03rd Modification 05/15/2017 EYW HSTS02-16-H-SLR732 P00003
MSnider@keysso.net; DHILLER@KEYSSO.NET
Barbara.Schukraft@tsa.dhs.gov; thomas.poitras@tsa.dhs.gov;aimee.jackson@dhs.gov
Dear Lt. DiGiovanni :
Attached is a fully-executed copy of Modification P00003 for your files.
It is advisable to attach a copy of this modification to the request for reimbursement packets you
submit just to assure that processing the request is not delayed.
If you have any questions,please contact me at 571-227-3259 or email kurt.allenktsa.dhs.gov.
Please identify the agreement number in the subject line when inquiring by email
p61� Transportation
AWARD MODIFICATION Security
�PAND SBJ� Administration
1 MODIFICATION NUMBER 2 AWARD NUMBER 3 REQUISITION NUMBER
Modification No. Agreement No:
P00003 HSTS02-16-H-SLR732 2117207SLR373
4 'RECIPIENT 5 SSUED BY
Name&Address: EYW Name&Address:
Kurt Allen
ey West International Airport Transportation Security Administration
491 South Roosevelt Blvd. 701 S. 12th Street
Key West,Florida 33040-5295 Arlington VA 20598-6025
-mail: kurt.allen@tsa.dhs.gov
t.Mike DiGiovanni,305-292-4625 hone: 571-227-3259
6 APPLICATION TITLE
Law Enforcement Officer Reimbursement Agreement Program
1/01/2017
7 1A
WARD PERIODS 8 ISCAL DATA
Project Period: 04/01/2016 to 12/31/2018Appropriation:
remains unchanged
revised to 50S 178A000D2017ADE080GE000031006100616SLR/5903001
107010000/4101/TSA DIRECT/DEF.TASK
Funding Period: 01/01/2017 to 12/31/2017 $58,400.00
Effective Date: Date of signature by Contracting OfficerObligated: $58,400.00
Authorized UDO:
EIN: 5960000749 DUNS: 155639339
9 ESCRIPTION OF MODIFICATION
Under the authority of Article XII—Changes and or Modifications,the purpose of Modification P00003 to HSTS02-16-H-SLR732 is
o provide funding for activities supported by the TSA LEO Reimbursement Program.
In accordance with Article XII—Changes and or Modifications of HSTS02-16-H-SLR732,the Contracting Officer hereby adds
$58,400.00 to this award;
The purpose of this modification is to provide additional funding through 31 December 2017 for the Law Enforcement
Officer Reimbursement Program as outlined in the OTA with the Key West International Airport(EYW).
Except as modified herein,all other terms and conditions remain unchanged.
End of Modification P00003
10 1A
UTHORIZED SIGNATURES
NOT REQUIRED
Recipient's Signature Date
NOT REQUIRED Contracting Officer May 15, 2017
TYPED NAME AND TITLE
IT YPED NAME AND TITLE