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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 Sheriffs Office
W -150 King County Courthouse
516 Third Avenue
Seattle, WA 98104
and
Auburn Police Department, a department of King County, hereinafter referred to as
" "Contractor,"
Department Authorized Representative:
Bob Lee_ Chief of Police
340 E. Main Street
Suite 201
Auburn, 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 inerease.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 1. 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 11. DESCRIPTION OF SERVICES
'f his agreement is for the purpose of reimbursing the Contractor for participation in
the Registered Sex and Kidnapping Offender Address and Residency Verification
Program. The programs 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 It offenders. once every six months.
• of level 111 offenders. once every three months.
For the purposes of this program unclassified offenders and kidnapping offenders
shall be considered at risk level 1, unless in the opinion of the local jurisdiction a
higher classification is in the interest of public salety.
ARTICLE 111. 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, 2015.
Page 2 of 5 July 30, 2015
Cost Reimbursement Agreement
Quarterly progress reports shall be delivered to
Attn: Tina Keller; Project Manager
King County Sheriffs Office
500 Fourth Avenue_ Suite 200
M/S ADNi -SO -0200
Seattle. WA 98104
Phone: 206 -263 -2122
Email. tina.keller @kingc(Dunty.gov
ARTICLE IV. REIMBURSEMENT
Requests for reimbursement will be made on a monthly basis and shall be forwarded
to KCSO by the 10 °i 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:
I. For the purpose o I've rifying 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 prc- 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 formal. Requests for reimbursement
from KCSO for the above non- overtime expenditures must be accompanied by a
Page 3 of 5 July 30. 2015
Cost Reimbursement Agreement
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 klanager
King County Sheriffs Office
500 Fourth Avenue, Suite 200
Seattle, WA 98104
Phone: 206 - 263 -2122
Email: tina.keller a kingcounty.gov
The maximum amount to be paid under this cost reimbursement agreement shall not
exceed Thirty Five Thousand Eight Hundred Thirty Nine Dollars and Eighty Three
Cents ($35,839.83). 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 fiords that Would be spent for identical purposes in the absence of the grant.
Overtime - To meet this grant condition, you must ensure that:
Page 4 or 5 July X 2015
Cost Reimbursement Agreement
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 panties 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.
Auburn Police Department
KING COUNTY SHERIFF'S
OFFICE
Bob Lee, Chief of Police Jo Urquhart, Sheriff
Ij - 13-20ts' 67 /,Z.I/j 1
Date Date
Paee 5 of 5 Juh• 30, 2015
— - ------------ ----------------------
APIS01% A
Page: 1
Verification Request
Agency: IQng County WA Sheriffs Offlce Administrator: King County Sheriffs Offioc RSC Phone: (205)2532120 Date: 61152015
Offender Information
Name TEST, TEST TEST
POB
DOB
Sex
Ram
Height
Weight
Risk
Comm.
Age 16
Orient
Nat No Selection
Hair
Eyes
Registration N
2236249
SSN
An Reg ;7
Div. LieJState
FBI
z
Stale ID
Lost Verified:
Typo
Date
Offender Photo
Enriployrnent/School
Name Address
Supervisor Phone
Residence (Bold - Primary Home Address)
Street
do hereby attest, under penalties of perjury, that any and all information contained here is
current and accurate on this day of 20-,
Officer
Pmdumd by Ofye(MOrYVMW
Exhibit B REGISTERED OFFICER OFFENDER ADDRESS
WOR SHE VERIFICATION
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 /
FTR CASE NUMBER ASSIGNED IF NO
CONTACT MADE:
RESULT:
DATE/
NO
RESULT:
TIME:
TELEPHONE:
TIME:
ALT #
DATE /
NONE (UNKNOWN)❑ KNOWN ❑
RESULT:
DATE/
RESULT:
TIME:
TIME:
DATE /
RESULT:
DATE/
RESULT:
TIME:
TIME:
DATE /
RESULT:
DATE/
RESULT:
TIME:
TIME:
DATE/
RESULT:
DATE/
RESULT:
TIME:
TIME:
RF,SULT OF CONTACT:
MADE IN PERSON CONTACT: YES ❑ NO ❑
FTR CASE NUMBER ASSIGNED IF NO
CONTACT MADE:
STATEMENT TAKEN: YES
❑
NO
❑
CITY /ZIP:
REPORTING PARTY INFORMATION:
REPORTING PERSON:
DOB:
MAILING ADDRESS:
CITY /ZIP:
TELEPHONE:
ALT #
RELATION TO OFFENDER:
NONE (UNKNOWN)❑ KNOWN ❑
RELATION:
*CONTACT CODE KEY:
I = OFFENDER MOVED
2 = BAD ADDRESS
3 = NOT I TOME
4 = CHANGE OE ADDRESS
5 = I -]OUSE FOR SALE
6 = ARRESTED
7- ()PI ENDER IN JAIL,
B = DEAD
OFFICERIDETECTIVE: AGENCY:
9 =TOOK STATEMENT
APPENDIX C
Date
Suspect's Name:
Agency /Officer
Incident number
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
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
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: