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AG 14-166RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: POLICE DEPARTMENT 2. ORIGINATING STAFF PERSON: LYNETTE ALLEN EXT: 6701 3. DATE REQ. BY. ASAP- 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT • GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/ CDBG • REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) • ORDINANCE ❑ RESOLUTION • CONTRACT AMENDMENT(AG #): ❑ INTERLOCAL x OTHER AGREEMENT 5. PROJECT NAME: KC RSO OVERTIME COST REIMBURSEMENT AGREEMENT NAME OF CONTRACTOR: KC ADDRESS: E -MAIL: SIGNATURE NAME: _TELEPHONE _ FAX: TITLE 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS 8. TERM: COMMENCEMENT DATE: JULY 1, 2014 COMPLETION DATE: JUNE 30, 2015 9. TOTAL REIMBURSE UP TO $34,836.82 IN OFFICER'S OVERTIME (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT /CONTRACT REVIEW • PROJECT MANAGER • DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCIL APPROVAL (IF APPLICABLE) INITIAL/ DATE REVIEWED COMMITTEE APPROVAL DATE: INITIAL / DATE APPROVED COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING • SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: • ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ LAW DEPARTMENT ❑ SIGNATORY (MAYOR OR DIRECTOR) P<CITY CLERK >rASSIGNED AG# J KSIGNED COPY RETURNED COMMENTS: INITIAL / DATE SIGNED pjo Q1 AG# DATE SENT: -'o 1 e flu I m COMMITTEE APPROVAL DATE: INITIAL / DATE APPROVED COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING • SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: • ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ LAW DEPARTMENT ❑ SIGNATORY (MAYOR OR DIRECTOR) P<CITY CLERK >rASSIGNED AG# J KSIGNED COPY RETURNED COMMENTS: INITIAL / DATE SIGNED pjo Q1 AG# DATE SENT: -'o 1 Cost Reimbursement Agreement Executed By King County Sheriffs Office, a department of King County, hereinafter referred to as "KCSO," Department Authorized Representative: John Urquhart, Sheriff King County Sheriff's Office W -150 King County Courthouse 516 Third Avenue Seattle, WA 98104 MIMI Federal Way Police Department, a department of King County, hereinafter referred to as " "Contractor," Department Authorized Representative: Andy Hwang, Chief of Police 33325 8th Avenue South PO Box 9718 Federal Way, WA 98063 -9718 WHEREAS, KCSO and Contractor have mutually agreed to work together for the purpose of verifying the address and residency of registered sex and kidnapping offenders; and WHEREAS, the goal of registered sex and kidnapping offender address and residency verification is to improve public safety by establishing a greater presence and emphasis by Contractor in King County neighborhoods; and WHEREAS, as part of this coordinated effort, Contractor will increase immediate and direct contact with registered sex and kidnapping offenders in their jurisdiction, and WHEREAS, KCSO is the recipient of a Washington State Registered Sex and Kidnapping Offender Address and Residency Verification Program grant through the Washington Association of Sheriffs and Police Chiefs for this purpose, and WHEREAS, KCSO will oversee efforts undertaken by program participants in King County; NOW THEREFORE, the parties hereto agree as follows: Cost Reimbursement Agreement KCSO will utilize Washington State Registered Sex and Kidnapping Offender Address and Residency Verification Program funding to reimburse for expenditures associated with the Contractor for the verification of registered sex and kidnapping offender address and residency as set forth below. This Interagency Agreement contains eight (8) Articles: ARTICLE I. TERM OF AGREEMENT The term of this Cost Reimbursement Agreement shall commence on July 1, 2014 and shall end on June 30, 2015 unless terminated earlier pursuant to the provisions hereof. ARTICLE II. DESCRIPTION OF SERVICES This agreement is for the purpose of reimbursing the Contractor for participation in the Registered Sex and Kidnapping Offender Address and Residency Verification Program. The program's purpose is to verify the address and residency of all registered sex and kidnapping offenders under RCW 9A.44.130. The requirement of this program is for face -to -face verification of a registered sex and kidnapping offender's address at the place of residency. In the case of • level I offenders, once every twelve months. • of level II offenders, once every six months. • of level III offenders, once every three months. For the purposes of this program unclassified offenders and kidnapping offenders shall be considered at risk level I, unless in the opinion of the local jurisdiction a higher classification is in the interest of public safety. ARTICLE III. REPORTING Two reports are required in order to receive reimbursement for grant - related expenditures. Both forms are included as exhibits to this agreement. "Exhibit A" is the Offender Watch generated "Advanced Verification Request Report" that the sex or kidnapping offender completes and signs during a face -to -face contact. "Exhibit B" is an "Officer Contact Worksheet" completed in full by an officer /detective during each verification contact. Both exhibits representing each contact are due quarterly and must be complete and received before reimbursement can be made following the quarter reported. Original signed report forms are to be submitted by the 5th of the month following the end of the quarter. The first report is due October 5, 2014. Page 2 of 5 July 30, 2014 Cost Reimbursement Agreement Quarterly progress reports shall be delivered to Attn: Tina Keller, Project Manager King County Sheriff's Office 500 Fourth Avenue, Suite 200 MIS ADM -SO -0200 Seattle, WA 98104 Phone: 206 - 263 -2122 Email: tina.keller @kingcounty.gov ARTICLE IV. REIMBURSEMENT Requests for reimbursement will be made on a monthly basis and shall be forwarded to KCSO by the 10th of the month following the billing period. Overtime reimbursements for personnel assigned to the Registered Sex and Kidnapping Offender Address and Residency Verification Program will be calculated at the usual rate for which the individual's' time would be compensated in the absence of this agreement. Each request for reimbursement will include the name, rank, overtime compensation rate, number of reimbursable hours claimed and the dates of those hours for each officer for whom reimbursement is sought. Each reimbursement request must be accompanied by a certification signed by an appropriate supervisor of the department that the request has been personally reviewed, that the information described in the request is accurate, and the personnel for whom reimbursement is claimed were working on an overtime basis for the Registered Sex and Kidnapping Offender Address and Residency Verification Program. Overtime and all other expenditures under this Agreement are restricted to the following criteria: 1. For the purpose of verifying the address and residency of registered sex and kidnapping offenders; and 2. For the goal of improving public safety by establishing a greater presence and emphasis in King County neighborhoods; and 3. For increasing immediate and direct contact with registered sex and kidnapping offenders in their jurisdiction Any non - overtime related expenditures must be pre- approved by KCSO. Your request for pre - approval must include: 1) The item you would like to purchase, 2) The purpose of the item, 3) The cost of the item you would like to purchase. You may send this request for pre - approval in email format. Requests for reimbursement Page 3 of 5 July 30, 2014 Cost Reimbursement Agreement from KCSO for the above non - overtime expenditures must be accompanied by a spreadsheet detailing the expenditures as well as a vendor's invoice and a packing slip. The packing slip must be signed by an authorized representative of the Contractor. All costs must be included in the request for reimbursement and be within the overall contract amount. Over expenditures for any reason, including additional cost of sales tax, shipping, or installation, will be the responsibility of the Contractor. Requests for reimbursement must be sent to Attn: Tina Keller, Project Manager King County Sheriff's Office 500 Fourth Avenue, Suite 200 M/S ADM -SO -0200 Seattle, WA 98104 Phone: 206 - 263 -2122 Email: tina.keller @kingcounty.gov The maximum amount to be paid under this cost reimbursement agreement shall not exceed Thirty Four Thousand Eight Hundred Thirty Six Dollars and Eighty Two Cents ($34,836.82). Expenditures exceeding the maximum amount shall be the responsibility of Contractor. All requests for reimbursement must be received by KCSO by July 31, 2015 to be payable. ARTICLE V. WITNESS STATEMENTS "Exhibit C" is a "Sex/Kidnapping Offender Address and Residency Verification Program Witness Statement Form." This form is to be completed by any witnesses encountered during a contact when the offender is suspected of not living at the registered address and there is a resulting felony "Failure to Register as a Sex Offender" case to be referred/filed with the KCPAO. Unless, due to extenuating circumstances the witness is incapable of writing out their own statement, the contacting officer /detective will have the witness write and sign the statement in their own handwriting to contain, verbatim, the information on the witness form. ARTICLE VI. FILING NON - DISCOVERABLE FACE SHEET "Exhibit D" is the "Filing Non - Discoverable Face Sheet." This form shall be attached to each "Felony Failure to Register as a Sex Offender" case that is referred to the King County Prosecuting Attorney's Office. ARTICLE VII. SUPPLEMENTING, NOT SUPPLANTING Funds may not be used to supplant (replace) existing local, state, or Bureau of Indian Affairs funds that would be spent for identical purposes in the absence of the grant. Page 4 of 5 July 30, 2014 Cost Reimbursement Agreement Overtime - To meet this grant condition, you must ensure that: Overtime exceeds expenditures that the grantee is obligated or funded to pay in the current budget. Funds currently allocated to pay for overtime may not be reallocated to other purposes or reimbursed upon the award of a grant. Additionally, by the conditions of this grant, you are required to track all overtime funded through the grant ARTICLE VII. AMENDMENTS No modification or amendment of the provisions hereof shall be effective unless in writing and signed by authorized representatives of the parties hereto. The parties hereto expressly reserve the right to modify this Agreement, by mutual agreement. IN WITNESS WHEREOF, the parties have executed this Agreement by having their representatives affix their signatures below. Federal Way Police Department A— 7-'11- Andy Hwang, Chief of Police V�! 3/l4t Date KING COUNTY SHERIFF'S OFFICE n YIn Urquhart, Sheriff O vl Date Page 5 of 5 July 30, 2014 t *Kl� User: tina Fingerprint Available: Fingerprint Id: Verification Request Page:1 Fingerprint PCN: Agency: King County WA Administrator: King County Phone: 206 263 -2120 Date: 7/30/2014 Sheriffs Office Sheriffs Office RSO Unit Offender Information Name test , test test POB DOB 01/01/1990 Age 24 Sex Orient Race No Selection Nat. Height Hair No Selection Weight Eyes No Selection Risk/Class. Comm. Registration # 2061343 SSN Alt Reg # Drv. Lic. /State I FBI: State ID: Last Verified: Type Date Offender Photo No Photo Employment/School Name Address Supervisor Phone test 134 5 st , WA 11111 Residence (Bold - Primary Home Address) 123 TEST ST , TEST WA 99999 (Home) Alias Phone (Bold - Primary Contact Numbers) Number Type Description Vehicle Make Model Color "_ .,Year License State VIN Comments Offense Date RS Code /Description Convicted Released Crime Details do hereby attest, under penalties of perjury, that any and all information contained here is current and accurate on this day of 20 Offender Signature: Officer Signature: Date Witness Signature: Date Producedbyof .derWW.bV-- .wathsystems.com 0 y n H z r O n z° y >OO mmmMmtt mtTjm OTI Ot Oil Oil ZGOZGr�i�ZG H y y y >���� d omd� z b r r r r r � O z �z x z z z o OpOv �zczo a� d � OddH H Dodd y z � °tT'� b d d o H E � p p ❑ b El ❑ H 00 --.1 0*1 �A H H II II d�ao r 0 � � y z � y C17 z y O r O n z° y 0 O y n td r O O n d OmO >OO mmmMmtt mtTjm OTI Ot Oil Oil ZGOZGr�i�ZG H y y y >���� r r r r r � 0 O y n td r O O n d OmO >OO OTI Ot Oil Oil ZGOZGr�i�ZG r � � O z OpOv OddH dz� � b O d s 0 Od xJ O yz y Od H� y °z Exhibit C Sex/Kidnapping Offender Address and Residency Verification Witness Statement for Failure to Register Case Agency: Ex- Roomate My name is _ (date). I know (date) to (e.g. friend, family member, etc.) because and I live at I have lived here since (offender) because he used to live with me from date). My relationship with (offender) is offender) moved out on I do/ do not know where he moved to. Explain: New Tenant My name is (date). I don't know with me at this address. Page 1 of 2 date) and I live at I have lived here since offender) and he has never lived here Exhibit C Sex/Kidnapping Offender Address and Residency Verification Witness Statement for Failure to Register Case Manager/ Landlord (only if manager/ landlord knows offender) My name is at date). offender) moved out on because (e.g. moved out, evicted, unit sold, etc.) I do/ do not know where he moved to. Explain: There has been a new tenant in that residence since Signature The above statement is true and correct to the best of my knowledge. Signature Date Page 2 of 2 and I am the manager (address) since date) (date). EXHIBIT D WASPC GRANT FILING NON - DISCOVERABLE TO: KCPAO —Special Assault Unit— Seattle DATE: FROM: INCIDENT #: AGENCY: SUSPECT #1: DOB: RACE: SEX: M ❑ F❑ HGT: WGT: SUSP #1 ADDRESS: CHARGE: Failure to Register as a Sex Offender DATE OF CRIME: VICTIM #1: State of Washington DOB: VICTIM #2: DOB: INTERVIEWED BY: NO ONE DPA NAME: TYPE OF CASE: FTR - Failure To Register OTHER TYPE: THIS CASE IS BEING REFERRED FOR THE FOLLOWING REASONS I I I FILING OF CHARGES: - Comments: I DECLINE: - Comments: WASPC STATISTICAL REPORTING TO KCSO Case Referral Received by KCPAO on this date: Case filed by KCPAO: YES ❑ NO ❑ Cause Number Assigned: If no, please indicate why: Other Explanation: