HomeMy WebLinkAboutSH17-028 EXTRA DUTY DEPUTY-Contract FormKittitas County Sheriffs Office
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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
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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