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Home My WebLink AboutPre-LegislationCrystal Report Viewer Page 1 of 2 City of Miami Text File Report City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File ID: 12-00351 Enactment #: R-12-0170 Version: 1 Type: Resolution Introduced: 3/27/12 Status: Passed Enactment Date: 4/26/12 Controlling Body: Office of the City Clerk A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A NEW SPECIAL REVENUE PROJECT ENTITLED: "MIAMI-DADE COUNTY ASSOCIATION OF CHIEFS OF POLICE COUNTYWIDE PRISONER PROCESSING PROJECT", AND APPROPRIATING FUNDS, CONSISTING OF A GRANT FROM THE MIAMI-DADE OFFICE OF GRANTS COORDINATION, IN THE AMOUNT OF $31,101, FOR THE DEPARTMENT OF POLICE; AUTHORIZING THE CITY MANAGER TO EXECUTE THE CONTRACT, IN SUBSTANTIALLY THE ATTACHED FORM, AND ALL NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANT. WHEREAS, the Miami -Dade County Office of Grants Coordination has approved a grant award, in the amount of $31,101, to implement an automated arrest affidavit system that will interface with our existing Records Management Systems; and WHEREAS, once implemented all municipalities must utilize this interface; and WHEREAS, there is a cost associated with the development of interfacing; and WHEREAS, Miami -Dade County has identified funding through the Edward Byrne Memorial Justice Assistance Grant Program - American Recovery and Reinvestment Act that will defray the cost for each municipality; and WHEREAS, this system will enable the City of Miami's Department of Police to enter arrest information via on-line and off-line modes from a mobile or desktop environment; and WHEREAS, the objective of the project is to expedite the booking process by having arrest information available at correctional/detention facilities by the time the officer arrives with the arrestee by automating the arrest affidavit; and WHEREAS, it is required of the City to coordinate and pay the cost of the interfacing with our information technology vendor, and Miami -Dade County will reimburse upon the submission of a paid invoice; and WHEREAS, the City must meet the deadline of February 28, 2013, for completing the entire project, in order to get reimbursed; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and http://egov.ci.miami.fl.us/LegistarWeb/temp/rep9D53.html 12/11/2012 Crystal Report Viewer Page 2 of 2 incorporated as fully set forth in this Section. Section 2. The following new Special Revenue Project is established and resources are appropriated as described below: FUND TITLE: Miami -Dade County Association of Chiefs of Police Countywide Prisoner Processing Project RESOURCES: Miami -Dade County Office of Grants Coordination $31,101 APPROPRIATION: $3 1,101 Section 3. The City Manager is authorized( 1) to execute the Contract, in substantially the attached form, and all necessary documents, in a form acceptable to the City Attorney, in order to implement the acceptance and administration of said grant. Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor. (2) http://egov.ci.miami.fl.us/LegistarWeb/temp/rep9D53.html 12/11/2012 Miami A -Form Interface Contract 2012/2013 MIAMI-DADE COUNTY CONTRACT This Contract, made this / day of l)vi2012, by and between Miami -Dade County, a political subdivision of the State of Florida (the "County") through its Office of Management and Budget (the "Department"), located at 111 N.W. First Street, 19th Floor, Miami, FL 33128, and the CITY of MIAMI located in Miami -Dade County, Florida (the "Provider"). This Contract provides the terms and conditions pursuant to which the Provider shall provide services toward the Miami -Dade County Association of Chiefs of Police (MDCACP) Countywide Prisoner Processing Project WHEREAS, the County has been awarded federal funds from the Edward Byrne Memorial Justice Assistance_ Grant (JAG) Program - American Recovery and Reinvestment Act of 2009 (the "ACT"); and WHEREAS, the Provider warrants and represents that it possesses the legal authority to enter into this Contract by way of resolution, motion or similar action that has been duly adopted or passed as an official act -of the Provider's governing body, authorizing the execution of the Contract, including all understandings and assurances contained herein, and authorizing the person identified as the official representative of the Provider to carry out on behalf of the Provider all of the duties and responsibilities set forth in this Contract; and WHEREAS, this Contract shall be deemed effective upon award of grant funds by the State of Florida Department of Law Enforcement, Office of Criminal Justice Grants to Miami -Dade County or when this Contract has been duly executed by both parties, whichever is later; and WHEREAS, the County is desirous of supporting the services provided by the MDCACP Countywide Prisoner Processing Project by providing the federal funds awarded to Miami -Dade County to the MDCACP Countywide Prisoner Processing Project; and WHEREAS, the County as contractor/grantee for the State of Florida is authorized to purchase said services for the MDCACP Countywide Prisoner Processing Project as an allowable activity under the ACT; and WHEREAS, the CITY of MIAMI will provide technology development and integration services for the MDCACP Countywide Prisoner Processing Project; and WHEREAS, the County requires the above -mentioned services from the Provider in order to fulfill its contractual obligations under the aforementioned grant, NOW, THEREFORE, for and in consideration of the mutual covenants recorded herein, the parties hereto agree as follows: I. AMOUNT PAYABLE Subject to available funds, the maximum amount payable for services rendered under this Contract, shall not exceed $31,101 Page 1 of 14 . Both parties agree that should available County funding be reduced, the amount payable under this Contract may be proportionately reduced at theoption of the County. II. SCOPE OF SERVICES. The Provider agrees to render services in accordance with the Scope of Services incorporated herein and attached hereto as Attachments A and A 1 III. EFFECTIVE TERM. The effective term of this Contract shall be from March 2, 2012 to February 28, 2013. IV. CASH MATCH REQUIREMENT. The Provider shall maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County; however a Cash Match is not required for this grant term. V. REQUIREMENTS RELATED TO USE OF ANTI -DRUG ABUSE FUNDS UNDER THE DRUG CONTROL AND SYSTEM IMPROVEMENT PROGRAM A. Requirements of the Anti -Drug Abuse Act. The Provider agrees to abide, by all of the requirements of the American Recovery and Reinvestment Act of 2009 under the Drug Control and System Improvement Formula Grant Program, including Rule Chapter 11 D-9 of the Florida Administrative Code, as well as the Florida Department of Law Enforcement, Business Support Program, Office of Criminal Justice Grants, Edward Byrne Memorial Justice Assistance Grant Program. Application for Funding Assistance and all laws, rules, regulations relating thereto which are incorporated herein by reference as if fully set forth. Furthermore, the Provider is subject to all applicable rules, regulations, and conditions as contained in the Financial and Administrative Guide for Grants, Guideline Manual 7100 1 D, Office of Justice Programs, Common Rule for State and Local Governments and A-87, or OMB Circulars A-110 or A-102, as applicable, and A-21, in their entirety. The Provider is also subject to such further rules, regulations and policies as 'May be reasonably prescribed by the State or Federal Government consistent with the purposes and authorization of Public Law 90-351, as amended, and Public Law 100-690. B. Supplanting. The Provider agrees that funds received under this Contract shall be utilized to supplement, not supplant state or local funds, and will be used to increase the amounts of such funds that would, in the absence of grant funds, be made available for anti- drug law enforcement activities, in accordance with Rule Chapter 11 D-9, Florida Administrative Code. VI. CONTINUITY OF SERVICES. Provider agrees to provide optimal continuity of services by assuring that services are provided by the same person whenever possible and, if not, by a qualified replacement when necessary. VII. PROGRAM CONTACT. Provider shall designate a contract coordinator who shall be responsible for: 1) monitoring the Provider's compliance with the terms of this Contract and; 2) whenever the County so requests, meeting with County staff to review such compliance. VIII. INDEMNIFICATION BY THE PROVIDER. The Provider shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Contract by the Provider or its employees, agents, Page 2 of 14 servants; --partners,- principals-or---subcontractor-s—P-rovider--shall-pay_all-claims-.and.- lossesin connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provider expressly understands and agrees that any insurance protection required by this Contract or otherwise provided by Provider shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents and instrumentalities as herein provided. The provisions of this section or indemnification shall survive the expiration or termination of this Contract. Nothing herein shall be construed to extend any party's liability beyond that provided in section 768.28, Florida Statutes. IX. INSURANCE. If Provider is an agency or a political subdivision of the State as defined by section 768.28, Florida Statutes, the Provider shall furnish the County, upon request, written verification of liability protection in accordance with section 768.28, Florida Statutes. X. LICENSURE AND CERTIFICATION. The Provider shall ensure that all other licensed professionals providing services for the MDCACP Countywide Prisoner Processing Project shall have appropriate licenses, training and experience in the field in which he/she practices and abide by all applicable State and Federal laws and regulations and ethical standards consistent with those established for his/her profession. Ignorance on the part of the Provider shall in no way relieve it from any of its responsibilities in this regard. Xl. CONFLICT OF INTEREST. The Provider agrees to abide by and be governed by Miami - Dade County Ordinance No. 72-82 (Conflict of Interest Ordinance codified at Section 2-11.1 et seq. of the Code of Miami -Dade County), as amended, which is incorporated herein by reference as if fully set forth herein, in connection with its Contract obligations hereunder. Nepotism. Notwithstanding the aforementioned provision, no relative of any officer, board of director, manager, or supervisor employed by the Provider shall be employed by the Provider unless the employment preceded the execution of this Contract by one (1) year. No family member of any employee may be employed by the Provider if the family member is to be employed in a direct supervisory or administrative relationship either supervisory or subordinate to the employee. The assignment of family members in the same organizational unit shall be discouraged. A conflict of interest in employment arises whenever an individual would otherwise have the responsibility to make, or participate actively in making decisions or recommendations relating to the employment status of another individual if the two individuals (herein sometimes called "related individuals") have one of the following relationships: 1. By blood or adoption: Parent, child, sibling, first cousin, uncle, aunt, nephew, or niece; 2. By marriage: Current or former spouse, brother- or sister-in-law, father- or mother-in- law, son- or daughter-in-law, step-parent, or step -child; or 3. Other relationship: A current or former relationship, occurring outside the work setting that would make it difficult for the individual with the responsibility to make a decision or recommendation to be objective, or that would create the appearance that such individual could not be objective. Examples include, but are not limited to, personal relationships and significant business relationships. For purposes of this section, decisions or recommendations related to employment status include decisions related to hiring, salary, working conditions, working responsibilities, evaluation, promotion, and termination. Page 3 of 14 An individual, however, is not deemed to make or actively participate in making decisions or recommendations if that individual's participation is limited to routine approvals and the individual plays no role involving the exercise of any discretion in the decision -making processes. If any question arises whether an individual's participation is greater than is permitted by this paragraph, the matter shall be immediately referred to the Miami -Dade County Commission on Ethics and Public Trust. This section applies to both full-time and part-time employees and voting members of the Provider's Board of Directors. No person, including but not limited to any officer, board of directors, manager, or supervisor employed by the Provider, who is in the position of authority, and who exercises any function or responsibilities in connection with this. Contract, has at the time this Contract is entered into, or shall have during the term of this Contract, received any of the services, or direct or instruct any employee under their supervision to provide such services as described in the Contract. Notwithstanding the before mentioned provision, any officer, board of directors, manager or supervisor employed by the Provider, who is eligible to receive any of the services described herein may utilize such services if he or she can demonstrate that he or she does not have direct supervisory responsibility over the Provider's employee(s) or service program. . . XII. CIVIL RIGHTS. The Provider agrees to abide by Chapter 11A of the Code of Miami - Dade County ("County Code"), as amended, which prohibits discrimination in employment, housing and public accommodations; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in '`employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C., §2000d as amended, which prohibits discrimination in employment because of age; Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §794, as amended, which prohibits. discrimination on the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. §12103 et seq., which prohibits discrimination in employment and accommodation because of disability. It ,is .:expressly understood that upon receipt of evidence of discrimination under any of these laws, the County shall have the right to terminate this Contract. It is further understood that the Provider must submit an affidavit attesting that it is not in violation of the Americans with Disability Act, the Rehabilitation Act, the Federal Transit Act, 49 U.S.C. §1612, and the Fair Housing Act, 42 U.S.C. §3601 et seq. If the Provider or any owner, subsidiary, or other firm affiliated with or related to the Provider, is found by the responsible enforcement agency, the Courts or the County to be in violation of these Acts, the County will conduct no further business with the Provider. Any contract entered into based upon a false affidavit shall be voidable by the County. If the Provider violates any of the Acts during the term of any Contract the Provider has with the County, such contract shall be voidable by the County, even if the Provider was not in violation at the time it submitted its affidavit. The Provider agrees that it is in compliance with the Domestic Violence Leave Ordinance, codified as § 11A-60 et seq. of the Miami -Dade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working in Miami -Dade County for each working day during each of twenty (20) or more . calendar work weeks to provide domestic violence leave to its employees. Failure to comply with this local law may be grounds for voiding or terminating this Contract or for commencement of debarment proceedings against Provider. Page 4 of 14 XIII. NOTICES. "Notice under this Contract shall be -sufficient if made in writing and delivered personally or sent by mail or by facsimile to the parties at the following addresses or to such other address as either party may specify: If to the COUNTY: Miami -Dade County Office of Management and Budget 111 NW First St.19th Floor Miami, Florida 33128 Attention: Ms. Michaels Doherty If to the PROVIDER: Miami Police Department 400 NW 2nd Avenue, 4th floor Miami, FL 33128 Attention: Chief Manuel Orosa XIV. AUTONOMY. Both parties agree that this Contract recognizes the autonomy of and stipulates or implies no affiliation between the contracting parties. It is expressly understood and intended that the Provider is only a recipient of funding support and is not an agent or instrumentality of the County. Furthermore, the Provider's agents and employees are not agents or employees of the County. XV. BREACH OF CONTRACT: COUNTY REMEDIES. A. Breach. A breach by the Provider shall have occurred under this Contract if: (1) The Provider fails to provide services outlined in the Scope of Services (Attachment A) within the effective term of this Contract; (2) the Provider ineffectively or improperly uses the funds allocated under this Contract; (3) the Provider fails to submit, or submits incorrect or incomplete proof of expenditures to support reimbursement requests or fails to submit or submits incomplete or incorrect detailed reports of expenditures orfinal expenditure reports; (4) the Provider does not submit or submits incomplete or incorrect required reports; (5) the Provider refuses to allow the County access to records or refuses to allow the County to monitor, evaluate and review the Provider's program; (6) the Provider discriminates under any of the laws outlined in Section XII of this Contract; (7) the Provider fails to provide Domestic Violence Leave to its employees pursuant to local law; (8) the Provider falsifies or violates the provisions of the Drug Free Workplace Affidavit (Attachment E); (9) the Provider attempts to meet its obligations under this Contract through fraud, misrepresentation or material misstatement; (10) the .Provider fails to correct deficiencies found during a monitoring, evaluation or review within the specified time; (11) the Provider fails to meet any of the terms and conditions of the Miami - Dade County Affidavits (Attachment E); (12) the Provider fails to meet any of the terms and conditions of any obligation under any contract or otherwise or any repayment schedule to any of its agencies or instrumentalities; or (13) the Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements and stipulations in this Contract. Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Contract. B. County Remedies. If the Provider breaches this Contract, the County may pursue any or all of the following remedies: Page 5 of 14 1. The County may terminate this Contract by giving written notice to the Provider of such termination and specifying the effective date thereof at least five (5) days before the effective date of termination. In the event of termination, the County may:... (a) request the return of all finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared and secured by the Provider with County funds under this Contract; (b) seek reimbursement of County funds allocated to the .Provider under this' Contract; (c) terminate or cancel any other contracts entered into between. the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such termination, including attorney's fees; 2. The County may suspend payment in whole or in part under this Contract by providing written notice to the Provider of such suspension and specifying the effective date thereof, `at least five (5)- days before the effective date of suspension. if payments are suspended, the County shall specify in writing the actions that must be taken by the Provider as condition precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such suspension,- including attorney's fees;' 3. The County may seek enforcement of this Contract including but. not limited to filing action with a court of appropriate jurisdiction. The Provider shall be responsible for all direct and indirect costs associated with such enforcement, including attorney's fees; 4. The County may debar the Provider from future County contracting; 5. If, for any reason, the Provider should .attempt to meet its obligations under this Contract through fraud, misrepresentation or material misstatement, the County shall, whenever practicable terminate this Contract by giving written notice to the Provider of such termination and specifying the effective date thereof at least five (5) days before the effective date of such termination. The County may terminate or cancel any other contracts which such individual or _ entity, has with the CountySuch individual or entity shall be responsible for all direct or indirect costs associated with such termination or. -cancellation, including attorney's fees. Any individual or entity who attempts to .meet its contractual obligations with the County through fraud, misrepresentation or material misstatement may be disbarred from County contracting for up to five (5) years; 6. Any other remedy available at law or equity. . . C. The County .Mayor or Mayor's designee is authorized to terminate this Contract on behalf of the County. D. Damages Sustained. Notwithstanding the above, the Provider shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of the Contract, and the County may withhold any payments to the Provider until such time as the exact amount of damages due the County is determined. The Provider shall be responsible for all direct and indirect costs associated with such action, including attorney's fees. XVI. TERMINATION BY EITHER PARTY. Both parties agree that this Contract may be terminated by either party hereto by written notice to the other party of such intent to terminate at least thirty (30) days prior to the effective date of such termination. The County Mayor or Mayor's designee is authorized to terminate this Contract on behalf of the County. Page 6 of 14 XVI1.. PROJECT BUDGET AND PAYMENT PROCEDURES. The Provider agrees that all expenditures or costs shall be made in accordance with the Budget which is attached herein and incorporated hereto as Attachment B. A. Budget Variance. Funds may be shifted between approved line items, not to exceed ten percent (10%) of the total budget, without a written amendment upon the County's approval Variances greater than ten percent (10%) in any approved line item shall require a written amendment approved by the Department. B. Payment Procedures. The County agrees to pay the Provider for services rendered under this Contract based on the line item budget incorporated herein and attached hereto as Attachment B. The parties agree that this is a cost -basis Contract and the Provider shall be paid through reimbursement payment for allowable expenses on the budget approved under this Contract (see Attachment B). The Provider agrees to invoice the County for all services related to the MDCACP Countywide Prisoner Processing Project using the Expenditure Report and time sheet as it appears in Attachment D, and to do so on a monthly basis, as stated in Section XIX(B)(1). The final Expenditure Report shall be submitted no later than March 15, 2013. The Provider agrees to submit a Quarterly Project Performance Report in a manner in accordance with the form provided in Attachment C. The final Quarterly Project Performance Report shall be submitted no later than March 5, 2013. C. The Provider agrees to mail all Monthly Expenditure Reports with supporting documentation and Quarterly Project Performance Reports to the address listed above in Section XI I. D. The County agrees to review the Monthly Expenditure Reports and Quarterly Project Performance Reports and to inform the Provider of any questions. Payments shall be mailed to the Provider by the County's Finance Department. XVIII. INVENTORY - CAPITAL EQUIPMENT AND REAL PROPERTY. A. Acquisition of Property. The Provider will comply with any applicable laws, regulations and rules concerning property. The Provider is required to be prudent in the acquisition and management of property with federal funds. Expenditure of funds for the acquisition of new property, when suitable property required for the successful execution of projects is already available within the Provider organization, will be considered an unnecessary expenditure. B. Screening. Careful screening should take place before acquiring property in order to ensure that it is needed with particular consideration given to whether equipment already in the possession of the Provider organization can meet identified needs. While there is no prescribed standard for such review, the Provider procedures may establish levels of review dependent on factors such as the cost of the proposed equipment and the size of the Provider organization. The establishment of a screening committee may facilitate the process; however, the Provider may utilize other management techniques which it finds effective as a basis for determining that the property is needed and that it is not already within the Provider's organization. The County must ensure that the screening referenced above takes place and that the Provider has an effective system for property management. The Provider is hereby informed that if the County is made aware that the Provider does not employ an adequate Page 7 of 14 property management system, project costs associated with the acquisition of the property may be disallowed. C. Loss, Damage or Theft of Equipment. The Provider is responsible for replacing or repairing any property which is willfully or negligently lost, stolen, damaged or destroyed. Any loss, damage, or theft of the property must be investigated and fully documented and made part of the official project records. D. Equipment Acquired with Crime Control Act Block/Formula Funds. Equipment acquired shall be used and managed to ensure that the equipment is used for criminal justice purposes. E. Management. The Provider's procedures for managing equipment (including replacement), whether acquired in whole or in part with project funds, will, at a minimum, meet the following requirements: 1) Property records must be maintained which include description of property, serial number or other identification number, source of the property, identification of who holds the title, acquisition date, costs of the property, percentage of County participation in the cost of the property (Federal funds), location of property, useand condition of the property, disposition data including the date of disposal and sale price; 2) a physical inventory of the property must be taken and the results reconciled with the property records at least once every two (2) years; 3) a control system must exist to ensure adequate safeguards to prevent loss, damage or theft of the property. Any loss, damage, or theft shall be investigated by the Provider as appropriate; 4) adequate maintenance procedures must exist to keep the property in good condition; and 5) if the Provider is authorized or required to sell the property, proper sales procedures must be established to ensure the highest possible return. F. Retention of Property Records. Records for equipment, nonexpendable personal property, and real property shall be retained for period of three (3) years from the date of the disposition. or `replacementor transfer at the discretion of the County. If any litigation, claim,or audit is started before the expiration of the three-year period, the records shall be, retained until all litigation, claims, or audit findings involving the records have been resolved.. XIX. RECORDS, REPORTS, MONITORING AUDITS, AND EVALUATION STUDIES. The Provider shall keep records of program services in sufficient detail to provide any reports that may be requested by the County. A. Records. All program records will be retained by the Provider for not less than three (3) years beyond the term of this Contract. In accordance with contract requirements from the State of Florida, records for the MDCACP Countywide Prisoner Processing Project services must reflect: 1. The names of staff providing services as described in Attachment A. 2. The dates and number of hours the staff provided services. 3. The dates of services and activities and the names of program participants in attendance to such as described in Attachment A. 4. The records of all other program services provided under this Contract. Page 8 of 14 B. Reporting Requirements. 1. Quarterly Project Performance Report. The Provider shall submit the Quarterly Project Performance Report to the Office of Management and Budget by, *April 5, July 5 and October 5, 2012, January 5, and *March 5, 2013 covering the Contract activity for the previous quarter. The Quarterly Project Performance Report shall be submitted in the format and using the form attached hereto as Attachment C. (*Partial quarter) 2. Monthly Expenditure Report. The Provider shall submit the Monthly Expenditure Report and Invoice to the Office of Management and Budget by, April 15, May 15, June 15, July 15, August 15, September 15, October 15, November 15 and December 15, 2012, January 15, February 15 and March 15, 2013 covering the expenditures to be reimbursed for the previous month. The Monthly Expenditure Report shall be submitted in the format and using the form attached hereto as Attachment D. 3. Other Required Reports. The Provider shall submit other reports as may be required by the Office of Management and Budget during the program year. C. Changes to Reporting Requirements. The Provider understands that the County may at any time require changes in data collected, records or reporting, as may be necessary and agrees to comply with any such modifications. D. Monitoring and Audit. The Provider shall make available for review, inspection, monitoring or audit by the County without notice during normal business hours all financial records and other program records and documents which relate to or have been produced or created as a result of this Contract. The Provider shall provide assistance as may be necessary to facilitate a financial/program audit when deemed necessary by the County to ensure compliance with applicable accounting and financial standards. The County reserves the right to require the Provider to submit to an audit of the County's choosing. Furthermore, the Provider understands, it may be subject to an audit, random or otherwise, by .the Office of the Dade County Inspector General or independent private sector inspector general retained by the Office of the Inspector General. E. Office of Miami -Dade County Inspector General. Miami -Dade County has established the Office of the Inspector General, which is empowered to perform random audits on all County contracts throughout the duration of each contract. Grant recipients are exempt from paying the cost of the audit, which is normally 1/4 of 1% of the total contract amount. The Miami -Dade County Inspector General is authorized and empowered to review past, present and proposed County and Public Health Trust Programs, contracts, transactions, accounts, records, and programs. In addition, the Inspector General has the power to subpoena witness, administer oaths, require the production of records and monitor existing projects and programs. Monitoring of an existing project or program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications and applicable law. The Inspector General is empowered to analyze the necessity of and reasonableness of proposed change orders to the Contract. The Inspector General is empowered to retain the services of independent private sector inspectors general to audit, investigate, monitor, Page9of14 oversee, inspect and review operations, activities, performance and procurement process including but not limited to project design, bid specifications, proposal submittals, activities of the Provider, its officers, agents and employees, lobbyists, County staff and elected officials to ensure compliance with contract specifications and to detect fraud and corruption Upon ten (10) days prior written notice to the Provider from the Inspector General or IPSIG retained , by the inspector General, the Provider shall make all requested records and documents available to the Inspector General or IPSIG for inspection and copying. The Inspector General and IPSIG shall have the right to inspect and copy all documents and records in the Provider's possession, custody or control which, in the Inspector General or IPSIG's sole judgment, pertain to performance of the contract, including, but not limited to original estimate files, change order estimate files, worksheets, proposals and Contracts from and with successful and unsuccessful subcontractors and suppliers, all project -related correspondence, memoranda, instructions, financial documents, construction documents, proposal and contract documents, back -charge documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records, and supporting documentation for the aforesaid documents and records. The provisions in this section shall apply to the Provider, its officers, agents, employees, subcontractors and suppliers. The Provider shall incorporate the provisions in this section in all subcontracts and all other Contracts executed by the Provider in connection with the performance of the contract. Nothing in this contract shall impair any independent right of the County to conduct audit or investigative activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the County by the Provider or third parties. F. Independent Private Sector Inspector General Reviews. Pursuant to Miami - Dade County Administrative Order 3-20, the Provider is aware that the County has the right to retain.the services of -an Independent Private Sector Inspector_ General ("IPSIG"), whenever the County deems it appropriate to do so. Upon written notice from the County, the Provider shall make available to the IPSIG retainedby the County, all requested records and documentation pertaining to this Contract for inspection and copying. The County shall be responsible for the payment of these IPSIG services, and under no circumstances shall the Provider's budget and any changes thereto approved by the County, be inclusive of any changes relating to these IPSIG services. The terms of this provision herein, apply to the Provider, its officers, agents, employees, subconsultants and assignees. Nothing contained in this provision shall impair any independent right of the County to conduct an audit or investigate the operations, activities and performance of the Provider in connection with this Contract. The terms of this Section shall not impose any liability on the County by the Provider or any third party. G. Evaluation Studies. The Provider agrees to participate in evaluation studies sponsored by the administrative agent for these funds from the Florida Department of Law Enforcement, Business Support Program, and Office of Criminal Justice Grants. This participation shall at a minimum include access to the Provider's premises and records. Page 10 of 14 XX. PROHIBITED USE OF FUNDS. A. Adverse Actions or Proceeding. The Provider shall not utilize County funds to retain legal counsel for any action or proceeding against the County or any of its agents, instrumentalities, employees or officials. The Provider shall not utilize County funds to provide legal representation, advice or counsel to any client in any action or proceeding against the County or any of its agents, instrumentalities, employees or officials. B. Religious Purposes. County funds shall not be used for religious purposes. C. Commingling Funds. The Provider shall not commingle funds provided under this Contract with funds received from any other funding sources. D. Double Payments. Provider costs claimed under this Contract may not also be claimed under another contract or grant from the County or any other agency. Any claim for double payment by Provider shall be considered a material breach of this Contract. XXI. MISCELLANEOUS. A. Contract. This Contract is the complete and exclusive statement of all the arrangements between the .County and the Provider regarding provision of the services described in Attachments A and B. Nothing herein shall alter, affect, modify, change or extend any other agreement between the Provider and the County unless specifically stated herein. B. Amendments and Modifications. Except as otherwise enumerated herein, no amendment to this Contract shall be binding on either party unless reduced to writing, signed by both parties, and approved by the County Mayor or Mayor's designee. Provided, however, that the County may effect amendments to this Contract without the written consent of the Provider, to conform this Contract to changes in the laws, directives, guidelines, and objectives of County, State and Federal Governments. Any alterations, variations, amendments, or other modifications of this Contract, including but not limited to amount payable and effective term, shall only be valid when they have been reduced to writing, duly approved and signed by both parties and attached to the original of this Contract. In the event the COUNTY determines that a reduction in the PROVIDER'S budget is necessary, the COUNTY shall notify the PROVIDER in writing within thirty (30) days of said reduction decision. Budget adjustments shall be at the County's sole discretion. Budget revision requests must be submitted in •writing by the Provider to the Office of Management and Budget (OMB). Budget revision requests will be effective upon the date of written approval by the State of Florida Department of Law Enforcement. C. Ownership of Data and Other Material. All reports, information documents, tapes and recordings, maps and other data and procedures developed, prepared, assembled or. completed by the Provider in connection with the duties and responsibilities undertaken by the Provider in accordance with the terms of this Contract shall become the property of the County Page 11 of 14 without restriction, reservation or limitation of their use and shall be made available to the County by the Provider at any time upon request by the County. Upon completion of all work contemplated under this Contract, copies of all of the above data shall be delivered to the County upon request. D. Contract Guidelines. This Contract is made in the State of Florida and shall be governed according to the laws of the State of Florida. Proper venue for this Contract shall be Miami -Dade County, Florida. E. Publicity. It is understood and agreed , between the parties hereto that this Provider is funded by Miami -Dade County. Further, by acceptance of these funds, the Provider agrees that events and printed documents funded by this Contract shall recognize the funding source as follows: This program was supported by a grant awarded to the Miami -Dade County Office of Management and Budget (OMB), the Florida Department of Law Enforcement (FDLE) and the U.S. Department of Justice, Bureau of Justice Assistance (BJA). F. Subcontracts. The Provider agrees not to enter into subcontracts, retain consultants, or assign, transfer, convey, sublet, or otherwise dispose of this Contract, or any or all of its rights, title or interest herein, or its power to execute such Contract without the prior written approval of the County and that all subcontractors or assignees shall be governed by the terms and conditions of this Contract. If this Contract involves the expenditure of $100,000 or more by the County and the Provider intends to use subcontractors to provide the services listed in the Scope of Services (Attachment A) or suppliers to supply the materials, the Provider shall provide .the names of the subcontractors and suppliers on the form attached as Attachment F. The Provider agrees that it will not change or substitute subcontractors or suppliers from those listed in Attachment F without prior written approval of the County, G. Review of this Contract. Each party hereto represents and warrants that they have consulted with their own attorney concerning each of the terms contained in this Contract. No inference, assumption, or presumption shall be drawn from the fact that one party or its attorney prepared this Contract. It shall be conclusively presumed that each party participated in the preparation and drafting of this Contract. , H. Headings, Use of Singular and Gender. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural and plural shall include the singular and pronouns shall be read as masculine, feminine or neuter as the context requires. I. Total of Contract/Severability of Provisions. This fourteen (14) page Contract with its recitals on the first page of the Contract and with its attachments as referenced below contain all the terms and conditions agreed upon by the parties: Attachment A: Scope of Services Attachment Al: A -Form XML Description Attachment B: Budget Attachment C: Quarterly Project Performance Report Attachment D: Monthly Expenditure Report Page 12 of 14 ci . . Attachment E:--------Miami-Dade-County-Affidavits- Attachment El: Code of Business Ethics - Attachment E2: Miami -Dade County Debarment Disclosure Affidavit Attachment E3: State Public Entities Crime Affidavit Attachment F: Provider's Disclosure of Subcontractors and Suppliers No other Contract,. oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or bind any of the parties hereto. If any provision of this Contract is held invalid or void, the remainder of this Contract shall not be affected thereby if such remainder would then continue to conform to the terms and requirement of applicable law. INTENTIONALLY LEFT BLANK Page 13 of 14 IN WITNESS WHEREOF, the parties hereto have caused this Contract, along with all of its Attachments, to be executed by their respective and duly authorized officers, the day and year first above written. City Manager Si h ture Title Johnny Martinez Name (typed) ATTEST: By: -11-1". Prisci a A. Tho pson, City Clerk f>" ATTEST: • e.. Ci° M iiii c,•‘,"',-.:._ ek., v Ape HARVEY RUVIN . ro a- "Tx • nal it a eta ‘..1:41•••• 47 i.' • By: t v °Rol. C. DEPUTY CLERK / k4Calvin Ellis, Director isk Management, lity of APPROVED AS TO INS • APPROVED AS TO FORM AN Julie O. Bru, City City Attorney's Offi REQUIREMENTS: ami ORRECTNESS ey COW , City of Miami By: (Corporate Seal) By: Carlos A. Gimen z Mayor Page 14 of 14 MIAMI-DADE COUNTY, FLORIDA SUMMARY OF ATTACHMENTS ATTACHMENT A ATTACHMENT Al • ATTACHMENT B ATTACHMENT C ' ATTACHMENT D ATTACHMENT E ATTACHMENT El ATTACHMENT E2 • ATTACHNENT E3 ATTACHMENT F Scope of Services A -Form XML Description Program Budget Quarterly Project Performance Report Quarterly Expenditure Report Miami -Dade County Affidavits Code of Business Ethics Miami -Dade County Debarment Disclosure Affidavit State Public Entities Crime Affidavit Provider's Disclosure of Subcontractors and Suppliers Agency: CITY of MIAMI Address: 400 NW 2"d Avenue, 4th floor Miami, FL 33128 Project: MDCACP Countywide Prisoner Processing - Interface ATTACHMENT A Contact Person: Chief Manuel Orosa Contact Numbers: (305) 603-6640 Program Dates: 3/2/2012 — 2/28/2013 PROJECT NARRATIVE The ,objective of the MDCACP Countywide Prisoner Processing Project is to expedite the booking process by having arrest information available at correctional/detention facilities by the time the, officer arrives with the arrestee by automating the arrest affidavit (A -Form) for those agencies that utilize a paper arrest affidavit or by collecting data from existing automated solutions: By storing all arrest information in a central repository, data sharing and investigative analysis of arrest information will be facilitated. The automated A -Form application will allow law enforcement officers (LEO) to enter arrest information in on-line and off-line modes from a mobile or desktop environment. This IT solution will significantly improve the quality of arrest data and its maintenance, operational efficiencies related to arrest data usage and accessibility, response times by LEO, data sharing capabilities, and community patrol visibility..Successful implementation of the automated A -Form solution will bring a multitude of benefits to the entire MDC criminal justice community and also provide a model for replication to all law enforcement agencies across the State and the nation. The contract for the development and implementation of this project was awarded to Thinkstream. The CITY of MIAMI having its own automated Records Management System (RMS), has chosen to engage their RMS vendor. to develop program code in support of an interface between the Thinkstream A -Form Automation Solution and the existing RMS for arrest and statute information.. Note: some agencies have opted not to include the statutes in the interface. This would have to be agency specific. The CITY of MIAMI as denoted under Planned Measures Page 2 of this attachment shall participate in the development and implementation of the A -Form solution interface by conducting analysis, developing program code, conducting, testing, deployment, and providing production assistance. Page 1 of 3 SCOPE OF SERVICES FOR the CITY of MIAMI Activities Participate in the development and implementation of the interface between the Thinkstream A -Form Automation Solution and the RMS while maintaining the MDCACP Automation of the A -Form as a primary objective. Contractual Services: IT Vendor responsible for application knowledge transfer, extracting and validating of data from the A -Form application (approx. 207.34 hours). Planned Measures The CITY of MIAMI Customer Decision Makers* will assign subject matter experts to attend meetings. These representatives will be responsible for accurately representing their business units' needs to the Project Team and validating the deliverables that describe the product or service that the project will produce. The staff assigned should have the authority to provide inputs and respond definitively to questions and issues discussed.. Representatives will remain engaged throughout the duration of the project. In the event, that a representative is unable to participate, a replacement with comparable skills will be assigned by the impacted agency to maintain project momentum and progress. * Customer Decision Makers - Responsible for achieving consensus of their business units on project issues and outputs and communicating it to the Project Manager; attend project meetings as requested by the. Project Manager; review and approve process deliverables and provide subject matter expertise to the Project Team. The CITY of MIAMI shall be responsible for the following tasks as they relate to the A - Form interface development deliverables of the project: • Participating in the analysis of business processes as they relate to the interface between the Thinkstream A -Form Automation Solution and the RMS. • Participating in integrated application and system testing and validating testing results. • Providing deployment support. Documenting process changes, as applicable. • Scheduling appropriate staff for training regarding changes. • Communicating any internal concurrent project or automation initiative that may impact the implementation of the interface. • Attending all project work group meetings as required • Attending any additional meetings as required by the Office of Management and Budget. Page 2of3 Monitoring Plan The CITY of MIAMI shall submit the following documentation to the Office of Management and Budget (OMB) in a complete and timely manner: • Monthly Expenditure Reports • Copy of current contract with the IT vendor • Activity Schedules/Time Sheets for work performed by the IT vendor • Copies of purchase orders for IT vendor • Copies of invoices from IT vendor for work performed on this project • Quarterly Project Performance Reports Page 3of3 1 ATTACHMENT A 1 Thinkstream A -Form Population A -Form X_I�IL Description MIAMI-DADE COUNTY PRISONER PROCESSING ARREST REPORT FORM AUTOMATION SOLUTION January 4, 2012 Version 2.4 Thinkstrearn/A-Form Project/111811v1.0 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 Authors This document was prepared by: THINKSTREA16 , Bob Terhune Victoria Taisacan Paul San Soucie Thinkstream Inc. Thinkstream Inc. Thinkstream Inc. 7150 SW Hampton Avenue 7150 SW Hampton Avenue 6146 Crestmount Drive Suite 130 Suite 130 Baton Rouge, LA 70809 Tigard, OR, 97223 Tigard, OR, 97223 T: 225-291-5440 T : 503-968-1656 T : 503-968-1656 F: 225-291-9141 bterhune@thinkstream.com vtaisacan@thinkstream.com pauls@thinkstream.com , '�Date�' ""., �7. re'r..^.r.»k�+ - � F ir,+rs,,l .:-. a;' K..- 4:svy y �- � :DocumentR'evlsloaDescn tion� � ? , xa -v.kir--si..�a+ r;' ,�`D�ocument:Aufhor.: w 4 tw „ m�..x 7`.w Documen ._. V'erS10I1..„ o@" K �F . g Bob Terhune 11/16/11 1.0. Initial Revision - 12/13/11 1.1 Document Feedback and Focus Group feedback applied Bob Terhune 12/15/11 2.0 Revised XML based on additional Miami feedback Bob Terhune 12/15/11 2.1 Revised XML to specify Statute Code Export Bob Terhune 1/3/12 2.2 Minor changes based on technical reviews Bob Terhune 1/3/12 2.3 Editing Victoria Tailsacan 1/4/12 2.4 Minor changes based on technical reviews Bob Terhune ro a , ' ArPtIre` - Th eam A Lover •iolez ` •"�i_ '.-� ., rover ;�y` fir_ ....- x- , rt oe slon r.� �. ? Lee Bellue 1 1.0 Chief Operation Officer Thinkstream/A-Form Project 12/15/2011v1.2 Page 2 of 38 MIANII-DADE COUNTY PRISONER ---FROCESSING-ARREST-FORM AUTOMATION SOLUTION Friday, February 24, 2012 THi--NKSTREA�r TABLE OF CONTENTS AUTHORS 2 TABLE OF CONTENTS 3 1. AUDIENCE 4 2. PURPOSE 4 3. DEFINITIONS 4 4. USAGE OF XML STRUCTURES 4 5. ADDITIONAL DOCUMENTS INCLUDED 4 6. .XML SCHEMA OVERVIEW: THINKSTREAM ENTITIES TABLE 6 7. XML SCHEMA OVERVIEW IN RELATION TO THE A -FORM 10 APPENDIX A — LIST OF AGENCY CODES FOR FIELD 9 35 Thinkstream/A-Form Project 12/15/201 1v1.2 Page 3 of 38 MIAMI-DADS COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February24, 2012 THINKSTREAAI. 1. Audience The audience of this document is for developers who are interested in consuming the XML structure that will be produced by the Automated A -Form solution. 2. Purpose The purpose of this document is to introduce the Thinkstream A -Form XML Structure. This document will discuss both the A -Form XML information and the statute code XML structure. 3. Definitions 1. A -Form —The electronic A -Form as generated by the officer. 2. Statute Codes — The service supplied to manage county wide statute codes. 3. Thinkstream Web Service - The 'Thinkstream-supplied services available to retrieve the discussed XML. 4. XML Schema — A structure that represents the XML. The XML Schema also represents the database schema structure. 5. Entity - Normallyreferred to as an XML node, or a container of fields. Example: "John Doe" is represented as a Defendant Entity. 4. Usage Of XML Structures • A -Form The XML supplied for the A -Form represents the XML that will be available by Thinkstream Web Service calls to retrieve A -Forms and to export A -Forms to RMS systems. • Statute Codes The XML supplied for the Statute Codes represents the XML that will be available by the Thinkstream Statute Codes Retrieval Web Service or as a file. • 5. Additional Documents Included There are a number of additional files included with this package. A -Form XML Description.doc — This document describes the XML structure and how it relates to the paper A -Form. AformSamplel.tif — This file is a scan of a real A -Form that had been redacted for privacy reasons. AformSamplel_Approved.xml — This is a XML representation of the scanned A -Form that has been approved by the agency supervisor but has not reached the booking stage. There is some additional information added to this XML to fully utilize Thinkstream XML structure. The address appears as an example only. It is not meant to represent a real address. Thinkstream/A-Form Project 12/15/2011v1.2 Page 4 of 38 MIAMI-DADE COUNTY PRISONER pROCEgSING ARREsrFORVF—" AUTOMATION SOLUTION Friday, February 24, 2012 THI KSTREAM AformSamplel_Booked.xml — This is a XML representation of the scanned A -Form after booking and PID processing is complete. The document now has a CIN number and a Jail Number, etc. This document represents the state of the document when it will be sent to vendors. AformSamplel_GIS.xml — This is an XML representation of the scanned A -Form after booking and PID processing is complete. Not all data is represented. For security reasons, it was requested that not all information be available to all agencies. This would be my proposal for the minimum amount of information to share with the GIS group. This restriction also applies to agencies that did not write the original A -Form. Xsd directory — The MIAARREST.XSD is the schema file that defines the Miami A -Form. This structure imports additional XSD files that are included in subdirectories. Documentation directory — This directory contains a file named MIAARRESTFIELDSET.HTML. This HTML file can be opened locally by a web browser and describes the Entity structure,"the entity relationships, and the individual fields. This file is built during the Thinkstream build process and can be used to reference this document. Statutes.xml — This file represents a sample of the XML that will be used to share Miami -Dade Statute Codes. UCR mapping has not been completed yet by MDPD and will not be available until close to deployment time. This file shows randomly assigned UCR codes only to show what the structure will look like. The UCR codes were also separated into Category and Code for the convenience of the GIS group. Thinkstream/A-Form Project 12/15/2011v1.2 Page 5 of 38 MIAMI DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKsTREAM 6. XML SCHEMA OVERVIEW: Thinkstream Entities Table a'.... Tliinli'streaiii Entity .. .... z : �: V': _ ';lY.il': -..1"j:.' .Ttf:" :..'.1: rii'' i..'•-�' X1 . 'iYnms� ' ;Description .;_ _..•�:,�'-.....-',_ . {,.... ,. ;:`c:` :�`�>�;. AFormAddress Address that will be geo-coded based on GIS Web Services and user data entry ^AlertMessage Alerts or Messages that may be required Alias Defendant Alias ArrestReport This is the top node of the XML with general information about the Arrest Booking - Booking information entered by Corrections Officer at booking time Charge A Charge represents an Offense and contains one or more statutes Coordinate The X,Y coordinate returned from the GIS Web Service Defendant • . Information that represents the Suspect that was arrested DefendantState A DefendantState indicates whether the Defendant is injured , DefendantStatus The current overall status of the defendant ExtendedData This Entity is used for signatures and other binary data or URL links as necessary GPSPoint The Latitude and Longitude as supplied by the GIS Web Service InvolvedPerson Each entity represents a person.involved in the arrest other then a LEO or Officer Each entity represents an officer involved in the process. For example, this may mean the arresting officer, supervisor, booking officer, or the PersonToPersonRelationship This. object represents a link between two Involved Persons or the Involved Phone A Phone Number PrisonHold Information necessary for a Prison Hold SMT Scars, Mark Tattoos of Defendant Statute The Statute code as defined by the SAO Street The Street as.retumed by the GIS Web Service UCR The UCR Code (if any) that is associated with the statute Vehicle Information about a Vehicle that may be involved in the arrest Thinkstream/A-Form Project 12/15/2011v1.2 . Page 6 of 38 " MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM — AUTOMATION SOLUTION Friday, February 24, 2012 Below is the general structure and relationship structure of the A -Form xrnl. The base node is an ArrestReport Entity. { Ti HeNiKSTR€AfJ = .. �r... :,,,.' ..r.� -•.f.. ��... �'E�4'r ii�q,�>y',ir��: ts'�';�:.. ^-�q �.Ya_"`:.�:� "r".,�.�_.a?i� dfa'+'-'�'`ri,'ivBi. r:.ut•'`;��i%'`=" d ,1{��"C`' I-C�.1�a"' x' t �" "". ,' �s, S-�?_ae• .a y«':-t"•w.a�.iS�`�-+-iax�'�",�'N � "`'?`� 'Fv�%r+:.. ArrestReport ArrestReportTvue Defendant - DefendantState Officer Phone ExtendedData SMT HistoricalVafue DefendantStatUs AForrnAddress AlertM+essaOe • Alias Phone IrivolvedPersoa DefendantStatus ExtendedData AFormAd d ress AlertMessaae • • Alias Phone PersonToPersonRefationshio Charae Statute UCR PrtsonHHold Vehicle Narrative AFormAd d ress Aler-tMessaoe • AFor•mAddress Phone Officer Booking Officer MedicalScreenina Defendant • Officer • ExtendedData Figure 1 - Thinkstream A -Form Schema Thinkstream/A-Form Project 12/15/2011v1.2 Page 7 of 38 MIAMI-DADS COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION, Friday, February 24, 2012 THINKSTREAMtl Below is the structure and relationship for the MDstatutes.xml export file that will display the complete statute list. — Statutes — Statute UCR Figure 2 - Statute Code XML Structure Below is an explanation of the Statute code schema. The XML does not represent all the information that is in the database. If there are fields that an agency feels is important from the SAO Needs Assessment Document, Thinkstream can easily add them. • .Thinkstr earn. ,.n - E y• a• `eld'= i F� ,��µ:� a 'rr,. •;r'.::�,.'� - 1. F - � r ~ rig. 7 p r�� ,�:r;};r� :SAO Code`d'' �r ° Cfi' -rG% .,i' 17 �p , r = .+ De`scri tlon w �}...,, -. p,...-;s :•�Rr .?>--. . . ..._na-• ...,.,._F=�-�:-� •r'I::' 'h.. d•r � { aP ,f ' .:= ` Fa �`` ' Iiicluded in' .w. _ J��, � ,<;;�..., ....�-��..�-�a; .-`fy,= Information`: Statutes Version The Current, Version of the • Statute Code XML schema Yes Statute CJIS_REC_NUM ..CJIS Record Number CJIS unique identifier . Yes Statute FLDE_REC_NUM FDLE Record Number DLE identifier Yes Statute STATUTE Statute The full statute code string Yes Statute CHAPTER Chapter The chapter of the statute Yes Statute SECTION Section The section of the statute • • Yes Statute SUB SECTION Subsection The subsection of the statute Yes Statute INTENT Intent If Statute describes Intent • (Y/N) Yes Statute TYPE Offense Type '. Yes Statute • DEGREE Degree Yes Statute DESCRIPTION SHORT Desc20 Short Description of statute Yes Statute DESCRIPTION Desc50 Full Description of statute Yes Statute MUNICIPALITY Municipality State or county ordinance Yes Statute UPDATED DATE Updated Date The Date of an update since the initial version Yes Statute STANDARD BOND No Statute NCIC CODE No Statute CREATED BY No Statute CREATED DATE No Statute UPDATED BY - No -Statute UPDATED DATE No Statute INACTIVE BY No Statute INACTIVE_DATE Yes Statute REPEALED DATE • Yes Statute EFFECTIVE DATE Yes Statute CHARGE INFO DESC1 No Statute CHARGE_INFO DESC2 No Statute CHARGE_INFO DESC3 No Statute CHARGE INFO_DESC4 No Statute OFFENSE_FORM NUM No Statute TO WIT No Thinkstream/A-Form Project 12/1 5/20 1 1v1.2 Page 8 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAM Statute MUNICIPALITY No Statute SAO DISPO No Statute SENTENCING_GUIDELIN E LEVEL "-\ No Statute OFFN CALL LEVEL No Statute OFFN SRS CATEGORY No Statute MATRIX No Statute VR_CATEGORY No Statute CHARGE_ROUTER No Statute FL DOC NUM No UCRCode UCR NAME (MDPD Code) UCR Code The UCR code as defined by SAO (Example: 0001090A) Yes UCRCode UCR CODE -- The standard UCR code (Example: 09A) Yes UCRCode UCR CATEGORY (MDPD Description) -- The UCR crime category (Example: HOMICIDE Murder/Non Neg. Mans) Yes • UCRCode UCR _CODE DECRIPTION (NIBRS Description) UCR Overall Category The category description as supplied (Example: HOMICIDE) Yes Thinkstrearn/A-Form Project 12/15/2011v1.2 Page 9 of 38 MIAMI-DADE COUNTY PRISONER, PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 .. THINKSTREAM_ 7. XML Schema Overview In Relation To The A -Form The following page represents the front page of the paper A -Form used by .Miami -Date County. Not all information on this page will be entered by the officer. The Data entry screen will not resemble the form, but the PDFs will. Thinkstream/A-Form Project 12/15/2011v1:2 Page 10 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST -FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREA OTC COh1PLAiNTTARREST AFFIDAYiT 1,-.-.---,,,..,... coMPLAINT/ARRESTAFFIDAVIT - COURTCOPY 9 .r•_CaY �. 11��earr alP1reba +` Cuac G7ua). Gv+ OW 0YCLEs Caiw IOnxeowl RISS:A WARMS. 044.4 0.14444 ,.l I�G ._ -Y�Z. "uN7 Otn' w.+rn G'lEf C.IiE [II . 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Complaint/Arrest Affidavit Page 11 of 38 • Thinkstream/A-Form Project 12/15/2011v1.2 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAR1 The following fields do not currently exist in the paper A -Form. These additions help with the. workflow and with integration with other county projects. <. ' •} s • ti am, , Meld ame` Akt 4 �" ...� uy ;• h..._� :: Iiti.F Phtnksteam ty :It CS.� ,c:, i :It Vz: t° .Ly _•., �� '`F.4'G^. ii�'�" Dnf ` ` Field,as defined In. z ,mow }n )) :PAt�i�4N•!:';. •t LNif, :P!k. I��1 ,. t: iHow the data:is:.'... _ q r;' • , ., r , k 7 . '�� ?. ::-t V.' ,flC^s `• Data, �;;; rPYP. Y .. . .. :. tf.: 'I :+: ,:•T jmat;,�-.�,.i,• : i; , '`} $W' :s,_,i._k... • ..... .. ?,... t OteCt ed': Pr p royal-' APP .t:tr" A .1�•ae•_ BRACELET ID i+ a: ArrestReport ARR BRACELET NUM " Entered by Officer or alternatively scanned using a bar code scanner. Data will appear,on the Paper A -Form . This value is used for lookup and will update QMS . Text(20) Technical Issue # 14 Yes " . B ' TRANSPORT LOCATION ' • •• SuspectTransport ARR TRANSPORT LOC • - • This information is Selected by the officer.• This value may be • changed if corrections • reject suspect because of medical reasons. The value is used to late a booking populate oog transporting inbox Dropdown • EW - EAST WING H - HOMESTEAD POLICE DEPARTMENT I - ICDC K - TGK MW = METRO WEST MT=METRO TREE N-NORTH DADE PT - PRE-TRIAL DETENTION T TRAINING & TREATMENT CENTER/STOCKADE S4 - SUBSTATION 4 S5 - SUBSTATION 5 S8 - SUBSTATION 8 W - WOMENS DETENTION BC =BOOT CAMP OM -OTHER MEDICAL PTA -Promise To Appear No C •" TRANSPORT DESCRIPTION SuspectTransport ARR TRANSPORT_DESC Entered by Officer, If Transport Location is "Other Medical" then Officer can enter free text transportation location. Text(32) • • No D . THINKSTREAM 'ID ArrestReport • fNC_ID Auto -Populated by Thinkstream, Not visible to user.'For Internal User Only Text(12) True/False Yes E IS REFERRAL A IS CIVIL CITATION ArrestReport ARR IS_CIVIL CITATION Set or unset by Officer, Booking Officer or SAO when applicable. Boolean i True/False No CITATION ArrestReport ARR_CIV L CITAT ON_TICKET NUM _ Set or unset by SAO on Text(32) True/False No G CIVIL Thinkstream/A-Form Project 11/6/2011v1.2 Page 12 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 • THINKSTRE1111 . -' '1'''''E'Tej71. ttiitiiYTiait'ild'elliid-iiiiti1/41,-*;!HolyHthe,datmisWv',21., rIRoes'mitiiil-. 1 °I UM' , ', .A,L....;,,‘S1,,ih. 1C• Y'. Ylg'4Ii 4yak4,o.},4,A.mfiNv—iii rS 41 ,,-t,4A tR./,j,I:,' '' 0, '313a0c..,..,.'..: '!t'• cq ui i;.,2f..:c."3.:.::;r,.,'.:-:•4:,!;`•t.';Type, r. }Fo, rMay, i. '',',.%.•:.,:;,•;4. • protected,i, after Approval qualified ArrestReport. TICKET N IS SUPPLEMENT ArrestReport ARR IS_SUPPLEMEN'T Set Intemally when report used to fix_protected data Boolean True/False Yes I' BONDED OUT ArrestReport ARR BONDED OUT This number is passed to Thinkstream from CJIS using a shared database table (Updated 12/11) Boolean • True/False No J DATE TIME CREATED ArrestReport ARR CREATED DATE Set Automatically when A -Form was created. (Updated 12/11) Boolean True/False No K MUNICIPALITY GRID ArrestReport ARR MUNICIPALITY GRID . • Populated by County GIS system to specify the agency specific Grid. (Updated 12/11) Text(10) Yes L HISTORICAL JAIL NUMBER/JAC# ArrestReport/ HistoricalArrBookingNum HIST VAL ,HIST—DATE Populated if there is a identifier # change triggered by CJIS. (Updated 12/11) Text(64) DateTime • No , M HISTORICAL OBTS # ArrestReport/ HistoricalArrObtsNum HIST VAL HIST_DATE Populated if there is a identifier # change triggered by CJIS. (Updated 12/11) Text(64) DateTime No NNo HISTORICAL COURT CASE# ArrestReport/ HistoricalArrCourtCaseNum HIST VAL HIST_DATE Populated if there is a identifier # change ' triggered by CJIS. (Updated 12111) Text(64) DateTime 0 HISTORICAL CIN# Person/ HistoricalPrsldsNum HIST VAL HIST DATE Populated if there is a identifier # change triggered by CJIS. (Updated 12/11) Text(64) DateTime No • P REDACT PERSON DATA Person . • • PRS_REDACTED Selected by officer to redact name of arrdstee (Updated 12/11) Boolean True/False • No Q REDACT ADDRESS Address ADDR REDACTED Selected by officer to redact address of arrestee (Updated 12/11) Boolean True/False No R NOT PURSUED Arrest ARR NOT_PURSUED Entered by Officer if it is decided not to pursue arefen-al. (Updated 12111) Boolean , True/False No Thinkstrearn/A-Form Project 12/15/20 1 1 v 1.2 Page 13 of 38 • MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREA11 , lieii, i . -toilmi'o' 4- Tro A:-,, .,i'1,•41.,`' ,I,' .r.i..g . ittea.A*- tavd It '‘'. • Ititt- g • t'• '''',t'.'" ' ,,it k. i.5i131,1,' ;1 • ".^" . ' .„li,,Irit/M.4`A'''e,.,,P,I,1.01,i4,-*'7,;%4,''.1.:. '., riff i4f,a,0,14:0*.t,i,r4.:!..;TPIA. %,-4.1 ibliViAtli0`.c.qqe.1•4 g., lto...'s 3 ''1,....,i-lOw,.,it.,116.,..40t...a".,is:::;-...,''...,-::.;:_! AF"ciu'lv:je' d7.1.;.. ,c 414,..,),,,,,,,„,.: $:,.... c,... , ,,,,,,, . . ,-D at'7.7.,,..,:-..:,....„?..,,' Tip'ecc.4.:4:-..'0.e. ,.. ,, .,,,-,,,, ,,... .:.,, ,,Fii1i0.% , ,... t 7: , ,?: .t, E, .1; .1', :,,T5y1...0Fted.... • ,, .,,..:Iter,.!,:f'::,:•„ -ZApProval.. No S , JUDGE SECTION NUMBER ,,,,,,t4-4,,, Arrest • ARR JUDGE SECTION This number is passed to Thinkstream from CJIS . using a shared database table (Updated 12/11) Text(25) , T • . OFF_SEQ_NUM • Charge . • OFF_SEQ_NUM This number is passed to Thinkstream from CJIS using a shared database table. (Updated 12/14) Number Starts at 1 Yes U STATUS OF REPORT Arrest ARR_STATUS Status of Report (Updates 1/3) Text(2) N=New X=Expunged S=Sealed D=Dropped No V CIN • - Arrest PRS_CIN NUMBER Would 100% identify a person based on fingerprints; generated by CJIS (Updates 1/4) Text(9) No Thinkstream/A-Form Project 12/15/2011v1.2 Page 14 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREANI The following fields exist for the Booking Center to enter data using the A -Form Management Application. These fields may not appear in the A -Form but will be updated to CJIS or used by the A -Form application for document routing and management. BK1 •P:Eiel'd am e (111' it0A1 11:r,clip. A For BOOKING OFFICER !iiiinkstream1 nti Officer role=Booking llieldras'clefiaecPtp • OFFR BADGE_ID owAheclata.is.,:x Acquired Pre -Populated based on logged -in Booking Officer user • •• • 4..1-4 Text BK2 BOOKING FACILITY Booking BK_FACILITY Pre -Populated based on logged -in Booking Officer user Dropdown EW = EAST WING H = HOMESTEAD POLICE DEPARTMENT I = ICDC K =TGK MW = METRO WEST MT = METRO TREE N = NORTH DADE PT = PRE-TRIAL DETENTION T TRAINING & TREATMENT CENTER/STOCKADE S4 = SUBSTATION 4 • S5 = SUBSTATION 5 S8 = SUBSTATION 8 W = WOMENS DETENTION 'BC = BOOT CAls.411 Rropptc441: after 2dt ApproitaV• No No BK3 BK4 DISPOSITION CELL BLOCK Booking Booking BK_DISPOSITION BK_CELL_BLOCK Entered By Booking Officer, a summary of the narrative Selected By Booking Officer Text(255) Dropdown PT - MAIN JAIL (PTDC) I - INTERIM (ICDC) • W - WOMEN'S ANNEX S - STOCKADE K - TGK MW - METRO WEST No No BK5 BK6 BK7 CELL NUMBER Daterime IN RESIDENCE Booking Booking Booking BK CELL NUMBER BK DA.TETIME±IN BK RESIDENCE Entered By Booking Officer Automatically Set Based on acceptance Time Entered By Booking Officer Text(10) DateTime Dropdown 1=DADE COUNTY 2=IN STATE 3.11JT OF STATE 4=IN THE CITY No No No Thinkstrearn/A-Form Project 12/ 15/20 1 lv 1.2 Page 15 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THlNKSTREAM, n+ BK8 • MUGSHOT LOCATION Booking BK_MUGSHOT TAKEN w Entered By Booking Officer • • Dropdown . I = INSIDE PRE-TRIAL DETENTION J=JACKSON MEMORIAL WARD D T = TRAILER No BK9 Print Flag • Booking BK PRINT FLAG — Entered By Booking Officer, Default is Y Boolean Y= Tell CJIS to print copy to Printer • (default) N= Tell CJIS not to print No Thinkstream/A-Form Project 12/15/2011v1.2 Page 16 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 The following fields map directly to the A -Form. ,BAYir° OCK. 1 '4Firld'isaitie.... fr Om lir At- . tuqri , Pow. Iltrt"4.4, A „AIM , OBTS NUMBER ArrestReport 2 POLICE CASE NUMBER ArrestReport 3 SPECIAL OPERATION • ArrestReport 4 .5 ARRESTREPORT TYPE JAIL NUMBER DefendantStatus ArrestReport 6 7 PMHD COURT CASE NUMBER ArrestReport ArrestReport THINKSTREA111 .' .snni,. ed..,-a_t-a.‘-i§4vvyinz,o,-R-.51 -:*.-D•• 0 1.1.ATYpelt ,•-c. -3, °(' ,.t. ::iyi,', 'kil:TkIt.,',:r.'-' 0.411,- /;,•t-IN441,fii .ta):Atavrifoifftp' .ref k .., 1,.' . tii, .1,-. „ A,. ',P:Format ' 't ,. -r-f.4slF4I•6,4.174M.-i.Fdqtct1,,,.i.p.,.:.,...- I • ' ' `2-0 • 0 Aphi, ,•• . •,, :,I ,, -f§s...o ,,,,4 :. ed ,.,.. g.54.1,0' vik.'"i,o,Ari. PP . ::. plv.k'.O. i' as e4T.n44ec1- I ' Oki -*. ;-:14:' = .16 ARR OBTS NUM This number is passed to Thinkstream from CJIS using Text(10) No ARR CASE NUM This information is entered by the officer, the number is Text(20) • Agency Specific Yes • ARR_SPECIAL_OPERATION • Entered by Officer Normally Blank or some acronym (e.g. FTAA) Text(5) R = RID • T = TNT W = WARRANTS D = DUI S = SWEEP Y=FTAA Arrest N=NON FTAA ARREST E=Emergency Yes DFND_CAT_FELONY DFND_CAT MISD DI -ND CAT7TRAFFIC DFNDTJUVENILE DFNDCAT_DV - DFND—CAT_MOVES DFND—CAT CIV_INF DFND CAT_WARRANT DFND=CAT_IN CUSTODY DFND CAT AT LARGE Entered by Officer Possibly Default based on charges to Felony/Misd. Boolean . True/False Yes ARR_BOOKING_NUMText(17) Created by Thinkstream and assigned on Booking acceptance. (adult) YYNNNNNNN Or (iuv) YY8NNNNNN Or offline YY1NNNNNN YY2NNNNNN Y es Yes ARR MENTAL HEALTH DISAB Entered by Officer Text(1) Y/N/U COURT_CASE NUM This number is passed to Thinkstream from CJIS using WebService or shared database table on change (Updated 12/11) Text(12) .. Alpha -numeric No Page 17 of 38 Thinkstream/A-Form Project 12/15/201 lv 1.2 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTINENVI ,ti.V ''''' I. .., .0„: ttiefdkNa tir A: -.. i71101-iiligtOr -1o;,t1 14,9.- -, , ' fro MpAt-,F.Dpm 0.1,,,,T;r,,1164.-X-._,M,.44: . ' ...1,..,f4rwil c%A.Wito.:4 Txn.tt ,. from ,..-41,• • .'‘' ,Ifk ket:.R.(0` 1 4'41-'4.'4 MI,' ' A'' .' •410,7:001-4. .i4Jiteir."1.!.8slikil, . itttclor.w• • ,.....meza . 2.4- - 101.1.1' 4 Rpm .. .f. . i * , , . ,,..1.-A,‘,,, ::.%:' If. — 1:-• .t.V.V•74P-Ztg:'.a.0,- - . ' ird,iiitiie'l.d.i..fa'Ilsi:.,,k,i.4;,P:1 -,,....Dati'•,'S.-k,',I.V.,'...;-,..:-For..iiri.. 116g Lisili7:•.-;:vit. • ' I: -:, • ' , A.Fqx_Ttl, ..0 y- li. 1..t. ' •tfACRI;1',5.741kqq II 1.; ', i-•• ••:,.1,••.:•.'f.Vii:-.4: - ..,...Y.Pe.:i[,1•7.,,: .:-71;i;Ig'11;:.:..-i'.'!;.-!.;' ie',""#. 4 ..,! •.4., 4, •Ii. :. ,,7 ,. ( :.• i ;ill 1,4W.Citi t iii444i.le.F...i:ii..d...„--.: J.• • •,,Lt.,-,14.2:.5...:46:••• a.f,t,94-.7 ..-z,c. .0.i.Militos.i.a 1 ', ':-!'. No • ..• .31?3,.:T9',51:1'..,::kt‘zE&MM.,",.. 8 IDS NO Defendant PRS_EDS NUMBER This number is passed to Thinkstream.from CJIS using a shared database table. Also known as PID. Identifies AKAs; generated by 015 Text(9) (changed 1/4f2012) NNNNNNN 9 AGENCY CODE ArrestReport 1NC_AGENCY Auto Populated by A -Form app lication based on the logged in user. Default based on login but allow for change Text(3) • NNN (Appendix A) Yes 9 AGENCY CODE ArrestReport ARR AGENCY_SUB _ID If agency code is 30, then a three digit number must be specified to identi Text(3) (Appendix A) Yes 10 MUNICIPAL PD DEF ID NUMBER •ArrestReport . . ARR IvID_POLICE_REC_ID Entered by Agency, not a part of A -Form entry — Waiting for ITC Text(20) No 11 MDPD RECORD NUMBER ArrestReport • AR.R. MDPD_ID Entered by Agency, not a part of A -Form entry - Waiting for ITC . . Text(20) No 12 STUDEN T ID N GANG ACTIVITY ArrestReport ARR GANG_RELATED Entered by Officer Boolean Tnte/False Yes 14 FRAUD RELATED ArrestReport ARR FRAUD RELATED Entered by Officer Boolean True/False Yes 15 DEFENDANT NAME Defendant PRS NAME FIR,ST FRS—NAME:M—NAME_LASTEDDLE PRS PRS NAME SUFFIX Entered by Officer • Text(32)-12 Text(32)-12 Text(64) - 30 Text(8)-3 • Yes 16 ALIAS OR S SIGNAL ARR CRIME 1D_SIGNAL Entered by Officer Dropdown 100,150,200, 300,400,500 Yes 18 DATE OF BIRTH Defendant PRS BIRTH DATE Selected by Officer Date/ Calendar : Control YYYYMMDD Yes 19 AGE Defendant PRS AGE Calculated by Form for Birth Date, editable Number NNN Yes • ' ."• . '. • Thinkstream/A-Form Project 12/15/201 I v1.2 Page 18 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 , THINKSTREAM = . 20 RACE Defendant PRS_RACE Selected by Officer Dropdown A (Asian), B (Black), t (Indian), U (Unknown), W (White) Yes Thinkstream/A-Form Project 12/15/201 lv 1.2 Page 19 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAM ;"' r '' "A' :A' , i' Fiailkrala' . Atkit" -r-W-'44s gfrOM ,,,- grill riVs3 V • '4 .. 31,.:11 ,..,,...4.-.... g' ...; ,a..-',/ pAilinics-ntea .il-W.,010gfi'rEaVi qp.A4trfipm cv .. .15S . - Arity",N le' il Is' kee6nii1iii: '34') /it of. e C.'? '' )i 1 ft pi, ! I,. 0 61, 1 ' oit:,. 0.:10.., ..szt -37e e,;II., „,.1\i;-; '' r64.' I .11#ftd-a,tilst . ItoN4Wil,'' , e E `equv. 1 : .= : PAt.*.JP:',:: 2: , (1 " ....I.'..-A.,Aie.I.:•,...;:. ..r.11tAl .., ;t,a......41i ,..: e )T :.;yp:LC , . 1F:9 atIci ::,,::::,: t- , . • ,.,.• ':$4,..Pr...ateC,te,,d, PT: a f(eFi .. L PP 0 ,...„ 21 SEX Defendant PRS GENDER - Selected by Officer Dropdown M (Male), F (Female), U (Unknowe) Yes 22 ETHNTICITY , . Defendant . • • . PRS_ENTHNICITYSelected by Officer • Dropdown , AFR=African American ANG=Anglo ARG=Argentinean AIN=Asian Indian BHS'Bahamian BRA=Brazilian CAN=Cenadian CAlb.Catibbean CHI=Chinese COL=Colombian CUB=Cuban HTI=Haitian JAM=Jamaican JAP=Japanese MEX=Meicican MEA=Middle Eastern NIO-Nicaraguan NGA—Nigerian HIS=Other Hispanic PRI=Puerto Rican VEN=Venezuelan UNK=Unknown 0'111=0111er Yes 22 HISPANIC Defendant PRSHISPANIC • Selected by Officer (Updated 12/11) Boolean True/False Yes 23 HEIGHT Defendant PRS HEIGHT Selected by Officer String FII Yes 24 WEIGHT Defendant PRS WEIGHT ' Selected by Officer Number NNN Yes 25 HAIR COLOR . Defendant • PRS_HAIR COLOR Selected by Officer Dropdown BLD=Bald BLK=Black BLN—Blond/Strawberry BRO—Brown GRY'"GreY RED=Red SDY=Santly WHI-White • MIX —Grey & Black YOCK—Unknovm Yes 26 • HAIR LENGTH .. Defendant . , PRS HAIR LENGTH - - i Selected by Officer Dropdown LNG = LONG REC RECEDING MED — MEDIUM BDG = BALDING SHT SHORT BLD = BALD UNK UNKNOWN Yes Thinkstieam/A-Form Project 12/15/20 11v1.2 Page 20 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAM 10;..t.401',.,1,A.,,Af. '4..• * • eitlia f.r•or4,m—? iildireaiVial Eo- 1 ad isrefteiii auNi,4f0 , t',,,t1 i'i''i • .t7.h.. li-.....' 1lite'40ki§ .'o„a.rcilqkgpui,f , ,. .• .'-;'•. p0oA0IW10) Type -,:'',....,i•.„,,.„-ry:F,,i:44,ii:.-'1im ...t ,•..''.t,,', .' 4'' 1,- '' , Protected after Aipiilal .k = STYLED 0THoTHER STY AFR.= AFRO/NATURAL UNC = UNCOMBED • BRD ... BRAIDED . WAV = WAVEY/CURLEY BUS = BUSHY 27 HAIR STYLE Defendant PRS_HAIR STYLE Selected by Officer Dropdown FLT = FLATTOP D1R = DIRTY/GREASY PoN - PONYTAIL Yes DRE = DREADLOCKS FAD = FADE FRO - PROCESSED DEL = DELASOL STR - STRAIGHT • UNK = UNKNOWN • BLK = BLACK BRO = BROWN . GRN = GREEN " MAR .= MAROON Yes 28 EYES Defendant PRS EYE_COLOR —COLOR Selected by Officer Dropdown PM "'RINK BLU = BLUE GRY = GREY HAZ = HA.ZEL MUL = MULTICOLORED )00C -,UNKNOWN 29 GLASSES Defendant . PRS_GLASSES Selected by Officer (Updated 12/11) Boolean True/False Yes OTH = OTHER GOT = GOATEE i CLN = CLEAN SHAVEN LWL = LOWER. LIP 30 FACIAL HAIR Defendant PRS_FACIAL HAIR Selected by Officer Dropdown BM ' FIR. BEARD MUS = MUSTACHE FUM =. FU MANCHU Yes SID = SIDEBURNS FUZ = FUZZ UNS = UNSHAVEN UNK = UNKNOWN Thinkstream/A-Form Project 12/15/2011v.1.2 Page 21 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINK$THEAM, • . #`.- •, ,f °` �� ' MI j tad •Natn ti_ '"'5.i1.. J; - trolnA form '��ty F• [ Y ?'Tc�„�4 '* ,VAX,-;- I "i `"' �` tilnksfrealn •2��115x^r�,y, L C.�'C� rom, oak L &._. "" :.. nt leldYas-cyOlti dii "d:736�f l 'iy, !'N n '"3'ITv XML IJ fV TR i 1 f h 7P 1P "a�'''l - a g11 . 146in i i f;: _ '`'"tthe datatis �? -,f 1 go"w i n 1.,,:,• t'v•Cis Acgutted•rr � r ii' IIFyP �(C�L tTv 4 fi[ E 4�M .' 4'. f t ;Jk4lil, i . . Y ;Data Type:=;: ;;F,ortnat= _..':,.t ri . 7 Y.i ,.C:• . . ' i-.i'��3Vi f li- iYlit n �t}ll i . Protected+= iafter ;. i.1• PP . val.. 31 iT�,.•:..• , TEETH .._.. Defendant . PRS_TEETH Selected by Officer • Dropdown . BRK=BROKEN GDD=GOLD DESIGNED BUC = BUCK TEETH MIS = MISSING DEC = DECAYED vwH= vERy gmTE DIR= DIRTY OTH = OTHER GLD = GOLD NOR =NORMAL GDL = GOLD LINED BRA = BRACES UNK=UNKNOWN Yes 32 SCARS — SMT SMT Selected by Officer As supplied by CJIS . See Attachment Yes 33 PLACE OF BIRTH Defendant/ • Address Type=a;nn Place ADDR CITY • ADDR STATE - ADDR COUNTRY • Entered by Officer Default to FLA, US (Updated 12/11) String Dropdown Dropdown Text(20) Text(2) Use Country Code Yes 34 LOCAL ADDRESS ArrestReport/AFo : rmAddress BEFORE GIS: •BEFORE ADDR SINGLE_LINE • ADDR_CITY ADDR STATE ADDR_COUNTRY ADDR_ZIP • AFTER GIS: • ADDR_ SINGLE LINE ADDR _SINGLE LINE_ORIG ADDR STREET ADDR_STREET_NUM ADDR' APT ADDR_COMPASS DIR ADDR POST COMPASS DJR ADD ROUTE ADDR CITY ADDR .STATE -•. ' ADDRCOUNTRY ' '' ADDR ZIP ,. (GPSPOINT_LAT, GPSPOINT_LONG) (COOR_X, COORY) Entered by Officer then Verified and geo-coded by GIS Service before authentication and converted into multiple fields• NOTE: If local and Permanent number are the same, this field will be left blank. • NOTE: • ADDR SINGLE LINE ORIG will : store the text the officer original entered before. geo- `coding • cis Text(255) Text(20) Text(2) . Dropdown Text(9) et rEx GIS Text(255) Text(255) Text(24) Text(10) Text(5) Text(2) Text(2) Text(10) Text(20) Text(2) Dropdown Text(9) • . yes . 35 LOCAL PHONE ArrestReport/Pho ne PHO AREA PHO NUMBER Entered By Officer Text(3) Text(8).. NNN NNNNNNN Yes 36 • CITIZENSHIP Defendant PRS CITIZENSHIP Entered By Officer (Updated 12/11) • Dropdown Use Country Code Yes Thinkstream/A-Form Project 12/15/2011v1.2 Page 22 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAMil'" .lieftliSaiire Alit!g; :,Iiiilit.Ri.Liki . ' ' ..;4 ::`11;.;;-z`.- • ' r * ' i.Olv - or. -r,,',:l.f ,. Tiii461"''' ritirti. .. n .1 1 ,rgin. ,..fr.„ : '''''Is4flic;*4y Ve•l'i 1 ,XD.41.44,45.:44,4,1Agt4;-11,,..3-tntit,foiR. itiftityriErd KUL td#-.. ' , 4i, i ,itre ,4 '§ -1-Elsk , 4 . im L.," _.. . 1,4,-da z3,,,,..1.....: •,..I;iati."6.'IiF - • 7. , #eqllIrell.. , ..; ,--vw,:4,,,:: -, • ,, , k.,:„k,14,-..-!..,.: ,. - ..-.:,1,•J,,?..4...i,i, :;: • ,.. ',:r14•10:.: ..."''''',(2• NType- t•t•-•f• .:.0 ;,.,.,....•k4,:.,. 1.110 '41'.ir , .44,10,'f'j ./....4a 1: k i ,,,. ,. .. ,,, , " , ... ... -.......,:fam..x- ,Proteet.ed, ;..... ''- ''-ui:,..e.',. after :._ _:..:1,,, -.:•.•-•: • ,, . . , . ApPrnval Yes 37 PERMANENT ADDRES Defendant/ AfromAddress Type=Home See Field 34 for definition 37 HOMELESS Defendant PRS HOMELESS Selected by Officer • Dropdown, Text (4) NLA, REF, NONE, UNK Yes 37 UNKNOWN Defendant PRS ADDRESS LTNK Selected by Officer Boolean' Tnie/False • Yes 38 PERMANENT Defendant/ Phone PHO AREA PHO NUMBER • Entered By Officer Text(3) Text(8) NNN NNNNNNN Yes 39 OCCUPATION Defendant PRS OCCUPATION Entered by Officer Text(15) Yes 40 BUSINESS NAME AND ADDRESS -and/or- SCHOOL NAME Defendant/ AfromAddress Type—w.kisehool See Field 34for definition For Schools use a list to be supplied by Miami Yes 41 BUSINESS PHONE -and/or- .. Defendant/ Phone Type=workischool PHO AREA PHO—NUMBER . Entered By Officer Text(3) Text(8) NNN NNNNNNN Yes 42 ADDRESS SOURCE Defendant/ AfromAddress ADDR_SOURCE Entered by Officer Text(10) DL, verbal,. voters UNK Other Yes 43 - DRIVERS LICENSE NUMBER/STATE • Defendant . PRS DR LIC NUM PRS_DR LIC_STA Entered by Officer, DL Mag Code scanningwhen supported. Selected by Officer Text Dropdown Text(32) Text(2) • Yes 44 SSN Defendant PRS SSN Entered by Officer Text(32) Yes • 45 WEAPON SEIZED • • ArrestReport ARR_WEAPON_USED Entered by Officer • - Dropdown - - oi -HANDGUN 02 .. RIFLE/SHOTGUN 03 - FAKE/TOY GUN 04 = STUN/ELECTRIC WEAPON 05 = ICNIFFI eui ngsra 06 BLUNT OBJECP = 21 = MULTIPLE WEAPONS W/FIREARM 22 = MULTIPLE WEAPONS NO/FIREARM 88 .6 UNKNOWN 99 -. OTHER 00 = NOT APPLICABLE Yes Thinkstream/A-Form Project 12/15/2O11v12 Page 23 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 T►IINKSTREAM - JivL.r' ♦. "� ,t, '#. , f1.: +Li� } •Kf, ,,�a.} 'T' .If• 1 S.t_�if .FT;. , ...,: 't. IR y let LDlam , Thtnksfrea'm ,_"'9 ..�:Et. f.�p¢fP'?� 'at% y ?II �n � .A iiEatity f' Oln j 9:c'.yklrru k �yA� �� 0,4 i ' t .. 7'iy(:: i...,•.. ., nu tell as`Ldefi'ne.QQ ui AkW;�,Y.e �j a .;(1 'L,i'�' y4it. t a �y i' m ��f� 1yl�t i + [ .� ,► �'' C i l 'si .�il1'6 . , c+aa ' ��'...1 �=.; i q ):i , ., thetda'tails ,, • } IdV, :t%r--;^•p;..., <r,ti ",r•4 �b xe utred�� . t . 9 r t t , "p�+R� 1 fix: •)5:11',:.. ,-' '...,.� a "i: ,�/n" ? .Data T e ,y d JK • r r .+ctt �' fit ll ' , �` xi :,,?,,,.,", :p rt1 ,i:S,?:7i', a ormat'�, j�� ,fir :.v nwt;�.o 6 �•..� i f � �.a 1 ]�;" `'y...l �� ; `l� y ��wae tt: t), - 9.. �.••.:. Nkr�OAtectedlI ,S d :fi ter' ,h K d � a � n,a+. r.if� f VAPProvP, Yes 46 CONCEALED WEAPON Defendant PRs CONCEALED_WEAPONMIT PER_ NUM Entered by Officer Text(100) Starts with W- 47 INDICATION OF ArrestReport ARR INFLUENCE ALCOHOL 2RR INFLUENCE DRUGS Entered by Officer Dropdown True/False/Unknown True/False/Unknown Yes 48 ARRESTREPORT DATE ArrestReport ARR DATE_START Automatically Set but:..; editable by Officer. Cannot be more then 120 days in the past. Allowed to be blank_ - , Date • Yvvi M>rron Yes 49 ARRESTREPORT ArrestReport : ARR_TIME_START Time illm�t 50 ARRESTREPORT LOCATION. ArrestReport/ AfromAddress Type=ArrestRepoit See Field 39for definition NOTE: This field will display "REFERRED" if Field `E': is set. No GIS will occur Yes 51 GRID ArrestReport/ AfromAddress Type=AeeestBeport ADDR LOC CODE Populated by GIS Server after ArrestReport Location GeoCoding- Default to 999 if not a geocodable address. Text Text(4) Yes 52, 55, 58 CO-DEFENDANT InvolvedPerson role=CoDerendant PRS_NAMEFIRST PRS NAME MIDDLE PRSNAME_LAST Entered by Officer on first form, automatically populated on subsequent reports. Text(12) ( ) Text(12) Text(32) Yes 53, 56, 57 CO-DEFENDANT DATE OF BIRTH InvolvedPerson role=Couerendant PRS BIRTH DATE Entered by Officer on first form, automatically populated on subsequent reports. - Date YYYYMMDD Yes 54, 7, 60 CO-DEFENDANT STATUS. DefendantStatus DFND_CAT_1N_CUSTODY DFND CAT_FELONY DFND CAT —JUVENILE DFND—SAT—AT LARGE .. DFND CAT_DV DFND_CAT MISD. Entered by Officer on first form, automatically populated on subsequent reports. Boolean True/False Yes Thinkstream/A-Form Project 12/15/2011v1.2 Page 24 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAAlie 4-t-t4 ,Tc.....,,m 1:::,-, ..-4i• ::ig:,4, ;ti;'7•;i,...w.l.v.-.4,,vidit),, 7.41EieltIiMa,„*.„. eivaiii*Fiiidin lt.4:,,: :;•••,,_:,,,,„.i.-=.0-iiii ' ' -$6.1ITigit-eaVIVitiniefil61ig6fili.aiii. rir rmo, *JON P 10 IME4 , • leviularrAr;114-. ' ' rk l'1'411‘ ' „ if, ' ' 4: - !'''`I.,11.1.'ti... T.'"'' 14'.`....i - .44,A14.1.4: -04iiI6'11-0.i.a.C1 ' ' ..Da-iType`i:;:. .''ci..14ii:41)`''.1;ic. :i;:•-• - ' . '''',-.1::".'..,:.:T-.'-.:.--...?...: :,=.". •,--":,L"-,,';•2°."-..f.;;:.,...t. ,. ta ... '''•,. ..':-.,..'•'..:•:,•.-..' .... ' 0,-F. driiih ,p ..'" , ' •;:''.',';'. .1,. ,,f5- •;- , - . ., • • ',:Pyotcted" 4t0;;:::•":, Approval - Yes 61 JUIV PARENT DATA - NAME . InvolvedPerson rOie=lselothertrather, Guardian, Foster Care PRS NAMELF1RST PRS-NAME MIDDLE • PRS NAME LAST Entered By Officer Text(32) Text(32) Text(64) 61 JUIV PARENT InvolvedPerson/ AfromAddress See Field 34 for definition - Yes 61 JUIV PARENT InvolvedPerson/ Phone PHO AREA PHO NUMBER Entered By Officer Text(3) Text(8) •Yes 62 UIV RENT JPA CONTACTED InvolvedPerson PRS CONTACTED Entered By Officer NOTE: Only necessary if #61 is populated Boolean True/False Yes 63 CHARGES • Statute DESCRIPTION , Selected By Officer Autocomplete Control Text(50) Yes 63 WARRANT Offense OFF_WARRANT_REMARK Entered By Officer if arrest is from a Warrant . Text(38) Yes 64 CHARGES AS Statute • MUNICIPALITY Auto Completed from Statute Selection, If State then FS Otherwise, County Ordinance Text(3) FS - Florida Statute Or ###-County Ordinance Yes 65 CHARGE COUNTS Charge • OFF COUNTS Selected By Officer. Text(3) Yes 66 STATUTE Statute STATUTE Auto Completed from Statute Selection Autocomplete Control Text Yes 67 SECTION Statute SECTION Auto Completed from _. Statute Selection Autocomplete Control Text(4) Yes 68 CODE OF Charge MUNICIPALITY • Auto Completed from Statute Selection. The municipality code whose ordinance number entered if not a Florida State Statute. Autocomplete Control Text(3) Yes 69 UCR Statute UCR_CODE Auto Completed from Statute Selection Autocomplete Control Text(8) Ycs 70 DV Charge OFF_DV Auto Completed from Statute Selection Autocomplete Control Yes 71 WARRANT TYPE Charge ' OFF_WARRANT TYPE . Selected By Officer Dropdown AC, CAPIAS, CIT, BW, FW, PW, JUV PU, AW, DVW, WRIT • Yes 71 CASE NUMBER Charge OFF_CITATION NUYM Entered By Officer Text -, Text(20) Yes Thinkstream/A-Form Project 12/15/20 1 1v1.2 Page 25 of 38 MIAMI—DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTBEAllte " ' ' .. ' • -.Mai - am it,Viiiiiiits-nre, 4f11,0' . from o , i ;11, , ... Ti;Al,k. '4-' ,,t41:5iti: MIlliV. :J.:4 vkti , from*, 000;:r;,,. ' ,' :g.tsk IT— retkrAiliiii...ilirti: 1 '—`3 ' - a iv., , :;.. itt "V I '-'1;"..g6,At 7,kid.....,..gi,,,,At4a4stt_01,Ali 'tqutrptinfriv...+i,t.tr, '''' -'414/41;44444Yt::•41)glEi ...1:;,.A.c#,Ing.ttg ‘4.-1-.:. 4c 404tY -' .03 7.,.stla, ,:p...01.„..:,,.V..,:o)-,-m1:,11t..'.t.4.7 T.' '''' - 'r 't t-. 4 1. '5' ''''' .141Y., • , f If rig I- ...., •,,..r..7„a.,•i.dr.t...e...:40,..•_4, te"ttrAP AAjiprOval.1 , , • • v ARRESTREPORT DATE " • Pre -Populated from Field #48 i 73 • • f ARRESTREPORT TIME - : Pre -Populated from Field #49 — • 74 • ARRESTREPORT LOCATION. -... , • Pre -Populated from Field #50 • — 75 NARRATIVE . . ArrestReport/ Narrative EX_DATA NAR DATE : NAR TIME • Entered By Officer/ Includes Spell Checking. . Memo Yes 76 PAGE NUMBER N/A Paper Form Field Only — 77 HOLD FOR .. PrisonHold PSHD AGENCY Entered By Office Text(20) • • , Yes 78 VERIFIED BY PrisonHold PSHD VERIFIED Entered By Office Text(20) , Yes 79 HOLD FOR BOND • ArrestReport ARR BOND_HOLD ARR BOND_FOR Boolean ' • Text(20) ,True/False • 80 OFFICER , Officer rOie=ArrestReporting OFFR SIG • Pre -Populated based on . logged -in user Memo Text Base64 Yes 81 . • OFFICER ID Officer ' 101e=ArrestReporting OFFR COURT ID OFFR DEPARfs4- ENT . Pre -Populated based on logged -in user (Updated 12/11) Text(20) Text(20) • Yes 82 ' OFFICER NAME Officer • rOle=ArrestReporting • PRS NAME LAST Pre -Populated based on logged -in user Text(30) Yes 83 ARREST REPORTING ArrestReport INC AGENCY Pre -Populated from Field #9 - , _ 84 APPROVAL DATE ArrestReport ARR APPROVE DATETIME . Auto -Populated based on time of approval DateTime WYYMMDDIrtimm Yes 85 APPROVAL OFFICER Officer . role=supervisor OFFR SIG Pre -Populated based on logged -in user at approyal time • TeXt • : Text (Base64) Yes 86 N/A — PTA out of scope — . 87 N/A — . PTA out of scope -- 88 SIGNATURE N/A — PTA out of scope -- 89 - FINGERPRINT N/A — Not used by A -Form App — Thinkstream/A-Form Project 12/15/2011v1.2 Page 26 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREA - This is the back of the second page and is not subject to approval and can be modified. This page is not signed or approved by the supervisor. The A -Form will allow for data entry by the officer but it will not be protected. Transport • •C Mca r {s} _. Tr.arrs ort Ofcer,{aj 1 IDS — DIeoi Taken To Trarrs crt 25. ID (II °c t'rl TaloenT ,., �:m. �trxin ofiaY (s} - rCr Daptil . Taker[ fifl - -- Dots a firldSrlt halr .arty Si nstcc,ligairlt o! it )cry? ntEs (If Yes, complete belewdata/ooti supervisrr) M.10 IrdzenF My sWotot tamp laviLi tfi[jar/ mg Aram litUttFtrieytaip thtd3116rt , . 3 Ail,sr fIk1:ra[„Or timstdrvity8[hb*4Aytanneetion to Iht s[iit tr sll. „, Narne and nano of €^,Lpeoilser hlotlleth: 4 Defendmits Vehldc 1 QDEL TAGS STATE' VIN ogil~JEl?lDrdVE RIi40 lam R LEAvE FORM & 000LAJMERF.L1ABILllY d. CdineriUrluerfDeslgnee (fit must read and sign dschimer efliabllity veliicle h Ieft* seem, orretncr sd, er released to OliatQ at scene_ See eft Al tieRoleas�d to: _ LI Yes r?? Prfr{t Nye-f�ntur Dlk # time . The ui hrsigned certifies bat heMhe 4t a legal owe e€fdrisrcrridesigIlae Vita t ihEct desciibed above, 1n. Gmsklarecn all:clog witted tiie► I-Dale•amy r d al of its a:v mod at the :and employees foea, or r iy� dareat,}e to, • r damage cd, or rolaasod.. tap aused the riod i Of, theft term he ucl rolopsas _end discharges descried ;above. Signaiure, of QwneriDriYerlDese3n►ee Sinatureof Officer Witnessing tC VFW7 10 1 JCL.7Id`I C Ir Dn a4e..Cr1 idn a= -ruxki Ro Writ ICRS I4 I= CI ID 1C' r Ty9 DC t�IC11'11lCJ1 Thinkstream/A-Form Project 11/6/2011v1.2 MIAMI-DADE COUNTY PRISONER Friday, February 24, 2012 PROCESSING ARREST FORM AUTOMATION SOLUTION THINKSTREA1 .F'..ormat.A.t.+,,., i'i ,rotecteth: • 1 TRANSPORTING OFFICER NAME . Officer Role="Transporting" PRS NAME_FIRST PRS NAME_LAST Transporting Officer will be pre -populated to be the officer . filling out the report. These values can be changed. Otherwise data will be entered by Officer. Text(32) Text(64) - ' No 2 I.D. NO . - • Officer - . OFFR_COURT_ID . .ArrestReporting and• Transporting Officer will be pre -populated to be the officer filling out the report These values can be changed. Otherwise data will be entered by Officer. Text (20) ' No . 3 • • DEPARTMENT • .. Officer OFFR DEPARMENT ArrestReporting and Transporting Officer will be pre -populated to be the officer filling out the report. These values can be changed. Otherwise data Will be entered .. by Officer. Text(20) • . No 4 . TAKEN TO . • • ' ArrestReport . • ARR TRANSPORT LOC ARR—TRANSPORT=DESC Reused from Field '13' and 'C' This information is entered by the officer; the number is supplied by the. • dispatcher.' • If Transport Location is "Other Medical" 'then Officer can enter free text transportation location • Drop List Text(32) • Technical Issue • NON - None TGK—AdukCor, CR2 - Adult Corr2 JED - Juvenile Corr. WRD — Ward DEC - Deceased ' om- Other Medical • . No 5 INJURY Defendant/ DefendantState PRSS_INJURED Entered By Officer Boolean True/False No Thinkstrearn/A-Form Project 11/6/2011v1.2 Page 28 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAM Akit FieldrNot e E titvki t i'7i'{ a 1�E..I. 4 _field , l '• , i':Aov'-cquired Data Typ•e; .., , _. ilatI,. -?a:P.rotected.'• 6 INJURY D INJURY Defendant/ DefendantState/ Officer OFF SIG OFF_RANK No 8 YEAR Vehicle VEH YEAR Entered By Officer String Text(4) No 9 MAKE Vehicle VEH MAKE Entered By Officer String Text(50) No 10 MODEL Vehicle VEH MODEL Entered By Officer String Text(50) No 11 TAG Vehicle VEH_LIC_NUM Entered By Officer String Text(20) No 12 STATE Vehicle VEH LIC_STATE Entered By Officer Dropdown Text(2) No 13 VIN Vehicle VEH VIN Entered By Officer String Text(40) No 14 COLOR Vehicle VEH COLOR Entered By Officer Dropdown Text(10) • No 15 DISCLAIMER N DISCLAIMER DL N/A — 17 LEFT AT SCENE N/A — 18 SIG N/A — 19 OFFICER SIG N/A — Thinkstrearn/A-Form Project 12/15/2011v1.2 Page 29 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREAM This page represents the 4th page on the Paper A -Form. (Back of Pink Form) This page is not signed or approved by the supervisor. The A -Form will allow for data entry by the officer but it will not be protected. LITTICer into' 111G uaLU _ ..� OFFICER NAME ; ;. .•� +f kr; Evidence (,`t (Y/N) ri DI�/9ectron r�q 1_D Na_ (9?rfi Cell Pager. Phone, "+� j • j� Shift (Days Off/Duty Hrs). 4• Eit. D [RESPONDING 0 TING DIRANSPORTING DU ONLY: DM) a(RS) 003) t 1©GnLW ❑(IC) ❑(ICW) ❑(B.�) ❑(BAFFtV) ❑(DRE) O(2OMiNOBS) t Evidence Confiscated (Y/N) DlsUSection 1.0. No_ Shift (Days Off/Duty Hrs). OFFICER NAME a`' •.L,;- rt 9`+, . Cell Paget 1wM ❑LEAD ❑RESPONDING ❑ARRESTING ❑TR4NSPORTL 3 DUI .ONLY:. ❑(W) OM ❑T) D(A'fl OchE%) DOC) OacW) ❑Q3AFF) ❑(BATFW) ❑('DRE) ❑ROM1ID S) OFFICER NAME, Evidence Confiscated (YIN) Did/Section LD.No. Phone, Cell Pager Shift (Day Off/Duty Hrs) ❑LEAD ❑RESPOI:OM DARRE.SiThi' ❑TR_4Is5PORTI_NY1 DU ONLY: ❑(W) ❑(RS) QM) ❑(M1 ❑ I\F) ❑(IC) ❑UCit7 0I3.A ) ❑(B F) ❑(ORE) 1:1Q0\13NtS) OFFICER NAME Evktence Confiscated (YIN) DIst/SecUon 1.O. No. Phone Cell Pager Shift (Days Off/Duty Hrs). nIE4D Q11ESPQNDLNTG DAMES'DWGQTR_+ ZPORT►NC DU ONLY: CI(1V) O(Rs) 1:1(B)_1IM0(le) D(CWi ❑(BA-FF) F7,1 p( ?E) fc201`• NOBS) ..1.023 CT1M ❑WITNESS DOWNER FOR DV ONLY: ('{) Relationship to defendant: Home Address (Street, Apt. Ntxnbe Business orOtherAddress Address st urte: Gym -bat Q Driver's License ovoters 1 s Other D•= Synopsis .of. Testimony: (City) (State) (ZIP) (Phone) (State) (1p) • (2) []DCF cent d; {3) ""list all child witnesses ate of Birth) OTHER PHONE #'S Ceti Thinkstream/A-Form Project 12/15/2011v1.2 Page 30 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 ;i#7sr�g 1 ,FieldiNkli e ' r OFFICER NAME 2 ' 3 EVIDENCE CONFISCATED DIST/SECTION 4 I.D. NO 5 PHONE Home, Cell, Pager THINKSTBEAM a,: �•Enti�tjl' ,'�,��'� a'•'' N . r >+ �� otity�:Field��,��,�;:�i�;'��h 1.•; f =How;Acgtiired:„. �Dafa;T ype:. ;:iFortnat 4" .,Protected. Officer PRS_NAME LAST ArrestReporting and Transporting Officer will be pre -populated to be the officer filling out the report These values can be changed. Otherwise data will be entered by Officer. Text(64) No Officer oFF_EVmENCE CONFISCATED • Boolean No Officer OFFR DEPARMENT / OFFR SECTION ArrestReporting and Transporting Officer will be pre -populated to be the. officer:. filling out the report. These values can be changed. Otherwise data will be entered by Officer.. .. Text(20) No Officer • OFFR COURT ID ArrestReporting and Transporting Officer will be pre -populated to be the officer = filling out the report These values can be changed. Otherwise data will be entered by Officer. .>' (Update 12/13) • Text 0 (2 No Officer/Phone Role=XXX PHO AREA PHO NUMBER Entered by Officer, but commonly used phone numbers will : be remembered. , No Thinkstream/A-Form Project 12/15/20 1 1v1.2 Page 31 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTRENVI kfik . r' -- felifffiriiiP :i -: tilli4W4W A CPA t• . '' ' teiliitY — -,;.' -- -'-'- i.P.fi , t ,1014Y. " ' ..1 i ' ' V,%"i•-•Z — :teffif i,..10;;Av&_44.:ii Pghtit gte , .., . :4 . ?ilik ofes, w: ,r, 4,yrIwoo. r. ,, .,, • .1 Ti, — 2,4kriiika,1.,:: t ,Ileff - .. , = n'.4)Lkeeliin.ireiskt, ,....„0,,,,,...„,,,,.„...;,:„.,..„..„,„„,„•.,:- " ":1-2*;e .1,4,N,17,..:;•...‘; :, r c•;:Vo", ,, ' ....ie., yDatat,,:).11‘Qi„ -.4 , : ..„..,,,,,,.. i '• r•L''' i',4 ,t, , ...e o matir .,, ..e,.13,41:,!lct, q_:„: i„,,,„,„...q,„,,...,, . ,.. .-i,',','..-e:::c i,,!,- 14,,' ' - p k4.2-4:'''';'=,:-',1''.1',.• 6 ,,,, 6.-", 3 SHIFT .: :sloe. „ Officer • OFFR SHIFT ArrestReporting and Transporting Officer ,will be pre -populated to be the officer filling out the report. These values can be changed. Otherwise data will be entered by Officer. Text(10) • No 7 OFFICER ROLE OFFR_ROLE Entered By Officer Text Lead, Transporting, Responding No 8 DUI ONLY • • DWIData • - DWI_WHEEL OFFICEFL DWI JERFO&ED_ROADSIDE DWI FERFORMED_BREATH TEST DWI —MAINTENANCE DWI—MIRANDA WARNING DWOMPLIED_CONSENT DWI_IMPLIED CONSENT_WITNESS DWI BREATH_AFFIDAVCI DWI—BREADH AFFIDAVIT WITNESS DWI —DRUG RECOGNMON—_EXPERT DWI OBSERV 20 MIN Entered By Officer Boole" T/F No 9 TYPE OF INVOLVED PERSON PERSON InvolvedPerson/ role Entered by Officer or Juvenile Booking Dropdown Text(20) Victim Witness Other (TBD) No 10 . RELATIONSHIP InvolvedPerson (Update urn) PRS_RELATIONSHIP (Update 12/21) • : . Link Selection Tool used by Officer or Juvenile Booking (Update 12/13) Dropdown • 0 None Specified 1 Boyfriend Girlfriend 2 Spouse 3 Live In/Ex-Live In 4 Other Family 5 Other 6 Same Sex Male 7 Same Sex Female 8 Ex- Boyfriend/Girlfriend 9 Ex -Spouse No 11 DCF ArrestReport " ' DCF_CONTACTED . Entered By Officer or Juvenile Booking Checkbox • T/F No 12 • NAME •InvolvedPerson PRS NAME FIRST PRS NAME_MIDDLE PRS NAlvIE LAST Entered By Officer or Juvenile Booking Text(32) Text(32) Text(64) ' • No 13 RACE InvolvedPerson PRS RACE Selected by Officer Dropdown A (Asian). B (Black), No • Thinkstream/A-Form Project 12/15/20 1 1v1.2 Page 32 of 38 MIAMI-DADE COUNTY PRISONER • PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTIMAIVI ,A-, ViapPKgine d'Al ntityVit."4y4, '' .,,ila:' . 1.',i'l It#0004k 1 .. . ' ' Os....nN.. .K.lit)it,....,.....,,.. ',:.,,Pa...tteporr, '7.v=r-41I/Type . ii.i5:4'SW,;, 4....?,..ILVi•.e1:...,,•ci:,.... , ztroz , 1 •-oh , ticv, 413 iOteCted'.' ,..... s-..; ':- :'r..til., . : or Juvenile Booking i (Indian), U (Unknown), W (White) 14 SEX InvolvedPerson • • PRS_GENDER • Selected by Officer or Juvenile Booking • Dropdown m (Male), r (Female), U (Unknown) No 15 DATE OF BIRTH InvolvedPerson • PRS_BIRTH_DATE Selected by Officer or Juvenile Booking Date/ Calendar Control YYYYMMDD No 16 HOME ADDRESS InvolvedPerson/ AfromAddress • Role home See Field 34 for definition •- Entered by Officer or Juvenile Booking then verified and . geo-coded by GIS Service before authentication and converted into multiple fields No 17 BUSINESS OR OTHER ADDRESS InvolvedPerson/ AfromAddress Role=XXX , - See Field 34 for definition Entered by Officer or Juvenile Booking then verified and -geo-coded by GIS Service before authentication and converted into multiple fields • No 18 OTHER PHONE NUMBERS , • Home, Cell, Pager, Work . InvolvedPerson/ Phone = Number/ rolen PHO_AREA PHO NUMBER .Entered By Officer or Juvenile Booking Text(3) Text(8) NNN NININNNNN No .19 SOURCE OF ADDRESS InvolvedPerson/ AfromAddress role=XXX , ADDR SOURCE Entered By Officer or Juvenile Booking Text(10) No 19 OTHER VALUE FOR ADDRESS SOURCE . InvolvedPerson/Text(10) • AfromAddress role=XXX • , ' • - ADDR SOURCE_OTHER • Entered By . Offider or Juvenile Booking No Thinkstrearn/A-Form Project 12/15/2011v1.2 Page 33 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM. AUTOMATION SOLUTION Friday, February 24, 2012 THINKSTREJIALV--VO k krelMti PA* -ViititSiitigt,MinViiii OrittiOre !leffidikiii:Mi. :..: 0*/*Vaiiii0111?g, :430'''.ri'li;. Protected:'00iiiilit34-,141i. 4• 20 r, DL # 1nvolvedPerson ' . . s - PRS_DR LIC NUM PRS_DR LIC:STA • . Entered by Officer or Juvenile Booking, DL Mag Code scanning when supported. Selected by Officer or Juvenile Booking Text Dropdown Text(32) Text(2) No 21 • • TESTIMONY InvolvedPerson/Testimony. EX DATA ! Entered By Officer or Juvenile Booking / Includes Spell Checking Memo ' No Thinkstream/A-Form Project 12/15/2011v1.2 Page 34 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 Appendix A - List Of Agency Codes for Field 9 AGNCYI NAME 001 IMIAMI 002 !MIAMI BEACH 003 (CORAL GABLES 004'HIALEAH 005'MIAMI SPRINGS 006 INORTH MIAMI 007 NORTH MIAMI BEACH 008 1OPA-LOCKA 009 (SOUTH MIAMI • 010 'HOMESTEAD 011 IMIAMI SHORES 012 IBAL HARBOR - 013 IBAY HARBOR ISLANDS 014 ISURFSIDE 015 IWEST MIAMI 016 IFLORIDA CITY 017 IBISCAYNE PARK 018 DEL PORTAL 019 (GOLDEN BEACH 020 (DIV OF MOTOR VEHICLES 021 IINDIAN CREEK VILLAGE 022 (MEDLEY 023 (NORTH BAY VILLAGE 024 1FIU CAMPUS POLICE 025 'SWEETWATER 026 IVIRGINIA GARDENS 027'HIALEAH GARDENS 028 IMICCOSUKEE TRIBAL POL 029 IISLANDIA 030 IMIAMI-DADE 031 IF.H.P. 032 (STATE BEVERAGE DEPT • 033 !STATE NARCOTICS BUREAU 034 F.B.I. 035 IUS BORDER PATROL 036 IUS IMMIGRATION SERVCE 037 IALCOHOL,TABACCO & FIRE 038 (SECRET SERVICE 039 SUS CUSTOMS SERVICE 040 lU.S. MARSHAL 041 'MINIMUM HOUSING 042 ICODE ENFORCEMENT 043 FRESH WATER FISH& GAME 044 (FINANCIAL RESP. DIV. 045 {DIV. PUBLIC WALFARE 046'DADE COUNTY WASTE DEPT 047 (MILITARY 048 (BONDSMAN 049 'JUVENILE COURT 050 (CIRCUIT COURT 051 'CRIMINAL COURT 052 CIVIL COURT 053 'FEDERAL COURT 054 (PROBATION OFFICER 055 'COUNTY COURT 056 'STATE ATTORNEY'S OFFCE 057 'POSTAL AUTHORITIES 058 1D.E.A 059 'POLLUTION CONTROL 060'CORR & REHABILITATION 061 'PRIVATE COMPLAINT 062 'ANIMAL CONTROL 063 IDADE COUNTY SCHOOLS 064 IFL FISH & WILDLIFE COM 065 'CONSUMER PROTECTION 066'MIAMI-DADE FIRE DEPT 067'MIAMI FIRE DEPARTMENT 068 IDADE COUNTY PARKS 069 (PUBLIC SERVICE COMM. 070 (SEABOARD POLICE 071'FLORIDA STATE PARKS 072 IFL DEPT OF TRANSPORTN 073 IFL E. COAST RAILWAY CO 074 'AVIATION DEPT M.I.A. THINKSTREAM 075 'DIV OF DRIVER'S LICENS 076 IF.D.L.E. 077 IFL. DEPT. OF PROF. REG 078 IDADE COUNTY MEDICAL EX 079'HIALEAH FIRE DEPARTMNT 080 IFL. INSURACE FRAUD 081 (KEY BISCAYNE 082 IPASS. TRANS. REG. DIV. 083 IFL DEPT AGR CONS SERVC 084 ID,E.R.M. 085 IAVENTURA 086 IPINECREST 087 IU.S. COAST GUARD 088 (MEDICAID FRAUD UNIT 089 (SUNNY ISLES 090 (COURT ORDERS/ADMIN HLD 091 DOFF OF TOLL OPER - DOT 092 IMDPWD CAUSEWAY DIV. 093'BISCAYNE NATIONAL PARK 094 (STATE FIRE MARSHALL OF 095 (TOWN OF MIAMI LAKES 096 'PALMETTO BAY 097 (CITY OF DORAL 098 ADEPT OF CORR. ST OF FL 099 'UNKNOWN 100 CITY OF MIAMI GARDENS 101 IHOMELAND SECURITY FPS 102 1BLDING CODE COMPLIANCE 103 IMIAMI-DADE EXPRESSWAY 104 'CUTLER RIDGE 105 (SEAPORT PARKING AUTH 106 IMIAMI-DADE TRANSIT ATH 107 IFL DEPT OF ENVIR PROT 108 IDISABILTY SERVICES 109 IUS TREAS DEPT-IRS .999 OUT OF CNTY/COURT OR Thinkstream/A-Form Project 12/15/2011v1.2 Page 35 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING 'ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 * COUNTRY COOES *** AF = AFGHANISTAN AD = ANDORRA • AI = ANTIGUA AND:BARBUDA AP.= ARMENIA ' AS AQ = BW = BF =• DH = BV AUSTRALIA; AZORES ISLANDS BALEARIC.ISLANDS BASSAS DA INDIA BENIN BOLIVIA BT = BOTSWANA BO = BRITISH INDIAN OCEAN TERRITORY BU'= BULGARIA BI = BURUNDI CM = CAMEROON CV = CAPE VERDE ISLANDS CF = CHAD HR = CHRISTMAS`ISLAND CB = COLOMBIA DI '= COOK ISLANDS' KC = CROATIA' EZ = CZECH REPUBLIC DM = DOMINICA . EY•= EGYPT EK = EQUATORIALGUINEA EO•= ETHIOPIA FO'= FAROE ISLANDS FN = FRANCE" ` •' FR'= FRENCH•SOUTHERN AND GB = GABON ANTARTIC LANDS GZ = GAZA GG = GHANA GC = GREECE GP = GUADELOUPE GR = GUERRERO GY = GUYANA THINKSTREItMr, - Used for Citizenship AA = ALBANIA. AO = ANGOLA YY = ANY UNLISTED ITEM AJ-= ARUBA AU = BD = BL = BG = BM = NX = NE = HOLLAND HU = HUNGARY IO = INDONESIA IE = IRELAND BQ VB UV By co CP CQ DB' DG DI• CC' DK DR EL ET ER FJ FG AUSTRIA BAHAMAS... BANGLADESH;.; BELGIUM;. BERMUDA BONAIRE AND , CURACAO BOUVET ISLAND BRITISH VIRGIN, ISLANDS, BURKINA FASO BYELARUS CANADA CAYMAN ISLANDS CHILE CLIPPERTON ISLAND COMOROS•..: t, CORAL; SEA ISLANDS CUBA DENMARK.. DOMINICAN REPUBLIC EL SALVADOR ERITREA ' • EUROPA ISLAND, FIJI L. FRENCH GUTANA GD = RG = GN.= GT = GI = HT = AN .= ALGERIA AE = ANGUILLA AT = ARGENTINA AH.= ASHMORE AND C ISLANDS AV = AZERBAIJAN . BE = BAHRAIN/BAHRE BB = BARBADOS BH = BELIZE BN = BHUTAN BP = BOSNIA AND HERZEGOVINA BZ = BRAZIL BX = BRUNEI BR .= BURMA CJ-= CAMBODIA• ZI = CANARY ISLAND' CW = CENTRAL`AFRIC RC = CHINA. DD,= COCOS ISLANDS RB = CONGO CR = COSTA RICA CS.= CYPRUS ' DN = DJIBOUTI_ EU = ECUADOR' EN = ENGLAND ES = ESTONIA, FA = FALKLAND.ISLA FD = FINLAND- FP = FRENCH POLYNE GK = GAMBIA GEORGIA(GRUZINSKAYA) GE GO GJ GF PG HE GIBRALTAR• GREENLAND GUATEMALA GUINEA HAITI HD = HONDURAS IC = ICELAND IR = IRAN IB = ISLE OF MAN = GERMANY.: = GLORIOSO ISLA = GRENADA = GUERNSEY = GUINEA-BISSAU = HEARD ISLAND MCDONALD ISLA HK = HONG KONG II = INDIA IQ = IRAQ I5 = ISRAEL .11 Thinkstream/A-Form Project 12/15/2011v1.2 Page 36 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 IT = JN = JO = KE = KU = LT = LB = LH = ZD = MZ = MY = MU = MM = MJ ZO NP NZ NG KN oI PD PF PI ITALY JAN MAYEN . JORDAN ' KENYA 'KUWAIT LATVIA LIBERIA LITHUANIA MACEDONIA MALAYSIA MALTA MAURITANIA MEXICO (WHEN STATE MONACO MOZAMBIQUE NEPAL IY JA JU K L L L I K U F UNKNOWN) S T = NEW ZEALAND = NIGERIA = NORTH KOREA = OKINAWA =•PALAU = PARACEL ISLANDS = PHILIPPINES PT = PORTUGAL RU = ROMANIA/RUMANIA RW = RWANDA PS = SAINT PIERRE AND . MIQUELON TP = SAO TOME & PRINCIPE SG = SENEGAL SR = SINGAPORE NU = IU = NI = OM = PM = PV = 'PC = QA = RA = HS = VV = SB 5E = LF = BS = SOLOMON ISLANDS SM = GS = SOUTH GEORGIA AND KO = SOUTH SANDWICH ISLAND TE = SPRATLY ISLANDS CV.= ZC = SURINAM SQ = SWEDEN TW = TAIWAN . TH = THAILAND TG = TONGA TM = TROMELIN ISLAND TU = TUNISIA = IVORY COAST = JAPAN = JUAN DE. NOVA ISLAND Z = KYRGYZSTAN N = LEBANON Y = LIBYA X = LUXEMBOURG M = MADEIRA ISLANDS MV = MALDIVES H = MANAHIKI ISLAND M = MAURITIUS 5 = MICRONESIA MG = MONGOLIA J = NAMIBIA S=:.NEVIS AND SAINT CHRISTOPHER' NICARAGUA NIUE NORTHERN IRELAND OMAN. PANAMA PARAGUAY PITCAIRN, HENDERSON DUCIE & OENO ISLANDS QATAR RUSSIA SAINT HELENA SAINT VINCENT THE GRENADINE SAUDI ARABIA SEYCHELLES SLOVAKIA SOMALIA SOUTH KOREA • SRI LANKA SV =.SVALBARD SZ = SWITZERLAND T] = TA]IKISTAN TO = TOGO TQ = TONGAREVA TD = TRUST TERRITORY OF THE PACIFIC ISLANDS TY = TURKEY 3M = JAMAICA JE = JERSEY KT = KAZAKHSTAN KB = KIRIBATI LS = LAOS LE LESOTHO LI = LIECHTENSTEIN OC = MACAU MF = MALAWI ' ML = ZB = YO LD = MALI. MARTINIQUE MAYOTTE MOLDOVA RR = MONTSERRAT NR = NAURU NQ = NEW CALEDONIA NN = OF = NW = PK = NO = PU = PO = RE RF • LU SH SS = SA = LO = SF = SP = SU SW SY TZ TK TT TF UR NIGER NORFOLK ISLAN NORWAY PAKISTAN PAPUA NEW GUI PERU POLAND REUNION RUSSIAN FEDER SAINT LUCIA SAN MARINO SCOTLAND SIERRA LEONE SLOVENIA SOUTH AFRICA SPAIN = SUDAN SWAZILAND = SYRIA = TANZANIA = TOKELAU = TRINIDAD AND = TUAMOTU ARCHI = TURKMENISTAN THINKSTREARC' Thinkstream/A-Form Project 12/15/2011v1.2 Page 37 of 38 MIAMI-DADE COUNTY PRISONER PROCESSING ARREST FORM AUTOMATION SOLUTION Friday, February 24, 2012 TR UK XX HN RV WB RY ZM = TURKS AND CAICOS = UKRAINE UNKNOWN = VANUATU = VIETNAM = WEST BANK = YEMEN = ZAMBIA TV = TUVALU UG = UGANDA TC = UNITED ARAB EMIRATES US = UNITED STATES UZ = UZBEKISTAN VZ = VENEZUELA WF = WALLIS & FUTU WS = WESTERN SOMOA ZR = ZAIRE UY VY WL RS YG RH = URUGUAY = VATICAN CITY = WALES = WESTERN SAHARA = YUGOSLAVIA = ZIMBABWE State Codes — Used for Place of Birth Only STATE (Local Address, POB, and Driver License): AL = AR = CT = FL = ID = IA = LA = MA = MS = NB .= NJ = NC = OH = PA = SD = UT = WA = WY = ALABAMA ARKANSAS CONNECTICUT FLORIDA IDAHO IOWA . LOUISIANA MASSACHUSETTS MISSISSIPPI NEBRASKA NEW JERSEY NORTH CAROLINA OHIO PENNSYLVANIA SOUTH DAKOTA UTAH WASHINGTON WYOMING AK = ALASKA CA . = DE = GA = IL = KS = ME .= MI = .MO = NV = NM = ND = OR = RI = TN = VT = WV = CALIFORNIA DELAWARE GEORGIA ILLINOIS KANSAS MAINE MICHIGAN MISSOURI NEVADA NEW MEXICO NORTH DAKOTA OREGON RHODE ISLAND TENNESSEE VERMONT WEST VIRGINIA AZ = ARIZONA CO = COLORADO DC = DISTRICT OF COLUMBIA HI = HAWAII IN = INDIANA KY = KENTUCKY MD = . MARYLAND MN = MINNESOTA MT = MONTANA NH = NEW HAMPSHIRE NY = NEW YORK . OK = OKLAHOMA SC = SOUTH CAROLIN TX = TEXAS VA = VIRGINIA WI = WISCONSIN TH►NkSTREAM Thinkstream/A-Form Project 12/15/2011v1.2 Page 38 of 38 PROGRAM BUDGET ATTACHMENT B Jurisdiction Name: Miami Contact Person: Chief Manuel Orosa Project Name: MDCACP Prisoner Processing - Interface Program Dates: 3/2/2012 - 2/28/2013 CONTRACTUAL SERVICES TOTAL IT vendor interface development $31,101 approx. 207.34 hrs. @ approx. 150.00/hr. Total Budget Miami Dade County will reimburse an amount not to exceed: $31,101 $31,101 $31,101 Attachment C Edward Byrne Memorial Justice Assistance Grant American Recovery and Reinvestment Act (ARRA) QUARTERLY PROJECT PERFORMANCE REPORT PURPOSE AREA: Planning Evaluation and Technology Improvement Department/Agency MDCACP COUNTYWIDE PRISONER PROCESSING PROJECT Project Name Name of Person Completing Form 2010-ARRC-DADE-2-W7-118. FDLE Contract ID Number Title Phone pa NLitia ';1_,.:, ::, MTV lie o: ' part _ , a *April 5, 2012 1 *March 2 — March 31, 2012 2 April 1 — June 30, 2012 July 5, 2012 3 July 1— September 30, 2012 October 5, 2012 4 October 1 — December 31, 2012 January 5, 2013 5 *January 1 — February 28, 2013 *March 5, 2013 *Partial quarter Page 1 of 2 Attachment C Objective Development and implementation of an interface between the existing Records Management System (RMS) and the automated Arrest Form (A -Form) for the MDCACP Countywide Prisoner Processing Project. Please answer the following questions relating to your activity for this project: Measures Contractual Services During this quarter how many hours were paid with JAG funds for contractual IT services? During this quarter what was the total amount of JAG funds expended for contractual IT services? $ Information Systems During this quarter did you use JAG funds to make improvements to your criminal information system? During this quarter did you complete improvements to your criminal information system? During this quarter can you report a desired change in efficiency as a result of completed system improvements? • During this quarter can you report a desired change in program quality as a result of completed system improvements? Project Narrative Include detailed description of all project activities for this quarter: Page 2 of 2 Attachment D Edward Byrne Memorial Justice Assistance Grant - American Recovery and Reinvestment Act Monthly Expenditure Report MDCACP COUNTYWIDE PRISONER PROCESSING PROJECT " 41_ r arJ y4 Perm,,, ode OT-, f `F PEIRD gai_IIM Rep ugig be 15-Apr-12 1 *March 2 — March 31, 2012 2 April 1 — April 30, 2012 15-May-12. - 3 . May 1 — May May 31, 2012 15-Jun-12 4 June 1 - June 30, 2012 15-Jul-12 5 July 1 —July 31, 2012 15-Aug-12 6 August 1 —.August 31, 2012 15-Sep-12 7 September 1 — September 30, 2012 15-Oct-12 8 . October 1 — October 31, 2012 15.-Nov-12 9 November 1 — November 30, 2012 15-Dec-12 10 . December 1 — December 31, 2012 15-Jan-13 11 January 1 -- January 31, 2013 15-Feb-13 12 February 1 — February 28, 2013 15-Mar-13 (*Contract start date) • Edward Byrne Memorial Justice Assistance Grant - American Recovery and Reinvestment Act MONTHLY EXPENDITURE REPORT FDLE Contract ID Number: 2010-ARRC-DADE-2-W7-118 Page 2 of 3 Department/Agency: Date of Claim: Project : MDCACP Prisoner Processing Claim Number: Telephone: Claim Period: Name of Person Completing Form: 1. Total Federal Budget $ 3. Amount of Previous Invoices $ 2. Amount This Invoice $ 4. Remaining Federal Balance $ Sub Object Budget Line Item Exceeds Code Categories -Disallowed Budget Salaries & Benefits Operating/Capital Equipment Expenses TOTAL CLAIM Federal Funds We request payment in accordance with our contract/MOU agreement in the amount of $ Category Totals Attached, please find the records which substantiate the above expenditures. I certify that all, of the costs have been paid and none of the items have been previously reimbursed. All of the expenditures comply with the authorized budget and fall within the contractual scope of services and all of the goods and services have been received, for which reimbursement is requested. Respectfully submitted, Chief of Police/Designated Official . Payment Approved, Office of Managem. & Budget Page 3 of 3 Monthly Expenditure Report - Detail of Contractual Services Department/Agency: Date of Claim: Project Name: MDCACP Prisoner Processing Claim Number: Vendor Name Description of Services* Date Paid Check Number Total # Hours Amount 'Any activities related to this grant TOTAL HOURS NOTE: Copies of all invoices, cancelled checks and time sheets must be attached to process this payment AT $ . PER HOUR = $ TOTAL: ATTACHMENT E JAG/BYRNE GRANT ADMINISTRATION MIAMI-DADE COUNTY AFFIDAVITS The contracting individual or entity (governmental or otherwise) shall indicate by an "X" all affidavits that pertain to this contract and shall indicate by an "N/A" all affidavits that do not pertain to this contract. All blank spaces must be filled. E COUNTY The 1VIIAMI-DADS COUNTY OWN HIPMIAMI-DARE CRIMINAL AFFIDAVIT;DISCLOSURE RECORD�AFFIDAVIT; EMPLOYMENT DISCLOSURE AFFIDAVIT; DISABILITY NONDISCRIMINATION AFFIDAVIT; and the PROTECT FRESH START AFFIDAVIT shall not pertain to contracts with the United States or any of its departments or agencies thereof, the State or any political subdivision.or agency thereof or any municipality of this State. The MIAMI-DADE FAMILY LEAVE A ±- J.DAVIT shall not pertain to contracts with the United States or any of its departments or agencies of the e State of Florida or any political subdivision or agency thereof; it shall, however, pertainmunicipalities State of Florida. All other contracting entities or individuals shall read carefully each affidavit to determine whether or not it pertains to this contract. Johnny Martinez, City Manager , being first duly sworn state: Affiant The full legal name and busi Ors address addressesresoare not acceptable): contracting or transacting business with Miami -Dade County are (Pos 59-6000-375 Federal Employer Identification Number (If none, Social Security) City of Miami Name of Entity, Individual(s), Partners, or Corporation Doing Business As (if same as above, leave blank) 444 SW 2nd Avenue, Miami Street Address NLAI. 1. FL City State Zip Code MIAMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (Sec. 2-8.1 of the County Code) -If the contract or business transaction is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly fivearpercent (5%) or more of the information be probk, If the vided d for each partner. If the tract or business transaction business partnership, the foregoing transaction is with a trust, the full legal name and address shall be provided for each trustee and each beneficiary. The foregoing requirements shall •not pertain to contracts with public le Statrte ord corporations or to contracts with the United States or any department or agency thereof, any political subdivision agency thereof of acceptable): any ) nicipality of this State. All such names and addresses are (Post Office addressese Address Ownership Full Legal Name l of 5 • 2. The full legal names and business address of any other individual (other than subcontractors, material men, suppliers, laborers, or lenders) who have, or will have, any interest (legal, equitable beneficial or otherwise) in the contract or business transaction with Dade County are (Post Office addresses are not acceptable): 3. Any person who willfully fails to disclose the information required herein, or who knowingly discloses false information in this regard, shall be punished by a fine of up to five hundred dollars ($500.00) or imprisonment in the County jail for up to sixty (60) days or both. WU. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (County Ordinance No. 90- 133, Amending sec. 2.8-1; Subsection (d)(2) of the County Code). Except where precluded by federal or State laws or regulations, each. contract or business transaction or renewal thereof which involves the expenditure of ten thousand dollars ($10,000) or more shall require the entity contracting or transacting business to disclose the following information. The foregoing disclosure requirements do not apply to contracts with the United States or any department or, agency thereof, the State or any political subdivision or agency thereof or any municipality of this State.' 1. Does your firm have a collective bargaining agreement with its employees? Yes No 2. Does your firm provide paid health care benefits for its employees? Yes - No 3. Provide a current breakdown (number of persons) of your firm's work force and ownership -as to race, national origin and gender: White: Males Females Asian: Males Females Black: Males Females American Indian: Males Females Hispanics: Males . Females.... Aleut (Eskimo): Males Females Males Females: Males Females ggIIl. AFFIRMATIVE .ACTION/NONDISCRIMINATION OF EMPLOYMENT, PROMOTION AND PROCUREMENT PRACTICES (County Ordinance 98-30 codified at 2-8.1.5 of the County Code.) In accordance with County Ordinance No. 98-30, entities with annual gross revenues in excess of $5,000,000 seeking to contract with the County shall, as a condition of receiving a County contract, have: i) a written affirmative action plan which sets forth the procedures the entity utilizes to assure that it does,not discriminatein its employment and promotion practices; and ii) a written procurement policy which sets forth the procedures the entity utilizes to°assure that it does not discriminate against minority and women -owned businesses in its own procurement of goods, supplies and services. Such affirmative action plans and procurement policies shall provide for periodic review to determine their effectiveness in assuring the entity does: not discriminate in its employment, promotion and procurement practices. The foregoing notwithstanding, corporate entities. whose boards of directors are representative of the population make-up of the nation shall be presumed to have non-discriminatory employment and procurement policies, and shall not be required to have written affirmative action plans and procurement policies in order to receive a County contract. The foregoing presumption may be rebutted. 2 of 5 The requirements of County Ordinance No. 98-30 may be waived upon the written recommendation of the County Manager that it is in the best interest of the County to do so and upon approval of the Board of County Commissioners by majority vote of the members present. The firm does not have annual gross revenues in excess of $5,000,000. The firm does have annual revenues in excess of $5,000,000; however, its Board of Directors is representative of the population make-up of the nation and has submitted a written, detailed listing of its Board of Directors, including the race or ethnicity of each board member, to the County's Department of Business Development, 175 N.W, 1st Avenue, 28th Floor, Miami, Florida 33128. The firm has annual gross revenues in excess of $5,000,000 and the firm does have a written affirmative action .plan and procurement policy as described above, which includes periodic reviews to determine effectiveness,. and has submitted the plan and policy to the County's Department of Business Development 175 N.W. 1�` Avenue, 28th Floor, Miami, Florida 33128; The firm does not have an affirmative action plan and/or a procurement policy as described above, but has been granted a waiver. XXIV. MIAMI-DADE COUNTY CRIMINAL RECORD AFFIDAVIT (Section 2-8.6 of the County Code) The individual or entity entering into a contract or receiving funding from the County has has not as of the date of this affidavit been convicted of a felony during the past ten (10) years. An officer, director, or executive of the entity entering into a contract or receiving funding from the County-- has has not as of the date of this affidavit been convicted of a felony during the past ten (10) years. XXV. MIAMI-DADE EMPLOYMENT DRUG -FREE WORKPLACE APr1DAVTT (County Ordinance No. 92-15 codified as Section 2-8.1.2 of the County Code) That in compliance with Ordinance No. 92-15 of the Code of Miami. -Dade County, Florida, the above named person or entity is providing a drug -free workplace. A written statement to each employee shall inform the employee about: 1. danger of drug abuse in the workplace 2. the firm's policy of maintaining a drug .free environment at all workplaces 3. availability of drug counseling, rehabilitation and employee assistance programs 4. penalties that may be imposed upon employees for drug abuse violations The person or entity shall also require an employee to sign a statement, as a condition of employment that the employee will abide by the terms and notify the employer of any criminal drug conviction occurring no later than five (5) days after receiving notice of such conviction and impose appropriate personnel action against the employee up to and including termination. Compliance with Ordinance No. 92-15 may be waived if the special characteristics of the product or service offered by the person or entity make it necessary for the operation of the County or for the health, safety, welfare, economic benefits and well-beingof the public. Contracts involving funding which is provided in whole or in part by the United States or the State of Florida shall be exempted from the provisions of this ordinance in those instances where those provisions are in conflict with the requirements of those governmental entities. 3 of 5 xxVI. MIAMI-DADE EMPLOYMENT -FAMILY LEAVE AFFIDAVIT (County Ordinance No. 142-91 codified as Section 11A-29 et. seq of the County Code) That in compliance with Ordinance No. 142-91 of the Code of Miami -Dade County, Florida, an employer with fifty (50) or more employees working in Dade County for each working day during each of twenty (20) or more calendar work weeks, shall provide the following information in compliance with all items in the aforementioned ordinance: An employee who has worked for the above firm at least one (1) year shall be entitled to ninety (90) days of family leave during any twenty-four (24) month period, for medical reasons, for the birth or adoption of a child, or for the care of a child, spouse or other close relative who has a serious health condition without risk of termination of employment or employer retaliation. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, or the State of Florida or any political subdivision or agency thereof.. It shall, however, pertain to municipalities of this State. XX VII. DISABILITY NON-DISCRIMINATION AFFIDAVIT (County Resolution R-385-95) That the above named firm, corporation or organization is in compliance with and agrees to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including, but not limited to, those provisions . pertaining to employment, provision of programs and services, transportation, communications, access to facilities, renovations, and new construction in the following laws: The Americans with Disabilities Act of 1990 (ADA), Pub. L. 101-336, 104 Stat 327, 42 U.S.C. 12101-12213 and 47 U.S.C. Sections 225 and 611 including Title I, Employment; Title II, Public Services; Title III, Public Accommodations and Services , Operated by Private Entities; Title IV, Telecommunications; and Title V, Miscellaneous Provisions; The Rehabilitation Act of 1973, 29 U.S.C. Section 794; The Federal Transit Act, as amended 49 U.S.C. Section 1612; The Fair Housing Act as amended, 42 U.S.C. Section 3601-3631. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, the State or any political subdivision or agency thereof or any municipality of this State. NLAVIII. MIAMI-DADE COUNTY REGARDING DELINQUENT AND CURRENTLY DUE FEES OR TAXES (Sec. 2-8.1(c) of the County Code) Except for small purchase orders and sole source contracts, that above named firm, corporation, organization or individual desiring to transact business or enter into a contract with the County verifies that all delinquent and currently due fees or taxes -- including but not limited to real and property taxes, utility taxes and occupational licenses — which are collected in the normal course by the Dade County Tax Collector as well as Dade County issued parking tickets for vehicles registered in the name of the firm, corporation, organization or individual have been paid. XX 1X. CURRENT ON ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS The individual entity seeking to transact business with the County is current in all its obligations to the County and is not otherwise in default of any contract, promissory note or other loan document with the County or any of its agencies or instrumentalities. 4 of 5 PROJECT FRESH START (Resolutions R-702-98 and 358-99) Any firm that has a contract with the County that results in actual payment of $500,000 or more shall contribute to Project Fresh Start, the County's Welfare to Work Initiative. However, if five percent (5%) of the firm's work force consists of individuals who reside in Miami -Dade County and who have lost or will Iose cash assistance benefits (formerly Aid to Families with Dependent Children) as a result of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, the firm may request waiver from the requirements of R-702-98 and R-358-99 by submitting a waiver request affidavit. The foregoing requirement does not pertain to government entities, not for profit organizations or recipients of grant awards. • XX XI. DOMESTIC VIOLENCE LEAVE (Resolution 185-00; 99-5 Codified At 11A-60 Et. Seq. of the Miami -Dade County Code). The firm desiring to do business .with the County is in compliance with Domestic Leave Ordinance; Ordinance 99-5, codified at 11A-60 et. seq. of the Miami Dade County Code, which requires an employer which has in the regular course of business fifty (50) or more employees working in Miami - Dade County for each working day during each of twenty (20) or more calendar work weeks in the current or proceeding calendar years, to provide Domestic Violence Leave to its employees. • I have carefully read this entire five (5) page document entitled, 'Miami -Dade County Affidavits" and have indicated by an "X" all affidavits that pertain to this contract and have indicated by an "N/A" all affidavits that do not pertain to this contract. 5 -L4- (Date) ,re of Affiant) -- . - .. ( ) SUBSCRIBED AND SWO TO (or affirmed) before me this IG day. 1el of n f200a by C i * L'Z - . He/She is personally � nn known to me or has presented as identification. (Type of Identification) (Serial Number) (Print or Stamp of Notary) (Expiration Date) Notary Public — Stamp State of (State) NOTARY PUBLICATATE OF gl ED& .. Sandra Rivera 79 Commission #D ni , Expires; APR. 20, 2013 BONDED TIIRU ATLANTIC BONDING CO., IN C. Notary Seal 5 of 5 ML4MI-DADE COUNTY FLORIDA ATTACHMENT El Form A-12 Code of Business Ethics In accordance with Resolution R-994-99 each person or entity that seeks to do business with Miami -Dade County shall adopt the Miami -Dade County/Greater Miami Chamber of Commerce Code of Business Ethics as follows: The Miami -Dade County/Greater Miami Chamber of Commerce seeks to create and sustain an ethical business climate for its members and the community by adopting a Code of Business Ethics. Miami -Dade County/Greater_ Miami Chamber of Commerce encourages its members to incorporate the principlesand practices outlined herein their individual codes of ethics, which will guide their relationships with customers, clients and suppliers. This Model Code can and should be prominently displayed at all. business, locations and may be incorporated into marketing materials. Miami -Dade County/Greater.Miami Chamber of Commerce believes that its members should use this Code as a model for the development of their organizations' busines,s codes of ethics. This Model Code is a statement of principles to help guide decisions and actions based on respect for the importance of ethical business standards in the community. Miami -Dade County/Greater Miami Chamber of Commerce believes the adoption of a meaningful code of ethics is the responsibility of every business and professional organization. By affixing a signature in the Proposal signature page, Form A-12, the Proposer hereby agrees to comply withthe principles of Miami -Dade County/Greater Miami Chamber of Commerce Code of Business Ethics. If the Proposer firm's code varies in any way the Proposer must identify the difference(s) on a separate document attached to Form A-12. • Compliance with Government Rules and Regulations • We the undersigned Proposer willproperly maintain all records and post all licenses and certificates in prominent places easily seen by our employees and customers; • In dealing with government agencies and employees, we will conduct business in accordance with all applicable rules and regulations and in the open; We, the undersigned Proposer will report contract irregularities and other improper or unlawful business practices to the Ethics Commission, the Office of Inspector General or appropriate law enforcement authorities. Recruitment, Selection and Compensation of Contractors, Consulting, Vendors, and Suppliers • We, the undersigned Proposer will avoid conflicts of interest and disclose such conflicts when identified; • • Gifts that compromise the integrity of a business transaction 'are unacceptable; we will not kick back any portion of a contract payment to employees of the other contracting party or accept such kickback. . Page 1 of 3 MIAMI-DADE COUNTY, FLORIDA Business Accounting • All our financial transactions will be properly and fairly recorded in appropriate books of account, and there will be no 'off the books". transactions or secret accounts. Promotion and Sales of Products and Services • Our products will comply with all applicable safety and quality standards; • We, the undersigned Proposer will promote and advertise our business and its products or services in a manner that is not misleading and does not falsely disparage our competitors; • We, the undersigned Proposer will conduct business with government agencies and employees in .a manner that avoids even the appearance of impropriety. Efforts to curry political favoritism are unacceptable; • Our proposal will be competitive, appropriate to the request for proposals/qualifications documents and' arrived at independently; • Any changes to contracts awarded will have a substantive basis and not be pursued merely because we are the successful Proposer. • We, the undersigned Proposer will, to the best of our ability, perform government contracts awarded at the -price and under the terms provided for in the contract. We will not submit inflated invoices for goods provided or services performed under such contracts, and claims will be made only for work actually performed. We will abide by all contracting and subcontracting regulations. We, the undersigned Proposer will not, directly or indirectly, offer to give a bribe or otherwise channel kickbacks from contracts awarded, to government officials, their family members or business associates. • We, the undersigned Proposer will not seek or expect preferential treatment on proposals based on our participation in political campaigns. Public Life and Political Campaigns • We, the undersigned Proposer encourage all employees to participate in community life, public service and the political process to the extent permitted by law; We, the undersigned Proposer encourage all employees to recruit, support and elect ethical and qualified public officials and engage them in dialogue and debate about business and community issues to the extent.permitted by law; • Our contributions to political parties, committees or individuals will be made only in accordance with applicable laws and will comply with all requirements for public disclosure. All contributions made on behalf of the business must be reported to senior company management; • We, the undersigned Proposer will not contribute to the campaigns of persons who are convicted felons or those who do not sign the Fair Campaign Practices Ordinance. Page 2 of 3 MIAMI-DADE COUNTY, FLORIDA • We, the undersigned Proposer will not knowingly disseminate false campaign information or support those who do. Pass -through Requirements • This Code prohibits pass -through payments whereby the prime firm requires that the MBE firm accepts payments as an MBE and passes through those payments to another entity; Rental Space, Equipment and Staff Requirements or Flat Overhead Fee Requirements • This Code prohibits rental space requirements, equipment requirements, staff.requirements and/or flat overhead fee requirements, whereby the prime firm requires the MBE firm to rent space, equipment and/or staff from the prime firm or charges a flat overhead fee for the use of space, equipment, secretary, etc; MBE Staff Utilization • This Code prohibits the prime firm from requiring the MBE firm to provide more staff than is necessary and then utilizing the MBE staff for other work to be performed by the prime firm. This Code also requires that on any contract where MBE participation is purported, the contract shall specify essential terms including, but not limited to, a specific statement regarding the percent of participation planned for MBEs, the timing of payments and when the work is to be performed. By: (Sig . ure of A `-nt) 5 az,-tom (Date) SUBSCRIBED AND SWORN TO (or affirmed) before me this `� day of • 2001, by 'nn1 V-'�arki K-e v is personally known to me or has presented as identification. o , •tary) . He/She (Type of Identification) (Serial Number) (Print or Stamp of Notary) (Expiration Date) NOTARY PUBLIC-STA`PE OF FLORIDA. Sandra Rivera Commission #DD882279 . Expires: APR. 202013 '• ,,,` BONDED T1111U ATLANTIC BONDING CO., INC Page 3 of 3 Attachment E2 MIAMI-DADE COUNTY DEBARMENT DISCLOSURE AFFIDAVIT (Ordinance 93-129, Section 1) I, being duly first sworn, upon oath deposes and says that the bidder of this contract or his agents, officers, principals, stockholders, subcontractors or their. affiliates are not debarred by Miami -Dade County. SUBSCRIBED AND SWORN TO (or affirmed) before me this 22 day of 2001ky .-6;nn 1 a,' -L is personally known to me or has presented as identification. (Date) 9ul . He/She (Print or Stamp of Notary) (Type of Identification) (Serial Number) (Expiration Date) Notary Public — Stamp State of Notary Seal (State) NOTARY i i,Ie-BTAI% OF FLORIDA Sandra Rivera 1. Commission #DD882279 -," Expires: APR. 20, 2013 BONDED TIL1211 Al1 ANTIC BONDING CO., WC. 5/01 Attachment E3 SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS 1. This sworn statement is submitted to Miami -Dade County by for (print individual's name and title). (print Name of entity submitting sworn statement) whose business address is and if applicable its Federal Employer Identification Number (FEIN) is If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 2. I understand that a "public entity crime" as defined in paragraph 287.133 (1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transactions of business with any public entity or with an agency or political subdivision of any other state or with the'United States, including, but not limited to, any bid or contract for goods or services to be provided to public entity or agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, :bribery, collusion, racketeering, conspiracy, or material misinterpretation. 3. I understand that "convicted" or "conviction" as defined, in Paragraph 287133 (1)(b), Florida Statutes, meansa finding of guiltor a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1,1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" -as defined in paragraph 287.133(1)(a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees,. members, and agents who are. active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under. an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 1of2 5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States within the legal power to enter into a binding contact and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Please indicate which statement applies.) • Neither the entity submitting this sworn statement; nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO '1HE CONTRACTING OFFICER FOR 1'HE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT.I AM REQUIRED TO INFORM THAT PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. • ignature) Sworn to and subscribed before me this `4' day of Personally known OR Produced Identification Notary Public- State of My commission expires 2oi2 (Type of Identification) NOTARY L!C.BTA'FE ei FIARIDA .,,.., Sandra Rivera ' Commission #DD882279 Ha• Expires; APR. 20, 2013 BONDED 111RU ATLANTIC BONDING CO., INC. (Printed typed or stamper ion public) d name of notary 2of2 ATTACHMENT F JAGBYRNE GRANT ADMINISTRATION PROVIDER'S DISCLOSURE OF SUBCONTRACTORS AND SUPPLIERS (Ordinance 97-104) Name of Organization: Address: REQUIRED LISTING OF SUBCONTRACTORS ON COUNTY CONTRACT In compliance with Miami -Dade County Ordinance 97-104, the Provider must submit the list of first tier subcontractors or sub -consultants who will perform any part of the Scope of Services Work, if this Contract is for $100,000 or more. The Provider must complete this information. If the Provider will not utilize subcontractors, then the Provider must state "No subcontractors will be used"; do not state "N/A". NAME OF SUBCONTRACTOR OR SUB -CONSULTANT ADDRESS CITY AND STATE No subcontractors will be used. REQUIRED LIST OF SUPPLIERS ON COUNTY CONTRACT In compliance with Miami -Dade County Ordinance 97-104, the Provider must submit a list of suppliers who will supply materials for the Scope of Services to the Provider, if this Contract is $100,000 or more. The Provider must fill out this information. If the Provider will not use suppliers, the Provider must state "No suppliers will be used", do not state "N/A". NAME OF SUPPLIER ADDRESS No suppliers will be used. CITY AND STATE I hereby certify that the foregoing information is true, correct and complete: f o Signature Authorized Representative: L g Title: C L G PS - Firm Firm Name: C0? µla \ Date: 5 140 I t 2 Fed. ID No. Address: 3S00 PA,O Artni Cf D2 . City/. State/Zip: Al AM' ICU 33133 Telephone: S) 2-soS-4 00 Fax: (30S) 2S0-Sit I C7 E-mail: Ct ^^a^0` . Cc EXHIBIT 13 Page 1 CITY OF MIAMI FIRE FIGHTERS' AND POLICE OFFICERS' RETIREMENT TRUST (COLA Fund) I. Summary of Assets Available for Benefits at October 1, 2011 -$- A. COLA Accounts (Exhibit 2) 1. COLA I Account at 9/30/2011 40,447,252 2. COLA II Account at 9/30/2011 269,586,716 B. Transfers of Excess Investment Income 1. $0 due on 1/1/2012 0 2. $0 due on 1/1/2013 0 C. Minimum City Contributions (I) $5,477,808 beginning 1/1/2014 permanent, discounted 62,069,250 D. City Contribution 1. Contribution of $5,064,541 due on 1/1/2012, discounted 4,973,796 2. Contribution of $5,267,123 due on 1/1/2013, discounted 4,811,859 E. Assets Available for COLA Benefits 381,888,873 II. COLA Fund Liabilities for Benefits at October 1, 2010 (3) A. Present Value of Existing COLA Benefits for inactives 1. Frozen COLA I benefits 1,285,953 2. COLA II benefits 272.916,617 3. Total inactive COLA benefits 274,202,570 B. Present Value of Projected COLA Benefits for Actives 1. Reserve for current actives 30,082,887 2. Reserve for future actives (15% of B 1) 4.512.433 3. Total 34,595,320 C. Total Liability Allocated (A3+B4) 308,797,890 D. Contingency Reserve [20% of I(E)-I(B)(2)] 76,377,775 E. Unallocated Reserve(2) (3,286,792) F. Total Liability for COLA Benefits 381,888,873 Notes: (1) (1/1.0750)225 a71 = 11.3310379 (2) For $1,312 Table, II(D)+II(E) = $31,268,690 (3) Service for COLA excludes 457 buyback service. 53