04th Modification 12/29/2017 AWARD MODIFICATION Transportation
AdministratiOn
1 MODIFICATION NUMBER 2 AWARD NUMBER 37 REQUISITION
NUMBER
P00004 HSTS02-16-H-SLR732 2118208SLR223
4 RECIPIENT 5 ISSUED BY
Name &Address EYW Name &Address:
Key West International Airport Transportation Security Administration(TSA)
3491 South Roosevelt Blvd. Office of Contracting&Procurement
Key West,Florida 33040-5295 701 S. 12t1i St. Arlington,VA 20598-6025
Peter Fiess, CO; Ph: 571-227-4447
Lt. Mike DiGiovanni, 305-292-4625 Email: Peter.Fiess@tsa.dhs.gov
6 APPLICATION TITLE
Law Enforcement Officer Reimbursement Agreement Program
7 AWARD PERIODS 8 FISCAL DATA
Project Period: 4/1/2016 to 12/31/2018 Appropriation
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[X] remains unchanged 50S 189A000D2018ADE080GE000031006100616SLR/
[ ] Revised to: 5903001107010000/4101/TSA DIRECT/DEF.TASK;
$14,400.00
Obligated: $14,400.00
Funding Period: 4/1/2016 to 3/31/2018
Effective Date: Date of signature by Contracting Officer EIN: 5960000749 DUNS: 155639339
9 DESCRIPTION OF MODIFICATION
Under the authority of Article XII—Changes and or Modifications, the purpose of this Modification is to provide
funding for activities supported by the TSA LEO Reimbursement Program.
The purpose of this modidication is to provide additional funding in the amount of$14,400.00 to support the LEO
Reimbursable Program through 3/31/2018 as outlined in the OTA with Key West International Airport(EYW).
Except as modified herein, all other terms and conditions remain unchanged.
End of Modification P00004
10 AUTHORIZED SIGNATURES
**NOT REQUIRED
12/29/2017
Recipient's Signature Date Contracting Officer Date
**NOT REQUIRED ** Peter Fiess
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TYPED NAME and TITLE TYPED NAME AND TITLE