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CONTRA:
TEXAS 1033 SURPLUS PROPERTY PROGRAM
APPLICATION LETTER.
TO: Texas Department of Public Safety
. TTN., Texas 1033 Program
5805 N.;Lamar Blvd,
BLDG G
Austin, TX 78752
AGENCY. City of Fort Worth Police Department
SUBJECT: Request Authorization for Screening and Receiving Surplus Property
1. Our Agency request that the personnel listed on the attached Law Enforcement Agency(LEA.)
Data Sheet be granted authorization to screen for and receive excess federal property as defined i
8. We understand and agree that our authorization to screen and receive property expires one
year ftom the Law Enforcement Support Office(LESO)authorization letter date.We also
understand that it is our responsibility,to submit a new Texas 1033 Program application packet
each year prior to the one year anniversary of our Authorization Letter and/or when there are
administration change and a new LEA Data Sheet when there are any personnel changes.Failure
to comply may result in suspension from the program and possible termination.
9. We understand that the inventory form(TX 103,3 Form A6) will be completed and
maintained for all transferred property.Additionally, we acknowledge that the inventory form
must be submitted annually with the application packet to maintain compliance with program
policies.Failure to comply may result in suspension of the program and possible termination.
10, We understand that if a vehicle is obtained through the Texas 1033 Program,the LEA will
forward photocopies of both(1)the United States Government Certificate to Obtain Title to a
Vehicle(SF 97); and(2)the Texas Certificate of Title(Form 30-C)to the Texas 10313 Program
Office within thirty(30)days of receipt.
AGENCY CHIEF EXECUTIVE OFFICIAL
SignAuref Date
Jeffrey Halstead, Chief of Police
carne/Title
AUTHORIZED OFFICIAL2:
/0's L4
OAfo
gi*at Date
Charles W. Daniels,Assistant City Manager
Natne/Title
AP PRO's" D' AS FORM AND LEGALITY
Jessic �angAang' V 6-
Assistant City Attorney
Agency Chief Executive Official Chief of Police or County Sheriff
2
Authorized Official—County Judge,Mayor,or City Manager/Administrator,
University/College President or Director.
OFFICIAL RECORD
TX 1033 Form A2 SEPT 20 12
'tITY SECRETA RY
F'111""'a I%ffi(',)RTNy TX
TEXAS 1033 SURPLUS PROPERTY PROGRAM
RELEASE OF LABILITY
AGENCY; Fort worth I Tarrant County ----_ _— ,Texas
City 1 County
The Texas Law Enforcement Agency(LEA)designated above acknowledges receipt of excess
property from the Department of Defense pursuant to Section 1033 of the National Defense
Authorization Act for Federal Fiscal Year 1997 (the 'Act"),Such excess property transferred
pursuant to the Act may include small arms and ammunition(hereinafter referred collectively as the .
"Transferred Property"),
The LEA acknowledges that the Transferred Property is considered excess to the needs of the
Department of Defense and that the Transferred Property may be in any condition from new to
unserviceable.The LEA acknowledges that there may be hazards associated with the use of the
Transferred Property, which could cause damage to property and serious injury or death. The
term"use" with respect to the Transferred Property is acknowledged to include,but is not limited
to,active deployment,passive transportation, and mere possession.The LEA agrees to provide
appropriate or adequate training to any person who may use the property. The LEA agrees that it
IS NOT the responsibility of the Department of Defense, the State of Texas,or the Texas
Department of Public Safety to provide appropriate or adequate training to any person using the
Transferred Property.
The Department of Defense, the State of Texas nor the Texas Department of Public Safety
assumes any liability for damages or injuries to any person or property arising from the use the
Transferred Property, By signing this agreement,the LEA agrees, subject to the appropriation of
sufficient funds,to be solely responsible for any and all suits, actions,demands or claims of any
nature arising from its use of the Transferred Property.The LEA agrees to maintain,at its expense,
adequate liability and property damage insurance and workman's compensation insurance to cover
any such claims.
The LEA accepts Transferred Property "as is" with no warranty of any kind.The Department of
Defense, the State of Texas nor the Texas Department of Public Safety make any claims or
warranties, expressed or implied,concerning the Transferred Property,including but not limited to.
warranty of fitness for a particular purpose.
The LEA acknowledges that any item of the Transferred Property meeting the definition of
"machine gun"found in 26 U.S. C. 584(b)*must be registered with the Bureau.of Alcohol,
Tobacco, and Firearms (BATF) with an ATF Form-10 (Application for Registration of Firearm
Acquired by Certain Governmental Entities). Upon receipt of a properly executed Form--10,
ATF will accept the registration of the machine gun and notify the LEA. Any machine gun
registered in this manner is restricted for law enforcement use only. The LEA agrees to provide
the State Coordinators Office a copy of an approved Form-10 for each machine gun that is part
of any Transferred Property received. The LEA.must execute a separate transfer agreement with
the United States Army, through the 1033 Program, for any small arms/weapons.
The LEA acknowledges that it is solely responsible for any and all costs associated with the
transferred Property,including but not limited to,packing,crating,-handling,transportation,
repossession,and disposal.
TX 1033 Fonn A3 JUNE 2007 1 of 2
The LEA acknowledges that Transferred Property may be disposed of only with written approval
from the State Coordinator's Office and in accordance with local,state,federal laws, and the
regulations and guidelines of the 1033 Program prescribed by the Law Enforcement Support
Office. The LEA specifically acknowledges that the preceding rule 'Includes, but is not limited to
the transfer, destruction or abandonment of any Transferred Property constituting small
arms/weapons and weapons parts.
Subject to the conditions set forth herein,title to the Transferred Property is assumed by the LEA
upon written acceptance hereof from the LEA.
By signing below,the Agency Chief Executive Official and the Authorized Official
acknowledge and understand all previously stated guidelines and conditions.
AGENCY CHIEF EXECUTIVE OFFICIAL':
Signature Date
,,-JeffreyHa,1stead, Chief of'Police APPROVED'AS TO FORM AND LEGALITY
Name/Title
4�
I Y
iessic angsvang
Assistant City Attorney
AUTHORIZED OFFICIAL2:
40#10 Zia
A Vature Date
Charles W. Daniels,Assistant City Manager
Name/Title
The National Firearms Act,26 U,S.C. section 5801 et seq., defines a firearm to include
machine gun.26 U.S.C. Section 5845(a)(6).That same act,defines a machinegun as follows:
The term"machine gun"means any weapon which shoots,is designed to shoot,or can be readily
restored to shoot,automatically more than one shot,without manual reloading,by a single function
of the trigger.The term shall also include the frame or receiver of any such weapon, any
combination of parts designed and intended,for use in converting a weapon into nto a machine gun, and
any combination of parts fi-om which a machine gun can be assembled if such parts are in the
possession or under the control of a person.
Agency Chief Executive Official—Chief of':police or County Sheriff
2
Authorized Official—County Judge,Mayor,or City Manager/Administrat r�0,, FFICIAL RECORD
University/College President or Director, C1If SECRE"TAIRY'
TX 1033 Form A3 SEPT 20 12 1 2�Df 2
WORTH, 1T X
is
a 4 IN
STATE OF TEXAS 1033 PROGRAM
PLAITS,.POLICIES AND PROCEDURES
PURPOSE:
The purpose of this document is to set forth the terms and conditions which will be binding on
the parties with respect to excess Department of Defense(DOD)personal property which is
transferred pursuant to 10 U.S.C, §2576a and to promote the efficient and expeditious transfer of
the property.
AUTHORITY:
The Secretary of Defense is authorized by 10 U.S.C. §2576a to transfer to federal and State
Agencies,personal property that is excess to the needs of the DOD and that the Secretary
determines is suitable to be used by such agencies in law enforcement activities,with emphasis on
counterdrug/counterterrorism activities,under such terms prescribed by the Secretary, The
authorities,,granted to the Secretary of Defense have been delegated to the Defense Logistics
r
.Agency(DLA).
STAFFING AND FACILITIES:
By authority of the State Governor,the Assistant Director over the Lave Enforcement Support
Division of the Texas Department of Public Safety is the Texas 1 033 Program State Coordinator.
The State Coordinator appoints the State Points of Contact(SPOCs)to administer the daily
operation of the 1033 Program.
TERMS.A" CONDITIONS:
■
Law Enforcement Agency(LEA)Eligibility Criteria: Must be a"law enforcement activity"
whose primary function is enforcement of applicable Federal,State and local]laws as defined by
the DLA regulation(this is referring to DLA Directive(DLAD)4160.10 which gill be
superseded by the one Book)and whose compensated officers have powers of arrest and
apprehension,
How to Enroll in the Slate 1033 Program; LEA must request enrollment via their State
Coordinator. LEAs must provide a completed application packet to their State Coordinator.
NOTE: Upon request of the Law Enforcement Support Office(LES0),a mission statement
will need to be provided along with the datasheet, If the enrollment request is approved by the
State Coordinator,it will be forwarded to the LES O. If approved by LES O,the State
Coordinator will be contacted and provided with a LEA screener's authorization memo
(Authorization Letter for Property Screening and Receiving). once enrolled,the LEA must
acknowledge receipt of the memorandum of understanding IOU)with the State Coordinator
agreeing to the terms and conditions of the 1033 Program. As soon as an agency is properly
enrolled, automations screening may be conducted through the Defense Reutilization and
/Marketing Office(Dl o)website. The State Coordinator's office must provide the LEA with
their login identification number for this application.
LEA Screener Criteria: Must be full-time and/or part-time,sworn and/or non--sworn officers
assigned to the LEA performing this duty. LEAs are allowed a maximum of four(4)screeners
TX1033SPO Page t of 9 SEPT2012
per agency. A maximum of two(2)of the authorized screeners may physically screen at any
DRMO at one tune.
■ Identification/AcquisitionfTransportation of Property; LEAs find needed property
electronically through the Defense Reutilization and Marketing Service(DRMS)website:
www.drms.dla.mil or by physically visiting the neatest DRMO. once property has been
identified,LEAs submit a manual or electronic DBMS Form 103 to the State Coordinator. The
State Coordinator approves/disapproves the request. If approved,it is sent to the LESO. If
approved it goes to Military Standard Requisitioning and Issue Procedures(MU STRIP)or a
manual.DD Form 1345 is sent to the State Coordinator. It is the responsibility of the State/LEA
to transport requested property from the DRMOs to their location. DLA will not fund the
transportation cost.
■ Storage of Property: Unless the State is authorized as a distribution center,it will be the
gaining LEA responsibility to store property received through the 1 033 Program. Distribution
centers should only hold property for their specific customers not more than 90 days. After that
date,disposition should be requested,in writing,from the LESO,via their State Coordinator.
■ Distribution of Property: LESO will approve property request in the following priority:
counterd-ra /counterterrorism and then any other law enforcement activities.
■ Security of Property: It is the responsibility of the gaining StatefLEA.to safeguard all property
received through the 1033 Program.. Should any property become lost due to theft,destru�.ction
or unauthorized sale/disposal,this information must be forwarded to the State Coordinator
within seven(7)working days after the incident. The State Coordinator will contact the LESO
for additional.guidance.
• Accountability of Property: Each LEA and the State must maintain records for all property
acquired through the 1 033 Program. These records must provide an"audit trail"for individual
items of property from receipt to distribution. These documents include but are not-limited to
the following; DIMS Form 103 with all justifications or printouts of automated requests,DD
Form 1345(receipt and turn--in),all disposal and transfer paperwork,approved Bureau of
Alcohol.,Tobacco and Firearms(ATF)Form 10s,Certificate of Aircraft registration(AC Form
5450-3),Aircraft Registration Application(AC-Form 5050--1), and any pertinent paperwork
through the LESO. The records maintained must also satisfy any and all pertinent requirements
under its applicable State statutes and regulations for the program and this property.
■ Establish Inactive File; As of October 1,2003,the LESO will institute a five(5)year file
retention policy. This policy will state that LESO will maintain active files for two(2)years
and inactive files for three(3)years. After five years,the files are destroyed with the exception
of DEMIL code B through ,sensitive items and$20,000 or more high dollar items,
5
■ Utilization of Property: Property received through the 1033 Program must be placed into use
within one(1)year of receipt and utilized for a minimum,of one(1)year,unless the condition z
renders it unusable. If property is not placed in use within one(1)year of receipt,it must be
z.
TX1033SPO Page 2 of 9 SEPT2012
transferred.to another authorized agency,or returned to a DRMO. Property returns/turn-ins
must be coordinated through the applicable State Coordinator and LESO.
• State Compliance Reviews; The State Points of Contact will inspect at a minimum 10%of the
active agencies to ensure property accountability and proper use of equipment. All law
enforcement agencies maintaining sensitive property will submit a written accountability
statement detailing property type and serial numbers on the anniversary date of their
Authorization Letter for the program.
Transfer of Property: LEAs must coordinate,in writing,transfer of 1033 property through
their State Coordinator. The State Coordinator will request final approval from the LESO.
Property may be transferred within the State or between States as long as it is properly
coordinated with the State Coordinator and LESO. If approved a"LESO transfer approval
memo"will be sent to the State Coordinator. For more information regarding these items,view
the following links-.
Defense Demilitarization and Trade Security Controls (TSQ Program
www.deantt.osd.mtt
Military Critical Technologies List
w-ww,dt1L'c.m1'L1/xn ctt
Critical Federal Supply Class (FSC)and Buzz words
www.drms.dl,-a.m'tt/drms/'('nternal/dem'tt/Cr't't't'calBuzze Pt.rodf
Flight Safety Critical Aircraft Parts (FS CAP)
www.d)rms.dla.m"t'l/drms/'('ntern;at/deim"t'I/IFSCAP.pdf
• * Disposal of Property: LEAs must request approval,in writing,from their State Coordinator
before any 1033 property is disposed, The State Coordinator will request final approval from
the LESO. If approved a"LESO disposal approval memo"will be,sent to the State Coordinator.
Only DEMIL codes A,E and Q may be.approved for disposal. Items with DEMIL codes of C,
D,E,F, G and P must be transferred to an authorized agency or must be returned to a DRMO
when no longer needed. Costs incurred for transfers, disposals or turn--ins will be borne by the
State/LEA.
o DEN111L code A: does not require demilitarization and may be disposed after obtaining
State Coordinator and LESO approval.
o DEMEL code B: does not require demilitarization and may be disposed or returned to a
DRMO. If disposed,it must be in accordance with TSC(see DOD 4160.21-M,Defense
Material Disposition Manual;DOD 4160.21--M--1,Defense Demilitarization Manual-
DRMS-I 4160.14,Volume V11).
.o DEMIIL code : does not require demilitarization and may be disposed or returned to a
DRMO. ff disposed,it must be in accordance with Commerce Control List Items
(CCLI)disposition requirements (see DOD 4160.21--M,Defense Material Disposition
TX1033SPO Page 3 of 9 SEPT2012
Manual;DOD 4160.21--M-1,Defense Demilitarization Manual;DRMS-I 4160.14,
Volume vII},
■ Specific Requirements for disposal of Munitions Lists Items(MLI)ICCLI
(DEMIL codes B and Q)excerpt from DOD 4160.21-M:
■ Before disposing of MLIICCLI property,Federal and State agencies
must consider the export control requirements as promulgated by the
Department of State,Department of Commerce and the Treasury
Department, as applicable. Disposal methods shall ensure that
appropriate safeguard requirements are in place prior to disposal.
These will include,but are not limited to;
• Notification of export control requirements to the end-user;
■ Exclusion of individuals,entities or countries who are excluded
from Federal programs by the General Services Admi.n.istration.
(GSA);
Exclusion if delinquent on obligations to the U.S. Government
or are debarred or suspended from DOD contracts;
Exclusion if currently suspended for TSC violations;
Exclusion if subject to denial, debarment or other sanctions
under public law.
❑ DENHL codes C,D E F G and P: require demilitarization and must be returned to a
DRMO. The State Coordinator must obtain the LES Os approval for equipment returns.
■ LESO will provide turn--in documentation(DD Form 1345-1A). with few
exceptions,the State/LEA will be asked to coordinate the turn--in with a local
DRMO. The StatelLEA.informs LESO which DRMO has agreed to accept the
turn-in. LESO will then provide turn--in documentation to the accepting DRMO,
Upon receipt of the turn--in documentation,the LEA must return the property to
the specified DRMO. The DRMO personnel receiving the materials will sign
the turn-in document and give the LEA a copy of the signed receipt paperwork.
This receipt paperwork must be maintained in the LEA's files and a copy of the
receipt must be forwarded to the State Coordinator for their files. (see DOD
4160.21-M,Defense Material.Disposition Manual;DOD 4160.21--Ili-1,Defense
Demilitarization Manual;DIMS--I 4160.14,volume VII for DEMIL rules).
TX1033SPO Page 4 of 9 SEPT2012
■ Training: The State Coordinator,State Points of Contact and LEAs should be
trained/familiar with guidance on the following websites:
ABCs of DEMIL
www.hr.dta.mit/dtc/coursecatatoZ/PD/abacdmit,hcm(knowledge of demilitarization
codes)
DLA operations
wwwAla.mil(DL.A handbook)
LESO operations
www.dia.mit/1-3/teso (1 033 Prograrnl.Automation training guides)
DRMS Operations
wwwA ms.-dta.mit(automation requisitioning process/procedures)
THE STATE WILL:
a. Receive applications for participation in this program from its law enforcement activities
and validate with signature,their law enforcement mission prior to forwarding to LESO
for approval as an authorized LEA. once the approval process is completed and the
agency is loaded in the DRAB automated requisitioning system,provide enrolled LEAs
with their LEA M number so they may request materials on-line.
b. Forward requests to LESO for excess property that is necessary to meet requirements for
LEA efforts, Assure the recipient LEA is identified on all requisitions.
c, Be responsible for the transfer and/or allocation of property to qualified LEAs,
d. Assure the LEAs agree to maintain, at no expense to the U.S. Government, adequate
liability and property damage insurance coverage and workmen's compensation
insurance to cover any claims.
e. Control and maintain accurate records on all property obtained under this plan. These
records must p rovide an"audit trail"for individual items of property from receipt to
distribution. These documents include but are not limited to the following: DRMS Form
103 with all justifications or printouts of automated requests,DD Form 1348(receipt and
P
turn--in), all disposal and transfer paperwork, approved ATF Form IDs,Certificate of
Aircraft Registration(AC Form 8050--3),Aircraft Registration Application(AC-Form 8050-
1 and an pertinent a erwork through the LESo. The records maintained must also
) any p p
satisfy any and all pertinent requirements under its applicable State statues and regulations
for the program and this property.
f. Enter into agreements with LEAs to assure they fully comply with the terms,conditions
and limitations applicable to property transferred pursuant to this plan/program.
TX1033SPO Page 5 of 9 SEPT2012
g. Allow a maximum of four(4)screeners,full--time and/or part-times sworn and/or non--
sworn officers,per LEA.performing this duty.The screeners must be named in a"letter
of authorization/datasheet"provided to the LESO, to be updated as changes occur, or
whenever LESO requests an update. A weapons point of contact(POC)fulltime officer
must be included on the"letter of authorization/datasheet"for any LEAs that have
received or are requesting weapons. NOTE: A.maximum of two(2) of the authorized
screeners may physically screen at any DRMO at one time.
h. Assure that all environmentally regulated property is handled,stored and disposed of in
accordance,with applicable Federal, State and local environmental laws and regulations.
i. Assure that the following weapons are registered with the US.Treasury Department's
ATF: M 14,M M M21 and M7 3. The State and each LEA must comply with all
applicable firearm lags and regulations. Report all stolen or unaccounted for weapons to
DLA,LESO not later than seven(7)warping days after it is discovered. The State
Coordinator must provide a weapon POC on all LEA data sheets. All weapon transfers
between LEAs must be approved by the LESO before it is completed. Maintain an
approved copy of the ATF Form,10 for all M14,M16,M21 and M79 rifles issued to
State&EA.
j. Identify to LESO each request that will be used in counterdrug/counterterrorism
activities.
k. Ensure LEAs are aware of their responsibilities in accordance with the Single Audit Act of
1984,as amended(31 U.S.C.7501--7). Assist LEAs by providing information, as required,
for audit submission. Assist LEAs by identifying which property oversight agency the audit
information must be submitted to.
1. Review and update State Plan of operation annually(calendar year)or when the Governor--
appointed State Coordinator changes or Governor changes. If there are no changes to the
State Plan of operation send a signed letter/email to the LESO indicating that the plan has
been reviewed and no changes were necessary.
m. Ensure all LEAs enrolled in the State 1033 Program maintain a current copy of the State
Plan of operation or MOU.
n. Conduct P eriodic reviews of each LEA enrolled in the program,to include physical
inventory/spot checks,of property received and any related records. Additionally,ensure
LEAs are in compliance with applicable Memorandum of Agreement(MOA)/MOU and/or
the State Plan of operation. These reviews must be documented and maintained by the
State Coordinator for future LESO compliance reviews.
o. obtain reconciliation reports from the LESO website and conduct monthly reconciliations
_ P
on all items received and annual reconciliations for high dollar items(items valued over
$20,000) and Derail B-Q items between the State/LBA and LESO.
SEP
T 1033SPO Page 6 of 9 ' `��1�
P. Ensure serial/tail numbers are provided to LES O on items such as peacekeepers/armored
personnel carriers(APCs), aircraft,night vision goggles (NVGs)lsights and weapons.
q. Validate and certify LEA.inventory reconciliation results electronically and forward them to
LESO within 10 working days of the monthly or annual reconciliation process. Maintain a
signed copy of all property reconciliation documentation received through the 1 033
Program.
r. Submit requests for property returns(turn--ins to a DRMO)to LESO. Dote: Costs of
shipping or repossession of the property by the U.S, Government will be borne by the LEA.
s. Submit disposal,transfer and inventory adjustment requests to LESO.
t. Contact the LESO in writing not later than 30 calendar days prior,to a State Coordinator
change.
u. All property transfers will cease if no current Governor's letter is on file;the State has not
signed the MO.A with DLA;the State Coordinator or POC does not validate all property
requests and there is no State Plan of operation on file.
T]HE LAW ENFORCEMENT AGENCY WILL:
a. Submit applications for participation in this program to the State Coordinator for
approval. Upon request from the State Coordinator or LESO provide a mission
statement. -
b. Submit requests for property(electronically). Provide justification for all requisitions to
the State Coordinator.
c. Agrees to maintain, at no expense to the U.S. Government, adequate liability and
g .
property damage insurance coverage and workmen's compensation insurance to cover
any claims.
d. Control and maintain accurate records on all property obtained under this plan. These
records must provide an"audit trail"for individual items of property from receipt to
distribution. These documents include but are not limited to the following: DRMS Form
103 with all justifications or printouts of-autornated requests,DD Form 1348 (receipt and
�
turn-in),all disposal and transfer paperwork, approved A.TF Form IDs,Certificate of
Aircraft Registration(AC Form 8050-3),Aircraft Registration Application(AC--Form Soso--
1) and any pertinent paperwork through the LESO. The records maintained must also
satisfy any and all pertinent requirements under its applicable State statutes and regulations
for the program and this property.
e. Comply with the terms, conditions and limitations applicable to property transferred
pursuant to this plan/program,
SEPT2�12
TX1033SPO Page 7 of 9
f, Allow a maximum of four(4)screeners,full-time and/or part--time,sworn and/or non-
sworn officers,per LEA performing this duty.The screeners must be named in a"letter
of authorization/datasheee'provided to the LESO, to be updated as changes occur, or
whenever LESO requests an update, A weapons POC fulltirne officer must be included
on the"letter of authorization/datasheet'for any LEAs that have received or are
requesting weapons. DOTE: A.maximum of two(2)of the authorized screeners may
physically screen at any DRMO at one time. Appoint a Property Accountable officer
responsible for approving/disapproving all property requests and maintaining all records
for property received that are accountable.
g. Assure that all environmentally regulated property handled,stored and disposed of in
accordance with applicable Federal,State and local environmental lags and regulations.
h. Assure that the following weapons are registered with the U.S.Treasury Department's ATF;
M14,M16,M21 and M79. Recipients must comply with all applicable firearm laws and
regulations. Report all stolen or unaccounted for weapons to LESO through the State
Coordinator not later than seven(7)working days after the incident has occurred. The LEA
must provide a weapon POC on all data sheets. All weapon transfers between LEAs must
be approved by the LESO before it is completed. LEA.must maintain an approved copy of
the ATF Form 10 for all M 1 4,M 16,M21 and M79 rifles received.
I s Identify to LESO each request that will be used in counterdrug/counterterrorism activities.
j. LEAs enrolled in the State 1033 Program must maintain a copy of the State Plan of
Operation or MOU.
k. LEAs must be aware of their responsibilities under the Single Audit Act of 1984, as
amended(31 U.S.C.750 1-7).
1. Conduct periodic reviews to include physical inventory/spot checks of actual property and
related records. Ensure compliance with applicable MOA/MOU and/or the State Plan of
Operation.
m.. Obtain reconciliation reports from the State Coordinator and conduct monthly and annual
reconciliations. Provide reconciliation results to the State Coordinator.
n. Ensure serial/tail numbers are provided to the State Coordinator on items such as
peacekeepers/ADCs,aircraft,NVGs/sights and weapons.
o. Conduct inventory reconciliations and provide inventory reconciliation results electronically
to the State Coordinator within 10 working days of the monthly or annual reconciliation
process. Maintain a signed copy of all property reconciliation documentation received
through the 1033 Program.
TX1033SPO Page 8 of 9 SEPT2012
p. Submit requests for property returns (turn-ins to a DRMO)to the State Coordinator. Note:
Costs of sbipping or repossession of the property by the U.S. Govemment will be borne by
the LEA.
q. Submit disposal,transfer and inventory adjustment requests to the State Coordinator.
r, Contact the State Coordinator,in writing,not later than 30 days prior, when property
accountable officer changes.
TERMINATION CRITERIA: AnI-EA may be terminated from the program either temporarily
or permnently by the State Coordinator for failure to comply with any policy governing the
program. A termination notice will be provided via certified mail from the State Coordinator's
office.
IN WITNESS THEREOF,the parties hereto have executed this agreement as of the last date
written below.
'(60
Joe
All"
Its s W.Daniels
Assistant hector Assistant City Manager
Texas Department of Public Safety City of Fort Worth
Texas 1033 State Coordinator
APPROV41 ASrO FORM AND,LEGALITY
-I'
0 "'J'u'.J'L'*
AGENCY NAME*
V
Jessica Sa svan
Ciltyof Fort Worth Police Department Assistant City Attorney
AGE NCY CIMF EXECUTIVE OFFICIAL: ATTEST
Signature ary Kayser
F0
City aeratery
Jeffre
I Halstead,Chief of Police
Name/Title
M&C:N/A � "�
C30
(Us
Date Approved:N/A 0
0
Date
40 1
S
00"', FICIAL RECORD
S T2012
TX1033SPO Pago 9 of 9
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LAW ENFORCEMENT AGENCY(LEA)
P-PUCATION FOR`A TICIP TTON
*'. .,application" -rust be' dated and resubmitted iffi n' days of an changes oi,can an�r�uinual basis
1� � lTr./urcrr n
F - UPDATE SCRFPNFR 1D{Update Only).
AGENCY;Clty of Fort Worth Police Department
PHYSICAL ADDRFSS.(No P.0.Box):350 W.Belknap St
:r ILTNG ADDRESS (If different than above)
. Fort Worth 1,, 1.F: TX
IF.
7 1 l l"S I
eric.skinner@fortworthtexas.gov
orthtexas.gov
PHONE.
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17-378-1599 FAX:817-378-1597
NUMBER F COMPENSATED OFFICE S WITH ARREST AND APPRETIENSI N AUTHORITY
F LL-T.IM F PA RT-T1 M Fr
SC E N :MUST HAVE AT LEAST ONE
Designated HOC for calls and emails on jo33 Program requests and property.Pickup
SCREENER/MAIN POC,Jeff Holman
. Eric Skinner
8 l FF. ifR/POC
(,Optional):
w
INVENTORY CHECK
I ocs the Agency cun-critly have and equipment from thu 120811033 Program? YES
NO
4
91,
WEAPONS:� `c�F ��1R�'`7�AFT: �r F.IS No WATFF��,"RAFT: Y No
YA.CT1C L: L8 "' O _ .:11L., coy fjkO--1,,l.D: + NOq) DEMIL A: Usu_ NOk!-)
*Bv signilig this ?{papy�plication.,the Chler Fvecuutive r f-riclu.11 eud of ge,rr y(Local Field Of-rice is"'Lware 014
11
I
1208/1033 Froprcrty quit-rc ru jy I'll-the I)OSSCSS1fl��of tlicir depar nicidw
: a# *�� t��
*Upon acceptance,in to the 033 Pro ram I un erstam d that i have ay to fainilt�►r�� n s
State Plan of'operation aud all 10133 Pro grain gut s-lice that is provided by the "tale Coordinator and that by
signing,l cerfifly that all Iffi'orlul ktlon Coll tainc(l above is vallid and accurate.
CHIEF EXECUTIVE OFFICIAL/: ]DATE.
STATE COORDINATOR: Hr 1
+�
I
. A.T R HeHearn A.T : ,
(NOT REQUIRED FOR FEDERAL FAN " AIL, l
.ux new
log
r
0'0i
r
PERTY P"ROGRAM
TEXAS 1033 SURPLUS PRO
SUPPLEMENTAL DATA SHEET
Date:Dec 23,2,013
Agency A City of Fort Worth Police Department
Phone: Alternate Ph()ne*
Fax:
Website(if applicable):
Screener#1 Sergeant/Jeff Holman/jeffery.holman@fortworthtexas.gov
R ANX MAME.1 F,-NIArL ADDRESS
screener#2, Officer/Eric Skinner/eric.skinner@fortworthtexas-gov
RA'NT<jNAN4F,/-FAIATL ADDRRSS
Greener#3; Sergeant/Lorne Tracy/forne.tracy@fortwortht'lexas.gov.
ltkN K i N AML E-M DRE S 8
Screener#4:
R ANKIWAME E-M A rLADDRESS
Weapons officer*
'R NNY/NA N4 H E-M A TL ADDR ESS
741EUTL' OFFICIAL
AGENCY CHIEF EXE
Signattire.
Name: Jeffrey Halstead
Title: Chief of Police
Email. Jeffrey.Halstead @fortwor htexas.gov
AUTHORI ED OFFCC AL2
Signature:
Name: C�mes W. Daniels
Title: Assistant City Manager
Charies.W.Daniels@fortworthtexas.gov
E alfl:
ed
1 Agency bid Executive Offic4d Polk Of Pol or Coun ty h ff.
2 AuthoilzQd, Offichil COUntY h1d9c,M�Iyor, or City Mamiger/Admi .is trator,University/C011 ge
Prcsident ar Dirce-tor.
0ear "V"
TX Form Al JUN 200:7