AG 17-1511 1 RETURN 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
❑ ORDINANCE
❑ CONTRACT AMENDMENT (AG #):
x OTHER AGREEMENT
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
5. PROJECT NAME: KC RSO OVERTIME COST REIMBURSEMENT AGREEMENT
6. NAME OF CONTRACTOR: KING COUNTY SHERIFF'S OFFICE
ADDRESS: W -150 KING COUNTY COURTHOUSE, 516 THIRD AVENUE, SEATTLE, WA 98104 TELEPHONE 206- 263 -2122
E -MAIL: TINA.KELLER(A%KINGCOUNTY.GOV (TINA KELLER, PROJECT MANAGER) FAX:
SIGNATURE NAME: JOHN URQUHART TITLE SHERIFF
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, 2017 COMPLETION DATE: JUNE 30, 2018
9. TOTAL REIMBURSE TO THE CITY UP TO $25,579.36 IN OFFICER 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, $
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT /CONTRACT REVIEW
❑ PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW
PAID BY: ❑ CONTRACTOR ❑ CITY
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: ciIIGl'�
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)
❑ CITY CLERK
❑ ASSIGNED AG# AG#
❑ SIGNED COPY RETURNED DATE SENT:
INITIAL / DATE SIGNED
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
and
Federal Way Police Department, a police department in King County, hereinafter referred
to as " "Contractor,"
Department Authorized Representative:
Andy Hwang, Chief of Police
33325 8th Avenue South
Federal Way, WA 98002
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:
KCSO will utilize Washington State Registered Sex and Kidnapping Offender Address
and Residency Verification Program funding to reimburse for expenditures associated
Cost Reimbursement Agreement
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, 2017
and shall end on June 30, 2018 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 "Registered Sex Offender Verification Request (WA)"
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, 2017.
Quarterly progress reports shall be delivered to:
Attn: Tina Keller, Project Manager
King County Sheriffs Office
500 Fourth Avenue, Suite 200
M/S ADM -SO -0200
Seattle, WA 98104
Page 2 of 5 July 26, 2017
Cost Reimbursement Agreement
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
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.
Page 3 of 5 July 26, 2017
Cost Reimbursement Agreement
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 Twenty Five Thousand Five Hundred Seventy Nine Dollars and Thirty Six
Cents ($25,579.36). Expenditures exceeding the maximum amount shall be the
responsibility of Contractor. All requests for reimbursement must be received by
KCSO by July 31, 2018 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.
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
Page 4 of 5 July 26, 2017
Cost Reimbursement Agreement
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 KING COUNTY SHERIFF'S
DEPARTMENT OFFICE
Andy Hwang, Chief of Police
8/3//
Date
Jo rquhart, Sheriff
' l�-
Date
Page 5 of 5 July 26, 2017
�.(HtaIT A
Verification Request
Page: Page 1 of 1
Agency: King County WA Sheriffs Office
Administrator: King County Sheriffs Office
RSO Unit
Phone: (206)263 -2120 Date: 7/25/2017
Offender Information
Name tester , teaser I
POB
DOB 01/01/1990
Sex Male
Race White
Height
Weight
Risk/Class.
Responsibility ()
Registration # 2399903
SSN 123 -12 -1111
Age 27 Alt Reg #
Orient Dry. Lic. /State
Nat. No Selection FBI
Hair State ID
Eyes Zone
Comm.
Verifications:
Type Last Date Next Date Comments
Transient - Weekly 04/01/2017 04/14/2017 12
L3 •
Offender Photo
PHOTO NOT AVAILABLE
Compliant
Active Officer Alert
7/25/17 TEST ALERT!!
Primary Email Address
Primary IP Address
123.SMITH @YAHOO.COM
Residence
Street
(Bold
- Primary Home Address)
Phone (Bold - Primary Contact Numbers)
Number Type Description
(123) 456 -7777 Home
Employment/School
Name
Address
Supervisor
Phone
SMITH BROTHERS
Vehicle
Make Model Color Year License State VIN
Acura CL Red 1997 ABC1234
Comments
Offense
Date RS Code /Description Convicted Released Case # Crime Details
9.68A.070 /Possession of depictions of minor 02/19/2015
engaged in sexually explicit conduct.,
Probation
Status Probation Officer Contact County Conditions
Open Cases
Date Opened Case Number Notes
nNo Change
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: Badge Number:
Witness Signature: Date:
EXHIBIT B
OFFENDER DETAILS:
DATE & TIME OF CONTACTS: *SEE KEY BELOW FOR CODING
V
0
0
W
0
MADE IN PERSON CONTACT:
0
z
STATEMENT TAKEN:
REPORTING PARTY INFORMATION:
0
a
N
U
RELATION:
w
z
REPORTING PERSON:
TELEPHONE:
RELATION TO OFFENDER:
9 = TOOK STATEMENT
*CONTACT CODE KEY:
AGENCY:
OFFICER/DETECTIVE:
EXHIBIT C
Date Agency /Officer Incident number
Suspect's Name:
Witness Statement — Failure to Register
Suspect's Last Registered Address:
Witness' Name:
Witness's Home Address:
Witness' Home Phone Number
Cell: Other:
How do they know the suspect (please be as detailed as possible)?
*If suspect rented an apartment or a room from the witness, please have them provide a copy of
any documentations to this effect and any documentations the suspect moved out.
Did the witness ever see the suspect at his /her last registered address?
How often would they see him /her there?
When did the witness start seeing him /her there?
When did they stop?
Why did the suspect stop staying at the address?
Did the suspect keep any personal belongings there?
In general, when is the last time they saw the suspect ?
Do they know where the suspect moved to or their current whereabouts?
Can they provide the names and contact information of any other witnesses who would have seen
the suspect staying at his /her last registered address?
Is the witness willing to assist in prosecution?
Under penalty of perjury of the laws of the State of Washington, I certify that the foregoing is
true and correct.
Witness' Signature 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
FILING OF CHARGES: - Comments:
❑ 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: