNS: 155639339
115 Stat. 597
13 AUTHORIZED SIGNATURES
Not Required
Participant's Signature Date •
March 12. 2013
C cti leer's Signature
TYPED NAME AND TITLE Johnny L. Hicks . Contracting Officer
TYPED NAME AND TITLE