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2012-77 Law Enforcement Sensitive f F ° U.S. Department of Justice �� � �� � r� United States Attorney Organized Crime Drug Enforcement Task Forces Florida Caribbean Region 99 Northeast 4th Street Miami FL 33/32 Fax 305 530-6/66 November 9, 2012 Clermont Police Department Sergeant John Graczyk 865 W. Montrose Street Clermont, FL 34711 Subject: Organized Crime Drug Enforcement Task Forces (OCDETF) State and Local Overtime and Authorized Expense Agreement for Fiscal Year 2013 Dear Sergeant Graczyk. The Florida Caribbean Region OCDETF Regional Coordination Group has approved an OCDETF Agreement for the Clermont Police Department under the following terms: OCDETF Case # FC/FLM/0880, No Fly Zone Dates of the Agreement. 10/01/2012 through 09/30/2013 (Fiscal Year 2013) Funding Amount. $2100 Sponsoring Federal Agency: DEA At no time should your State or Local Agency exceed the approved funding noted above. **Please note that the approved funding amount may be less than the amount originally submitted to the Regional Coordination Group Initial funding allocations represent projections only and therefore are subject to modification by the Regional Coordination Group based upon the progress and needs of the OCDETF investigation. Federal government accounting policy requires all open obligations be reviewed and validated at the end of each quarter; therefore if no costs have been incurred within 90 days of the date of the agreement all funding could automatically be de-obligated unless an extension has been requested and has been granted in writing by the sponsoring Agency Regional OCDETF Coordinator. If additional funding or Agreement modifications are necessary, a written request must be submitted by the sponsoring Agency Regional OCDETF Coordinator to the Assistant U.S. Attorney (AUSA) Regional OCDETF Coordinator prior to incurring any overtime and/or expenses. The sponsoring Federal agency and State or Local agency will be notified in writing on the status of the request. Any supplemental funding will be contingent upon availability of funds. I Law Enforcement Sensitive OCDETF Agreement for Fiscal Year 2013 1 A reimbursement request will not be deemed "su muted" unless it is completely and accurately prepared. Reimbursement requests must be submi ted within 30 days of overtime worked. The requests must be approved and signed by the sponsors g Federal Agency prior to being forwarded to the U.S Attorney's office All requests without proper 'gnatures will be returned Approved funds that do not have properly submitted reimbursement reques s submitted on a timely basis will be de-obligated by the committee to meet other financial responsibilit es. The State or Local agency is responsible for ensuring and monitoring overtime payments These payments may not, on an annual per person basis, exceed$17,202.25 (increased to 25%of a GS-12 Step 1 Federal salary rate in effect for fiscal year beginning October 2012). The field office of the sponsoring Federal Agency and the sponsoring Agency Regional OCDETF Coordinator will also monitor these payments, as stated in section 14 of the agreement. Without approval from the Regional Coordination Group and the grant of a waiver from the OCDETF Executive Office in Washington D.C. an agency may not be reimbursed in excess of$25,000 00 on any OCDETF investigation in a given year. Reimbursement requests which are not submitted for payment in a timely manner are subject to availability of funds. If you have any questions, please do not hesitate to contact your sponsoring Agency Regional OCDETF Coordinator Jiries J. Salameh at 954-660-4514. Very truly yours, WIFREDO A. FERRER UNITE P , ►ATES ATT RNEY Y 4,, /0 Mary V "Je " King OCDETF Coordinator Florida Caribbean Regi n U.S. Department of Justice tr( \ ■ United States Attorney Organized Crime Drug Enforcement Task Force Flotllda/Caribbean Region 99 Al E 4 Street 7th Floor Mic pn',Florida 33/32-2111 Clermont Police Department, FC/FLM/0880 The DOJ Financial Committee of the Florida/Caribbean Organized Crime Drug Enforcement Task Force Program (FC-OCDETF) has received and approved your agreement for funding of reimbursable expenses. Specific program requirements for Fiscal Year 2013 are: 1. Monthly Estimate Amount Worksheet must be completed for the current month and submitted by the 5th of that month. Fax or e-mail worksheet to the Sponsoring Federal Agency OCDETF Coordinator even if your estimate is "0" (ex: due November 5, 2012 figure covers November 1-30, 2012). If you fail to submit a timely estimated amount, reimbursement for that month may not be paid. 2. Reimbursement for state or local task force salary expenses with Asset Forfeiture Fund (AFF) monies is available for state or local officer overtime salary expenses and shall not include any costs for benefits, such as retirement, FICA, or other benefit expenses 3. All Columns(A-H)on the Authorized Officers Overtime Log must be completed for each officer submitting for overtime. If columns A - H are not completed, the reimbursement will be returned All columns but "C" must be totaled. Column H for each law enforcement officer cannot be reimbursement more than the OCDETF State and Local overtime yearly rate of$17,202.50 for FY'13 If the claimed amount exceeds the rate,the S/L department must make the adjustment accordingly as the full amount cannot be reimbursed. 4 Please route the enclosed reimbursement package to the individual responsible for processing and submitting the reimbursement requests for this agreement. 5. The FC-OCDETF has implemented monthly fiscal reviews. If no spending has occurred within 90 days, the obligated amount will be de-obligated by the Sponsoring Agency by providing the USAO with a completed tracking report. 6 In order to accurately track reimbursable expenses and evaluate agency spending, it is imperative that one Reimbursement Request be submitted on a monthly basis. The Reimbursement Request should be submitted promptly after the last working day of the month If the FC-OCDETF has not received the reimbursement within thirty(30)days of the last day of the month in which the overtime was worked, it will not be honored and paid. 7. Reimbursement requests must include, with supporting documentation such as the type of overtime investigative activity that occurred and all time worked on OCDETF investigations Reimbursement requests must be submitted to the sponsoring federal field supervisor. Page 1 'r i 8. The State & Local Agency is responsible or retaining and having available for a review, audit, inspection, etc sufficient suppo 'ng documentation for all regular hours and overtime hours worked on a specific CDETF case. The reimbursement must be submitted with the Officers'timesheets th reflect work on the specific OCDETF case and must be reviewed and signed by an author zed State & Local official. 9. Officers assigned to the OCDETF case ar required to work full-time on OCDETF cases Departments are not eligible for overtime imbursement unless the officer works full time on OCDETF cases/Strategic Initiatives. 10. The Executive Office for OCDETF hays Implemented specific funding caps. The maximum funding per OCDETF operati n is $50,000 per year with a per department funding cap of$25,000 per year and a c mutative cap of$100,000 over the life of the operation (which may encompass multipl years) Please be aware that more than one department may be working on this OCDETF operation As spending on this operation approaches these caps, contact your Sporsoring Federal Agency OCDETF Coordinator should there be a justified need to exceed the established cap(s). 11. The maximum number of officers assigned to an agreement cannot exceed fifteen (15) without written justification 12. Monthly Estimate Amount Worksheet and Reimbursement Requests must be timely submitted or reimbursement for overtime hours performed in support of the case will be denied 13. Periodically, modification of obligated funds may be necessary and your agency will receive a screen printout of the Agreement funding change reflecting such modification within ten (10) business days. Attached is a Reimbursement Request for your agency to reproduce for future submissions (any submissions not on these forms will be returned). If you have any questions, please feel free to contact the Sponsoring Federal Agency as follows: Agency Phone Fax E-mail ATF Troy Stratton 561-623-4184 561-623-4201 Troy.D Stratton @usdoj gov DEA Robin Withrow 954-660-4514 954-660-4307 Robin.L.Withrow @usdoj.gov Jiries J. "Jerry" Salameh 954-660-4513 Jiries.J Salameh@usdoj gov FBI Jessie Greene 954-888-1586 954-577-5747 IJGreene @sflhidta.org Paul J Sciolino 954-888-1534 PJSciolino @sflhidta.org Enclosures: FY'2013 Agreement with Addendums Reimbursement Request, Authorized Officers Overtime Log, Authorized Officer Hour Log and Monthly Estimate Amount Worksheet Instructions for filing out financial forms Internet Payment Platform (IPP) Page 2 FY'2013 Bar Code r ORGANIZED CRIME DRUG ENFOR EMENT TASK FORCES REIMBURSEMENT REQUEST FOR VERTIME COSTS AND AUTHORIZED EXPENSE/STRATEGI INITIATIVE PROGRAMS FOR STATE AND LOCAL LAW ENE', RCEMENT PERSONNEL DATE OF REQUEST. STATE OR LOCAL FEDERAL DC#(EXO M _ 32 _ TAX IDENTIFICATION # 59-6000290 use only) SEND PAYMENT TO Clermont Police Department 865 W Montrose Street,Clermont, FL 34711 (State or Local Agency,Address,Zip Code) ADMINISTRATIVE OR FINANCIAL STAFF CONTACT. Laura Turk TELEPHONE/E-mail. 352-394-5.588 x129, Iturk( iclermontfl.org OCDETF INVESTIGATION/STRATEGIC INITIATIVE NUMBER: FC/FLM/0880 SPONSORING FEDERAL AGENCY INVESTIGATION NUMBER. ?B-10-0067,Oper No Fly Zone BILLING PERIOD FOR WHICH AMOUNT REQUESTED. OVERTIME $ REIMBURSEMENT IS REQUESTED AUTHORIZED EXPENSES $ FROM TO TOTAL $ Total Number of Officers Claiming Overtime. Total Number of Overtime Hours Claimed for All Officers Total Number of Regular Hours Worked for All Officers In accordance with the executed State and Local Agreement,reimbursement is hereby requested for overtime and for authorized expense/Strategic Initiative programs of Law Enforcement officers from the above-named Agency I hereby certify that cumulative overtime from all Federal sources, inclusive of this request,for each officer covered by this request does not exceed 25%of the current approved Federal salary rate in effect at the time the overtime was performed I further certify that the funds requested are for overtime, travel, Strategic Initiative operation expenses, and per diem expenses incurred by the officer(s) identified in the Agreement for work on the cited OCDETF investigation or Strategic Initiative,and that the State and Local officer(s)have been paid NOTE. DIRECT PAYMENTS TO OFFICERS ARE NOT ALLOWED Certified Authorized State or Local Official Title Date Certified. DEA Sponsoring Federal Agency Group/Squad Supervisor Date Approved Jiries J Salameh, DEA Sponsoring Federal Agency Regional OCDETF Coordinator Date Approved Mary V "Jena" King, AUSA Regional OCDETF Coordinator Date Approved for Payment OCDETF Executive Office Date SUBMIT ATF--Troy Stratton,OCDETF Coordinator DEA—Sponsoring DEA FBI--OCDETF Coordinator TO: 505 South Flagler Drive,Suite 402 Group Supervisor or RAC 16320 N.W.2 Avenue West Palm Beach,FL 33401 North Miami Beach, FL 33169 Reimbursement Request(FY 13) 1 ORGANIZED CRIME DRUG ENF RCEMENT TASK FORCES AUTHORIZED OFFICER OVERTIME LOG OCDETF Investigation/ Strategic Initiative Number: ! FC/FLM/0880 State or Local Agency: Clermont Police Department 1 Current Billing Period for Fiscal Year 2013: 4 Do not leave any columns blank, enter 'V"for any colu s with a non-applicable amount. The Totals'row of Columns A, B, D, and E must match the amounts list on the Reimbursement Request Column Label A B C D E F G H Number of Number of OCDETF Cumulative Cumulative State or Local Regular Overtime Officer's Autl}onzed Overtime Other Federal OCDETF Overtime Employee Name Hours Hours Overtime Expenses Amount Overtime Overtime Charged from Worked on Worked on Rate Clamed for Claimed for Earned*to Charged all Federal case/ case/ this billing this billing date this fiscal including this Sources this Strategic Strategic period period year" billing period fiscal year" Initiative Initiative this fiscal BxC=E year" F+G=H*** Totals: I i *Other Federal Overtime Earned is overtime earned from ALL non-OCDETF Federal Sources(such as Safe Streets, HIDTA, IRS, ICE, FEMA,etc) **Fiscal Year is from October 151 —September 30t ***This amount cannot exceed 25%of the current Federal salary rate in effect at the time the overtime was performed Attach all documentation. Overtime Log(FY 13),Page 2 ORGANIZED CRIME DRUG ENFOCEMENT TASK FORCES AUTHORIZED OFFICER HOUR LOG STATE OR LOCAL AGENCY: Clermont Police Department OCDETF INVESTIGATION / STRATEGIC INITIATIVE NUMBER: FC/FLM/08.80 For the Month of , 201 OFFICER: OFFICER'S OVERTIME HOURLY RATE: $ Number of Regular Hours Number of Overtime Hours Date worked on OCDETF case/ worked on OCDETF case/ —otal Overtime Type of Overtime Investigative Activity Strategic Initiative Strategic Initiative Dollar Amount (ex Title III,surveillance,etc) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Totals: Initials of Federal Agent/Supervisor: Hour Log(FY 13),Page 3 ORGANIZED CRIME DRUG ENFORCEMENT TASK FORCES AUTHORIZED OFFICER HOUR LOG STATE OR LOCAL AGENCY: Anytown Police Department OCDETF INVESTIGATION / STRATEGIC INITIATIVE NUMBER: FC/FLS/0001 For the Month of October , 201 2 OFFICER: John Doe OFFICER'S OVERTIME HOURLY RATE: $ 49 53 & $57.33 Number of Regular Hours Number of Overtime Hours Date worked on OCDETF case/ worked on OCDETF case/ T tal Overtime Type of Overtime Investigative Activity Strategic Initiative Strategic Initiative D liar Amount (ex Title Ill,surveillance,etc) 1 8 2 8 2 x 49.53 3 x 57.33 ; 271.05 Surveillance 3 8 4 8 2 x 49 53 99.06 Executing arrest warrants 5 6 7 8 8 8 9 8 4 x 49.53 2 x 57.33 312.78 Surveillance 10 8 11 8 12 13 14 15 16 8 17 18 19 20 4 x 57.33 229.32 Title III 21 8 22 8 23 8 24 25 26 27 28 29 8 30 8 2 x 57.33 114.66 Title III 31 8 4 x 57.33 229.32 Title III Totals 16 23 $1,256 1 9 Initials of Federal Agent/Supervisor: Hour Log(FY 13),Page 3 FY'2013 MONTHLY ESTIMATE k MOUNT WORKSHEET (Chronological istory) OCDETF/ Strategic Initiative Number: FC/FLM/0880 Agency: DEA Operation Name: No Fly Zone State/Local Department Name: Clermont Police Department Administrative or Financial Staff Person: Laura Turk Phone/E-Mail: 352-394-5588 x129, lturk(a,clermontfl.org State/Local Facsimile No. 352-394-1644 October 2012 November 2012 December 2012 January 2013 $ $ $ $ February 2013 March 2013 April 2013 May 2013 $ $ $ $ June 2013 July 2013 August 2013 September 2013 $ $ $ $ By the 5th of each month, please fax or e-mail your estimated overtime and authorized expenses for the current month to the sponsoring Federal Agency Regional Coordinator(ex. due November 5,2012 figure covers November 1-30, 2012 ) You must provide an estimated amount, in order for your department to obtain reimbursement for that month This estimate worksheet must be submitted every month including a zero(0)amount if no reimbursement is being filed. This form does not replace the obligation to submit the monthly Reimbursement Request which must be submitted within 30 days of the end of the month you are claiming Facsimile Numbers: E-Mail. ATF 561-623-4201 Troy.D Stratton @usdoj.gov DEA 954-660-4307 Robin.L.Withrow @usdoj gov FBI 954-577-5747 IJGreene @sflhidta org Monthly Estimate Amount Worksheet(FY 13) NOV 092012 ORGANIZED CRIME DRUG ENFORCEMENT TASK FORCES FY'2013 AG EMENT FOR THE USE OF THE TATE AND LOCAL OVERTIME AND AUTHORIZED EXPENSE/ STRATEGIC INITIATIVE PROGRAM Federal Tax Identification #: 59-6000290 DC #: Amount Requested- J OCDETF Investigation/Strategic Initiative *--9 Number FC/ FLM-0880 $ , 0 00 • 1Csj,� Number of Officers Listed. 1 Federal Agency Investigation Number GB-10-0067 From. 10-01-2012 State or Local Agency Name and Address Beginning Date of Agreement Clermont Police Department To 09/30/2013 Ending Date of Agreement 865 W Montrose St State or Local Agency Narcotics Supervisor Sgt John Graczyk Clermont,FL 347111 Telephone Number 352-394-5588 ext 134 E-mail Address. jgraczyk @clermontfl org Fax#(if applicable). 352-394-1644 Sponsoring Federal Agency. Sponsoring Federal Agency Group/Squad Drug Enforcement Administration Supervisor GS Willie Hawkins ok. OCDETF Operation Name. Telephone Number 407-333-7000 No Fly Zone / P E-mail Address.Willa.L.HatACI nsnvlscio:)-gav' Please provide the name, telephone number, e-mail address, and fax number for the administrative or financial staff person at the State or Local Agency, who is directly responsible for the billings under this Reimbursement Agreement: Name: Laura Turk Telephone Number (with area code) 352-394-5588 ext. 129 E-mail Address: lturk(a,,clermontfl.org Fax # (if applicable) 352-394-1644 Agreement(FY 13),Page 1 OCT 3 0 2012 24 E(WY FAT s5- 1 This Agreement is between the above named Stat or Local Law Enforcement Agency and the Organized Crime Drug Enforcement Task Forces OCDETF) Program. This Agreement shall be effective when signed by an authorized State or ocal Agency official, the sponsoring Federal Agency Special Agent-In-Charge, the sponsoring !Agency Regional OCDETF Coordinator, the Assistant United States Attorney Regional OCDETF Coordinator, and the OCDETF Executive Office. 1. It is agreed that the State or Local Law nforcement officers named on this Agreement will assist in OCDETF Investigations, St tegic Initiatives and prosecutions as set forth in the Organized Crime Drug Enforceme t Task Forces State and Local Overtime and Authorized Expense/Strategic Initiative Programs, Policies and Procedures Manual, Fiscal Year 2013. 2. No individual Agreement with a State or Local department may exceed $25,000, and the cumulative amount of OCDETF State an Local overtime monies that may be expended on a single OCDETF Investigation or St ategic Initiative in a single fiscal year may not exceed $50,000 without express prior apjroval from the OCDETF Executive Office The OCDETF Executive Office will entertain requests to exceed these funding levels in particular cases. Please submit a written request including justification approved by the AUSA Regional Coordinator to the OCDETF Budget Officer/Deputy Budget Officer when seeking to exceed the above stated funding levels. 3. Each Reimbursable Agreement will be allowed no more than six (6) modifications per year. In addition, if the funds for a particular Agreement are completely deobligated with the intention of closing that Agreement, it will not count as a modification for purposes of this policy. These amendments must be transmitted by a memorandum approved and signed by the AUSA Regional OCDETF Coordinator or designee for the region and sent to the OCDETF Executive Office. 4. If an Agreement does not have any activity during the last ninety (90) days, the funds shall automatically be deobligated. The OCDETF Executive Office will assist with the monitoring of the aging Agreements. Further, if a State or Local Agency indicates that it is no longer performing work under a particular Agreement, the State and Local Overtime and Authorized Expense/Strategic Initiative Programs, Policies and Procedures Manual requires that a modification memorandum identifying the amount to be deobligated be submitted to the OCDETF Executive Office as soon as possible after determining that no work is being performed. 5. The State and Local Law Enforcement Agency must provide billing estimates or activity on a monthly basis. 6 The State or Local Law Enforcement Agency agrees to provide experienced drug Law Enforcement officers who are identified in this Agreement to work on the specified OCDETF Investigation or Strategic Initiative. Any change in Law Enforcement officers assigned must be agreed to by all approving officials. 7. Officers who are not deputized shall possess no Law Enforcement authority other than that conferred by virtue of their position as a commissioned officer of their parent Agency. Agreement(FY 13),Page 2 8. Officers who are deputized may possess Federal Law Enforcement authority as specified by the Agency affording the deputation. 9. Any State or Local officers assigned to an OCDETF Investigation or Strategic Initiative in accordance with this Agreement are not considered Federal employees and do not take on the benefits of Federal employment by virtue of their participation in the Investigation or Strategic Initiative. 10. OCDETF and the sponsoring Federal L w Enforcement Agency(ies) for the approved OCDETF Investigation or Strategic Initiative will provide to the assigned State/Local officers the clerical, operational and administrative support that is mutually agreed to by the parties in this Agreement. 11. Officers assigned to OCDETF Investigations or Strategic Initiatives must work full-time on the Investigation(s) or Strategic Initiative(s) in order to be paid overtime In order to satisfy the "full-time" requirement, a Law Enforcement officer must work forty (40) hours per week or eight (8) hours per day on a single or multiple OCDETF Investigation(s) or Strategic Initiative(s). Any established exceptions or waivers to this definition shall be requested by the Regional Coordination Group and attached as Addendum A to the Agreement. [The parent State or Local Agency must pay the base salary of its officers. In the event officers must work overtime on an OCDETF Investigation or Strategic Initiative, the OCDETF Program will reimburse the parent State or Local Law Enforcement Agency for a limited amount of those overtime costs.] The Agency is responsible for paying its Law Enforcement officer(s) for their overtime, travel and per diem expenses To ensure proper and complete utilization of OCDETF overtime and expense allocations, reimbursement claims must be submitted monthly on the OCDETF Reimbursement Request Form. The OCDETF Executive Office may refuse payment on any reimbursement request that is not submitted to the OCDETF Regional Coordination Group within thirty (30) days of the close of the month in which the overtime was worked 12. It is the responsibility of the State & Local Agency to retain and have available for inspection sufficient supporting documentation for all regular hours and overtime hours worked towards a specific OCDETF case. Officers' timesheets must reflect work towards a specific OCDETF case and must be reviewed and signed by an authorized State & Local official. 13. Analysis of reimbursement claims by the Regional Coordination Group may result in a modification of the obligation of funds contained within this Agreement as well as the time period covered. The Agency affected by any such modification will receive a memo notifying them of the changes. 14. Overtime payments, including all other non-OCDETF Federal sources (such as Safe Streets, HIDTA, IRS, ICE, FEMA, etc.) may not, on an annual per person basis, exceed 25% of the current approved Federal salary rate in effect at the time the overtime is performed. The State or Local Agency is responsible for ensuring that this annual payment is not exceeded. The Executive Assistant/OCDETF Program Specialist will monitor these payments via MIS and communicate to the Federal Agency Regional OCDETF Coordinators who provide status updates to any officer approaching the threshold Agreement(FY 13),Page 3 1 15. The overtime log must be attached to tae reimbursement request when submitting the monthly invoices. The Sponsoring Federal Agency Supervisory Special Agent and the State or Local official authorized to approve the Reimbursement Request must certify that only authorized expenses are claimed, tht regular hours requirement is satisfied, and that overtime has not exceeded 25% of the current Federal salary rate in effect at the time the overtime was worked 16. Under no circumstances will the State or Local Agency charge any indirect costs for the administration or implementation of this Agreement. 17. The State or Local Agency shall maintai complete and accurate records and accounts of all obligations and expenditures of fund under this Agreement for a period of six (6) years and in accordance with generally accepted accounting principles to facilitate inspection and auditing of such records and accounts. 18. The State or Local Agency shall permit e*amination and auditing by representatives of the OCDETF Program, the sponsoring Fedeital Agency(ies), the U.S. Department of Justice, the Comptroller General of the United States, and/or any of their duly-authorized agents and representatives, of any and all records, documents, accounts, invoices, receipts, or expenditures relating to this Agreement. Failure to provide proper documentation will limit State or Local Law Enforcement Agencies from receiving OCDETF funding in the future 19. The State or Local Agency will comply with Title VI of the Civil Rights Act of 1964 and all requirements applicable to OCDETF Agreements pursuant to the regulations of the Department of Justice (see, e g., 28 C.F.R Part 42, Subparts C and G; 28 C.F.R 50 3 (1991)) relating to discrimination on the grounds of race, color, sex, age, national origin or handicap. 20. This Agreement may be terminated by any of the parties by written notice to the other parties ten (10) business days prior to termination. Billing for outstanding obligations shall be received by OCDETF within thirty (30) days of the notice of termination 21. The Debt Collection Improvement Act of 1996 requires that most payments made by the Federal government, including vendor payments, must be made by electronic funds transfer (EFT). In accordance with the act, all OCDETF reimbursement payments will be issued via EFT. All participating State and Local Agencies must complete and submit the attached EFT form. The OCDETF Executive Office must receive one EFT form from each participating Agency or police department prior to processing their reimbursement payments. In certain circumstances the OCDETF Executive Office may make exceptions for Agencies that are unable to accept this form of payment, however, such Agencies must include written justification in the addendum of each new Agreement. 22. All changes made to the original Agreement must be approved by the OCDETF Executive Office and initialed by the Executive Assistant/OCDETF Program Specialist of the Regional Coordination Group making the revision. The AUSA Regional OCDETF Coordinator or designee must initial all funding changes Agreement(FY 13),Page 4 I 23. The Regional Coordination Group is responsible for identifying and implementing any additional policy requirements, as needed, for its specific region. Those regional policies will be documented in the Addendum B;and attached to the approved Agreement. The Agencies are agreeing to adhere to these additional requirements and must have written approval by the Regional Coordination Group for any exceptions to the regional policies. This Agreement is not a contract or obligation to mmit Federal funds in the maximum amounts projected. Funding allocations for the time period se forth and agreed to herein represent projections only and are based upon consultation between the s onsoring Federal Agency and the State or Local Law Enforcement Agency. They are, therefore, sub ect to modification by OCDETF based upon the progress and needs of the OCDETF Investigation or Strategic Initiative. Additionally, resources are contingent upon the availability of funds per the approval and signature of the OCDETF Executive Office obligating authority. The OCDETF Execut ve Office will approve and certify that all the terms and conditions of the Agreement have been met. MONTHLY ESTIMATES ARE NOW REQUIRED. ESTIMATE FOR THE CURRENT MONTH MUST BE SENT TO AGENCY COORDINATOR NO LATER THAN FIFTH (5th) BUSINESS DAY OF THE CURRENT MONTH. Chad-P 9Ida y Approved By: �.� lrin C��(�' l �11f� -"o`^ a Aut razed State or Local(Official Title kDati Approved By: R ASA< ` \\•V PP :Y DE ponsorzng ederal Age Special Agent in Charge or Designee Date A roved By: % // PP Y: Si ��C� �� Juries J Salameh, DE f` oring Age y egio 1 CETF Coordinator Date Approved By: / JI l //2 Mary V (Jena)King,AU A Regio a / l OCDETF for Date Funds are encumbered for the State/Local Agency overtime costs and authorized expense / Strategic Initiative Programs specified above. Subject to availability of funds. Funds Certified: OCDETF Executive Office Date Approving Official: OCDETF Executive Office Date Agreement(FY 13),Page 5 1 ORGANIZED CRIME DRUG ENFORCEMENT TASK FORCES STATE OR LOCAL LAW ENFORCEMENT OFFICERS ASSIGNED TO PARTICIPAT IN THE STATE AND LOCAL OVERTIME AND AUTHORIZED EXPENSE /STRATEGIC INITIATIVE PROGRAMS State or Local Agency: Clermont Police Department OCDETF Investigation/ Strategic Initiative Number FC/ FLM-0880 The Law Enforcement officers listed below will assist with the above identified OCDETF Investigation or Strategic Initiative. Any modification of the list of Law Enforcement officers must be agreed to in writing by all of the parties to this Agreement, made a part of the Agreement, and forwarded to the OCDETF Executive Office. NAME TITLE/RANK DOB 1 Chadwick Edmondson Agent (Police Officer) 6/12/1980 2. 3 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Agreement(FY 13),Page 6 ORGANIZED CRIME DRUG ENFORCEMENT TASK FORCES FLORIDA/CARIBBEAN REGION FY 2013 ADDENDUM A Definition of"Full-Time Participation" - See paragraph 11. 1 Any Exceptions or Justifications - must be submitted in writing. Agreement(FY 13),Page 7 ORGANIZED CRIME DRUG ENFOCEMENT TASK FORCES FLORIDA/CARIBBEAN REGION FY 2013 ADDENDUM B In regard to the FY 2013 State and Local Agreement, the Florida/Caribbean OCDETF Financial Committee has approved modifications to the below numbered paragraphs as follows: 6. The maximum number of officers assigned to an agreement cannot exceed fifteen (1 S) without written justification 11. All assets seized in the investigation will Ibe processed federally by the sponsoring OCDETF federal agency unless otherwise specified in the OCDETF Investigation Initiation Form (IIF) or in a subsequent addendum to the IIF or other OCDETF reports. Equitable sharing of forfeited assets remains available to all the participating federal, state and local agencies. Equitable sharing requests will be governed by the rules and regulations of the Department of Justice Asset Forfeiture Fund or Treasury Executive Officer for Asset Forfeiture and Treasury Forfeiture Fund Program as applicable. 13 Analysis of reimbursement claims by the Regional Coordination Group may result in modification of the obligation of funds contained within this agreement as well as the time period covered. The department affected by any such modification will receive a screen printout of the agreement funding change. Agreement(FY 13),Page 8 ACH VENDOR/MISCELLAk4EOUS PAYMENT ENROLLMENT FORM PAYEE/COMPANY INFORMATION (Include State anti Local Agency name as wntten on Agreement cover sheet) Name CITY OF CLERMONT (Gl.erw owk F•.I�J Address: 685 W. Montrose Street Clermont,FL 34711 Taxpayer ID Number 59-6000290 Contact Person Name Charles Broadway Interim Chief of Telephone Number 352-394-5588 Ext 186 Police FINANCIAL INSTITUTION INFORMATION Bank Name. FIFTH THIRD BANK Nine-Digit ABA Routing Transit Number 063109985 Depositor Account Number 7441029308 Type of Account. (checking/savings) CHECKING Please return with the Reimbursable Agreement The Debt Collection Improvement Act of 1996 requires that most payments made by the Federal government, including vendor payments, must be made by electronic funds transfer (EFT) A benefit of receiving payments by EFT is that your funds are directly deposited to your account at a financial institution and are available to you on the date of payment If you have any question regarding the delivery of remittance information, please contact the financial institution (bank)where your account is held If you have any questions on the completion of this form, please contact the OCDETF State and Local EFT Coordinator,202-514-1860 To inquire about a bill contact. http//www ipp gov/ Agreement(FY 13),Page 9 ORGANIZED CRIME DRUG ENFORCEMENT TASK FORCES FLORIDA/CARIBB AN REGION FY=2013 AGREEMINT ESTIMATE OCDETF/ Strategic Initiative Number: FC/ FLM/)880 State/Local Department Name: CLERMONT POLIE DEPARTMENT Estimate the first three (3) months of overtime and authorized expenses (travel) for this Investigation or Strategic Initiative and enter that amount on the first page of the Agreement in the Amount Requested box. In order for the Financial Committee to review and process your agency=s Agreement, this form must be completed and attached to the Agreement. MONTH ESTIMATED AMOUNT October I $700.00 2 November $700.00 3 December $700.00 TOTAL: $2,100.00 Agreement(FY 13),Page 10 1 Internet Payment Plat orm (IPP) i Click on this link for details: https•//www ipp gov/ 1 Agencies please refer to the IPP link for registration, an instructional video and a downloadable brochure. Internet Payment Platform http•//www/ipp gov/ (617) 973-3069 The IPP provides the following Payment Notification Services to government supplier users: • payment email notification • online payment history • remittance download To register for the payment notification services, contact IPP Support at bos.ipp helpdesk@bosfrb.org.bos.frb.org. Please use "IPP Payment Notification Services" in the email subject line or call toll free at 1 (866) 973-3131. Registration Requirements The following information about your department is required to initiate IPP registration. Be sure to indicate if your department is registered in the government Central Contractor Registry (CCR). If you have more than one location or department name, please use your primary corporate information and location data to register with the IPP: • Indicate if your department is registered in the CCR • Department name • Primary department site address • Primary department phone number • Designated IPP account administrator: first name, last name,phone number,email address • Taxpayer Identification Number(s) (TINs) used for government agency payments The following information about a business partner government agency is required to initiate IPP registration: • Name of government agency doing business with your department • Contact information at the government agency: name, phone, email If you have any question regarding the registration process, please call the IPP Support at 1 (866) 973-3131. Revised (Oct 09)