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CAG-15-193
Cost Reimbursement A�reement
Executed By
King County Sheriff s 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
Renton Police Department, a department of King County, hereinafter referred to as
""Contractor,"
Department Authorized Representative:
Kevin Milosevich, Chief of Police
1055 South Grady Way
Renton, WA 98057
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 1
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 THEREFOR�,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, 2015
and shall end on June 30, 2016 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 far 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 Sth of the month following
the end of the quarter. The first report is due October 5, 2015.
Quarterly progress reports shall be delivered to
Attn: Tina Keller, Project Manager
King County Sheriff's Office
500 Fourth Avenue, Suite 200
M/S ADM-SO-0200
Seattle, WA 98104
Page 2 of 5 July 30,2015
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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 10�'of the month following the billing period.
Overtime reimbursements for personnel assigned to the Registered Sex and I
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
ta�c, shipping, or installation, will be the responsibility of the Contractor.
Page 3 of 5 July 30,2015
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Cost Reimbursement Agreement
Requests for reimbursement must be sent to
Attn: Tina Keller, Project Manager I
King County Sherif�s Office
500 Fourth Avenue, Suite 200 i
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 Forty Thousand Two Hundred Ninety Eight Dollars and Thirty Seven Cents
($40,298.37). Expenditures exceeding the maximum amount shall be the
responsibility of Contractor. All requests for reimbursement must be received by
KCSO by July 31, 2016 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 30,2015
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Cost Reimbursement Agreement
ARTICLE �II. AMENDMENTS
No modificatian ar amendment af the pravisions hereof shall be effective unless in
writing and signed by authorized represen#atives af the parties hereto. The parties
hereta expressly reserve the r'rght ta modify this Agreement,by mutual agreement.
IN WITNESS WHEREQF,the parties have executed this Agreement by having their
representatives affix their signatures below.
City of Renton KING COUNTY SHERIFF'S
Rentpn Pvlice Department OFFICE
Denis Law, Mayor art, Sheriff
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Page 5 of 5 July 30.2415
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ap�Na�x �
Page: 1 ;
Verification Request
Agency: �ing County WA SherifPs Office Admfnistrator. King County Sheriffs Office RSCphone: (206)263-2120 Date: 6l15/2015
Offender lnformation Offender Photo '
Name TEST,TEST TEST Registration# ��49
POB SSN
DOB 01l01/1999 qge �6 Ak Reg# �
�X Orient Drv.LicJState ... PHOTO NOTAVAILABLE
�ce Nat No Selection FBI - •
Helght Ha1r State ID
Weight Eyes Last Verified: - -
Risk Type Date
Comm. � _ -
Active OfficerAfert - . :"
EmploymentlSc6001 -,= I
Name Address , _ � Supervisor Pbone
Residence {Bold-Primary Home Address}""��:�
Street _
Alias =
Phone (eoid-Primary Contact Numbers),,�.:?:;=�:�:; ` I s��Ta�$
Number Type ,,p�saription J Locatlon Type Descrfptfon
Vehicle -
Make Model CoIQr;':?'s_ �Year License State V!N Comments
Offense _ ,.
Date RS CodelDescription �' .. Convicted Released Case# Crime Details
I do hereby attest,under penalfies of peryury,ttiat any and all information contained here is
current and acxurate on this day of 2p 'I
Offender Signature:
Officer Signature: Date:
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Exhibit B �GISTE OFFICER CO TA T WORKS EETIFICATION
OFFENDER DETAILS:
OFFENDER'S NAME: DOB:
ADDRESS: CITY/STATE/ZIP:
OFFENDER PHONE: ZIP CODE.:
EMPLOYER: WORK PHONE:
OFFENDER LEVEL IF KNOWN: FORM OF ID:
DATE & TIME OF CONTACTS: *SEE KEY BELOW FOR CODING
DATE/ RESULT: DATE/ RESULT:
TIME: TIME:
-- _______
DATE/ RESULT: DATE/ RESULT:
TIME: TIME:
DATE/ RESULT: DATE/ RESULT:
TIME: TIME:
DATE/ RESULT: DATE/ RESULT:
TIME: TIME:
DATE/ RESULT: DATE/ RESULT:
TIME: TIME:
RESULT OF CONTACT:
MADE IN PERSON CONTACT: YES ❑ NO ❑ FTR CASE NUMBER ASSIGNED IF NO
CONTACT MADE:
STATEMENT TAKEN: YES ❑ NO ❑ I
REPORTING PARTY INFORMATION:
REPORTiNG PERSON: DOB:
MAILING ADDRESS: CITY/ZIP:
TELEPHONE: ALT#
RELATION TO OFFENDER: NONE (UNKNOWN)❑ KNOWN ❑ RELATION:
*CONTACT CODE KEY: 1 =OFFGNDER MOVGD 5 = HOUSE FOR SALG 9=TOOK STATEMENT
2 = BAD ADDRESS 6=ARRESTED
3 =NOT HOME % ��( ! ('NUI R I'� 1.�11
4=CHANGE OF ADDRESS 8=DEAD
� OFFICER/DETECTIVE: AGENCY:
� � APPENDIX C
Date Agency/Officer Incident number
Witness Statement—Failure to Register
Suspect's Name:
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? i
Do they know where the suspect moved to or their current whereabouts? ��
Can they provide the naxnes 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
ITO: KCPAO—Special Assault Unit—Seattle DATE: I
FROM: INCIDENT#:
AGENCY:
I l
SUSPECT#1: I
DOB: I RACE: SEX: M ❑ F❑ I HGT: WGT:
ISUSP#1 ADDRESS: I
CHARGE: Failure to Register as a Sez 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: I
� DECLINE: -Comments:
I 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:
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