TASER 1 AGENDA DOCUMENTS.PDF

Maricopa County — Formal (2017-03-08)

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Maricopa County
Coilicabkx Adminiarriglign
101 Writ jalchoml.:+irril
d, Fluor
likuLvcm, 145LVEC.2143
I'llaPrw
1:3%.6112.V16 112111
won,. RUM Ord ..gor Januar:0, 5.2017
Constable Ethics, Standards and Training Fioard
818 N First Street
Phoenix, AZ 135004
Deur Chairman Cobb:
EvlariLopa County Constables ane applying for an announced equipment grant for
FY17 Grant Cycle V_ Enclosed is a copy of the Equipment Orunt Program
Application (1 original and 1 electronic copy).
ihe Marieopa County Constables arc an agency of Maricopa County government and
qualify to apply for the announced equipment grant. Fhis particular g.rant kipplicution
requests the sum of $13,740.12 with tames, to purchase 7 Taser X2 Small lkikapon 2
Shot, 7 Timer X2 Smart Weapon 1-ID Cameras, 7 Made X Z blolsters„ 14 Taser
Cartridges and 14 Taser Training Cartridges, The grant application meets the
standard et forth by the Constable Ethics, Standards and Training Board.
Shoulki you have any questions, pleam contact me aN I w i 11 IN happy to rc5pond or to
attend filly meeting in person to 5atisfy those questions.
Sincerely,
Timothy Moder
Constable Adminismor
Maricopa County

Page 1 of 9
ij ORIGINAL
CONSTABLE Ern IICS,
STANDARDS & TRAINING BOARD
GRANT AWARD CONTRACT
GRANT NO. CNA17-505
Project Vile: Tasers
Grant Award Amount: 313,749.32
Tlik Agreement Shall Betomc Effective: Upon the date a fully-executed original is regived
Ethics+, Standards and Training Hoard ("Board"), by the Constabie
extension TerminaliOn has Diller Juric 30, 2017. This agreement expires on this date unless prior written apprrival for an
further the been obtained from the Board. The Board Li its sole disen...tion may approve an extension to
goals and objectives of this Grant Award Contract, and lo determine the length of any extension..
TERMS OF AGREEMENT
Tbis (irani Award Contract is cnteml into by Marieopa County iGIRANTE'E), and the BOARD,
Choirrnan with A . R.S. pursuant § 4 C -2701 io authority granied to the Board by A.R.S. § 22-131 arid A.R_S. § 22-11g and in accordance ilinunith its
to abide by all mritraetlinl et A terms, -eq. The panics agree to thirdl errn.c and conditions of this Grata Award Contract and
statUte:g and regulations governing the expenditure of Hoard funds,
This Crrani Award Contract shrill cons1,1 141c the twain; agreement between the parties, supiuseding
orol orwrineri understandings, any and ill other
11Iko pErtlieS herg-10 agreC ft/ cinTy QUI Ellie 131%W/siting cdthiN Grant Award C'ontruxt.
BOARD
signalur, iir iinthurized Indhhliiil Date
Date
Tvved Name iL Title 1811:11,0W): "Typed Name & Title (BELOW):
%like Ciihb
Chairman

Page 2 oft)
Defini firm ig
As 'LBW throughout this C,iarii Award Conrraet. including the r;....eneral Prenisions and the Scope of Work, die following
terms shalt ha ye the meani n8. set 14.irih beLow:
1. -13oard- means the Slate of Arizona Constable rthies, Standards St Training Board.
2. ' Lehainn.art" means the agency head of Ihe Board or a person duly authorized bv the Chairman to act on O re
Chairman's behalf,
3. lielivcrablt - means the reporis., drgumentatton, other materials developed for submission in the Boud by
the Granteern thc course of the Grantee's perfomianee under this Grant Award Contract,
4. JiGtLo11 means the application illed by the Grantee upon which this Grant Award Contract was
awarded
5, -Grant Award Cotilt4gt" MEILTIRi1ii Cim. ni Award Contract between the Roard and 'Grantee.
6. '`Crrant AW1.420.19ntract Ansemilmar means a wiitten document. signed by an authorized reocasentative of both
parties for the purpose of making changes to the Grant Agreellniellt,
7. -Crrantee means the county, person. firms, or organifation performinst the work or delivering the items described
in this Grant Award Contract,
IIRMIlds" means alk !mks, aCcounis, reports. receipts, files and ohei . records relating to this Grant Award
Contract.
9. "aLue of Work ". means that part of this Grant Award Contract that describes the work to be performed by the
Grantee to accomplish the Project purpose under Ihis Grant Award Contract. IT the Scope of Work conflicts with
the General ilreiviions-.. the terms of the &Alpe or Work govan,
fO, The tkce of the word -shall- means the action described lig mandatory under this Grant Award Contract and2or
applicable law.
L "State" means the State of Arizona, ineludiriR the Boand.
rkneral RequIremetilN
I. OgiVCTIlling Law and Dispute KCSOIULLIIrL This Gram Award Contract shall be governed by and constructed in
accordance with the laws of the State of Arinina. Divines arising during the performance of this GranI Award
Contraet will be resolved in the minimum extent possible through cooperation and coordination of the tirantec
and the Board. lithe parties are Linable to resolve their differences by agreement. the parties agree to resolve all
disputes arising out of or relating to this Grant Award Contract through arbitration,. after exhausting applicable
administrath.e review, 110 die extent required by A.R.R. § 12-1 5 1S except as may he raluireti by other applicable
statutes. Any litigation relording this Grant Award Contract roust be maintained in Arizona mins.exe_ept as
Pertaining to diArian which are subject to arbitration_
Terms of this emtn_Awu.nrl_Contract The terms or rho Request for Grant Applications that led to the grant award
ineorpurated in this Grant Award Comrael lite hereby incorporated into rill:, Award Contract by this
reierence, eXCCIA that to the eNlent lb= IS. MEV CaingliCk between ilre terms or ihe Roqumi for Grant Applications
and this Grant Award Cotinci, the terms of this Grant Award Contract shalt prevail and shall govern the terms of
the parli' ob4atinrei to each other_
Licenses, Permits and AUlhOltrations Grantee shall obtain and maintain all I recits. permits and authorizations
oceessrr' lo perform its obligations under this Grant Award Contract: and is resFponsible for compliance with a[k
applicable local, stare. and federal laws.
4. tviodificating and i'unendment .fhi4 Grant Award Contraci may he modified only by a wriuen Grant Award
Amendment Riped by Chairman of the Bann] or hy another ',mon authnnzed in writing by the Board to ad on
behalf Li1 the Board.

Page 3 or9
5_ 'Wilms: Claims Grantee asAigns lo the Board any claim for 4'evercharges resulting From antitrust violations to the
extent that such violations. concern materials or sergiwN supplied by third parties. to Grantee in exchange for grant
tivads evided wider this Grant Awards Contract_
Ili No Ass.-igrinicat No rights or inierm in !his Grant Award Contract shall he assigned hy lirantee without pnnr
wrii1n approval orthc Einard.
7. No Political Activities Grantee agrees that no funds provided or personnel employed under this Otani Award
Contract shall be in any WAN engaged in conduct of political activit i t% in N.iulati „,r5 L1 . S .0 , I 502_
8, Conflict of lotemE Grante:o certifies, that it presently has no financIN I interal kind shalt not acquire any financial'
interest., direct ur indirect, which would conflict in ally manner with the perlOnnanee of services required under
this Grant Award Centract.
13. Assessments., flvaluatinns and Information or [Mu Collection. (invitee agce5 10 cooperate arid participate with
anv and all assessments, evaluations or information or d.aia colleci ion requests_
10_ Privacy Laws Grantee assures that it will coniply with all state and tellera!. law.; R!gard1i privacy during the
course of this award.
11 hfinfliirs I i On LawS. As required by *414401_ each party hereby warrnrits its compliance with all federal
immigration laws and regulations that relate to its employees rind 23.214( A). 1ach pally ruither
warrants that after hiring an employee, it 1.reriAcs the employment eligibility of the employee through the e-erily
program. If either party uses any subctmrraCtorrs in performance of i he agreement, subcontractors shall warrant
their compliance with all federal immigration laws and regulatiOnS thal relate to its employees and A.R.S. § 23-
214(A.), .rind suboororactors shalt funhcr warrant :Ent n flier hiring an emplowe., such N'Ilibutv tractor verities the
employment cl lel:City oldie employee through the e-vcrify prowarn. A breach of I hts warranty shall be deemed
it material hrcach of this (*mint Award Contract subject to penalties up ho and including termination of thus Grant
Award Contract. A party shall not he deemed in maierial hectocli if -it and its subcontractors establish complianeu
with the employment verification prOviSions or Sections 274A arid 214114 the Federal linrnigriniuo and
Nationality Act and the E-Verify requirements contained in AILS. 23.21214A .i. Each pariy retains the legal
right to inspect the papers of the other party and its subcontractors engaged in Nrfol -ruaricie of this agreement to
ensure that the other party and its subcontractors are coinp1±,fing with the warranty, Any inspeetion will be
conducted after reasonable notice =id at rewronable times. if State law is arrICriticd, the partics may modify this
paragraph eortsisieni with State law.
12. Severatutity If arty provision of the Gram Award Contract ig held invalid, the remainder of this Grant A wrartl
Contract shall not be affected increby and Mt other parts of this Grant Award Contract shall be in full force rind
effect.
13. Retatiombio_oftwiri The parties apre that the Ciranlee shall not he considered an emnloyi.,e, associate, partner,
officer, joint venturc, c ageni of the Hoard (Fr the Suite as a result of this Grant Award Contract. The Grantee is
solely tesporrsi hie for the planning, design, scope. and implementation of the Scope of Work l'unded through this
Grant Award Conrraet. Neither he Board nor the State is responsible thr any liabditics resulting from the
Grantees plannin, design. Scope of Work, implementation or performance of the Scope of Work funded through
this Comm Award C:onintici,
1 4, No Wahr. Either party 'R failure to insist on strict performance of any term or condition of this Gram Award
Contniet shall not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the
rioneomforraing performance knows of the nainre oldie performance and fails to object to it.
15 gccouisAateming Pursuant to A.R.S. 35-214 and 35-215, 4011 retain and shall contnictually require
each contractor and suhcomractor to retain all records relating to his Grant Award CLIFLIT3Cl for a period of five
years allier completion of the Grant Aware! Contract and until any litigation, claim, negotiation, audit, cost

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Page 4 of 9
reetwery or action involving the records has been rompleled, l] rceords shall be subject to nulled ion and Audit
Iv- the Roard at reasonable times, Ifpors request, the Grantee shall produce the original of any or all Skid' records
at the offices of the Board,
1(1. _liffi_it211010141;V S lel In the evenl of unapproved changes. in the Scope cif Work, rierrormanee nr A'himgcs outside the
scope of the Crain Award Conimei, illegal or LITipernairted activities, or other material .disepepancics between the
Grant Award (Wilmer and the Cmintee's activities, the Lund resc.rves the nght to issue nonce to the (iiraniee lo
stop wod. The notice will further specify that the Board will not approve re3umplion of performance or furtho
payments until the iSSLIe or issues identified in the slop work multi: have hum rv.olved to the satisfaction of the
Board.
I?, tt;ii043 The Boai ck apteffi to rcimblim liranict for work activities performed during the time ihiN Grant Award
Contract is in circa_ The Board is not required to reimburse (iranIce for any work. attlikaiies tnitiated prior to
execution of this Cinmt Award Contract or after this Crrnol Award C'ordract is no longer in effect The Board may
extend the time this Grant Award Contract iS in effect, if requcTled by the Grantee by ex.ocuting a firm Award
Contract Amendment_
1S contractors, SklbC4.1111f34:10r4 and Ciirmuiturti§. Contractors, subcontractors or conauluarts may be used in the
performance of tasks described in the Scope or Work or ibis Grant Award Contract_ The Grantee shall not enter
into any contract or subcontract under this Grant Award Contract without consideration for impact on the proiect.
The Grantee shM1 report nny contract or suberiniraci awards or charikte; as part of that calendar year's narrative
report Any contractor, subonniractor or coI1UltL1 pailicipril Mg in this Grant Award Condract shall comply with
the terms and conditions of this C.rran* Award Contract, a.s set forth in the general provisions and Scope of Work,
Should the (irantee utilizz any contraciors, subcontractors or consultants. Grantee agrees le, %upply all such
contractor% and subconiractnrs with copies of this Grant Award Contract and the Request for Grant Application
dun led to this Grant Award Contract, arid in i3htilin dir written agreement of each such comrade& or
subcontinctor to follow ud he hound by all ;vim ri iihk (Irani Award Contract,
Indemnification
• Notwithslanding any provision of this Grant Award !Pommel it1 Ale coill.rary, die Board is not authorized to
CrralieC rii ilS Coptracloni ansVor subcocitrartors.
Each puny (as - Inderrinitor") agrees io defend, indemnify. and bold barn lep.; the oiher party (as - Indenuattee)
(mm and against arty and all claim, losses, liability, costs, or expenses, including reasonable attorney's fees
flkleinkiiitT referred to as -Claims") arising oul of the bodily injury of any person (including death} or property
dai nage, hut only to the exteiii that .!...uch Claims which result in yr carionsideri vate liability it) the Indeinn live u1T'u
caused by the act, omission, negligence, misconduct, or other fault ar Ihe Intleniniior, its officer:5, officials, agynts,
employas or volunteers. The Grantee shall indemnify and hold harmlms the Board and the State against any
liability, including cogs and expenses, for infringement of Any patent, trademark or copyright arising not of Grant
Award Contract performance or ti51 hy the Board 4if materials furnished ric work performed under this Grant
Award Contract. In consideration of ihe award of ibis Grant Award Contract the Grantee agrees in waive all
rights or suhrogartoct against the Board and [he State, their officers, officials., agents, and einployees. for tosses
arising from the work gm/formed by the Grantee and the Board_ However, if ihe Grantee is a Stale agency, hoard %
commission, political subdivision of the Rate, or a university of the State, ihis paraktraph shall not apply,
3. Should the Oraintce Wilk% gx,nrraciorits} andfor subeonfractot(s), 'Au clause between Granter and
its corriractorfs) and subccint-raetnr(s) shall nchide the following:
Contractor shall indemnify, defend, save,, and hold harmless Grantee.. the Arizona Constable Ethics.,
Standards and Training Board, and the State of Arizona, and tuty jurisdiction or agency issuing any
permi Is for any work arising can of this Agrouncni. and [is departments. agencies , 1:eatds, commissions,
universities, 41ft-wens, officials, agents, and employees (hereinafter referred to tol,reiher as "Indemaiter")
From and against any and all claims, actions, hahilmes. damages, loss.., or expenses (including court

0.
7 :r1 ! IL
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Page 5 o19
CMS. n E FMTICT54 fe:CI and cost of craim procemiing, investigation, and litigation (hereinaner referred 10 as
-Claims- ) Inc bodily injury or Pcmonal injury iinclikling death t, or loss or dAmage to tangible or
iniangihlc property caused. or anew,' to be caused, th mimic of in pm . by ibe ricoigero or willful Ads or
omissions of such contractor or any of its owners, officers, ditectors, agents. employees or subcontractors_
This indemnity includes any claim or amount arising out of or recovered und the Workt. krs Compensation
Law or arising out of the failure of such contractor to conform to any federal, stale. or local law, statute,
ordinance tult, regulatioa, or court decree, if k the specific intention of the parties that the Indemnitee
shall, in all instances, except for Claims arisin solely from the negligt./tt or willful acts or omissions of
the lndemnitee, he indemnified by stich contractor fiont and against any and all claims. H is agreed that
such contra.ctor shall be responsible for primary loss invectigation. defense, and judintient costs where thic
indemnification ts applicable. Additionally, Oil tI applicable insurance policies, contractor and its
subcontra.etors shall name the Stale of Arizrtna Arai the Arizona Constable Ethics, Standards and Training
Picard. and their departments, agencies, boards, coinnii:Foion. ulliversities, political subklivislons, °Moen.
officials, aizents and employees as additional insureds, and also include a waiver of subrogation in favor
of the Stale, the Arizzna Constable Ethics, Standards and Training Hoard,. and the other foregoinp Sate
entities and persons. Insurance requirements for any contractor or subeontractoi used by Grantee arc
incorporated herein by this reference and attached to this Grant Award Contract as Exhibit
Termination of Grant Award Cann-bet
I 5'itsp&ra(o.0 or Debarment The Board may. by wnttat notice to the Grantee, iaarnediately terminate thix Crrant
Award Contract if the Board determines that the Grantee htm been debarred, suspended, or otherwise lawfully
prohibited from participating in any public procurement activity, mcluding tyal not limited to, being disapproved
UN a subcontractor of any public procurement unit or other governmental body_ Lxeeution of this Grant Award
C.'ontract shall attest that the Grarnce is not currently aup‘-nded or debarred. If thc Charnel.; becomes suspended or
debarred, the Orarace shall immediately notify the Board,
2. Termination for cgalvenience The Board reserves the right to ter Min= this Grunt Award C'ontract in whole or in
run iI my time, when in th.e host interests of the Board, without penalty or recourse. Upllt MC.Cipt nf *Tilden
notice of ccrininacikon. likc Grantee shall stop all work. as drrected in the noticc, ni3Lify all nibconlraclors of die
effective date of the termination and minimize all further costs to the Board. In the event of terminati-on undcr this
paragraph, all documents. data and reporb; prepared by the Grantee under this Grant Award Contract shall become
the prortt-.0".• I r he delivered to the Board. Thc C.;rantee shall be entitled III receive reimbursement fat wurk
Completed and materials accepted before tlillificattoct of termination, The Board is under no ohliganon Lu pontinue
reimbursement for any work acti%ities undertaken afiernoii iicntion of terintrunion_
3. Termination for Default The Board reseriCS the right to terminate this Grant Award Contract in whole or in purl
due to the ratline of ilic Grantee to conrmiy with any term or condition of this (rant Award Conirael or 10 acquire
and maintain all required insurance policies, hoods, licenses and permits. The Board shall provide written notioe
of the termination and the reasons for it to the
4, 7,10n-i'voillabOY_ of Funds FArerY Pornenl obligation of the Hoard under this Gram Award Contract is
conditioned upon the availability of funds approrrinted or allocaled for the payment of such obligation. If funds
arc not allocated and available for the continuance of this Grant Award Contract. this Grant Award Contract may
be terminated by the Floarel at the end of the period for which funds arc availahk. No liability shall Ek4X111.1e to the
in the event this provision is exefrilield, and ihr Board shall nut he obligated or liable for any future
payments or for any damages as a result of lennination under this paragraph
c . Continuation of Work Activities After Tenn inatinn Termin.ation of this. (tram Award Contract dries not prohibit
the Cirantee from independently continuing work on the project, but July such independent continuation is solely
the responsibility of the G-rantee.
6. Cancellation for Conflict of hiterett1 Purramni to A.R. S. 3it-51 I, the Board may earipel this Grant Award
Contract within 3 years after Cirant Awun.1 Contracr exccurion without penalty or further obligation if any person

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significantly involved in initiating, negotiating, securing. drafting or creating the Cirant Award Contraca on behalf
of the Board is or becomes at any time while the Grant Award Contract nr rn extension of the Grant Award
Contract is itt effect an employee of or a consigta.nt to any other party to this Grant Award Contract with respect
to the subject mailer Of the Grant Award Contract, lite cancellation shall he effective when the Ciranlet rt.ceivies,
written notice of the-cancellation unless the moiler silk-eines a Wel limt. lr the Grantee k i political subdivision of
the State, it may .also cancel this Grant Award Contract as provided in ARS_ § f;-5 1 I .
Non-Discriminatinn
'The Grantee shall comply with ExeCintve Order 2i19-fr9, which mandates that during the performance of this Crrant
Award Contract. the Crramee and its contractors and sukontractort.. rill not dis.criminate apinsi any employee or
applicant for emPloYrnent because or race. age, exqiir. rILucwi. se % 4.1r national origin, the Grantee and its oninfaciOrs and
suhcontracturs will lake a.ffirmative action to insure that applicants are employed and that employees are treated during
employment without regard to their race, age., calor, religion, scx or national origin Such action shall include, hut is not
"led it' 11w following; clnPloYmer11, dcluotion trans rcr, recruinnent or recritilrnent advertising, Iavc'fl or
termination., razes of pay or other forms of compensation and seleelion for training, including, apprenticeship. The Granter
and its contractors and sub.contracturs shall pm in conspicuous places available to employees and applicants for
emplorient notices setting forth the provisions of thiS non-discrimination clause. Gmniee agrees go ensure am( Ulu
provisions of this paragraph are 1nc hided in all of its contracts with contractors aild siihountraelors relating to this Grant
Award Contract.
Payments.
of Grant Fun& Grantee agrees that grant funds will be used in accordance with the term% of this Grant
Award Contract. Awarded grant funds shall he used solely for eligible purpos.t% as approved by the Board. Line
item funding is considered estimates of costs; however. the total protect costs are considered exact and shall not
he exceeded by the Cnantee unless this Grant Award Contract is amended in a Grant Award Contract
Amendment. Substand.Ftrd performance by Grantee of its ohlignairms under this (TrTint Award Conirx-i as
determined by the Board wilt constitute noncompliance with this Grant Award Contract_ Any deviat km or failure
to comply with the pstrpose andkir conditions or this Grant Award Contract by Granree. without prior written
approval of the Board may enostiCuie suffiderg reason for the Board to terminate this (..icarit Award CrmIrelet,
revoke the grant. require the return of all unspent Funds. perform an audit of expended funds, and require the
return of any previously spent run& that arc determined by the 13oard to have hem spent in violation of the
flurPose or conditions of this Grant Awru-cl C.'orurnet.
1_ Actual Cost, Reimhursemerd and Advance Alt payments made Uudur this Grant Award Conirao shall be hy
actual COM
a- Payments under the Caant Award Contract shall be by actual cost and reimblircement. The Grantee ts
clIgihte ferf reimbursement of actual expenses incurred that Bre !lei:MO.1'y to complete tasks as SpeCified in
the Seopc ol Work_
b. The Grantee may request advance l'aymeni of partial grant ftrnds. The Crancee shall submit written
justilicinion to the Board explaining, the need for a funding advance and detailed documentation justifying
the Kinorant or 'the advance requested. Funding advances wilt he $1.111lieel to lioiu -d approval 11 advance
PaYment is nude. the Grantee shall demonstrate that all advtmced monies have been expended. prior to
rcqueming reimbursement rrif cyikr allowable expenseti. Additiorutlly, Cir.intee must reimburse the Hoard
any advances pahl that were in e:14CCRS or seinnl crisis implancruing Ow grant project.
3. Conditions of Paine u Each payment is conditioned upon receipt mid approval by the 13oard of the deliverable I.
spot:it-mil in the Scope or Work lind shall he accompanied by reasonable assurance tit.ocumcntation. reeeivig„
inYadces, etc.1 that the goods and services for which payment is requested were actually received and performed,
The Board has the right to disallow -contributions {kit-mined inappropriate or unreasonable. The Board shall have
3 minimum of i 1-11rly (30) working days 10 approve the deli verablels) and payment requara farms.

Page 7 of 9
4_ Dqffipl! If the fliKird Elden -nines dwii Ike Grant= Is in default the performance nf any obhgation under this
Grant Award C'ontrael, the Board May rither adjust the amount of payment or withhold paymcni until satts factory
resolution of the default,
• IRS W-9 If Cranicc is 15Col a subdivision of the Slate. in kiirdiT 1{1 IWCiler pay under any resulting
Grant Award Con/Met, the 'Grantee shall have a CuriVrIC /RS-W9 Form on tile with the ElOin -d.
Recouoment of Piro-nerds The Gratnee shall renohirrse ihe Eioarcl for all grant funds determined tly the Board not
lkb have boo' spenl in accordance with die wins of this Grant Award Contract
nership Information
Title to all documents., reports and tither materials prepared by the (immure in performance of this Grant Award Contract
shall rem in the Board, excw for elpyriglited maiertal prepared in advance of this Grant Award rilnirrici by the Oritioe
at Ube 4:Apcnse or the Chatuce. The Board shall have full and complete righis to reproduce, duplicate, disclose, publish,.
advertise, perforin and OtherWigir use all documents., repirrts and other materials prrcpared under this (irant Award
Contract.. except for eopleTiOncil malenal. Thr: Grantee shall nave run and comolcu to reproduce, rtirolicate,
disclotsc, publish, advertise, perform and otherwise use MI documents, reports and other materials prcpared under this
Gram Award Contract.
Notives
Whenever notice is required pumua tit to this Gram Award Contrd.ci, such notice shall be in witting and shall be directed to
the persons and addresses specified for such purpose in the Scope or work, cc to such other persons and addrcsgcs ma
either party' may designate to Ihe other parly in writing Unless otherwise sal forth in this ernint Award Coniract., noiice
Shtkil be ddivered in per.'son or by certified mail, return receipi requemed. Notices, correspondences and pkernents on
behalf or the Board io the Grarstee shall be sent to:
etrintet Name: -.IL ii, - yr.. /.../ ...1
Crranlee Mng Address: ,. L9 , - - , . ...1 ,sir __,. ..,„,„ --t. 7- e..7.--- 440' 71'
fitnniee Clot: rki,c,17 . s ew
Civiinice Zip Coe: :54161 3
cirantee Telephnne Number, —6,4-z-=-L2le=a1.1
• 'Grantee Fax Nwrilicr:
• Grantee E-Mail Address:
Notice5., c4irrespondence, data, analyses, inquires, invoices, technil reports and other iniormatien, including ail
Deliverables from the Grantee to the Board shall be sent to:
• Constable r-lhics Siandar&& Training, 1141nrd
Pcr:1110% 1311 ,15
Phoenix. Arizona 85002
l'elephone; 602-341-6280
Facsimile: 602-71 2-1252
cestlY074.11.01Ti1etIlSolling..com
Deliverables
1. Included with evert reiratursemeat op paymeni request, the Grantee shall submit to the Board a hud oz. and
a brief narramort. A roper copy of . the budget and otatt'ative reports shall be mailed io rhe Board. The reports
shall include, but are not limited to. budget expenditure_s, in•kirbd expenditures, and a brief narrative of the
projects pt.o.gess, as applicable. Ornotee must obtain Board pre-4ipprowl I before any rurtds arc riziowbed within

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the onginallapproved budget in the gram application. The Crrantee fs responsible fur responding fr) any tnquiries
from the Board
!. The arantee shall identify the gcrint contract number in all reports submitted to the Floard
3. On a quarterly basis, until the project is coinpleted and the Crrarti Award Contract ts tenth -iota. the C.irantee shall
submit to the Board a budget report and narrative report. l'he reports shall include, hut .are not Limited to, hudget
expcnditure-s. in-kind expentliturs and a norralive glTdrtl l'unds were used EL) atitieVe project
objectives to date as outlined hy the CirRotee in the nTant application, [311,11(10 MAIM he sent to the Board ttbe
last.clny_a ;Rd gUiliter foIbwii ihr execution af fir iriol Award Contract
4. At the end of the project, a final budget arid final narrative report must be submitted arbd approved by the Board,
The [Mal narrative report skull inulude at a minimum:. a summary of the protect goals and objeciiirles, primed
results or outcomes {including any data rit phoicrs.), aspects or the project that worked well and thini..-s that did not
work well, any public invnivern,00 and coordination, how the project has advancod the program goals, and how
the project has benefited th.e State. The Board will mil disburse final payment until the final report and all
requtrements of the Citani Award Contract have been fulfilled. All remaining grant funds or outstanding pant
funds mind be retouci
5_ The arauree include the following I n ,i .ec ill all reports prepikred fof this Ciralyt AWArd CinI rnt and 3n any
publication oireponls ar results ge'neraserJ with die financial support' of the Board:
a. "The Constable 1..:thies.Siandarc15. & Traini4 Board has funded all or a portion rif this Proiec.i."
-The views or findings presented are the GranIce's and do no( necessarily reprment those ni the State, or
the Constable Ethics Stand:ink, & funning Board,"

Page 9 of 9
SCOPE OF WORK.
ADDENDUM A
Thu Scope of Work for this project is ht-rund 10 ihe provisions of the approved grant apphoitinn wnh iN incorpornied i run
his agreenient as Addendum A. All pmioet tasks and CONDI mum coincide with the approve4 4irrplicati.nn.
-1:14N11 1A

PiKle2 a r
linolitho Utility% Ads" Agandr Number; C45-67-041241-00
4611111dirti
C.Pirg7: Oaartabha
1:0110C1: GNU PSILLifia Norm 506-1150 00411111uld 111}ITI: 1 2.011.001
100011 10: Chci Musks none; S:11-1
Lecatibm: couraymerhuvion euurri
Arlin naquenitil:
Firm I - p.*k.IIdfl.lIs WWI lerwrienti and can klel!tba tha erno-bied Iii
MO Fr .P ly .1 WUstIiuL. .ri.rii. irpc.n elordd 1PIfI '
appirairal. Feb Wieldier Al claprainell hie ferinableElhlc.erammtlaie Fuld sitibilihad by
$arifga) I/4 *maga U1111110.,aordiail tiarblatbar 21, 201111, Erne nth AR!. 111.445 ki:t lIIWDrd M
Sum...leant salphhil ligkin-ax Deed al10 pat wit amid_ 4C210700/00411
CornikIe demdprionni raw rogue sl.nd •
in Ora 1DiiuiJcgi, tharireas Stair Lagii kInia raratirled.1.0-S. 11.145 Nth ragirrd in Via CorisCa bits
EtivIca Cainmgdoa akar Swirls BE 1100. Matti." Inaplinaller ]1, 2rX4,IIC1 COMM ntibr6 Or
nueeveLari .13. mandated, le sal an eilfljtional rioran bad Writ lamed b r tijikior tha Puce Cooiri
togiaiellkra cawhilas. ist dual SiCH) per wirk merd shall be sornhilrearad by
traa Cantabla Eth.ita Corirattlia,
TM Ian shill be istitilishaci by Ilta Sal rd of Suparviaorl rigulris 1niaIirtit1bI EraltiCtgrareallis
oraltrli of Ma maiii a tor Condablo traltlIng, orogmrint, and reirlid Drub; and 20.4 II ha traod for
fundlop ii CiknaUtilam CO.MITIMar, c1119111111y 00111. PIN Mr,' any apsitantLateifuricnritt.
&KW ilk1111111.1114 Labatt ILL the L'alrellyil Imre Cdrislablr Ettilo. Act,' dIricts rile a Mr Trarsurer
rifest and 41%411511W rrionLam u thi fUfld ma provided low kir oruS riciics gram iha Ethlta
Ceavoltlia and pimrldai ih. marlin armor! from Imsitrnardm grallEid irk I PIN Flinn tbd aeovea tie
%pail fParri lapidesO1ippproprittlorta, iMard of chis 4aw Omura reo+I.i g Davila surfianant1Marlig fur
ttriflraP Carabialtlar thnxielmml ZItakr rirgtrorma al an orlon lu ocrinst
Iralrulnii, profaulotalirm n LII Ciondiblit argi O*mi. GI.. IK1V or Om CAPieubleb Mks
Committee tb portotiri tla rnarlatail dartio. Camay, mune ruII1 prOV141 lading
car training von &nigh icalaito IL rminalatid her tirThIceindall al fon& gram IN
uld6Ordil wit 1.0'01'10 IlatiblaIhIi pr Alvin tre Main"! Nimbi; rOr 1114011 ranabil Lg Cchlthbill.
ind *sal Wahl be the the public will bena111 from. the malW bitrly of tralalrre for ail EgrribiNis
altaiskl ha abla Malian inactively sem thair lrp 'n040600111 rrintllar-
Porlormaneo into-madam.
Provirm Barka PrOtars
Actirlty; Illintg rinnitis PANYFLY
FiTicyminci ValigriEWriti c .,uIIIi1In are aervorl Albin Mrs waning drilla
▪ nlicLciater nib; Br adding uerrii. Igo, ilia f arvalabloa EChki eignmItiai Floc! will /Alp 1Pra
CrairrbIa& meta Vowing. and Mel voirlirtniel.
EabandAl re ancsei try
Fig Orripne
cmithii: ilf1H1007
wand galaanallog Alionmaid
LEGAL
14o4os Cra0441 I PlitAEPE
ALeher •brittetpkb ilrxdfiv

Page 3 alr 8
D50 I DETILIty Constable. I3eputy Constable Joe Martinez
Deputy Constable. .. Deputy Constable
250 Admirlietrabide Office Assistant MoDeverCharulet
§P49,41 .1r.1 . .. _ . ple.c.ializeel
MI Dapuly Constable Deputy Gone-Lbie G
250 Administrative Olrin Mtafii . Elaile•,Dewn M
Special's: _ Sirciall..51.11 .
2_50 I Dept.ity Corista br --, iDuty Constable Harris $evIri.
250 lenity ConstelpFe Deputy Consza ble Harris e Rldiard J
250. P!!1.21Leir CCIftlable peputy COnsta NEI Joseph 1512111tio
Z543 CCHigable ElcutOti 5inclaJr, mad k Alan
Cogistable —E.1cina- Ligocki Russell,Mana
Onnsterde Eledod Suinrker. . ken _ .
Genstelia EllicIDd 7nrie4,,ame5. K
Conslalle EunIAKI Allen Ken
ConabI Eiarrad ParkeDou9la5 Lee
Constable Lane,Orotyn JLJi
Constable Elected Spw-luck,1511ky Joe
450. canatable Lle.2:tdd f4k-CidskiTtLeconard G
2510 Cronikable Elected Cainez,frank Luere
25U Con5table Elected fPlailim.Edlnlard Cavil
250 Constable. 141c11don Doug E
250 Constablir E looted upland, Ridiaid
250 Constable Elects4d rtteixlitenald H
250 Cunutubte Elected I-Mter e David
Z5D Conwaaie E.eutud J
LCD Constable. Eiecteci Muo022]kfimie
Constablo Elected - Jahnson.„_Gaq_
250 : ConalaDha hlecte'd GameArAllred F
250 COIStaCile. :Elected Vacant
250 Constable Eleted Santa fru& Raul R
Corlett* E IecJjd Blakt, Scott
constabp_ Elected Mt-Cleve, Orent lahani
250_ Cortgatrle Elected Sthrrioll.Earandon C
250 Canumbie Rich, Jarrfin
250 Constable _Elected :111!enj..ae_Lhen Merles
!Y. Grant Application Package Nateriab
A. Stalment Qr Appknt EIihiIIy
instructions: Please describe the /14111M of your orgnnizatino and cx !gain how Tun ire eligible
wpplly ror the Don rti E-qi uiproeni Grant reign' rm. Pleas* limit your response to on more than
1 1000 words find attach as 421.1iihit5 ileciflinpaliyIng documentation of your elluitaility..

Page 4 of
Regoonsc
Me organization that is applying 'Or th eqthpfnent grant Lx ihr Maricopa . Colony Constables
Woe. The Curtgaies Qtrge is art agenK.v wiMin illaricopa Courory government The.
Co littables offiet is eligible to apply for the mpg /Mit Ea they ive intended to be given out to
priii Equipwrif ii Ake rigirLt.at hi.' CaFT.TiableS.
The Marilarper Calmly CONSIUMEN Office corxxims 26 eietied (..'irrestableis anti eighe Deputy
Constablo.
An wierchmenf containing the nt-,urre.s of the Afarleopa Oniony COPLYiahles and Demo Corambles
is being throvirifed. Also attoehed I's. a copy. of agenda ireitn .11C-25-07402-0-W voted on by the
ildtirkopci Ceirinly BOrdni IS; .Sri ailthdriZ1n.14 the liliplEfirPenkriiiirr of a five dollar writ jile
inirruani to ARS. 22-/J rx.y roirlidred hy the Cotimibire Erhies Siandarliv eintGi ?nraining Board
which shows Ali Mirricopcir Courgy paniciporfing collodion of .147-11 fio r find sumo.
for the Consiabie thcs Sandaras and Training Beard
B. Pruject Fr11111051111 Farm
1n9trilittionc Please describo conapiewly Nike prajeet yau propose to. cam p let': if awItracd. ii Brard
Equipment Grant. Be complete in your description or the project. Al minimum, your ocspunse usl
contain:
A detailed description or the proposed project.
2. An 71,plarta1ion Lpf adatis for cquipmenl purchases-
All explanation of outcomes lo ctKpected thiim Ow funding proposal.
4_ An eNrhuilliaiii or how gehOE funcls will used (this i5 nut 3 WINIILitULC Ear th.c project budget
raga ired Section IN.C).
Response;
1, A detailed deg eription af i he preirmed nrojta.
Thr MarrenOO .r 'Minty Canriables DAT would far to purchow seven (7) T user TS'R X2 Smart
Weapons, seven 1.7.1 Taser X2 Smart Weapon RI) Cameras, seven (7).n Biode Tech Halsters,
.fourfeen (14) Toyer 37.R 12 Smarr Cunridsvo aPktfourteem (14) Two- TSR X2 Training
Ciinridme3. to replace Taxer X26E. Mark:T.1x County Constabitm rriforror Ihe AlcalCiapit Qirniy
Sheriff polfcy witiu,ra riv wives if 'racers he VILlipped wiTh CCIAIEFO FetThrdill'e deVice. racer
Corporeilkm no longer aprs a camera fir ihe X21E that cil'e c.-arrently carried by Constable&
2. An expinnation or needs For equipment purchase.
The objecam of grant funding is to reptiace exivirw older rrradel -1(26E liver-8 "pith model X2 Taw
and Camera Thiyw1j1 inCief42.150 the refiiiinOmt meir.veyely ofrhe Okrrimhks and Deputy
Constables ig airlifted to carry Tana.
3. An explanation of outcomes n he et petted from the funding pro puma.

Page 5 of 8
Cartietable saiely its the goal of this proposal that the ,equipmeni detente() will rffilnIfite safety,
Using the equipment described in this grant proposal should see an increase in the safety of
C7onxtahles.
4. An explanation of him grant hub will bc used.
These grant /Lindy will be used specally in purchase 7 racers, 7 Taser (.7arneras, 7
Holum; 14 raver Cariftdgcs . and 14 rase, Training Cartridxes to replace rarer s currently in
ise 1i 7 Conslables or Deputy Canstuhle iiMario Cfmnry,
C. Propel Budget
INSTRUCTIONS:
PICAAr uhm it A detailed h4dgict for the project.. including, spec ;
I. The FY 17 equipment grant objectives that relate tu this project and funding; identify i projected
date for accomplishing each task associated with expending the funding.
2. A description and outline ofequiprnunt hi be purchased if granted funding.
3. Tile Finijectecl number of eunstalbies tu benefit from ihe prnpmed 4.Nuipment purehasts..
4. All cstim.ated expenditure including tax) from thret {3) dam irvritlorb fur each type of item to
ble purchased. You must also attach kill supporting bid documentation_
5. All funding .u-tin:.cs and amounts that will he utilized to complete this projeci by the projected
orimpietinn date,
Remputtsu:
1. Tbe FY 17 equipment grant objectives that rcinte in this project and funding; identify it
projected date for accomplishing each task associated with expending I ht fuoding...
PPE P1/7 Orani Cycle V ohiertivos tbai relate kr thi.v project andfUnding arr that ail Tasers... HD
CraneraF, halster r cartridges and training carrridges will he purthasrd and dr'stributed within
approximately three months after tipprowl of the Arrant Ii2old.v depending on availability of iieltiLS
1. A dexcriptina and nntline of equipment to be pure/cased if granted funding..
7 en. Timer TSR X2' Suzan Weapon 2 Shot
Vendor: Proforee Lmi EttifOreellient
COSI ea. S1,103.31
7 ea_ Truer 7Siii X2 &RUIN Ff.'1..aprou 1113 (Irtne:r.u.
Vendor Pm:force Jr Enjalreement
Cave ea. $548.96
7 ea X2 Blade Tech lialsier
Yetidar: Profarce. Law Enfnmenieni
Coss ea S61.80
14 co, laser TsR X2 &Mel Cartridge
Vendor. Proforee Lau.. Enfiwcomeni

Patin 6 ar
Con
14 ea. TaSer 7SR X2 D'aining Smart C'aroridge
Virnfficr: Prot.= Law Enybreotirreni
Cost ea $32.73
3. The projected Dumber ef.COONIOblet lo heuerSi /rum the prupused equipment purrhames.
Thu nuinber olConstahles and Depuly Constables who will hirnefii frum th quiotnerii
purchum uIl bt: 7 Curtiviahle.5 Lkpitty Cumiable.v.
4- Ali (ntionoted exiles-Clans (including lux) from three (3) different vendors for esich type or
item to be purchased. Vail MUNI also attach all supporting bid documentation.
A Iisiof estimated expenditures frlinr three different vendor.v l:r not being limed for the reason
that oll such purchases will come through Proforce Law LIJOrc.enreni fill approved vendor of
bfarieopg County. Alaricopa COMIT departmenirs mai make purchase :gram approved Carinty
venaurs. These mndors &Re ofrea* gone through the competitive bidding process with
Maricopa Courq to be inciudec.1 on the approi)ed vendor
The following is ti Lpf eotei doitnimi Air is desired mid the costs Pr each:
7 ea Thor TiCR X2 .'qinart Weapon2 rirtn
Vendor: Profs.-co LW' ErVorceniern
TIE$11: CUL QtY; Subtotal; ray: Tomt:
TaTer SMarlr Weapon $1..1 03 .3 i 7 $7.723.17 44,2Ji59
I ea_ raw •`.44? £2 /ID Omen.'
Vendor: Profine Lem 17Pifixtremign
DePE.; CCIT11.` SaMOLIkri . Tcr Total:
loser LID Camera 550.96 7 S3,842.72 (445.35X $4r 0.96.1
7 ea Mode reviri flolidgr
Vvidor: Profirrce L-1.21V Elijihrt-ernerr
COn: Mac- Taap
Blade Tech Haver $6.1.26 7 S432.60 soaor
/ -I ea. Tager SPttigt C'arirfaike
Foam: ,Praffireo 141111' lErefrrtwigerri
nen' Caid: QV. Subtotal: Twat;
Small Cariria'ge S33 6.g 14 .5471.66 *,35% $501.4.1
.14 ea. Taw Training Cartridge
Vendor; Proforce Lau' Erribmemem.
Qoe• &aqua; Tar: Totak
Training Cariridge $32-73 $458.22 S47.32
20..95 -113,71012

Page 7 of El
5. All funding sources and amounts that will be utilized to compleie this project by the
projected completion dam
The funding source that will he utilLed 10 complete this project by the projected 4 -omp1etk ilf dare
wal big iho Gram fiords fivin the LEM. The gletrOUni utilized will be $13,749.32 with taxes.
1). Project Performance Measures
instrucitena: Please identify puri+Hillimeu nriimsul -CuaCnIn. that yuu wiU um; Lu iihnialue Lk uulx °flies
of your proposal, if' selected fur funding. The following performance measures MUi* be includecl at a
minimum for consideration. Tht. performance Me8SWITTnents you idemify in this section, as tipproYed
by the Board, will become provisions ofyour groat contraci if Inc Applicant is .sclected as a Board
Eluipmeni Grant Program Grantee.
The pertbrrnance flICALSIOMMellta LIM clemonytrate how ihe proposed project will meet he program
goals described in this Ruttiest for Grant Application Minimum performance measurements for
each projecl shall include:
1, The total number of cortstabies and deputy Cronstmblie5 dial will benefit from the equipment
funding;
2. The irstintaied s.avings to your government nhiLy lhal would result [rum amutlirig tfic tcciunted
grant;
3. 114-lw am safety of constables and deputy constable* would be improved by awarding the requested
14.raJ1t: and
How the exec utiun orizonsia.lale i.kii wottid he in...pilcl' hy awarding the rcqueNtcd grant.
Response:
The total number of constables and deputy constables that will benefit from the equipmc ri
funding:
The number ay -Constables and Deplity < 'oustahles who will 'Jodi from this equipment
purchase, will be 7 Conytohles or Deputy Constables+
2. l'he r,uld maw foes to your gOVernm-ent entitle that would result frum :awarding the
requeited grant;
The es:infer/ea' wirings of ihe local government entity by award (. 1) . this grow win be $13, 749.32 ra
gas money would have had to came from the existing budget for the Aforicupo County
t 'um-tables,
3. How the safety of constables and deputy constables would be 411 proved hy In" raing the
requested grant;
The proposed purchase of 7 raisers with HD Cameras will inwrave the safety unit :142CUritY of the
Constable or Deputy (..orrstahie by replacing outdated ravers that provide protection against
poufhle deadly fiorce encounter.
4. !low the execution of - constable duties would be improved by awarding the requoded grant.
The Aurcinfse of the requauNtear itemsalirws the ( 'onStribleS teg-} 1Vehrk in i ha2arar0 ris sit/rattail with
a dopey of confidence regarding itheo - preteutton Thf.s II grew allow.v thew to xecute their

driliem and re AponsibilifieT in lire _veil-vier WIRY f t I dOCIIIFFOUN in a rimuly, !cafe und secHre
Winner.
I. Request fur Advance Payment & ilindirwation
Instraclions: As described in illy Re411.41:51 For Cprani A pplicatioas, grant awards arc typically
disbursed as reimbursements for expenses incurred in the completion of projects. 11owever, the
Boat] will consider requests l`ur Ad wance Payment of Rind ing pursuant to the provisions pf the
Reque_q for Gram Applications_ lr you require advance payrnert, pica Re: irlegit3fy wlhat piiirii nide
project buckFet isEri. requested in nrIva nec and ekarl.;etp6JIl he reason(s) why an ad'vanee ig
required for Live completion of i.hc prprEct.
['loam fkilie that if your rugucm for advarkte payment is approved. y131.11 wil l be subject to the terms
outlined in section 111.E3 of the Request for Gram Apptieraitios.
Riemporeiet
There Is iro requeo fin. advancejandiRg Fundingfor I peorvItase . and burfdiuthiPP Ogg
equipniew wfl be paid for direrliy fraP112 the exLvartg buarguijiihr the Nfarkupg CoLogy CoPislithures
Filth l writ rime aS reiffihROU'ineril Li reek ivearfrom punt fundv.
Submitted by:
Dote - 2 0/7
Timothy hfrobtltr
Cun.stable Admini iLntr
Markup] County

IPAGE.
,50/1 a ar--17Frce
PRICE 14200r.
LAW ENFORCEMENT SHIP DATE
313{19 hp3rth likpwary 19 Areacoll, AZ anti QUOTE
Tel OM 774-7112 Far19221) 448 -34E4
uhleprofOrcetelalittarn WWw_ protorcecrn5 ne. Dom
FIFI.P1-14425-01-4G-000E
SOLD
TO
MARIWPA c•uNTY coNSTABLE ADMN MARICOPA COUNTY CONSTABLE ADMN
301 w JEFFERsoN STREET ETR FLR TIMOTHY MODER
301 W JEFFERSON ST SUITEH (6079
PHOENIX AZ 8500J-214j. PHOENIX Az Bnuu3 - 214_1
602-506-1875
JOB fika lcusT:4 ' LOU. SALESMAN SHIP VIA
NA 5175-5711 022845 I A DAN RYAN EX G-FOB_ORIGIN
QTY. UOM
QUOTED ITEM NO./DESC. UNIT PRICE DISC. NPT PRP=
22003 1,103,310 EA
TSR X2 SMART WEAPON 2S11OT TEL .0
26810 548,960
TSR X2 SMART WEAPON HD CAM .0
H2/X26P
22500 61,800 EA 432.60
BLD x2 RLsT RH BLADE TECH .0
14 22151 3.3,6901) EA 4•1.66
TSR X2 SMART CART 25 FOOT LIVE
14 22157-TMR .c2..775op
TSR x2 SMART CRT -.•!5FT TRAINING
This quote in valid Cor 45 days from the d te of 451.1e,
pending credit. :5pproval, and lE subject to Invento*y,
manuracturer's availability cm phan e. Please call
tu receive prIce update upon S3 pirotlon,
ORDERIKG INSTRUCTIONS: Floao et:ay to you sale s. rpreAen-
tative in writing to pro<tesa tt in order or -kid an email to
na1i?2iiipro1orceon1ine.carn. Fnr o -Bk-fm 000, a PO or
signed quoto is required to prc coma tho or. er .
Returned items are subject to 01 restocki g je. A ll sales
are final on non-stockedispeCi 1 order ite s
IMIDDRTANT: To order from this quotatlOn, •iease a gh beluiriJ
COMMENT
TERMS

QUOTE N PAGE
IFICPFEIDE
PRI CE I 342005 2
LAW ENFORCEMENT SHIP Wale
3DOINifth HIrrois.11 Prekterc,AZ 14101 QUOTE A.S,A.P.
41! 12I) ;176.7192 1 21Z:19281 141.-1114
sales@prolorcsanine.com Aww.proreecoodal.com
FF1 • 51-1540-0141G-114M
SOLD SHIP
TO TO
MARICOPA (=NTT CONSTABLE ADMN KARICOPA COUNTY CONSTABLE ADMN
3al w JEFFERSON STREET 6TH PLR TIMOTHY MODER
301 W JEFFER .301i. ST SUITE 6079
PRI:1E11.FX b5003-2143 PHOENIX Al 135003-2143
602—.54)6-1En5
JOB 4 ] DATE COST-4 LOC. SALESMAN
NA 617705 17 022B45. A DAN RYAN G - FPFLUII.G.Pr
OTY uom I -
QUOTE D ITEM NO./DESC, UNIT PRICE! DISC. NET PRICE
attach Purchase Order, and emall tosaleaRptofotmeabline,com
-
Printed Name:
Date: E'.0.:
Signature]
DALES AMOUN4 12,28.37
1 COMMENT
FOR TIM MODER
MANK stRacrom RANDLINZI 32.70
6,350% 5ALE0 T 820.95
SUB TOTAt 13,782.02
TERMS WE NET 30 DAYS