CONTRACT FOR SCHOOL PROXIMITY TOBACCO ENFORCEMENT PROGRAM
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RECEIVED
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULAt~2 ') 2::,
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
CONTRACT FOR SCHOOL PROXIMITY TOBACCO ENFORCEMENT
CONTRACT NUMBER 00-00251-00
The Department of Business and Professional Regulation, Division of
Alcoholic Beverages and Tobacco ("DABT") is concerned about the availability of
tobacco products to underage persons. In an effort to reduce this availability, DABT
seeks to increase tobacco enforcement activities.
PARTIES: This contract is made and entered into by and between DABT and
CLEARWATER POLICE DEPARTMENT, hereinafter referred to as the
CONTRACTOR, to conduct School Proximity Tobacco Enforcement ("SPTE")
investigations as more fully described below. This contract is exclusive and
personal and may not be assigned by the CONTRACTOR in whole or in part.
PROGRAM: School Proximity Tobacco Enforcement: The SPTE Program
provides for both compliance investigations of retail vendors of tobacco products
and tobacco possession enforcement in close proximity to public and private
schools. This program seeks to create a tobacco influence free zone around
schools. The compliance investigations will be performed within close proximity of
assigned schools and places where youth congregate, utilizing an underage
operative to make controlled purchases of tobacco products. Clerks selling tobacco
products to underage persons will be charged criminally. Stores where such
violations occur will have their tobacco permits subject to administrative
proceedings.
Tobacco possession investigations will be conducted within close proximity
to assigned schools and places where youth congregate. An underage person found
to be in possession of tobacco products will be issued a civil citation for the offense.
The SPTE Program is more fully discussed and explained in the Statement of Work
attached as EXHIBIT A to this contract.
CONTRACT TERM AND CONSIDERATION: Contractual services will begin on
January 1, 2001 or upon the date of full execution of this contract by DABT and the
CONTRACTOR, and contractual services shall end when the work is complete or no
later than June 30, 2001, whichever comes first. CONTRACTOR WILL NOT BE PAID
FOR ANY WORK COMPLETED BEFORE THE FULL EXECUTION OF THE CONTRACT
BY CONTRACTOR AND DABT.
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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Each investigation conducted pursuant to this contract will be called a " Unit"
of work and each Unit shall consist of ten (10) man-hours. Of the ten man-hours
included in each Unit, eight hours (four for each officer) shall be dedicated to on-site
investigation, and two hours (one for each officer) shall be allowed for preparation,
travel, and report writing. For each Unit the total consideration shall include the unit
clerical cost, the hourly overtime rate for officers multiplied by ten, and, if applicable,
one hour of supervisory overtime. The overtime rates shall be as established in the
attached Affidavit of Costs. As stated in the Affidavit of Costs, these overtime rates
are inclusive of benefits, payroll taxes and other mandatory payroll deductions.
Extraordinary clerical costs may be reimbursed, but shall be paid based on overtime
hours actually worked by clerical staff. Other fixed costs, such as for training,
supplies and evidence shall be set forth separately on the Cost Summary and will
be reimbursed if supported by appropriate documentation.
The consideration per Unit for this contract will be _$412.05_(unit clerical
cost, hourly overtime rate times ten, and, if applicable, one hour of supervisory
overtime cost). The total consideration for the contract will also include any other
fixed costs as set forth in the Contract Cost Summary and supported by appropriate
documentation.
The total number of SPTE investigations (Units) to be conducted pursuant to
this contract shall be _35_.
SPECIAL PROVISIONS
1. ADVERTISING I MEDIA INFORMATION: The CONTRACTOR agrees to
prior coordination with DABT of any advertising or media contact.
2. PROPRIETARY INTEREST: Anything, by whatsoever designation it may
be known, that is produced, created, reviewed, developed, or implemented in
connection with this contract shall remain the exclusive property of DABT and may
not be copyrighted, patented, trademarked or otherwise restricted pursuant to state
or federal law or regulation. Neither the CONTRACTOR nor any other organization
or individual employed under this contract shall have any proprietary interest in any
product, system or program produced, created, reviewed, developed, implemented,
or delivered pursuant to this contract.
3. SERVICES: The CONTRACTOR shall perform and render as an
independent contractor and not as an agent, representative, or employee of DABT,
all the services described herein in a proper and satisfactory manner as determined
by DABT in its reasonable sole discretion.
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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4. CONTRACT REQUIREMENTS: The CONTRACTOR is required to
perform SPTE Investigations which shall include: 1) retail compliance investigations
utilizing underage operatives and/or 2) enforcement of statutes regarding
possession of tobacco products by underage persons within approximately one half
mile of a public or private school or in other areas where youth congregate. The
Statement of Work attached as EXHIBIT A to this contract more fully and completely
sets forth the overview and specifics relating to the SPTE Program.
5. COSTS AND EXPENSES:Any law enforcement agency which furnishes
equipment pursuant to this contract shall bear any loss or damage to such
equipment and shall pay any expense incurred in its operation and maintenance.
Each agency shall be responsible for its own expenses incurred during the course
of any investigation unless otherwise agreed upon in writing by both DABT and the
CONTRACTOR.
Each party agrees to furnish necessary personnel, equipment, resources and
facilities and to render services under the contract as required. All expenses
normally associated with the employment of personnel, such as salary, travel
expenses, per diem and other benefits, shall be borne by the employing agency. In
the event equipment is loaned from one party to another pursuant to this contract,
the borrowing party agrees to bear any costs pertaining to use, damage, or loss of
the equipment.
Time and travel costs incurred in testifying in any hearing or court
appearance generated as a result of any SPTE investigation and directly related to
the enforcement of Florida's tobacco statutes will be compensated in the manner
that is customary for witnesses and mileage and will be in accordance with Section
112.061, Florida Statutes.
6. SUPERVISION: Supervision of the personnel assigned to this
investigation shall be the responsibility of the CONTRACTOR. Responsibility for the
conduct of individual employees, agents, and/or operatives required to implement
this contract will be with the CONTRACTOR'S agency head or designee.
Responsibility for the conduct of DABT employees shall rest with the Director of
DABT.
The negotiation and execution of this contract by DABT in Tallahassee is
handled by the State Contracts Manager. The CONTRACTOR will appoint an Agency
Contract Coordinator for the duration of the contract who will serve as DABT's
primary point of contact with the CONTRACTOR. DABT will assign a Special Agent
or supervisor as the DABT District Contract Administrator who will have overall
coordination and management responsibility under this contract. The DABT District
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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Contract Administrator will be responsible for training, site selection, operational
oversight, report review, program and payment audit, and records management. The
DABT District Contract Administrator will be the sole point of contact with the
CONTRACTOR for the resolution of problems, contractor program interpretation,
or contract modification. Appeals of decisions made by the DABT State Contracts
Manager or the District Contract Administrator must be directed to the Administrator
of the Enforcement Section of the Office of Tobacco Control at '(850) 413-0850.
Operational strategies will be mutually addressed and resolved by the District
Contract Administrator and the CONTRACTOR. The parties agree to meet no less
than once a month to discuss and implement investigative strategies and to resolve
any problems that may arise. Any change in the Agency Contract Coordinator must
be communicated to the DABT State Contracts Manager and the District Contract
Administrator in writing. DABT will notify the CONTRACTOR in writing of any change
in the DABT State Contracts Manager or District Contract Administrator.
7 . INVESTIGATIVE REPORTS: The CONTRACTOR agrees to utilize
DABT activity logs, and each Unit of services provided pursuant to this contract
shall be the subject of a separate activity log. Activity logs are to be completed by
officers working the SPTE investigation, reviewed for accuracy and signed by the
appropriate CONTRACTOR supervisor and then provided to DABT's District Contract
Administrator as soon as possible but in no case later than five working days after
the investigation is completed. A COPY OF EACH ACTIVITY LOG SHALL BE
SUBMITTED WITH THE APPROPRIATE INVOICE. Failure to submit properly
completed Activity logs with the appropriate invoice will result in delay or non-
payment of the invoice.
Any additional reports created by and/or for the use of the CONTRACTOR
shall also be provided to DABT upon submission of an invoice.
8. UNDERAGE OPERATIVES: The retention, control and supervision
of any underage operative shall be the responsibility of the CONTRACTOR.
Recruitment and management of underage operatives by the CONTRACTOR will be
consistent with DABT policy and procedure and subject to the approval of DABT's
District Contract Administrator.
9. SEIZED PROPERTY: In the event that any property or cash is seized
as a result of investigative activities governed by this contract, the parties agree to
ensure the equitable distribution of forfeited property, cash or proceeds from the
sale of forfeited property. The forfeiture and distribution of such property shall be
pursuant to Section 932.701, et seq., Florida Statutes. Forfeited property or
proceeds shall be distributed to the appropriate law enforcement agency or agencies
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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that participated directly and substantially in any of the acts which led to the seizure
or forfeiture of such property or cash. It is agreed that the percentage of any
proceeds from forfeited property or the value of property retained by an agency shall
be commensurate with the participation of that agency in the activity which resulted
in the seizure, unless otherwise agreed to by the participating agencies. Any agency
which provides for court costs or costs for maintaining seized property shall be
reimbursed out of any proceeds from the sale of seized property prior to the
distribution of proceeds.
GENERAL PROVISIONS
1. APPROPRIATIQN: In accordance with Sections 216.311 and 287.0582,
Florida Statutes, DABT's performance and obligation to pay under this contract is
contingent upon an appropriation by the Florida Legislature.
2. AUDIT: All invoices shall be submitted by the CONTRACTOR to
DABT with sufficient detail for a proper pre-audit or post-audit. Any costs
included on the Cost Summary which are not included in the Unit cost shall be
pre-approved by the Administrator of the Enforcement Section of the Office of
Tobacco Control and be supported by appropriate documentation such as
receipts, invoices or affidavits. FLORIDA SINGLE AUDIT ACT: Effective July 1,
2000, Section 215.97, Florida Statutes, (former s. 216.3491) establishes the
Florida Single Audit Act. Funds awarded to CONTRACTOR pursuant to this
contract have been determined to be state financial assistance and may be
subject to audits as required by this statute. CONTRACTOR agrees to the
provisions of EXHIBIT E, Florida Single Audit Act Contract Language, and
Attachment 1 to EXHIBIT E, both of which are attached hereto and incorporated
herein.
3. CANCELLATION: This contract may be terminated by either party with
or without cause, by giving written notice to the other party. Such notice shall be
sufficient if it is delivered to the party personally, sent by facsimile, or delivered by
U.S. Mail. In case of cancellation, only the costs actually accrued for services
satisfactorily performed prior to the date of cancellation shall be due and payable,
and all work in progress shall remain the property of DABT and shall be delivered
to DABT.
4. ENTIRE AGREEMENT: This contract and its attached Affidavit of Costs
Form, the Statement of Work EXHIBIT A, EXHIBIT E Florida Single Audit Act Contract
Language, and Attachment 1 to EXHIBIT E constitute the entire agreement of the
parties. No other agreement or modification to this contract, expressed or implied,
shall be binding on either party unless same is in writing and signed or initialed by
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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WITH THEIR SIGNATURES, the parties agree to all the provisions, special and
general, and all other terms and conditions of this contract, #00-00251-00. Florida
law governs this contract.
STATE OF FLORIDA
c..
Kim Binkley-Seyer
Secretary
Department of Business and
Professional Regulation
1940 North Monroe Street
Tallahassee, Florida 32399-0750
~~~Ac :0;
(Contractor Signature)
(Print Name) William B. Horne, II
(Title) Interlm Glty Manager
(Agency Name) City of Clearwater Police Depa
(Address) P.o. Box 4748
Clearwater
(State/Zip)
(Phone)
(Fax)
Florida 33758
727-562-4040
727-562-4052
'3.- J () ,1 0 1
Date (Signed by
Authority)
I-ckl-DI
DBPR Signing Date (Signed by Contractor)
59-6000289
Federal Employer 1.0. Number
CLEARWATER POLICE DEPARTMENT
CONTRACT # 00-00251-00
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School Proximity Tobacco Enforcement - SPTE
Statement of Work EXHIBIT A
1. Overview
The SPTE Program seeks to create a Tobacco Influence Free Zone around public and
private elementary, middle and high schools throughout Florida. Tobacco Influence Free
Zones will be created through the combined efforts of Retail Compliance Investigations and
Tobacco Possession Investigations within walking distance (approximately % mile) of
schools and in other areas with a high concentration of school age youth.
Every day another 1000 people under the age of 18 start smoking. Peer pressure is one
of the greatest motivators encouraging young people to begin using tobacco products.
Activities of older students, perceived by peers as "cool", can influence the choices of
young students ,to use tobacco products. Establishing a Tobacco Influence Free Zone
around schools will remove that influence where students most often congregate. Known
as a gateway to drug use, tobacco use often results in other acts of rebellion by youth
including experimentation with illegal drugs and crime.
Retail Compliance Investigations. Retail Compliance Investigations are designed to
determine whether vendors selling tobacco products are complying with Florida law by not
selling tobacco to persons under 18 years of age. With the Division of Alcoholic Beverages
and Tobacco (DABT) District Contract Administrator, the CONTRACTOR shall develop and
utilize underage operatives to make controlled buys of tobacco products from retail
establishments located near schools and in other areas where youth congregate. The
CONTRACTOR shall follow DABT policy and procedure regarding the use of underage
operatives, including the creation of a file for each operative. This file should contain, at a
minimum, a parental permission form, a copy of the operative's drivers license or birth
certificate and a photograph of the operative taken each day he/she is utilized. All
underage operatives must be under 17 years of age, and obviously underage in
appearance and dress. For males, no facial hair will be allowed. Females should wear
neither excessive makeup nor revealing attire. Further, all participating agencies, their
personnel and their charges are expected to conduct themselves in.a professional manner
in accordance with the uniform standards of conduct for law enforcement. Clerks selling
tobacco products to underage persons will be charged criminally. Stores where such
violations occur will have their tobacco permits subject to administrative proceedings. All
arrest and citation procedures will be conducted according to the standards of care set
forth for law enforcement agencies.
Tobacco Possession Enforcement. These investigations are designed to enforce Florida
law prohibiting the use of tobacco products by persons under 18 years of age.
Investigations generally will be conducted at local schools but may also occur wherever
youth are known to gather. The CONTRACTOR shall identify and issue citations to youth
STATEMENT OF WORK - EXHIBIT A
A- 1
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AFFIDAVIT OF COSTS
The Division of Alcoholic Beverages and Tobacco, under the auspices of the
Enforcement Section of the Office of Tobacco Control, has entered into the preceding contract
with the Ci ty of Clearwater Police Dept. (CONTRACTOR!AFFIANT) to
provide for the enforcement of statutes relating to the sale of tobacco products to underage
persons and to the possession of tobacco products by underage persons. Pursuant to this
contract, CONTRACTOR! AFFIANT hereby certifies that the overtime rate of $ 35. 99 per
hour is standard for the officers to be employed in the implementation of this contract, and
CONTRACTOR! AFFIANT further certifies that such rate includes the cost of benefits, payroll
taxes and other mandatory payroll deductions. CONTRACTOR! AFFIANT also certifies that the
overtime rate of $ 47 . 1 5 per hour is standard for those officers who will supervise and
oversee the implementation of the contract and that such rate is inclusive of the cost of benefits,
payroll taxes and other mandatory payroll deductions.
CONTRACTOR! AFFIANT also attests to the accuracy of any other costs to be
considered for reimbursement, which shall be specified and set forth separately on the Contract
Cost Summary to be completed for each contract. Such costs are to be considered for
reimbursement when invoiced.
AFFIANT FURTHER SA YETH NAUGHT.
~"'W~.~'1t'
Signature
(Title) Interim Ci ty Manager
STATE OF FLORIDA
COUNTY OF Pinellas
BEFORE ME, the undersigned authority, personally appeare~J~tln) 15. /.ksvk:IL
who, being~rsonally know.i7or having provided I as
identification, after being duly sworn under oath, deposed and stated that the foregoing
information is true and correct to the best of his /her knowledge and belief.
SWORN TO and SUBSCRIBED before me this cXl~ day Of~.Uil/uJ-., 2001,
In County, FF- U
My Commission Expires: {pl/ R ftmtJ
I
Notary Public, tate of Florida at Large
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/ eD '/C'lf / A . 0, /SO
Printed or Typed Name of Notary Public
,'"'''''' D ' A '
_.~<.f.:',fi'./;;;:. emse Wilson
~-.(tf;.'\;~ MY COMMISSION # CC914107 EXPIRES
~~'~'~"f June 18, 2004
".:fo";:-~~" BONDED THRU TROY FAIN INSURANCE, INC.
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EXHIBIT E FLORIDA SINGLE AUDIT ACT CONTRACT LANGUAGE
The administration of funds awarded by the Department of Business and Professional Regulation to the
CONTRACTOR may be subject to audits and lor monitoring by the Department of Business and
Professional Regulation as described in this section.
MONITORING
Monitoring procedures may include, but not be limited to, on-site visits by Department staff, and/or other
procedures. By entering into this agreement, the CONTRACTOR agrees to comply and cooperate with any
monitoring procedures/processes deemed appropriate by the Department of Business and Professional
Regulation. The CONTRACTOR agrees to comply and cooperate with any inspections, reviews,
investigations, or audits deemed necessary by the Comptroller or Auditor General.
AUDITS
PART I: STATE FUNDED
This part is applicable if the CONTRACTOR is a nonstate entity as defined by section 215.97, Florida
Statutes, (former s. 216.3491).
1. In the event that the CONTRACTOR expends a total amount of State awards (Le., State financial
assistance provided to the CONTRACTOR to carry out a State project) equal to or in excess of
$300,000 in any fiscal year of such CONTRACTOR, the CONTRACTOR must have a State single or
project-specific audit for such fiscal year in accordance with Section 215.97, Florida Statutes, (former
s. 216.3491); applicable rules of the Executive Office of the Governor and the Comptroller, and
Chapter 10.600 Rules of the Auditor General. Attachment 1 to this agreement indicates State funds
awarded through the Department of Business and Professional Regulation by this agreement. In
determining the State awards expended in its fiscal year, the CONTRACTOR shall consider all
sources of State awards, including State funds received from the Department of Business and
Professional Regulation, except that State awards received by a nonstate entity for Federal program
matching requirements shall be excluded from consideration.
2. In connection with the audit requirements addressed in Part I, paragraph 1, the CONTRACTOR shall
ensure that the audit complies with the requirements of Section 215.97, Florida Statutes, (former s.
216.3491). This includes submission of a reporting package as defined by Section 215.97, Florida
Statutes, (former s. 216.3491) and Chapter 10.600, Rules of the Auditor General.
EXHIBIT - E
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EXHIBIT E FLORIDA SINGLE AUDIT ACT CONTRACT LANGUAGE
3. If the CONTRACTOR expends less than $300,000 in State awards in its fiscal year, an audit
conducted in accordance with the provisions of Section 215.97, Florida Statutes, (former s.
216.3491) is not required. In the event that the CONTRACTOR expends less than $300,000 in State
awards in its fiscal year and elects to have an audit conducted in accordance with the provisions of
Section 215.97, Florida Statutes, (former s. 216.3491) the cost of the audit must be paid from non-
State funds (Le., the cost of such an audit must be paid from CONTRACTOR funds obtained from
other than State entities).
4. For more information on the Florida Single Audit Act visit the websites at:
http://sun6.dms.state.f1.us/fsaa.
www.state.f1.usfaudgenfpagesfrules.htm .
PART II: REPORT SUBMISSION
1. Copies of reporting packages required by PART I of this agreement shall be submitted by or on
behalf of the CONTRACTOR directly to each of the following:
A. The Department of Business and Professional Regulation at the following address:
Department of Business and Professional Regulation
Division of Alcoholic Beverages and Tobacco
Office of Tobacco Control-Enforcement
1940 North Monroe Street
Tallahassee, Florida 32399-1024
C. The Auditor General's Office at the following address:
State of Florida Auditor General
Room 574, Claude Pepper Building
111 West Madison Street
Tallahassee, Florida 32302-1450
EXHIBIT - E
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EXHIBIT E FLORIDA SINGLE AUDIT ACT CONTRACT LANGUAGE
2. Any reports, management letters, or other information required to be submitted to the Department of
Business and Professional Regulation pursuant to this agreement shall be submitted timely in
accordance with Chapter 10.600, Rules of the Auditor General, as applicable.
3. CONTRACTORS, when submitting audit reports to the Department of Business and Professional
Regulation for audits done in accordance with Florida Statutes and Chapter 10.600, Rules of the
Auditor General, should indicate the date that the audit report was delivered to the CONTRACTOR in
correspondence accompanying the audit report.
PART III: RECORD RETENTION
1 . The CONTRACTOR shall retain sufficient records demonstrating its compliance with the terms of this
agreement for a period of five years from the date the audit report is issued, and shall allow the
Department of Business and Professional Regulation, or its designee, access to such records upon
request. The CONTRACTOR shall ensure that audit working papers are made available to the
Department of Business and Professional Regulation, or its designee, upon request for a period of
five years from the date the audit report is issued, unless extended in writing by the Department of
Business and Professional Regulation.
EXHIBIT - E
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ATTACHMENT 1 TO EXHIBIT E
FEDERAL FUNDS
FEDERAL FUNDS AWARDED TO THE CONTRACTOR PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOllOWING: NONE
COMPLIANCE REQUIREMENTS APPLICABLE TO THE FEDERAL FUNDS AWARDED
PURSUANT TO THIS AGREEMENT ARE AS FOllOWS: NOT APPLICABLE
STATE FUNDS
STATE FUNDS AWARDED TO THE CONTRACTOR PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOllOWING:
MATCHING FUNDS FOR FEDERAL PROGRAMS: NONE
SUBJECT TO SECTION 215.97, FLORIDA STATUTES, (former s. 216.3491):
SCHOOL PROXIMITY TOBACCO ENFORCEMENT PROGRAM
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CATALOG OF STATE FINANCIAL ASSISTANCE TITLE AND NUMBER-
SCHOOL PROXIMITY TOBACCO ENFORCEMENT PROGRAM, #79.003
AWARD AMOUNT ($15,319.57)
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE FUNDS AWARDED PURSUANT
TO THIS AGREEMENT ARE AS FOllOWS:
For more information on the Florida Single Audit Act, SEE: Part Six - Guidance For Auditing
Projects Not Included In The Compliance Supplement and visit the websites at:
http://sun6.dms.state.f1.us/fsaa/auditing_projects . html.
http://sun6.dms.state. fl. us/fsaa.
ATTACHMENT 1 TO EXHIBIT E
- 1 -
SCHOOL PROXIMIT
BACCO POSSESSION ENFORCE ACTMTY LOG
ARW ATER POLICE DEPARTMENT'-
DCA Approved:
Date:
DAY: M T W Th F S Su DATE: HOURS: to
PROFILE: plain-clothes, uniform, combination VEIDCLE: unmarked, bicycle, marked cruiser, foot patrol, other
OFFICERS:
#1 NAME:
#2 NAME:
#3 NAME:
#4 NAME:
ID#
ID#
ID#
ID#
HOURS
HOURS
HOURS
HOURS
to
to
to
to
TARGETS: AREA #1 SCHOOL NAME:
LEVEL: elementary, middle, senior, other STAFF NOTIFIED: Y N # CITATIONS
AREA #2 SCHOOL NAME:
LEVEL: elementary, middle, senior, other STAFF NOTIFIED: Y N # CITATIONS
AREA #3 SCHOOL NAME:
LEVEL: elementary, middle, senior, other STAFF NOTIFIED: Y N # CITATIONS
AREA #4 SCHOOL NAME:
LEVEL: elementary, middle, senior, other STAFF NOTIFIED: Y N # CITATIONS
NUMBER: TOBACCO CITATIONS
TOBACCO ARRESTS
ALCOHOL ARRESTS
OTHER CITATIONS
OTHER ARRESTS
TOBACCO SOURCE LOCATION I ADDRESS IN POSSESSION OF CHARGED? FAKE ID USED TO PURCHASE
FAKE ID? (YIN) (YIN) TOBACCO PRODUCT? (Y/N)
1
2
3
4
5
6 ,.
REMARKS:
SIGNATURES:
OFC. #1
OFC. #2
OFC. #3
OFC. #4
REVIEWING SUPERVISOR
ID#
PRINTED NAME OF REVIEWING SUPERVISOR
ATTACH THIS FORM TO INVOICE & FORWARD TO: William P. Fisher, Special Agent
Division of Alcoholic Beverages and Tobacco, 1313 North Tampa St. #702, Tampa, FI.. 33602
Telephone Number: (813) 272-2610 Fax Number: (813) 272-2790
~~
COMWL~CEACTnnTYLOG
WATER POLICE DEPARTMENT
DCA Approved:
Date:
HOURS: to
DOB:
ID# HOURS to
ID# HOURS to
ID# HOURS to
ID# HOURS to
DAY: M T W Th F S Su DATE:
INVESTIGATIVE AIDE INITIALS OR ID #
OFFICERS: #1 NAME:
#2 NAME:
#3 NAME:
#4 NAME:
BUSINESS NAME & ADDRESS SIGN PURCHASE? IF PURCHASE MADE,
POSTED? CASE # & TOBACCO
(Y/N) PERMIT#
1 YES NO
2 YES NO
3 YES NO
4 YES NO
5 YES NO
6 YES NO
7 YES NO
8 YES NO
9 . YES NO
10 YES NO
11 YES NO
12 YES NO
13 YES NO
14 YES NO
15 YES NO
*SIGN STATING UNLAWFUL TO SELL TO ANYONE UNDER 18 YOA
REMARKS:
NUMBER: TOBACCO CITATIONS
TOBACCO ARRESTS
SIGNATURES: OFC. #1
ALCOHOL ARRESTS
OTHER ARRESTS
OFC. #2
OFC. #3
OFC. #4
REVIEWING SUPERVISOR
ID#
PRINTED NAME OF REVIEWING SUPERVISOR
ATTACH THIS FORM TO INVOICE & FORWARD TO: William P. Fisher, Special Agent
Division of Alcoholic Beverages and Tobacco, 1313 North Tampa St. #702, Tampa, FI. 33602
Telephone Number: (813) 272-2610 Fax Number: (813) 272-2790
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INVOICE FOR SERVICES RENDERED
STATE OF FLORIDA: TOBACCO PilOT PROGRAM -- ENFORCEMENT
DELIVER INVOICE WITH ACTIVITY lOGS ATTACHED TO:
DCA Name: William P. Fisher, Special Agent
Address: Division of Alcoholic Beverages and Tobacco
1313 North Tampa St. #702
Tampa, Fl. 33602
Phone Number: (8131272-2610 Fax Number: (8131 272-2790
CONTRACT NUMBER INVOICE DATE AGENCY PHONE NO, & CONTACT NAME: INVOICE NUMBER:
CONTRACT PERIOD ACTIVITY DESCRIPTION QUANTITY PRICE EXTENSION
FROM I TO FROM I TO
OFFICER WORK UNITS - POSSESSION
OFFICER WORK UNITS - COMPLIANCE
SUPERVISION - 1 HOUR OT/UNIT
CLERICAL
TRAINING EXPENSE
OTHER EXPENSE (SPECIFY & PROVIDE
REQUIRED DOCUMENTATION)
DCA Approved:
Date:
ORGANIZATION CODE: 79-40-01-06-000
OBJECT CODE: 750012
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INVOICE FOR SERVICES RENDERED
STATE OF FLORIDA: TOBACCO PilOT PROGRAM - ENFORCEMENT
DELIVER INVOICE WITH ACTIVITY lOGS ATTACHED TO:
DCA Name: William P. Fisher, Special Agent
Address: Division of Alcoholic Beverages and Tobacco
1313 North Tampa St. #702
Tampa, FI. 33602
Phone Number:(813) 272-2610 Fax Number:(813) 272-2790
.
FINAL INVOICE
.
CONTRACT NUMBER INVOICE DATE AGENCY PHONE NO. & CONTACT NAME: INVOICE NUMBER:
CONTRACT PERIOD ACTIVITY DESCRIPTION QUANTITY PRICE EXTENSION
FROM I TO FROM I TO
OFFICER WORK UNITS - POSSESSION
OFFICER WORK UNITS - COMPLIANCE
SUPERVISION - 1 HOUR OT/UNIT
CLERICAL
TRAINING EXPENSE
OTHER EXPENSE (SPECIFY & PROVIDE
REQUIRED DOCUMENTATION)
DCA Approved:
Date:
ORGANIZA nON CODE: 79-40-01-06-000
OBJECT CODE: 750012
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DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION
Jeb Bush, Governor
Kim Binkley-Seyer, Secretary
March 7, 2001
William B. Horne, III
Interim City Manager
City of Clearwater Police Department
P.o. Box 4748
Clearwater, Florida 33758
Dear Mr. Horne:
We are pleased to enclose a fully executed contract between the Department of Business &
Professional Regulation and your department for the School Proximity Tobacco Enforcement
(SPTE) Program. As you begin the enforcement activities associated with the SPTE
Program, please follow the contract and adopt the following practices:
1. Develop a close working relationship with your District Contract Administrator, Bill Fisher,
1313 Tampa St. Park Trammel Building, Suite 702, Tampa, Florida 33602, (813) 272-
2610.
2. With your first invoice, provide a list of the names of officers trained whether or not you
are invoicing for training.
3. Schedule operations after the date of contract execution and before contract expiration.
Any investigations conducted prior to execution or following expiration of the contract will
not be reimbursed.
4. Schedule operations so the supervising officer is not a participating officer in any
operation.
5. Complete activity logs with all required information, including signatures. All signatures
must be original; stamped signatures are not acceptable.
6. Submit properly completed activity logs with invoices. Invoices submitted without the
required documentation will be returned to you, and payment will be delayed.
7. Remember that the two types of SPTE operations are not interchangeable. The contract
specifies exact numbers of retail compliance work units and possession work units, and
these numbers cannot be exceeded.
Office of Tobacco Control - Enforcement
Division of Alcoholic Beverages and Tobacco
1940 N. Monroe Street
Tallahassee, Florida 32399-1024
Telephone (850) 413-0850, SC 293-0850, Fax (850) 921-4292, SC 291-4292,