SH17-028 EXTRA DUTY DEPUTY-Contract Form

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Kittitas County Sheriffs Office MOMMMM"Pow Gene Dana, Sheriff OFF DUTY DEPUTY REQUEST/AGREEMENT FORM NAME OF CONTRACTING PARTY: BILLING ADDRESS: TELEPHONE:( ) CELUNIESSAGE PHONE: TYPE OF EVENT: LOCATION OF EVENT: DATE(S) AND TIME OF EVENT DURATION: NUMBER OF DEPUTIES REQUESTED ALCOHOL SERVED? Y N UNIFORMED OR PLAINCLOTHES (CIRCLE ONE) APPROX. # OF GUESTS HOURLY RATE: $70.00 REGULAR LINE DEPUTY. HOURLY RATE BEGINS AT THE TIME - THE DEPUTY ARRIVES AT THE WORKSITE AND ENDS UPON LEAVING THE WORKSITE. PLEASE BEQUEST DEPUTIES 2 WEEKS IN ADVANCE. This represents an agreement for the above listed party to purchase the off-duty services of the above listed deputies on the date and time shown. I understand that if this event is cancelled and deputies are provided -with less- than 24 hours notice from the intended -start _ time of the event, I ani responsible for the payment of 2 hours of time for each deputy assigned. I understand that if the deputies are required to remain at the work site less than two hours, two hours will be the minimum payment for the deputies. I understand and agree that payment shalt be pursuant to this agreement with the Sheriffs Off ce and I -understand that I will be billed the hourly rate as in dilated above, per deputy, for this event. Billing is accrued on the quarter hour after the first two hours. I understand that I will receive an invoice from the Sheriff s office at the address I have provided above, which must be paid promptly, and that this agreement is subject to the authorization or declination of the Sheriff or his designee. I freely and voluntarily agree to abide by this contract and understand my responsibilities. SIGNED: DATE: OFFICE USE ONLY Reviewed by command staff; APPROVED or DENIED (CIRCLE ONE) SIGNED: DATE: ASSIGNED DEPUTY.- Revised EPUTY; Revised 05-08-14