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HomeMy WebLinkAboutContract 45565 (2)CITYSECIiETAny L CONTRAcJ'. TEXAS 1033 SURPLUS PROPERTY PROGRAM APPLICATION LETTER • TO: Texas Department of Public Safety ATTN 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 in the Defense Authorization Act, 1997, Public Law 104-181 Section 1033, Transfer of Excess Personal Property. 2. We, the undersigned, understand and agree that failure to comply with the terms of this application is in direct conflict with the intent of this program, and failure on our agency's part to abide by the terms and conditions of the Texas 1033 Program may result in termination from the program and other sanctions including civil or criminal prosecution. 3. We understand and agree that we are responsible for all transportation costs incident to the redistribution or collection of any transferred property. Transferred property must be removed from the Defense Reutilization and Marketing Offices (DRMO) within fourteen (14) days or sooner if so directed by the DRMO. Failure to claim and remove property may result in the redistribution of the property to another agency. 4. We understand and agree that this property is transferred from the Department of Defense (DoD). Transferred property must have a direct application to the LEA's street law enforcement, arrest and apprehension mission. Transferred property may not be disposed of bartered or transferred without prior notification, written authorization and instructions from the Texas 1033 Program. including instances in which property is no longer serviceable for law enforcement use. • 5. We understand and acknowledge that at no time can transferred aircraft or weapons be sold. Additionally. assigned aircraft or weapons cannot be disposed of. bartered or transferred without written consent from the Texas 1033 Program. Failure to comply will result in eternal termination from the program and possible civil or criminal prosecution. 6. We have read and understand, in its entirety, the Texas Military Surplus Property and Procurement Program booklet. We understand and agree to comply with the terms and conditions bf the Texas 1033 Program and have signed the Release of Liability Statement. 7. We understand that the Federal Freedom of Information Act and the Texas Open Records Act apply to all property received under the Texas 1033 Program. TX 1033 Form A2 SEPT 2012 • OFFICIAL RECORD; CITY SECRETARY F% WORTH, TX • tiog1�ez 0 AViv 03413338 RECEIVED APR2jzo12014 8. We understand and agree that our authorization to screen and receive property expires one year from 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 changes 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 1033 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 1033 Program Office within thirty (30) days of receipt. AGENCY CHIEF EXECUTIVE OFFICIAL': 01.11.444/..0 Signature' Jeffrey Halstead, Chief of Police Name / Title AUTHORIZED OFFICIAL2: .4./../9/re Anceet Charles W. Daniels, Assistant City Manager Name / Title APPROV D AS FORM AND LEGALITY 0 a 1r\ I Jessi Sangs ang Assistant City Attorney ¥/51 4' Date 0#: 44 /4tse Date 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. TX 1033 Form A2 SEPT 2012 ti cf.) r;mi, 2 rl :lu Yid( )1,�J ,��l) 1:1K TEXAS 1033 SURPLUS PROPERTY PROGRAM RELEASE OF LIABILITY AGENCY: Fort Worth /Tarrant County City / County • , Texas 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 (BATE) 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 Coordinator's 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 Form 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 T PA 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': Of. VILA*: Signature Jeffrey Halstead. Chief of Police Name / Title Date APPROVED/ S TO FORM AND LEGALITY r AUTHORIZED OFFICIAL2: WarsHOZ,Le_./ Sie Charles W. Daniels, Assistant City Manager Name / Title Je s s i c .4. angsvang Assistant City Attorney O¢. M. /4- Date • * 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 a machine gun, and any combination of parts from 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/Administrate University/College President or Director. TX 1033 Form A3 SEPT 2012 'OFFICIAL RECORD CITY EaIRY "92 o T. MATH, TX STATE OF TEXAS 1033 PROGRAM PLANS,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 Agency (DLA). STAFFING AND FACILITIES: By authority of the State Governor, the Assistant Director over the Law Enforcement Support Division of the Texas Department of Public Safety is the Texas 1033 Program State Coordinator. The State Coordinator appoints the State Points of Contact (SPOCs) to administer the daily operation of the 1033 Program. TERMS AND 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 will be superseded by the One Book) and whose compensated officers have powers of arrest and apprehension. • How to Enroll in the State 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 (LESO), 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 LESO If approved by LESO, 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 J EA must acknowledge receipt of the memorandum of understanding (MOU) 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 (DRMO) website. The State Coordinator's office must provide the T FA with their login identification number for this apphcation. • 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 1 of 9 SEPT2012 per agency. A maximum of two (2) of the authorized screeners may physically screen at any DRMO at one time. • Identification/Acquisition/Transportation 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 nearest DRMO. Once property has been identified, T FAs submit a manual or electronic DRMS 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 (MII STRIP) or a manual DD Form 1348 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 1033 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: T FSO will approve property request in the following priority: counterdrug/counterterrorism and then any other law enforcement activities. • Security of Property: It is the responsibility of the gaining State/LEA to safeguard all property received through the 1033 Program. Should any property become lost due to theft, destruction 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 T.FA and the State must maintain records for all property acquired through the 1033 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: DRMS Form 103 with all justifications or printouts of automated requests, DD Form 1348 (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 8050-3), Aircraft Registration Application (AC -Form 8050-1), and any pertinent paperwork through the T,ESO. 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 Q, sensitive items and $20,000 or more high dollar items. • 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 renders it unusable If property is not placed in use within one (1) year of receipt, it must be 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 T FSO. 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 Tf 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 (TSC) Program www.demil.osd.md Military Critical Technologies List www.dtic.mil/mctl Critical Federal Supply Class (FSC) and Buzz words www.drms.dlainail/drxris/internatUdemil/CriticalBuzzKevPtpdf Flight Safety Critical Aircraft Parts (FSCAP) www drms dia.mil/drms/internal/derail/FSCAP.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 "T FSO disposal approval memo ' will be sent to the State Coordinator. Only DEMIL codes A B 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 DEMIL code A: does not require demilitarization and may be disposed after obtaining State Coordinator and T FSO approval. o DEMIL 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 VII) o DEMIL code 0: does not require demilitarization and may be disposed or returned to a DRMO If disposed, it must be in accordance with Commerce Control List Items (CCLI) disposition iequirements (see DOD 4160 21-M, Defense Material Disposition TX1033SPO Page 3 of 9 SEPT2012 Manual; DOD 4160.21-M-1, Defense Demilitarization Manual; DRMS-I4160.14, Volume VIl) Specific Requirements for disposal of Munitions Lists Items (MLi/CCLI (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 Administration (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. o DEMIL codes C. D. E. F. G and P: require demilitarization and must be returned to a DRMO. The State Coordinator must obtain the LESOs approval for equipment returns. LESO will provide turn -in documentation (DD Form 1348 1A). With few exceptions, the State/LEA will be asked to coordinate the turn -in with a local DRMO. The State/LEA infouiis 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 I FA 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-M-1 Defense Demilitarization Manual DRMS-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 DEMI I , wwrw.hr.dla.xml/dec/coursecatalocr/PD/abcdmil.hrw, (knowledge of demilitarization codes) DLA Operations www.dla.mil (DLA handbook) LESO Operations www.dla.mil/i� /lese (1033 Program/Automation training guides) DRMS Operations www.drxns.dla.xnil. (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 DRMS automated requisitioning system, provide enrolled LEAs with their LEA ID 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 t,FAs. 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 provide an "audit trail" for individual items of property from receipt to distribution. These documents include but are not hmited to the following: DRMS Form 103 with all justifications or printouts of automated requests, DD Form 1348 (receipt and turn -in), all disposal and transfer paperwork, approved ATF Form 10s, Certificate of Aircraft Registration (AC Form 8050-3) Aircraft Registration Apphcation (AC -Form 8050- 1) and any pertinent paperwork through the LESO. The records maintained must also 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-time, 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. NOTES 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 U.S. Treasury Department's ATF: M14, M16, M21 and M79. The State and each LEA must comply with all applicable firearm laws and regulations. Report all stolen or unaccounted for weapons to DLA, LESO not later than seven (7) working 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/LEA. 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 T FSO indicating that the plan has been reviewed and no changes were necessary m. Ensure all T FAs enrolled in the State 1033 Program maintain a current copy of the State Plan of Operation or MOU. n. Conduct periodic reviews of each LEA enrolled in the program, to include physical mventoiy/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 on all items received and annual reconciliations for high dollar items (items valued over $20,000) and Demil B-Q items between the State/LEA and LESO. TX1033SPO Page 6 of 9 SEPT2012 p. Ensure serial/tail numbers are provided to LESO on items such as peacekeepers/armored personnel carriers (APCs), aircraft, night vision goggles (NVGs)/sights and weapons. Va idate and certify LEA inventory reconciliation results electronically and forward them to T,FSO 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. q. r. Submit requests for property returns (turn -ins to a DRMO) to LESO Note: Costs of shipping or repossession of the property by the U.S. Government will be borne by the URA. s. Submit disposal, transfer and inventory adjustment requests to LESO. t. Contact the T FSO 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 MOA with DLA; the State Coordinator or POC does not validate all property requests and there is no State Plan of Operation on file. THE 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 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 automated requests, DD Fouu 1348 (receipt and turn -in) all disposal and transfer paperwork, approved ATF Form lOs Certificate of Aircraft Registration (AC Form 8050-3) Aircraft Registration Application (AC-Foini 8050- 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. TX1033SPO Page 7 of 9 SEPT2012 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/datasheet" provided to the LESO, to be updated as changes occur, or whenever LESO requests an update. A weapons POC fulitime 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. 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 laws 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 T FA must provide a weapon POC on all data sheets. All weapon transfers between T FAs must be approved by the LESO before it is completed. LEA must maintain an approved copy of the A114 Form 10 for all M14, M16, M21 and M79 rifles received i. 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. 7501-7). 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 seiialltail numbers are provided to the State Coordinator on items such as peacekeepers/APCs, 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 shippng or repossession of the property by the U.S. Government 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: An T EA may be terminated from the program either temporarily or permanently 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. Sk g • Assistant birector Texas Department of Public Safety Texas 1033 State Coordinator AGENCY NAME: City of Fort Worth Police Department AGENCY CHIEF EXECUTIVE OFFICIAL: Qatfrdy w s Signature Jeffrey Halstead, Chief of Police Name / Title y�s�y Date TX1033SPO Page 9 of 9 Assistant City Manager City of Fort Worth APPROVE j AS sTO FORM AND LEGALITY ao Jessica Sait3svan Assistant City Attorney ATTEST ary Kayser City Secretary M&C: N/A Date Approved: N/A G'fl fl ©liAL CURS SP,` T2012 g (l `T ir SECRETARY [Pt WORTH, TX LAW ENFORCEMENT AGENCY (LEA) APPLICATION FOR PARTICIPATION *This application must be updated and resubmitted within 30 days of any changes or on an annual basis NEW 0 UPDATE SCR R RN E R ID Only): (Update AGENCY:City of Fort Worth Police Department PHYSICAL A DDR RSS (No P.Q. Box):350 W. Belknap St MAILING ADDRESS (If different than above): my: Fort Worth S'l'Ai E: TX ZIP:76102 EMAIL: eric.skinner@fortworthtexas.gov PHONE: 817-378-1599 FAX: 817-378--1597 NUMBER OF COMPENSATED OFFICERS WITH ARREST AND APPREHENSION AUTHORITY FU [,L T I M E: 1524 PART-T 1 M R: R E S F,R VP.: SCREENER(S) POC: MUST HAVE AT LEAST ONE *MAIN POC: Designated POC for calls and enuails on 1033 Program requests and property pickup SCREEN RR/MA EN POC: Jeff Holman SCREF.I4RRIPOC #2: Eric Skinner SCREENRR/POC; #3, Lorne Tracy SCREF.MP,R/POC; #4: WEAPON POC (Optional): AIRCRAFT POC (Optional); INVENTORY CHECK Does the Agency currently have any equiprnent from the 1208/1033 Program? YES 0 NO WEAPONS: YFS NO 0 AIRCRAFT: YES NO TACTIC: AL: YES _ NO Q OUJER CON '1 ItOLLLL): YES 0 NO VEL1K;LES PROPERTY \A:TATERCRAFT: VHS NC) D.LMIL A : YES W NO (LESS '.!I!A_y A YEAR OLD) *By signing this application, the Chief Executive Official/Head of Agency (Local Field Office) is aware of 1208/1033 Property curzently irn_the possession of their department. *Upon acceptance into the 1033 Program, I understand! that I have 30 days to familiarize myself with the State Plan of Operation and all 1033 Program guidance tliat is provided by the State Coordinator and that by signing, 1 certify that all information contained above is valid and accurate, CHIEF EXECUTIVE OFFLCIAL/: HEAD OF LOCAL. AGENCY STATE COORDINATOR: (NOT REQUIRED FOR FEDERAL) Jeffrey Halstead PR INTFI) NAME Skyior Hearn PAIN" fUlkli f- e DATE Mg DATE: 51t hq TEXAS 11)33 ?UPLUS PROPE Date: Dec 23, 2013 T SUFPII,EMENTAL DATA SIIEF Agency: City of Fort Worth Police Department Phone:.\ Fax: 378 13781 Website (if applicable): 11599 '1597 Alternate Phone: • 817 6050 &ereener #t : Sergeant / Jeff Holman / Jeffery.holman@fortworthtexas.gov RANK NAME E-MIATL ADDRESS Screener #2: Officer / Eric Skinner/ ernc.skinner@fortworthtexas.gov RANK / NAME / E-MAIL ADDRESS ercenter # Sergeant/ Lorne Tracy / lorne.tracy@fortworthtexas.gov Ti NKt NAME i_E-NIA)1,A1)DJ SS Screener #4: RANK / NAME; F-MATL ADDRESS Weapons Officer: RAN / NAME / E-MAIL ADDRESS AGENCY IIIE..L EX E C{J T TE OFFICIAL' Signature: leir.114 Name: Jeffrey Halstead Title: Chief of Police Ln�ail: Jeffrey.Halstead@fortworthtexas.gov AUTHORIZED OFFICIAL? • Signature: Name; Cfd°P'1es W. Daniels Title: Assistant City Manager rnil: Charles.W.Daniels@fortworthtexas.gov AM i 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, TX 1033 Fo1171 A I JUN E 2007 II Clear L