Okaloosa County BOCC — March 15, 2016 — Coordination and Award Modification P00004

VPS HSTS0213HSLR205 P00004 kwindes@co.okaloosa.fl.us.;meubanks@okaloosaclerk.com;Patricia.Chasse@tsa.dhs.gov; aimee.jackson@dhs.gov Dear Chairman Windes: Attached is a fully-executed copy of Modification P00004 for your files. It is advisable to attach a copy of this modification to the first FY16 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 202-253-4220 or email kurt.allen@dhs.gov. Please identify the agreement number in the subject line when inquiring by emal  AWARD MODIFICATION 1 MODIFICATION NUMBER 2 AWARD NUMBER 3 REQUISITION NUMBER Modification No. Agreement No: P00004 HSTS0213HSLR205 2116206SLR309 4 RECIPIENT 5 ISSUED BY Name & Address: VPS Name & Address: Kurt Allen Okaloosa County Board of County Commissioners Transportation Security Administration Okaloosa County Administration Building 701 S. 12th Street 1250 Eglin Parkway North Arlington VA 20598-6025 Shalimar, FL 32579 E-mail: kurt.allen@tsa.dhs.gov Mr. Charles K. Windes, Jr., 850-651-7105 Phone: 202-253-4220 6 APPLICATION TITLE & DATE Law Enforcement Officer Reimbursement Agreement Program 06/11/2012 7 AWARD PERIODS 8 FISCAL DATA Project Period: 10/01/2012 to 03/31/2016 Appropriation: √ remains unchanged 5AV167A000D2016ADE010GE000031006100616SLR- revised to 5903001115030000-4101-TSA Obligated: $42,483.47 Funding Period 10-01-2015 to 09-30-2016 Authorized UDO: Effective Date: Date of signature by Contracting Officer EIN: 596000765 DUNS: 613277649 9 DESCRIPTION OF MODIFICATION Under the authority of Article XII –Agreement Modifications, the purpose of Modification P00004 to HSTS0213HSLR205 is to provide funding for activities supported by the TSA LEO Reimbursement Program. In accordance with Article IV Amount of Award of HSTS0213HSLR205, the Contracting Officer hereby adds $42,483.47 to this award; VPS - This modification fully funds an extension of the OTA Project Period for Destin-Fort Walton Beach Airport (VPS) Contract# HSTS0213HSLR205 through March 31, 2016. Extension Allocation: $42,483.47 Cat II Airport 2,124.17 hours @ $20.00 = $42,483.47 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: 10/1/12 - 3/31/16 ACQ POC: Kurt Allen Except as modified herein, all other terms and conditions remain unchanged. End of Modification P00004 10 AUTHORIZED SIGNATURES ______________ _______________ ___________ Recipient's Signature