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HomeMy WebLinkAboutResolutions - 2023.07.20 - 40355 AGENDA ITEM: Creating Agreement Template to Place School Resource Officers in Schools Located in Oakland County DEPARTMENT: Board of Commissioners MEETING: Board of Commissioners DATE: Thursday, July 20, 2023 6:00 PM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2023-3156 _ 23-124 Motion to adopt the attached suggested resolution. ITEM CATEGORY SPONSORED BY Resolution Angela Powell, Brendan Johnson, Penny Luebs INTRODUCTION AND BACKGROUND BUDGET AMENDMENT REQUIRED: No Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at 248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional information. CONTACT David Woodward, Commissioner ITEM REVIEW TRACKING Aaron Snover, Board of Commissioners Created/Initiated - 7/20/2023 David Woodward, Board of Commissioners Approved - 7/20/2023 Hilarie Chambers, Executive's Office Approved - 7/28/2023 Lisa Brown, Clerk/Register of Deeds Final Approval - 8/1/2023 AGENDA DEADLINE: 08/02/2023 8:35 PM ATTACHMENTS 1. DRAFT SRO Template 7.20.23 COMMITTEE TRACKING 2023-07-20 Public Health & Safety - Recommend to Board 2023-07-20 Full Board - Adopt Motioned by: Commissioner Angela Powell Seconded by: Commissioner Brendan Johnson Yes: David Woodward, Penny Luebs, Kristen Nelson, Gwen Markham, Angela Powell, Marcia Gershenson, Janet Jackson, Charles Cavell, Brendan Johnson, Ajay Raman (10) No: Michael Spisz, Michael Gingell, Karen Joliat, Christine Long, Robert Hoffman, Philip Weipert (6) Abstain: None (0) Absent: Gary McGillivray, William Miller III, Yolanda Smith Charles (3) Passed July 20, 2023 RESOLUTION #2023-3156 _ 23-124 Sponsored By: Angela Powell, Brendan Johnson, Penny Luebs Board of Commissioners - Creating Agreement Template to Place School Resource Officers in Schools Located in Oakland County Chair and Members of the Board: WHEREAS Oakland County is committed to fostering a safe and supportive school environment that allows all students to learn and flourish regardless of race, religion, national origin, immigration status, gender, disability, sexual orientation, gender identity, gender expression, or socioeconomic status; and WHEREAS recent events throughout the nation have suggested that the presence of school resource officers within schools can serve as a stability force for students and can further the development of student confidence in law enforcement; and WHEREAS the School Resource Officers Programs provide benefits such as regularized police presence for safety, mentorship, community policing in the schools, building rapport with students through informal contact and activities, enforcing traffic laws on school campuses, and attending activities beyond the school day; and WHEREAS School Resource Officers (SROs) provide vital safety and security functions at schools in partnership with school administration and staff members; and WHEREAS the goals of the SRO programs are to reduce incidents of school violence, reduce criminal offenses committed by juveniles and young adults, establish a rapport between the SROs and the school staff, provide students with a positive role model and a balanced view of law enforcement; and WHEREAS students, faculty, staff, and community members should see SROs as contributing to a positive school climate. This will be realized by supporting and fostering the safe and healthy development of all students in the school through strategic and appropriate use of law enforcement resources and with the mutual understanding that school participation and completion are indispensable to achieving positive outcomes for youth and public safety; and WHEREAS Oakland County is committed to promoting a strong partnership and communication between school and law enforcement personnel and clearly delineating their roles and responsibilities; and WHEREAS the schools, per MCL 380, are defined as: intermediate school district, local education agencies, public school academies, and non-public schools. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners approves the attached agreement template to place school resource officers in schools located in Oakland County. Chair, the following Commissioners are sponsoring the foregoing Resolution: Angela Powell, Brendan Johnson, Penny Luebs. Date: July 20, 2023 David Woodward, Commissioner Date: July 28, 2023 Hilarie Chambers, Deputy County Executive II Date: August 01, 2023 Lisa Brown, County Clerk / Register of Deeds COMMITTEE TRACKING 2023-07-20 Public Health & Safety - Recommend to Board 2023-07-20 Full Board - Adopt Motioned by Commissioner Angela Powell seconded by Commissioner Brendan Johnson to adopt the attached Resolution: Creating Agreement Template to Place School Resource Officers in Schools Located in Oakland County. Yes: David Woodward, Penny Luebs, Kristen Nelson, Gwen Markham, Angela Powell, Marcia Gershenson, Janet Jackson, Charles Cavell, Brendan Johnson, Ajay Raman (10) No: Michael Spisz, Michael Gingell, Karen Joliat, Christine Long, Robert Hoffman, Philip Weipert (6) Abstain: None (0) Absent: Gary McGillivray, William Miller III, Yolanda Smith Charles (3) Passed ATTACHMENTS 1. DRAFT SRO Template 7.20.23 STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on July 20, 2023, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac, Michigan on Thursday, July 20, 2023. Lisa Brown, Oakland County Clerk / Register of Deeds SCHOOL RESOURCE OFFICER AGREEMENT BETWEEN OAKLAND COUNTY OAKLAND COUNTY SHERIFF AND [SCHOOL/ SCHOOL DISTRICT] I. PARTIES This Agreement is made and entered into by and between the [SCHOOL/ SCHOOL DISTRICT] (School), whose address is [____], and the COUNTY OF OAKLAND (County), a Michigan Constitutional and Municipal Corporation, whose address is 1200 North Telegraph Road, Pontiac, Michigan 48341. In this Agreement, the County is also represented by the OAKLAND COUNTY SHERIFF, MICHAEL J. BOUCHARD (Sheriff), in his official capacity as a Michigan Constitutional Officer, whose address is 1200 North Telegraph Road, Bldg. 38 East, Pontiac, Michigan 48341. In this Agreement, the County and the Sheriff are collectively referred to as the Oakland County Sheriff’s Office (OCSO). II. PURPOSE The purpose of this Agreement is to establish and define the rights, responsibilities, and obligations of the Parties regarding OCSO’s placement of one or more School Resource Officer(s) (SRO) in School. The objective of placing SRO in School is to foster a safe, supportive learning environment for all students and to promote strong partnership and communication between school administration and law enforcement. III. TERM AND TERMINATION This Agreement is effective when signed by the Parties, by and through their duly authorized representatives, and remains in effect from [start date] through [end date], unless terminated early as hereinafter set forth. Any party may terminate this Agreement for any reason by providing at least 45 days advance written notice of termination to the non-terminating parties. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 2 of 13 IV. GENERAL ROLES AND RESPONSIBILITIES OF PARTIES 1. OCSO will: A.OCSO will place one or more School Resource Officer(s) (SRO) to provide Law Enforcement Services on School premises. SRO will be a sworn Oakland County Sheriff’s Deputy. The specific number(s) and rank(s) of SRO assigned to the School is set forth in Exhibit I of this Agreement. B.The Sheriff will select and provide appropriate oversight of the SRO, via Sheriff’s chain of command. The selection of SRO is at the sole discretion of the Sheriff, and the specific person serving as SRO may change from time to time, as determined by the Sheriff. C.OCSO will provide SRO with any required law enforcement equipment. 2. School will: A.The School will pay for the services provided by OCSO under this Agreement as set forth in Exhibit I. The School will also pay for all mutually agreed upon training for SRO under this Agreement. B.The School will name “County of Oakland and its Agents” as additional insured and certificate holder on its Commercial General Liability insurance policy, which must carry a minimum per occurrence coverage of $5 million. The School will provide OCSO with evidence of such insurance upon OCSO’s request and before OCSO provides services under this Agreement. C.The School will provide SRO with a secure workspace on School premises for SRO to perform Law Enforcement Services under this Agreement. D.The School will ensure that its staff fully communicate and cooperate with SRO. The School will hold regular meetings at mutually agreeable intervals with SRO and key School staff to discuss topics relevant for providing Law Enforcement Services under this Agreement. The School will advise OCSO if there are any other meetings (e.g., school-parent safety meetings) that it desires SRO to attend and/or participate. E.The School will include SRO in all threat-assessments and, as applicable to inquire about a student’s access to dangerous instrumentalities and firearms, behavioral assessments involving suicidal ideation, suicidal behavior, or belief of harm to self or others. F.The School will grant SRO free and open access to all premises, areas, and spaces on School property. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 3 of 13 G.The School will provide SRO with any required school equipment (e.g., school software programs, school radio, school key card, etc.). The School will submit a list of the specific equipment to OCSO and must receive written approval from OCSO before providing to SRO. School-provided equipment will be returned to School at the end of this Agreement or earlier upon the School’s request. School-provided equipment is provided to SRO at the School’s sole risk and expense, including any expenses for maintaining, general wear and tear, and replacing the equipment. H.School understands that “no-fill” SRO will not be providing services at School location 100% of the time as set forth in Exhibit I. I.The School, as part of the consideration for the value it receives for the services provided under this Agreement, will pay $1 per student (not to exceed a total of $5,000), per calendar year, to be applied to the County’s Safer Communities Fund and used in accordance with the public purpose of that fund. V. SRO’s HOURS AND POLICY MATTERS 1. Per OCSO policy, SRO shall not be involved in enforcing school discipline. SRO will only provide Law Enforcement Services at the School, as determined and directed by the Sheriff. Law Enforcement Services means the prevention and detection of crime and the enforcement of the criminal and traffic laws of this state. Examples of Law Enforcement Services for an SRO may include, but are not limited to: - Crime prevention, investigation, and apprehension. - Participating in threat assessments and behavioral assessments involving suicidal ideation, suicidal behavior, or belief of harm to self or others to provide a law enforcement perspective. - Responding to an emergency or non-emergency involving public safety or a breach of peace. - Handling requests for calls for service in and around School property. - Responding to unauthorized persons on School property. - Serving as liaisons between the School and other police agencies or investigative units. Per OCSO policy, the administration of student discipline, including student code of conduct violations and student misbehavior, is the responsibility of school administrators unless the violation or misbehavior involves criminal conduct for which law enforcement intervention is required, as determined and directed by the Sheriff. 2.Each SRO will provide 80 hours of Law Enforcement Services for the School during a biweekly period at the locations listed in Exhibit 1. Each SRO will work an 8-hour shift Monday through Friday, as determined by Sheriff after discussing v.07.20.2023 Oakland County School Resource Officer Agreement - Page 4 of 13 with and receiving input from the School. SRO may work additional hours, if requested by the School and authorized by the Sheriff, or required by a situation and authorized the Sheriff. School agrees to pay County for any additional hours that the SRO works at the rates set forth in Exhibit 1. 3.SRO is an employee of OCSO. SRO will report to, receive job instructions from, and be supervised by the Sheriff’s chain-of-command. The School may provide feedback or information to SRO, but may not direct or otherwise attempt to control SRO under any circumstance. The School may communicate to OCSO regarding SRO’s performance by contacting the OCSO Point of Contact listed in this Agreement. 4.SRO must follow all OCSO policies, including policies involving searches, arrests, and the use of body cameras. The School will allow SRO to use body cameras on school property in a manner that complies with OCSO policy. VI. RECORDS AND INFORMATION SHARING 1.The School will designate SRO a “school official” as provided in the Federal Educational Rights and Privacy Act (FERPA), 20 U.S.C. 1232g. SRO may be provided access to student records information maintained by the School only as needed by the SRO to perform their duties as an SRO. SRO may also be granted access to student records information in the event of an emergency threatening the health or safety of a student or other individual. SRO may only re-disclose student records information consistent with FERPA. 2.Records created or maintained by SRO belong to OCSO and shall not be considered student records - even when such records may serve the dual purpose of enforcing school rules - and are not subject to the same prohibitions of access or disclosure by SRO as those regulated under FERPA. OCSO has sole management and control over such records. Upon the School’s request, OCSO - may grant the School access to OCSO records, and will process such requests in accordance with the Michigan Freedom of Information Act. VII. SRO TRAINING REQUIREMENTS SRO shall receive such training as is necessary to permit the SRO to effectively advance the School’s educational mission in the context of their duties as SRO. Training topics, goals, objectives, and attendance shall be determined jointly by the School and Sheriff. School agrees to pay for SRO to receive a minimum of 40 hours of SRO-specific training per calendar year. VIII. POINTS OF CONTACT The points of contact for the administration of this Agreement are indicated below. All notices or other written communications shall be addressed as indicated below or as v.07.20.2023 Oakland County School Resource Officer Agreement - Page 5 of 13 specified by a subsequent written notice delivered by the party whose address or authorized representative has changed. Notices or other written communications required by or related to this Agreement shall be in writing and shall be delivered in one of the following manners: 1. In person; 2. By certified registered mail, return receipt requested, with all postage or charges prepaid; or 3. By electronic mail from an e-mail account for a point of contact indicated below to an e-mail account for a point of contact indicated below. For the School: (Name) (title) (address) (email) (phone) ___-___-____ For the OCSO: (name) (title) (address) (email) (phone) ___-___-____ IX. SPECIAL EVENTS If the School desires additional Law Enforcement Services for a special event that is beyond those contracted for in this Agreement, the School may submit to the Sheriff a Request for Supplemental Law Enforcement Service Form (Exhibit II). The Sheriff, subject to the terms of this Agreement, may assign deputies for the special event in the Sheriff’s sole discretion. The School agrees to pay the applicable Hourly Overtime Rate or Holiday Overtime Rate listed in Exhibit 1 for each deputy assigned. If the School purchases or otherwise obtains a special event insurance policy or other similar insurance policy for the special event, the School will name “County of Oakland and its Agents” as additional insured and certificate holder on the insurance policy. X. NO ASSIGNMENT No Party may assign, delegate, or subcontract any of its duties, obligations, or rights under this Agreement without the prior written consent of the other Parties. XI. LIABILITY Except for the School’s insurance obligations set forth in this Agreement, liability for acts or omissions of a Party remain with that Party and will not be transferred, assigned, or assumed by the other Party. Each Party will be responsible for its own acts or omissions v.07.20.2023 Oakland County School Resource Officer Agreement - Page 6 of 13 and the acts or omissions of its employees or agents. OCSO shall not be responsible under any circumstance for the acts or omissions of the School, School employees, or School agents. The School shall have no right against OCSO for indemnification, contribution, subrogation, or any other right to be reimbursed by OCSO for any claim that arises out of the services performed under this Agreement. For any claims that may arise from the performance of this Agreement, each Party shall seek its own legal representation and bear the costs associated with such representation, including any attorney fees. The School agrees that this Agreement does not transfer, delegate, or assign to the OSCO any civil or legal responsibility, obligation, duty of care, or liability associated with the ownership, maintenance, or operation of the School. The School is solely and exclusively responsible for any costs, obligations, and civil liabilities associated with owning and operating the School. XII. NO WARRANTY AND NO SPECIAL RIGHT TO LAW ENFORCEMENT SERVICES There is no warranty, promise, or guaranty, either express or implied, of any kind whatsoever, in favor of the School, its agents, or any person attending the School or on School property, that the services provided by OCSO under this Agreement will result in any specific reduction or prevention of any criminal activity at the School or any other performance-based outcome. There is no obligation, duty, promise, benefit, or special right of any kind whatsoever in favor of the School, its agents, or any person attending the School or on School property to any law enforcement services. OCSO and its agents, including any Sheriff’s deputy, are not obligated under this Agreement in any way to undertake any special activity or duty on behalf of the School or provide any particular or specific service or benefit for the School, its agents, or any person attending the School or on School property. The services provided under this Agreement are strictly limited to those governmental law enforcement functions authorized by law and are exclusively governmental activities and functions of the type and nature that would be normally supported by tax dollars. This Agreement simply acknowledges and intends to address the unusual circumstances and increased law enforcement needs created by the School and the corresponding increased financial and resource burden on government law enforcement agencies created by the School. XIII. ENTIRE AGREEMENT AND AMENDMENTS This Agreement is the complete and exclusive statement of the agreement between the Parties with respect to the subject matter thereof and supersedes all prior negotiations, representations, proposals, agreements, and other communications between the Parties either oral or written with respect to the subject matter thereof. This Agreement may only be amended by a written document signed by the Parties, by and through their duly authorized representatives. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 7 of 13 XIV. SIGNATURES Each individual signing this Agreement certifies by their signature that they are authorized to sign this Agreement on behalf of the party for whom they are signing and by doing so does hereby bind the party to the terms of this Agreement. The Parties, by and through their duly authorized representatives, sign their names as evidence of their approval of this Agreement and promise to be bound. FOR THE COUNTY: _____________________________________ ________________ David Woodward Date Chairperson, Oakland County Board of Commissioners FOR THE SHERIFF: _____________________________________ ________________ Michael Bouchard Date Oakland County Sheriff FOR THE SCHOOL: _____________________________________ ________________ (Printed Name) Date (Title – must be Board of education chairperson, superintendent, or school principal, as applicable depending on scope of contract) v.07.20.2023 Oakland County School Resource Officer Agreement - Page 8 of 13 EXHIBIT I Payment Details 1.School will pay County for the services using the hourly rates set forth below for the applicable calendar year (Schedule A). School will pay County for any additional hours of work, overtime, and holiday pay costs incurred by OCSO in providing services under this Agreement (Schedule B indicates if Holiday Pay costs are already included). Charges are not intended to result in any net financial gain or profit for County, but to offset all costs incurred by County in providing the services. 2.School will pay for: a.All SRO hours worked onsite at School locations. b.Travel time at the beginning or end of any shift to/from SRO’s assigned OCSO substation if SRO’s shift starts or ends at the substation. c.SRO’s time spent transporting and booking an arrestee at the Oakland County Jail. d.Any minimum call-in or overtime hours guaranteed to SRO under any applicable union or employment contract. e.SRO’s Law Enforcement Services provided under this Agreement that takes the SRO away from School locations (e.g., transporting a person for medical attention, responding to an automobile accident that occurs on or near School property, investigating a crime occurring involving a student/teacher/parent). 3.OCSO will invoice School for the amounts due. School will pay OCSO the full amount due within thirty (30) days of the invoice date. 4.School understands and agrees that there may be days or times when the Sheriff, in his sole discretion and judgment, may be unable to assign SRO to provide services under this Agreement on account of the prioritization of law enforcement resources to best serve the citizens of Oakland County (e.g., emergencies where deputies are needed elsewhere, etc.).The School agrees to discharge, release, and waive any claim against OCSO that arise in connection with, or as a result of, any alleged failure to assign SRO to provide Law Enforcement Services under this Agreement. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 9 of 13 Exhibit I - Schedule A SRO RATES AND LOCATION ASSIGNMENTS 1 OCSO will not assign any trainees to perform services under this Agreement. 2 “No fill” means that the following time spent outside the School is included and counted toward the standard 80 hours of biweekly services billed under this Agreement for each SRO: - Attendance (not to exceed an average of 100 hours per SHERIFF’S DEPUTY per calendar year) at any OCSO authorized or required training sessions, functions, or meetings. - Provision of any mutual aid. - Appearance in any court or at any meeting with any law enforcement agency in connection with any prosecutor or court appearance related to the services provided under this Agreement; - Any approved period of annual leave, sick leave, holiday leave, personal leave, or any other approved, paid leave (except any paid disciplinary leave and/or parental, short-term disability, long-term disability leave or workers’ compensation extending beyond a period of five (5) working days) granted to any SRO in accordance with applicable OCSO policies, procedures, and/or employment contracts. SRO Rank1 SRO Quantity 2023 Biweekly Charge for Each SRO 2023 Annual Costs for Each SRO 2024 Biweekly Charge for Each SRO 2024 Annual Costs for Each SRO School location(s) for SRO Captain Lieutenant Patrol Sergeant Detective Sergeant Deputy II (with fill) Deputy II (no fill)2 Deputy II (no fill/no vehicle) Patrol Investigator (no fill) Deputy I (no fill) TOTAL v.07.20.2023 Oakland County School Resource Officer Agreement - Page 10 of 13 Exhibit I - Schedule B Inclusion of Holiday and Overtime Pay Rates SRO Rank Regular Holiday Pay Regular Holiday Pay – Not Worked 3 Holiday Overtime 4 Overtime Additional Charges Captain INCLUDED 5 INCLUDED NOT ELIGIBLE NOT ELIGIBLE NO Lieutenant INCLUDED OPTIONAL 6 NOT INCLUDED NOT INCLUDED YES Patrol Sergeant INCLUDED OPTIONAL NOT INCLUDED NOT INCLUDED YES Detective Sergeant INCLUDED OPTIONAL NOT INCLUDED NOT INCLUDED YES Deputy II (w/fill)INCLUDED INCLUDED INCLUDED INCLUDED NO Deputy II (no-fill)INCLUDED NOT INCLUDED NOT INCLUDED NOT INCLUDED YES Deputy II (no- fill/no-vehicle)INCLUDED NOT INCLUDED NOT INCLUDED NOT INCLUDED YES Patrol Investigator (no-fill)INCLUDED NOT INCLUDED NOT INCLUDED NOT INCLUDED YES Deputy I (no-fill)INCLUDED NOT INCLUDED NOT INCLUDED NOT INCLUDED YES 3 Billed using the Regular Hourly Rate indicated in Schedule C. INCLUDED is calculated using 5 paid leave days in lieu of 3 holidays. In December, communities with No-Fill Deputies (I & II's) will be charged for 2 days (16 hours) at the Regular Hourly Rate. 4 Billed using the Overtime Hourly Rate indicated in Schedule C. 5 INCLUDED or NOT INCLUDED means whether these costs are included in the biweekly charges shown in Schedule A. 6 OPTIONAL means that this charge may be billed to School depending on OCSO’s holiday schedule, the SRO’s specific work schedule, and the applicable collective bargaining agreement. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 11 of 13 Exhibit I - Schedule C Overtime Hourly Rates 2023 Regular Hourly Rate 2023 Overtime Hourly Rate 2024 Regular Hourly Rate 2024 Overtime Hourly Rate Captain N/A N/A N/A N/A Lieutenant Patrol Sergeant Detective Sergeant Deputy II (w/fill) Deputy II (no/fill) Deputy II (no-fill/no- vehicle) Patrol Investigator (no-fill) Deputy I (no-fill) PTNE Deputy Technical Office Specialist Financial Services Technician I PTNE Office Support Clerk v.07.20.2023 Oakland County School Resource Officer Agreement - Page 12 of 13 EXHIBIT II REQUEST FOR SUPPLEMENTAL LAW ENFORCEMENT SERVICES TO:MICHAEL J. BOUCHARD, Oakland County Sheriff OAKLAND COUNTY SHERIFF'S OFFICE 1200 N. Telegraph Road, Bldg. 38 East PONTIAC, MI 48341-1044 Phone: (248)858-5001 Email: ocso@oakgov.com FROM: Name: _____________________________ Title: _______________________________ School: _____________________________ Address: ____________________________ Phone: ______________________________ Email: _________________________________ Pursuant to the SCHOOL RESOURCE OFFICER AGREEMENT between the School and OCSO, the School requests additional deputies to provide supplemental law enforcement services as indicated below: Event Description: _____________________________________________________ Event Date(s) and Time(s): ______________________________________________ Event Location: _______________________________________________________ Desired Date(s) for Deputy’s to Attend Event to Provide Supplemental Law Enforcement Services: _____________________________________________________________________ Number and Rank of Deputy requested (e.g., two Deputy II and one Sergeant) (If unsure, please discuss with your OCSO Point of Contact): _____________________________________________________________________ If the Sheriff, in his sole discretion, agrees to provide supplemental services, the School will pay for such services using the applicable overtime hourly rates set forth in Exhibit I - Schedule C of the School Resource Officer Agreement. v.07.20.2023 Oakland County School Resource Officer Agreement - Page 13 of 13 If the School purchases or otherwise obtains a special event insurance policy or other similar insurance policy for the special event, the School will name “County of Oakland and its Agents” as additional insured and certificate holder on the insurance policy. All terms and conditions in the School Resource Officer Agreement apply and remain in effect when providing services for this Supplemental Request. Signature for School: By signing this Request, I certify that I am authorized to submit this request on behalf of the School and by doing so hereby bind the School to its terms. _____________________________________ ________________ Name: Date Title: