3rd Modification 08/25/2015 r
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AWARD MODIFICATION Transportation
`' Security
& Administration
1 MODIFICATION NUMBER 2 AWARD NUMBER 3 REQUISITION NUMBER
Modification No. Agreement No:
P00003 HSTS0213HSLR041 2115205SLR679
4 RECIPIENT 5 ISSUED BY
Name&Address: FYW Name&Address:
Transportation Security Administration
Key West International Airport Threat Assessment&Sector Management Programs
3491 South Roosevelt Blvd. IOW-404N,TSA-25
Key West,Florida 33040-5295 601 S. 12th Street
Arlington VA 20598-6025
Lt.Mitch Snider,005-292-4625 Attn: Johnny L.Hicks,571-227-3438,FAX:703-603-4022;E-
mail Johnny.hicks((n,dhs.gov
6 APPLICATION TITLE&DATE
Law Enforcement Officer Reimbursement Agreement Program
07/30/2007
7 AWARD PERIODS 8 FISCAL DATA
Project Period: 10/01/2012 to 01/31/2016 Appropriation:
____remains unchanged 5AV156A000D2015ADE01OGE000031006100616SLR-
4 revised to 5903001107010000-4101-TSA
Obligated: $6,872.42
Funding Period 10-01-2015 to 09-30-2016
Effective Date: Date of signature by Contracting Officer EIN:5960000749 DUNS: /55639339
9 DESCRIPTION OF MODIFICATION
Under the authority of Article XII—Changes and/or Modifications,the purpose of Modification P00003 to HSTS02I3HSLR041 is to
provide partial funding for activities supported by the TSA LEO Reimbursement Program.
In accordance with Article IV of HSTS0213HSLR041,the Contracting Officer hereby adds$6,872.42 to this award;
EYW-Subject to the availability of funds this 1 EA 6,872.42 6,872.42 PR is to partially fund and extend OTA Project
Period for Key West International Airport(EYW)Contract#HSTS0213HSLR04I from October 1,2015 to January 31,2016.
Extension Allocation:$6,872.42
Reimbursement is limited to actual costs not to exceed rate of$20.00 per hour and total FY 2016
allocation.Reimbursable activities eligible for partial reimbursement are subject to review,
certification,and validation of operational necessity based on the requirements within the
Statement of Joint Objective(SOJO).
PoP: 10'1/15- 1/31/16 C
ACQ POC:Johnny Hicks
+ .;'. CHAIRMAN
Except as modified herein,all other terms and conditions remfr
, . •�• `
•
End of Modification P00003 .'..
_^o bi ' • FIX
10 AUTHORIZED SIGNATURES ' 1 i J �r i, n
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Contracting Officer's Sig + -
Recipient's Signature Date Contracting Office
TYPED NAME AND TITLE
Donald DeGraw — Director of Airports
TYPED NAME AND TITLE