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2016-70 CEJ A 0.p Regional Organized Crime Information Center , • 545 Marriott Drive Suite 850 Nashville TN 37214 z 1-800-238-7985 c membership@rocic.riss.net �\ y� www.riss.net ROCIC MEMORANDUM OF AGREEMENT New Agency Clermont Police Department ROCIC Agency Name of Agency Number Clermont, Florida City and State Chief Charles Broadway Agency Administrative Head (Please type or print) As members of the Regional Organized Crime Information Center,all designated personnel from this Agency shall abide by the Constitution and By-Laws that govern this organization, and follow the policies, procedures, and guideline concerning the use of all services rendered by the Regional Organized Crime Information Center. This Agency also agrees to abide by the principles set forth in 28 CFR 23, §23.20. "Each participating agency,as a condition of participation, must accept in writing those principles which govern the submission, maintenance and dissemination of information included as part of the interjurisdictional system." (48454 Federal RegisterNo1.58, No. 178, Rules and Regulations 28 CFR Part 23, §23.30(d)(2)). The purpose of regulation 28 CFR Part 23 is to assure that all criminal intelligence systems are utilized in conformance with the privacy and constitutional rights of individuals. Therefore, all information submitted to the Regional Organized Crime Information Center shall conform to 28 CRF Part 23, §23.20(attached) and will remain the property of the submitting agency. %L�i Donna Williams, ROCIC Director Signature of Administrative Head Date Date Form MS-006(Revised Jan.2013) --11441t,' 111 Si APPLICATION FOR MEMBERSHIP � hRocic$�yj� Regional Organized Crime Information Center Date: 09/28/16 A completed ROCIC Application for Membership must be received by the Director of ROCIC 45 days prior to a regularly scheduled Board of Directors Meeting to be eligible for approval for membership.The application must be accompanied by a Memorandum of Agreement signed by the Administrative Head and Member Agency sponsor letter. Administrative Head,Title Last 4 Digits of SSN Email Used Daily Charles Broadway, Chief of Police 0471 cbroadway@clermontfl.org Agency Name ORI Number County Clermont Police Department FL0350300 Lake Street Address City,State,Zip 65 West Montrose Street Clermont, Florida 34711 Mailing Address City,State,Zip 65 West Montrose Street Clermont, Florida 34711 No.of Sworn 65 Phone Number Fax Number Billing Email Personnel (352) 394-5588 (352) 394-1644 @ g No.Assigned sstrickland clermontfl.or to Intelligence Person to be ROCIC Executive Member Title Last 4 Digits of SSN Michael McMaster Captain 5229 Email Used Daily Phone Number mmcmaster@clermontfl.org 352-394-5588 Person to be ROCIC Representative Title Last 4 Digits of SSN Shane Strickland Sergeant 1480 Email Used Daily Phone Number sstrickland@clermontfl.org 352-394-5588 Person to be ROCIC Authorized User Title Last 4 Digits of SSN Email Used Daily Phone Number Person to be ROCIC Authorized user Title Last 4 Digits of SSN Email Used Daily Phone Number Person to be ROCIC Authorized user Title Last 4 Digits of SSN Email Used Daily Phone Number This agency agrees to abide by the rules and polici C' II Ars connected with ROCIC Membership. Signature of Agency Administrative Head: / i����� ❑ Application Complete Board of Directors Action: ❑ MOA ❑ Sponsor Letter ❑ LEC Agency Review Form Date: Deputy Director Approval: Form MS-001 (Revised August 2014) Role Explanations of each designation: Administrative Head—(one per agency) Head of the agency.Authorized User. Executive—(one per agency)Overall responsibly for the functions of ROCIC within your agency. Can be the Administrative Head or designee.Authorized user. Representative—(one per agency) Responsible for gathering criminal intelligence, maintaining the ROCIC records within your agency and handling correspondence and requests for assistance from other ROCIC members.Serves as primary contact for all ROCIC services.Authorized user and RISSNET user. Authorized User—Authorized to have Criminal Information inquires returned directly to them instead of to the Representative.Authorized to make case related patch calls through the 800 number. RISSNET user—Authorized to have secure access to RISSNET resources.The Representative will automatically have access to RISSNET Resources. Form MS-001 (Revised August 2014)