HomeMy WebLinkAboutA6920 - CALIFORNIA HIGHWAY PATROL (CHP) STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0059 made and entered into this 1Oth day
of October 1 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Palm Springs Pride Parade
2. The term of this Agreement will be 11/04/2018 to 11/04/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton ,telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees,to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body, which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Chp465 o118.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0059 made and entered into this 1Oth day
of October , 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Palm Springs Pride Parade
2. The term of this Agreement will be 11/04/2018 to 11/04/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton , telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be) attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Chp465_0118.pdf
CHP 465(Rev. 1-18)OPI 071
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 8.00 hrs. @ $ 110.03 $ 880.24
Officer: 48.00 hrs. @ $ 90.45 $ 4,341.60
Vehicle mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 5,421.04
Note: If total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO)or to the on-scene
command officer in-charge. The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency cnp465_01 19.pdr
CHP 465(Rev. 1-18)OPI 071
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 8.00 hrs. @ $ 110.03 $ 880.24
Officer: 48.00 hrs. @ $ 90.45 $ 4,341.60
Vehicle mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 5,421.04
Note: If total estimated cost exceeds$50,000, a CHP 465 CANNOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO)or to the on-scene
command officer in-charge. The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency chp465_0118.pdf
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
p !
Commander Signature Dates Signature Date
M.Stefanoff David Ready �d+''
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable' , ; City State Zip Code
(760)323-8201
Approved as to form by Date Telephone Number
APPR OVEP py r1j-�ry Rl,"``snore
�Es'r.
CI Clerk
Page 3 of 3 An Internationally Accredited Agency Chp465 0118.pdf
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
Commander Signature Date P-VSignature Date
M.Stefanoff David Ready
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable: City State Zip Code
(760)323-8201
Approved as to form by Date Telephone Number
APPRO"ED BY CITY GE R
ST: S4- D
1
CI Clerk
Page 3 of 3 An Internationally Accredited Agency Chp465_0116.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev. 1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0060 made and entered into this 13th day
of October 1 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services [:]vehicle inspections
❑other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Veteran's Day Parade
2. The term of this Agreement will be 11/11/2018 to 11/11/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body, which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Chp465_0118.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0060 made and entered into this 13th day
of October , 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when [Z]traffic control ❑security services [:]vehicle inspections
other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Veteran's Day Parade
2. The term of this Agreement will be 11/11/2018 to 11/11/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency,this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Chp465 0118.pdf
CHP 465(Rev. 1-18)OPI 071
11. PS agrees that if cancellation is'made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m.to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 8.00 hrs. @ $ 110.03 $ 880.24
Officer: 22.00 hrs. @ $ 90.45 $ 1,989.90
Vehicle mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 3,069.34
Note: If total estimated cost exceeds$50,000, a CHP 465 CANNOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO)or to the on-scene
command officer in-charge, The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency cnp465_011e.pdf
CHP 465(Rev. 1-18)OPI 071 '
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be_made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation,notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipf of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 8.00 hrs. @ $ 110.03 $ 880.24
Officer: 22.00 hrs. @ $ 90.45 $ 1,989.90
Vehicle mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 3,069.34
Note: If total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request,-and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 9 9.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO)or to the on-scene
command officer in-charge, The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number.
Page 2 of 3 An IntemationallyAccredited Agency cnpass_oi�a.pdr
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
Commander Signature ' Date Signature Date
M.Stefanoff David Ready ' 6 ��
Printed Name Printed Name
Captain City Manager
Tile Tile
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable City State Zip Code
(760)323-8201
Approved as to form by Date Telephone Number
APPROVED By MY n MAGER
ST;
Clerk
Page 3 of 3 An Internationally Accredited Agency Chpase_olie.pdf
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol -
Commander Signature Date Signature Date
M.Stefanoff David Ready -007' x C/
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable `u, City State zip Code
(760)323-8201
Approved as to form by Date Telephone Number
APPROVED By!,31Ir!^t{M"IiGER
Do
ST:
rd IV/
ChWyClerk
Page 3 of 3 An Internationally Accredited Agency Chp465_0118.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL '
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0061 made and entered into this 13th day
of October 1 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Festival of Lights Parade
2. The term of this Agreement will be 12/01/2018 to 12/01/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the.CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Cnp465_0118.pdt
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.1-18)OPI 071
THIS AGREEMENT, Reimbursable Services Control Log# R-18-630-0061 made and entered into this 13th day
of October , 2018 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services [:]vehicle inspections
❑other details for
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
Festival of Lights Parade
2. The term of this Agreement will be 12/01/2018 to 12/01/2018
3. The CHP coordinator shall be Sergeant Stephanie Hamilton telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency,this Agreement may be canceled without prior notice by the CHP.
5. PS agrees,to the extent permitted by law to indemnify the CHP against
and hold the.CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims,demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions,or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency Chp46e_01 18.pdf
CHP 465(Rev. 1-18)OPI 071
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m.to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or,
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 10.00 hrs. @ $ 110.03 $ 1,100.30
Officer: 50.00 hrs. @ $ 90.45 $ 4,522.50
Vehicle.mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 5,822.00
Note: If total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO)or to the on-scene
command officer in-charge. The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency chp46s-01 f 8.pdf
CHP 465(Rev. 1-18)OPI 071
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m.to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or,
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 10.00 hrs. @ $ 110.03 $ 1,100.30
Officer: 50.00 hrs. @ $ 90.45 $ 4,522.50
Vehicle mileage: 240 miles @ $ 0.83 $ 199.20
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 5,822.00
Note: If total estimated cost exceeds$50,000, a CHP 465 CANNOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. COLLECTION OF ADVANCE DEPOSIT FOR A MOTION PICTURE/FILM.
A form of advance deposit shall be required before services can be performed. The advance deposit shall be made by
the requesting party and hand delivered directly to the Statewide Film Media Relations Officer(FMRO) or to the on-scene
command officer in-charge. The FMRO or on-scene command officer in-charge will approve, complete a CHP 230,
Transmittal Record, and forward the advance deposit to FMS, RSU.
a. Amount of deposit collected: $
b. Check number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency chp465_01 1 s.pdf
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
Commander Signature Date ignature • Date
M.Stefanoff David Ready
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use'by City`/County`Clerk,=if applicable City State zip Code
(760)323-8201
Approved as to form by Date Telephone Number
ST.
�c
City Clerk
Page 3 of 3 An Internationally Accredited Agency Chp465 otta.pdf
CHP 465(Rev. 1-18)OPI 071
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
Commander Signature Date 119lignature ' Date
M.Stefanoff David Ready fQ � .
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
for use by City/County Clerk,if applicable City State zip Code
(760)323-8201
Approved as to form by Date Telephone Number
ST.
City Clerk
Page 3 of 3 An Internationally Accredited Agency Chp465_011e.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.2-12)ON 076
THIS AGREEMENT, Reimbursable Services Control Log# R-17-630-171 made and entered into this 10 day
of October , 2017 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for Palm Springs Festival of Lights Parade
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
traffic control
2. The term of this Agreement will be 12/02/2017 to 12/02/2017
3. The CHP coordinator shall be Sergeant Joe Zagorski , telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be (or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to j
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the i
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body, which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required,
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency cr,P465_1112.pdr
CHP 465(Rev.2-12)ON 076
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday,excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
I
Sergeant: 10.00 hrs. @ $ 107.62 $ 1,076.20
i
Officer: 52.00 hrs. @ $ 88,47 $ 4,600.44
Vehicle mileage: 240 miles @ $ 0.76 $ 182.40
Motorcycle mileage: miles @ $ $
i
Other expenses: $
Total estimated cost: $ 5,859.04
Note: If total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. Payment/Deposit. A form of advance payment/deposit shall be required before services can be performed. The CHP
command will collect the full amount of the estimate indicated herein for an Agreement 29 days or less. For an Agreement
over 30 days and up to 12 months, 50 percent of the estimate shall be collected.
a. Amount of deposit collected: $
b. Check number/purchase order number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency CnP4es--1112.Pa
CHIP 465(Rev.2-12)OPI 076
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHIP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department,pMalifornia Highway Patrol
1 Co man gi J ure Date �.�ignature Date
L.Quattlebaum Davi�Ready
Printed Name Printed Name
Captain City Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable City State zip code
(760)323-820 1
Approved as to form by Date Telephone Number
e AS TO f CM
c,+Tv aTt
APPROVED BY MY NIMaAGER
.Ak -f3,j5g .oil LAM
ATTEST:
`L
TI&WirA City Clerk
Page 3 of 3 An Internationally Accredited Agency cnp465_1112.pm
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNLI HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.2-12)OPI 076
THIS AGREEMENT, Reimbursable Services Control Log# R-17-630-170 made and entered into this 10 day
of October , 2017 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when Otraffic control ❑security services ❑vehicle inspections
❑other details for Palm Springs Veterans Day Parade
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
traffic control
2. The term of this Agreement will be 11/11/2017 to 11/11/2017
3. The CHP coordinator shall be Sergeant Joe Zagorski telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of.the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses Including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
i
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be {
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required. j
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An Internationally Accredited Agency chp4es 1 1 1 2.pdr
CHP 465(Rev. 2-12)OPI 076
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$60.00 per
assigned CHP uniformed employee.
12, All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14, No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16, The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeants pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 6.00 hrs. @ $ 107.62 $ 645.72
Officer: 18.00 hrs. @ $ 88.47 $ 1,592.46
Vehicle mileage: 240 miles @ $ 0.76 $ 182,40
Motorcycle mileage: miles @ $ $
Other expenses: $
Total estimated cost: $ 2,420.58
Note: ff total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. Payment/Deposit. A form of advance payment/deposit shall be required before services can be performed. The CHP
command will collect the full amount of the estimate indicated herein for an Agreement 29 days or less. For an Agreement
over 30 days and up to 12 months, 50 percent of the estimate shall be collected.
a. Amount of deposit collected: $
b. Check number/purchase order number:
c. Cash receipt number:
d. Federal Tax Identification Number
Page 2 of 3 An intemationafiy Accredited Agency chP4M_1 1 i2.Pdf
CHIP 465(Rev.2-12) ON 076
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHIP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Depart alifornia Highway Patrol
�p rider gnature Date Signature ale
L. Quattlebaum Davi4Ready
Printed Name _ Printed Name
Captain _City Manager
Title Title
630 3200 E. Talfquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable City State zip Code
(760)323-8201
Approved as to form by Date Telephone Number
AP 9� D A.S TO FORM
CITY ATTORNfrY
APPROVED BY CITY MWGER
a2piloo-59 4W
ATTEST:
�
in}ttriw. City Clerk
Page 3 of 3 An Internationally Accredited Agency ChPass_ti 12,pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.2-12)OPI 076
THIS AGREEMENT, Reimbursable Services Control Log# R-17-630-169 made and entered into this 10 day
Of October , 2017 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for Palm Springs Pride Parade
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
traffic control
2. The term of this Agreement will be 11/05/2017 to 11/05/2017
3. The CHP coordinator shall be Sergeant Joe Zagorski , telephone number (760)772-5300
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits,and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be) attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body, which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page f of 3 An InternatlonallyAccredited Agency ap 6JI1s.Pm
CHP 465(Rev.2-12)OPI 076
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is noted of such cancellation, .
PS will only be charged a short notice cancellation fee of$50,00 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation,
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location.
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement andlor
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate.
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs Incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
I
I
Sergeant: 8.00 hrs. @ $ 107.62 $ 860.96
Officer: 48.00 hrs. @ $ 88.47 $ 4,246.56
1
Vehicle mileage: 240 miles @ $ 0.76 $ 182.40
Motorcycle mileage: miles @ $ $
I
Other expenses: $
Total estimated cost: $ 5,289.92
Note: if total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing. (HPM 11.1, Chapter 6)
18. Payment/Del2osit. A form of advance payment/deposit shall be required before services can be performed. The CHP
command will collect the full amount of the estimate indicated herein for an Agreement 29 days or less. For an Agreement
over 30 days and up to 12 months, 50 percent of the estimate shall be collected.
a. Amount of deposit collected: $
b. Check number/purchase order number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 of 3 An Internationally Accredited Agency 0nP465 ji12.Pdf
CHIP 465 (Rev.2-12)OPI 076
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department f California Highway Patrol
!v -'/v -q �r
;Mrn!nF44riatun Date __Signature Date
L. Quattlebaum DavidReady
Printed Name Printed Name
Captain Citv Manager
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
For use by City/County Clerk,if applicable city State zip Code
(760)323-8201
Approved as to form by Date Telephone Number AS
FORM
TO
C"AnoRWIr
APPROVED BY MY MAMAGER
ATTEST:
In{tlfirK City Clerk
Page 3 of 3 An Internationally Accredited Agency Chpae5_1112.pdr
STATE OF CALIFORNIA
nFPARTMFNT OF CAL FORNIA HICiWAV PATROL
REIMBURSABLE LETTER OF AGREEMENT
CNP 465(Rev,2.12)OF,076
THIS AGREEMENT, Reimbursable Services Control Log# -___ R-16-630- 20Z made and entered into this 3 day
of November 2016 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER IS LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1. Reimbursable services are to be provided when [traffic control ❑security services ❑vehicle inspections
❑other details for ___ _____Palm Springs Pride Parade _
are required,the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
tI'af5c control
2. The term of this Agreement will be 11 1/2016 to 11/11/2016
3. The CHP coordinator shall be Sergeant Joe Zagorski , telephone number (760)772-8911
4. In the event of a dI'saster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be)attributable in part to the active and/or passive
negligence of the CHP and/or its appointees, officers, agents, employees, and servants.
PS — agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS _ shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body, which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception: This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10, PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the assigned CHP uniformed employees)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Pagel of An lnrernabonally Accredited Agency Chp455_W2.i _
CHI,465(Rev.2-12) OPI 076
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.03 per
assigned CHP uniformed employee.
12. All cancellation notices to the CHP must be made during normal CHP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13. The CHP agrees to make reasonable efforts to notify those CHP uniformed employees of the cancellation.
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHP Division/Area command and the service location,
16. The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeantwill be assigned to work in the place of the officer, and
PS will be charged at the current sergeant's pay. In the event of a rate
increase, PS agrees to pay the increase rate,
17. In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event ',
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: 6.00 hrs. @ $ 107.62 $ 645.72
Officer: 20.00 hrs. @ S 98 47 S 1,769.40
Vehicle mileage: 240 miles @ S 0.76 S 192.40
Motorcycle mileage: miles @ $ S
Other expenses: $
Total estimated cost: $ 2,597_52 _
Note: if total estimated cost exceeds$50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 78R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, for processing {HPM 11,1, Chapter6)
18, Pay DepOSit. A form of advance payment/deposit shall be required before services can be performed. The CHP
command will collect the full amount of the estimate indicated herein for an Agreement 29 days or less, For an Agreement
over 30 days and up to 12 months, 50 percent of the estimate shall be collected.
a. Amount of deposit collected: $
b. Check number/purchase order number:
c. Cash receipt number:
d. Federal Tax Identification Number:
Page 2 or 3 An lnlemationafty Accredited Agency cnp485 1112.pd
CHP 465(Rev. 2-12)OPI 076
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHIP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of alifornia Highway Patrol
mom .andy Sig ature Hate Signalure o e
L.Quatttt[ebaum
Printed Name Printed Name
Cartein
Thle itle
630 3200 E._TahquitZCanyon Way _
Loaalion code Address - --
Palm Springs CA 92262
rlrr 036 p ' Iry'IC'ounty Clark, f ap llaabin. - City Sta:e zlp code
(760) 323-8201
Approved as to form by fate Telephone Number
APP V A870�J,FORM
ATTOPoVEy;.s:cL..
DATR /��t d011
APPROVED BY CITY MANAGER
ATTEST:
�( City Clerk
Page 3 of 3 An Internationally Accredited Agency choaes 1112.om
STATE OF CALIFORNIA -
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REIMBURSABLE LETTER OF AGREEMENT
CHP 465(Rev.2-12)OPI 076
THIS AGREEMENT, Reimbursable Services Control Log# R-16-630-158 made and entered into this 6 day
of October 1 2016 , by and between the State of California, acting by and through the Department of California
Highway Patrol, hereinafter called CHP, and the City of Palm Springs hereinafter called
PS
WORK SHALL COMMENCE ON THE START DATE OR UPON APPROVAL BY BOTH THE CHP AND
REQUESTER, WHICHEVER 1S LATER. NO SERVICE SHALL BEGIN BEFORE THAT TIME.
1, Reimbursable services are to be provided when ❑✓ traffic control ❑security services ❑vehicle inspections
❑other details for Palm Springs Pride Parade
are required, the CHP agrees to provide uniformed personnel with motorcycles and/or patrol vehicles to assist with the
traffic control -
2. The term of this Agreement will be 11/06/2016 to 11/06/2016
3. The CHP coordinator shall be Sergeant Joe Zagoiski telephone number (760)772-8911
4. In the event of a disaster or unforeseen emergency, this Agreement may be canceled without prior notice by the CHP.
5. PS agrees, to the extent permitted by law to indemnify the CHP against
and hold the CHP harmless from any and all claims, demands, suits, and actions for personal injury, death, loss, and/or
property damage that may arise out of or in connection with the performance of this Agreement, even though such injury,
death, loss and/or damage to property may be(or may be alleged to be) attributable in par,to the active and/or passive
negligence of the CHIP and/or its appointees, officers, agents, employees, and servants.
PS agrees to defend all such claims, demands, suits, and actions
against CHP and/or its appointees, officers, agents, employees, and servants, although the CHP retains the right to
conduct the defense at its own expense. PS shall reimburse the CHP
for all expenses including court costs and reasonable attorney fees, incurred by reason of such claims, demands suits,
and actions, or incurred in seeking indemnity or other recovery from PS
thereunder.
6. No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by all parties and
approved as required. No oral understanding or Agreement not incorporated in this Agreement is binding on any of the
parties.
7. When one of the contracting parties is a county, city, district, or other local public body, this Agreement shall be
accompanied by a copy of the resolution, order, motion, or ordinance of the local governing body,which by law provides
the authority to enter into and execution of this Agreement. When performance by the local government entity will be -
completed before any payment by the CHP, such as a room rental or a one-time event, a resolution is not required.
8. PS agrees that additional charges which are directly related to the
services provided, maybe assessed for the CHP supplies, additional equipment utilized, damage to uniforms, or property
repaired or replaced at the CHP's expense.
9. If the CHP uniformed employee has reported to the assigned location and has worked less than four hours,
PS agrees to pay every assigned uniform employee a minimum of four
hours overtime. Exception This does not apply to those cases when the hours worked is part of an extended shift.
PS will not be charged for cancellations made more than 24 hours prior
to the scheduled assignment.
10. PS agrees that if cancellation is made within 24 hours priorto the
scheduled assignment and the assigned CHP uniformed employee(s)cannot be notified of such cancellation, a minimum
of four hours overtime will be charged for each assigned uniformed employee.
Page 1 of 3 An lnfernetionally Accredited Agency clfpe65 1112.pd1
CHP 465(Rev. 2.12)OPI 076
11. PS agrees that if cancellation is made within 24 hours prior to the
scheduled assignment and the CHP employee is notified of such cancellation,
PS will only be charged a short notice cancellation fee of$50.00 per
assigned CHIP uniformed employee.
12, All cancellation notices to the CHP must be made during normal CHIP business hours of 8:00 a.m. to 5:00 p.m., Monday
through Friday, excluding legal holidays. Cancellation notices shall only be accepted by the appropriate CHP Division or
Area office.
13, The CHIP agrees to make reasonable efforts to notify those CHIP uniformed employees of the cancellation,
14. No additional gifts, donation, or gratuities may be accepted by the CHP employees on their behalf or on the behalf of the
Department, informal squad fund(s), or other local fund(s).
15. The hours and miles indicated in this Agreement are for estimate-purposes only. Actual time and vehicle mileage will be
charged. This includes travel between the CHIP Division/Area command and the service location. .
16, The rates indicated in this Agreement are for estimate purposes only. Any increases in overhead, mileage, damaged
uniforms, private-owned safety equipment, salaries, and benefits are governed by collective bargaining agreement and/or
statute. In the event an officer is not available, a sergeant will be assigned to work in the place of the officer, and
PS - - will be charged atthe current sergeant's pay. in the-event of-a-rate
increase, PS _ agrees to pay the increase rate.
17, In consideration for the above services and upon receipt of an itemized invoice,
PS agrees to reimburse the CHP for the actual costs incurred at the
time services are provided. Rate charged to PS shall in no event
exceed the actual costs to the CHP to perform the requested services. The following cost information is for estimate
purposes only:
Sergeant: . . 8,00 hrs. @ $ 105.02 _ $ 940.16
Offices 48.00 hrs, @ $ 96.34 $ 4,144.32
Vehicle mileage: 300 miles @ $ 0.86 $ 258.00
Motorcycle mileage: _ miles @ $ $
Other expenses: _ $ ___.____
Total estimated cost: $ 5,242.48
Note: If total estimated cost exceeds $50,000, a CHP 465 CAN NOT be used. The reimbursable service request must be
initiated on a CHP 76R. Reimbursable Services Contract Request, and forwarded to Business Services Section, Contract
Services Unit, forprocessing. (HPM 11.1, Chapter6)
18, Payment/De osi . A form of advance payment/deposit shall be required before services can be performed. The CHP
command will collect the full amount of the estimate indicated herein for an Agreement 29 days or less. For an Agreement
over 30 days and up to 12 months, 50 percent of the estimate shall be collected.
a. Amount of deposit collected: $
b. Check number/purchase order number:
c. Cash receipt number:
d. Federal Tax Identification Number.
Page 2 of 3 An loternarionalry Accredited Agency ChO65 W2.pdf
CHP 465(Rev. 2-12)OPI 076
WITNESSETH: By and in consideration of the covenants and conditions herein contained,
PS and the CHIP do hereby agree to the above terms and conditions.
STATE OF CALIFORNIA REQUESTOR'S NAME
Department of California Highway Patrol
/a6-lG � hr/Zc
Co Pander ,gn. Date SlgnaNre Date
L.Quattlebaum \(
Printed Name Printatl Name
Captain - --
Title Title
630 3200 E.Tahquitz Canyon Way
Location Code Address
Palm Springs CA 92262
ab /cou nty Gl ° ticab10 City state zip Code
(760)323-920 1
Approved as to form by Date Telephone Number
APPROVED BY MANAGER
LA
APPR AS TO FORM
ATTORNEY
ATTEST.
Ally Clerk
Page 3 of 3 A lntemationofly Accredited Agency cnp4s5_n t 2"