FY 2012 PORT SECURITY GRANT PROGRAM 
(PSGP) 
Sample MOU/MOA Template 


Memorandum of Understanding / Agreement 
Between [provider of layered security] and [recipient of layered security] 
Regarding [provider of layered security’s] use of port security grant program funds 

1. PARTIES. The parties to this Agreement are the [Provider of Layered Security] and the [Recipient of 
security service]. 
2. AUTHORITY. This Agreement is authorized under the provisions of [applicable Area Maritime Security 
Committee authorities and/or other authorities]. 
3. PURPOSE. The purpose of this Agreement is to set forth terms by which [Provider of security service] 
shall expend Port Security Grant Program project funding in providing security service to [Recipient of 
security service]. Under requested FY 2012 PSGP grant, the [Provider of security service] must provide 
layered security to [Recipient of security service] consistent with the approach described in an approved 
grant application. 
4. RESPONSIBILITIES: The security roles and responsibilities of each party are understood as follows: 
(1). [Recipient of security service] 

Roles and responsibilities in providing its own security at each MARSEC level 

(2) [Provider of security service] 
- An acknowledgement by the facility that the applicant is part of their facility security plan. 
- The nature of the security that the applicant agrees to supply to the regulated facility (waterside 
surveillance, increased screening, etc). 
- Roles and responsibilities in providing security to [Recipient of security service] at each MARSEC level. 
5. POINTS OF CONTACT. [Identify the POCs for all applicable organizations under the Agreement; 
including addresses and phone numbers (fax number, e-mail, or internet addresses can also be 
included).] 
6. OTHER PROVISIONS. Nothing in this Agreement is intended to conflict with current laws or 
regulations of [applicable State] or [applicable local Government]. If a term of this agreement is 
inconsistent with such authority, then that term shall be invalid, but the remaining terms and conditions of 
this agreement shall remain in full force and effect. 
7. EFFECTIVE DATE. The terms of this agreement will become effective on (EFFECTIVE DATE). 
8. MODIFICATION. This agreement may be modified upon the mutual written consent of the parties. 
9. TERMINATION. The terms of this agreement, as modified with the consent of both parties, will remain 
in effect until the grant end dates for an approved grant. Either party upon [NUMBER] days written notice 
to the other party may terminate this agreement. 
APPROVED BY: 
Organization and Title Signature 

(Date) (Date)