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Okaloosa County BOCC — March 15, 2016 — Coordination and Award Modification P00004 — reading text
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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
Date
Contracting Officer January 19, 2016
_____________________________________________ TYPED NAME AND TITLE
TYPED NAME AND TITLE