22-178 David Wellhouse and Associates for 2022 State Mandated Cost Reimbursement Claims*David Wellhouse
...and Associates, Inc.
March 3, 2022
Ms. Kristen Squarcia
City Clerk
City of Cupertino
10300 Torre Avenue
Cupertino, California 95014
RE: COPIES OF FEBRUARY 2022 ST ATE MANDATED COST REIMBURSEMENT CLAIMS
Dear Ms. Squarcia:
Enclosed are the copies of the February 2022 state mandated cost reimbursement claims prepared on behalf
of the City of Cupertino by David Wellhouse & Associates, Inc..
I would like to especially thank you and the City staff for the support, experience, and professionalism
extended to me throughout this process. In this field, the optimization of the state mandated cost
reimbursement process is directly influenced by a good working relationship and the support extended by
City staff.
Thank you again for selecting David Wellhouse & Associates to fulfill your state mandated cost claiming
needs. As always, I have very much enjoyed working with you and hope to assist the City of Cupertino
for many years to come.
In the next few days, you should receive an invoice for our services for the preparation and filing of the
February 2022 state mandated cost reimbursement claims. Should you have any questions, please contact
me at (916) 797-4883.
Sincerely,
'Renee M. Wellhouse
Enclosures
3609 Bradsliaw Road, Suite H-382 a Sacrainento, California 95827
(916) 797-4883 - FAX (916) 797-4887
*DavidWellhouse
,..and Associates, Inc.
STATE MANDATED COST CLAIMS RECEIPT
FEBRUARY 2022 STATE MANDATED COST CLAIMS
AGENCY: CITY OF CUPERTINO
CLAIMANT ID#: 9843231
February 15, 2022
The State Controller's Office, Division of Accounting, Local Reimbursement Bureau hereby
acknowledges receipt of the following State Mandated Cost Claims (SB 90) prepared and
submitted on behalf of the above-noted agency by David Wellhouse & Associates, Inc.
CHAPTER CLAIM PERIOD AMOUNT
Chapter256,Statutesofl995 FY.2020/2021 $7,252
Domestic Violence Arrest Standards
Chapter 698 & 702, Statutes of 1998 FY. 2020/2021
Domestic Violence Arrest & Victim Assistance
$5,037
Chapter '1460, Statutes of 1989
Administrative License Suspension
FY. 2020/2021 $2,266
Chapter 465, Statutes of 1976
Peace Officers Procedural Bill of Rights
FY. 2020/2021 $1 ,841
C)
State of California
State Controller's Office
ADMINISTRATIVE LICENSE
SUSPENSION - PER SE
CLAIM FOR PAYMENT FORM
For 8tate Controller Use Only
('19) ProgramNumber00246 '
(20) Date Filed
(21) LRSlnput
Program
246
(01) Claimant Identif?cation Number 984323'l Reimbursement Claim Data
(02) Claimant Name City of Cuperttno (22)FORM 1, (04) A. 1. (h)
County of Location Santa Clara (23)FORM 1, (04) A. 2. (h)
Street Address or p.o. Box and Suite 10300 Tprr6 Avenue (24)FORM i, (04) B. i , (h)2,248City, Sttte, and Zip Code Cupertmo, CA 96014 (25)FORM 1, (t)8)
(03)Type of Claim (26)FORM 1, (07)
(04)(09)Reimbursement [21 (27)FORM 1, (09)o(05)(10) Combined (28)FORM 1, (10)
n(06)(41)Amended (29)
(07)(12) Fiscal Year of Cost 2020/2021 (30)
(08)(13) Total Claimed Amount $2,266 (31)
(14) Less: 10% Late Penalty (32)
(15) Less: Prior Claim Payment Received (33)
(16) Net Claimed Amount $2,266 (34)
(17) Due from State ' $2.266 (35)
(18) Due to State (38)
(37) CERTIFICATION OF CLAIM
In accordance with the provisions of Government Code sections 17560 and '17561, I certify thatl am the officerauthorized by the local agency to file mandated cost claims with the State of Califomia for this program, and certifyunder penalty of perjury that I have not violated any of the provisions of Article 4, Chapter I of Division 4 of Title 1 ofthe Government Code.
I further certify that there was no application other than from the claimant, nor any grant(s) or payment(s)received for reimbursement of costs claimed herein and claimed costs are for a new program or increased level ofservices of an existing program. All offsetting revenues and reimbursements set forth in the parameters andguidelines are identified, and all costs claimed are supported by source documentation currently maintained by theclaimant.
The amount for this reimbursement is hereby claimed from the State for payment of actual costs set forth on theattached statements.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature of Authorized Officer Date Signed Z-/;y)z-g- '
ik Telephone Number (408) 777-3226
qpe 6r Print Name and Title of Authorized Signatory Email Address kirstens(a)cupertino.org
Kiraten 8quarcia, City Clerk
(38) Name of Agency Contad Person for Claim Telephone Number I
Email Address
Name of Consulting Firm/C,laim Preparer Telephone Number (tl6) 797 -4883
David Wellhouse & Assocfates, tniy- Email AddressA dwa-renee(!,surewest.net
KeVISea !a/2020
Mandated Cost Manual for Local Agencies
State o'F California
State Controllers Office
Mandated Cost Manual for Local Agencies
.PR0:iMlAdministrativCe,LiclMenssueMSMusApReYnsion- Per Se I(O"l) Claimant:
City of Cupertino :(02-). _ _ _ ____ __ _ _ ;roi2sfflol202,- - - - - - '------"- '-'-"- - - - -'-' - - - - - - -n(03)Department
I_ . _._ - .._ ____ . _ _._.._._. _ _. _._ _j---- - - ' -'- -- - -lDirectCosts ObjectA.ccounts 2
(04) Reimbursable Activities
Nu(ma)ber !
i of
Cases j
liI
(b)
Uniform
Time
Allowance
(hours)
(C) '
Salary
Hourly
Rate
I
(d) '
Benefit I
Ra!e ;
(e) '
, Subtotal
Salaries
(a) times (b)
L_tim_es (!1
(f)
, Subtotal
Benefits
(d) times
' (e)
- -1
i (g)
iMaterials & !
Supplies i
I
4 _ I
(h)
Total
i (e) + (f) +
(g)
it IA. Minors Detained But Not Arrested
- - - ._- . _ _- _ _ _ _ _..__ .. - __ _ ._._..___ __._. J
1. Admonish Drivers/Screen Tests on
Minors (IV.A.1. & 2.) _
I
0.2667
i i---'-"-'1-
i
I i
-' I
i
L____________.__I I
l_._.. ......_._ ..._...._...
-7
I
l_ _ .____ ._ 0
2. Seize Licenses & Serve Notices/Completing
Sworn Reports/ Submit Reports to DMV (IV. A.
3. to A. 5.) ______ , iJ , .._ ___, _.__ _
I
I
I
I
0.2500
i
I
I
"" ' "' "il
I
t__ . _ I
--iI
,l
i' i
I
I _. ..... .....
ii
I $,O
B. Arrested Drivers for Violation of DLII Statute
1. Seize Licenses & Serving Notices/
Completing Sworn Reports/ Submitting Reports
ito DMV (IV. B.1. to B. 3.)
I ,
I se i-_l
I
I I
I o.;is-oo _
-l
' $___232.43 I
,- ' I
Il_ i.
I
i i
$_2,266 ____j
-J
______ j
---l
I j
_$2,2_66
(05) Total Direct Costs a
7- -'
L ._.-,i j
i
i ,,
-l
I
1,
I '- -'I
$2,266 l-_!I
I 'I $2,2_66_,
IndirectCosts _ _
r----'-'-'-'-"-""-"----'-------------' - '- -
(06) Indirect Cost Rate [From ICRP or 10%]
I
I
1(07) Total Indirect Costs [Line (06) times line (05)(e)1 II '- '-- - - - - '- - - - - ----'---'-' - " " '- '- - -- '-- "'-' "' -
L(08__) Total Direct and In_d_irect Co_sts _ [Line (05)(h)+_line(_07)] . _ ._____$2,2681
._._........ __..__lI - '- ' --- '- - - '- - "'- -- ----'--- - '- - '- - - - -- - -
Cost Reduction
-'--7
'(09) Less: Offsetting Revenues $0
j
i(10) Less: Other Reimbursements $0
I
i(11)TotalClaimedAmount [Line(08)-{line(09)+line(10)}]$2,268
Revised 9/2020
DRMNG UNDER THE INFLUENCE
Case#Date Charges
20-191-0002C 7/9/20 VC 23152(al PC 148(a)(1)
20-194-0051C 7/12/20 VC 23152(a)/(b)
20-209-0238C 7/27/20 VC 23152(r), N!;"Y1351, HS 11352(a), HS 11350, HS 11375(b)(2), HS 11364(a)
20-215-0020C 8/2/20 CVC23152(a) " '20-243-0043C 8/30/20 CVC 23152(a), CVC 23550(a), CVC 12500(a)
20-251-0301C 9/7/20 vC 23ts2(a)
20-262-0002C 9/18/20 VC 23152(f)- Driving Under the Influence
20-268-0016C 9/24/20 VC 23152(a)/(b) - Driving Under the Influence
20-280-0366C 10/6/20 . aa
CVC 23152(f)
20-283-0005C 10/9/20 CVC23152(a)/(b) '20-290-0419C 10/16/20 VC 2315j(a)/(b) - Driving Under the Influence ""'='20-291-0023C 10/17/20 VC 23152 (a), VC 23152 (b)
20-295-0384C 10/21/20 CVC 2315'!(a)/(b)
20-313-0034C 11/8/20 VC 23152(a) HS 11375(b%2)
20-316-0303C 11/11/20 23152(a) VC
20-317-0405C 11/12/20 VC 23152(a), VC 23152(b), VC 2902(a), VC 14601(a), VC 21651(b)20-327-0296C 11/22/20 VC 23152(a), 'VC '12500(a)
20-339-0256C 12/4/20 VC 23152(a)/(b), VC 20002(a)
a20-i41-0285C 12/6/20 CVC 231g>(a), CVC 23152(b)
20-364-0430C 12/29/20 VC 23152(a)/(b) - DUI
21-005-0003C 1/5/21 Vc 23x53(a), 12sOo(a)
21-016-0025C 1/16/21 CVC 23153(a), CVC 2800,3(a),
.21-017-0056C 1/17/21 CVC 23152(b), CVC 12500(a), CVC 23222(a)
.21-080-0047C 3/21/21 cvc2315;i(g) ' "
21-083-0455C 3/24/21 '1/C23153(a)/(b) ""-""
21-091-0278C 4/1/21 VC 21200,5, PC 415(1)
21-101-0037C 4/11/21 CVC 23152(b), CVC 23222(a)
21-102-0359C 4/12/21 cvc 2315z(a)
21-122-0408C 5/2/21 CVC23152(g),CVC12500(a) ' "' """""' """""""""'=""""""21-123-0014C 5/3/21 VC 23,152(a)/(b) " "'
21-123-0022C 5/3/21 CVC 23152(a), CVC 23140(a), CVC' aj>500(a) ' "21-137-0399C 5/17/21 CVC 23152(a/b)
21-143-0365C 5/23/21 .VC 23152(b), VC 23152(g), VC 23140, VC 12500(a)
21-146-0277C 5/26/21 CVC 23152(a), CVC 23152(b)
21-152-0214C 6/1/21 5V5'23.152(A),CVC23152(B) aa21-155-0202C 6/4/21 'C*23152(glCVC20002(a),HS'll375(b%l),14601.2(a) "" " """"' """21-161-0012C 6/10/21 VC23152'(a),VC231S2(b) "
21-163-0009C 6/12/21 CVC 23152(a)/(b)- DUI, CVC 20002(a)4 ;!t' and Run-Non Injury
21-169-0017C 6/18/21 VC 23152(b) - Driving while under the influence of alcohol
31 Can
RATES
EXHIBIT A
PROPOSED COSTS
FISCAL YEAR 2020-2021
CuPERTINO
LOS AITOS
HILLS SARATOGA
UNINCORP.
CITIES
GENERAL LAW ENFORCEMENT
Proposed Hours - Activlty
Proposed Hours - Patrol
Total Hours
Capped Rates/Costs FY 2020-2021
TRAFFIC ENFORCEMENT - DAYS:
Proposed Hours
Capped Rates/Costs FY 2020-2021
Motor
41,881.0 5,421.0
@!'\;'2;g 59,734,401
L! """""""' """"""" """"""
9,015.0
@ 5227,64
@ 6226.48 S2,041,717
51,260,003
1,859.5
S9,789
S411,401
20,%0.0
;4,662,546
14,696,0
93,415,791
4,195.4
9gss,ozg
TRAFFIC ENFORCEMENT - NIGHTS:
Proposed Hours 0.0 0.0
Capped Rates/Costs FY 2020-2021 @ 9234.92
Motor @ 5233.76
SO SO
INVESTIGATIVE HOURS:
ProposedHours 7,200.0 600.0 2,400.C)
Cappsd Rates/Costs FY 2020-2021 @ S229.65 61,653,480 t-==-?-SA317'7go 5551,160
FY21 Contract Cities Proposed Costs 3-20-2020 A-36
D5A=3%
State of California
state controller's Office
PEACE OFFICERS
PROCEDuRAL BILL OF RIGHTS
CLAIM FOR PAYMENT FORM
For State Controller Use Orily
(19) Pro(;lramNumber00l87
(20) Date Filed
(21) LRSlpput
Program
, 187
01) Claimani Identiflqtion Number 9843231 Reimbursement Claim.Data:02) Claimant Name City of Cupertino (22)FORM i, (04)34County of Location 8anta Clata (23)FORM '1, (05)1,841StreitAddressprP,O.BoxandSuite "lp300TprceAvenue (24)FORM 1,'€(X3)(A)(:g)City, 8:itei and Zip Cod4' Cupertino, CA$)60"l4 (25)'FORM 1, (08)(B)i :g)(03)Type of ClNim (28)FORM i, (06)(C)(g)(04)(09)Reimbursement 0 I:27)'F.e)RM 1, I:oeXDXg)(06)(10) Comibined I:28)'FORM 1, (08)(oa)(11)Amended (29)'FORM i, (09)(07)(12) Fir,aa( Year of Coat 2020/2024 (30)FORM 1, (11)(08)(13) Total Claimed Amount $1,841 (31)F(:)RM 1, (12)
(14) Less: 10% Late Perialty (32)
(15) Less: Pti6r Claim Pslynment Received (33)
("16) Net ClainThed /%m6unt $1%841 (34)
(17)DuefromaState $1,841 (35)
('18) pue to State (38)
(37) CERTIFICATION OF CLAIM
In accordarice with the provisions of Government Code se_mions 4 7660 and 17561, I certify thatl am the officerauthorized.by the 10(At agency.to fits mandated cost claims with the State of Calif6rnla for this program, and certifyunder penalty of perjury that I have riot violated any of the provisions of Article 4, Chapter "I of Division 4 of Title Iof the Government Code.
I fiirther ce0ify that there was no application other than from the claimant, nor any grant(s) or payment(s)received for reimbursem*nt of costs claimed herein arid claimed costs are for a new program-or increased level ofservices,of an exisjing program. All offsettimg revenues and reimbursements set forth in f.he parsmeters andguidelines ate identified, and all costs claimed are supported by source documentation curreritly maintained by thedairnant.
The amount for this reimbursement is hereby claimed from the State for payment of actual costs set forth on theattached statements.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and corred.
SignatureofAuthoriz@00fflcer DateSigned Z,]/sl;r'-.,-z_
==A'?Telephone Number (408) 777-3225
T7pe'orPrtntNameandTitleofAuthorized8ignatory EmailAddress kirstens(a,cupertino.orq
,Kirsten 8quarja, City Clerk
(38) Name ofAgency Contad Person forClaim Telephone Number
I 'Ematl Address
Name of Consulting Firm/Claim Preparer Telephorie Number (916) 797-4883
David Wellhouse & Associates, Inc Email Address dwa-renee@sucewest.net
Revised 9/2020
Mandated Cost Maliual for Loc:al Agencies
State of California
State Contro ler's Office Mandated Cost Manual for Local Agencies
PROGRAM I
,tg
I
1
PEACE OFFICERS PROCEDURAL BILL OF RIGHTS '11CLAIM SUMMARY
I
' FORM i
i i
j i,
11
I(01) Claimant
City of Cupertino
(03) Department
Claim Statistics
(04) Number of full-time sworn peace officers employed by the agency during this fiscal year 34
Flat Rate Method
(05) Total Cost [Line (04) times unit cost rate][Skip lines (06) through (09) and carry forward total to line (10)]Sl,841
Actual Cost Method
Direct Costs Object Accounts
(08) Reimbursable Activities
(a)
Salaries
(b)
Benefits
(C)
Materials
And
Supplies
(d)
Contract
Services
(e)
Fixed
Assets
(f)
Travel
And
Training
(g)
Total
A. Administrative Activities
B. Administrative Appeal
C. Interrogations
D. Adverse Comment
(07) Total Direct Costs
Indirect Costs
(08) Indirect Cost Rate [From ICRP or 10%]
(09) Total Indirect Costs [Refer to Claim Summary Instructionsl
(10) TOtal DireCt and IndireCt COS!S [Refer to Claim Summary Instrucfionsl !S:1,841
Cost Reduction
(11) Less: Offsetting Revenues
(12) Less: Other Reimbursements
(13) TOtal Clatmed Amount [Line (10) minus {line (11) + line (12)}]62,841
Revised 9/2020
State Controller's Office
Local Government Programs and Services Division
Local Reimbursements Section
State-Mandated Cost Manual - Unit Cost Rates
Local Agencies
Program
Number
Program
Name
2019-20
Llntt Cost Rate
.2020-21 -
Uriit Cost Rate90
187 .
262-
. Countywide Tax Rates
(l'=5eaa:;e=0ffle;rs=P;o;ed'ti;al=ffi!!l=;f'5!g'hts"""===""""="""=="""==""=="""=="""====""=-
i,-C;mea'G!ct!'m';=Dao;;;fficaVi:;!en'c;"f!nac!d'e'nt=5;;orts-=='='=="'===="'-==='=-""'
2.638l-- =-----=-- ---- ---'------------ ---------=- == l
: 50.30
i O.72
2.803
54.44
'=====-==-o:z;-==ll=---
School Districts
Program
Number
Program
Name
2019-20
Unit Cost Rate
2020-21
Unit Cost Rate
11 ,
32 '
48
155
166
250
261
272
297
330
357
368
CooislcleioctsiuvereBargaining and Collective Bargaining Agreement . 50723 . 6233mmunization ecors . 9.36 .
Notification of Truancy - 22.40 ' 23.87
Juvenile Court Notices II
PerNotice a, 81.83 l 64.98 sPerLetter . ' 43.96 ' 46.20
HabitualTruants 42.44 44.98
AIDS Instructions and AIDS Prevention Instruction _ 0.1050 =_ 0.1'l37
Pupil Health Screenings
IV.A.NotificationtoParents a. 0.1080 -, 0.1170
IV. B. Obtaining Parental Compliance ' 7.0527 . 7.6383
IV C.ExclusionofPupils 18.553 20094
', Annual Parent Notification / Schoolsite Discipline Rules/Alternative Schools
Per Page : 0.1042 - 0.1124
Per Notice , 0.4'146 o O.4469
GraduationRequirements 191.55 - 202.59
'H Consolidated Suspensions, Expulsions, and Expulsion Appeals a- 1V.D.3 (a) Hearing Preparation ; 222 81 - 238.82
1V.D.3. (b) Hearing , 278 14 , 298.39
!* Iv D 3. c) WGorivtteern,IExngpBuosaiordn ecommendation to the . 328096 1, 352091.[). . d Hearing ecor , 2.84 3,04, Immunization Records-Pertussis ' 1046 : 10.92. l -i, Immunization Records - Mumps, Rubella, and Hepatitis B i, 11.04 i, 11.82
Commumty College Districts
Program
Number
Program
Name
zoig-zo
Unit Cost Rate
2020-2'l
unit Cost Rate
232 Collective Bargaining and Collective Bargaining Agreement
, Disclosure 5.723 8.233
10/2021
0
;tate of Califomia
ItatO !onuuiivi 0 ulllug F
DOMESTIC VIOLENCE ARREST (
POLICIES AND ST ANDARDS I
CLAIM FOR PAYMENT FORM ,
"or State Controller Use Only
',19) PrograzNumberOC)167
';20) Date Filed
(21) LRS Input
Program
167
I
'Of) Claimant Ideritificatlon Number 984323'l Reimbursement Claim Uata
(02'i Claimant Name City <if Cupertino (22)FORM t.(04) (a)65
Countv of Location Santa Clara (2:Q)FQRM 1, (04) (b)232 .43
S-treet'AddreJeOrP.0.B(:lXandSuite l0390TQrrOAVOnue (24)FORM 1, (06)
City, Sttte, arid Zip Code Cupmtino, CA 95014 (25)FORM 1, (O?) A. (g)
(03)Type of Claim (26)F(JRM 1, (07) B. (g)
(04)(09)Reimbursement [21 (27)f'ORM li (07) C. (g)
(05)'(10) Com5ined (28)FORM 1, (09)
(06)(ll)Amendea (29)FORM 1, (10)
(07)(12)FiscalYearof0os! 2020?202'l '(90)FORM 1, (12)
(08)(1 3)'Total Claimed Amount $7. 252 (31)FORM 1, (13)
(14) Less: 10% Late Penalty (32)
(15') Lesp: Prior C3aim Payment Received (33 )
(16) Net Claimed Amount $7,252 (34)
(17)Duefrom$tate $7,252 (35)
(18) Due to State (36)
(37) CERTIFICATION OF CLAIM
In accordance with the provisions of Government Code sections 17580 and 17581, I certify that'l am the officer
authorized by the lool agency to file mandated cost claims with the State of Califomia for this program, and certify
under penalty of perjury that I have not violated any of the provisions of Article 4, Chapter 1 of Division 4 of Title 1 of
the Government Code.
I further certify that there was no application other than from the claimant, nor any grant(s) or payment(s)
received for reimbursement of costs claimed herein and claimed oosts are for a new program or increased level of
services of an existing program. All offsetting revenues and rsimbursements set forth in the parameters and
guidelines are identified, and all costs claimed are supported by source documentation currently maintained by the
daimant.
The amount for this reimbursement is hereby claimed from the State for payment of actual costs set forth on the
attached.statements.
I certify under penalty of perjury under the laws of the State of California that the foregoing is tnie and correct.
Signature of Authomed Officer Date Signed%I z-hh'->zz
xhtv+y5';- ,____Telephone Number
[' d' , -
(408) 777-3225
Tape Or Print Name and Title Of Authorized Signhtory Email Address kirstens@)cupertino.orq
Kirsten Squarcla, City Clerk
(38) Name Of Agency COntact Person far Claim - Telephone Number
,, ,- I Emiil Address
xame of Consulting Firm/Claim Preparer Telephone Number (916) 797-4883
David Wellhouse & Associates, Inc Email Address dwa-renee(a,surewest.net
rleVISea d/ZUZU
Cost Maniim for Lo',al Agencies
State Controller's Office Mandated Cost Manual for Lcical Agencies
,Pio;"; l]' DOMESTIC VIOLENCE ARREST POLICIE8 AND ST ANDARDS j
CLA€Msuvwaa'r 'l
FORM 'l
q 'j
I(C)I ) Claimant
City of Cupedino
(02) FiscalYear ,
202O/202'f
(03) Department
(04) Claim Statistics
(a) Number of reported responses to incidents in the fiscal year of claim 65
(b) Average productive hourly rate including applicable indirect costs
(Submit the supporting documentation for productive hourly rate)S232.43
(c) Standard time allowed - 29 minutes (0.48 of an hour)0.48
Unit Cost Method - Reimbursable Activity D
(05) Ongoing Activity
D. Implementation Of NeW POliCieS [Line (04)(a) times (04)(b) times (04)(c)]
(06) Total Direct and Indirect Costs for Activity D [Carry forward from line (05)(D)]
S7,252
S7,252
Dnrect Costs Object Accounts
(07) One-Time Activities
(a)
Salaries
(b)
Benefits
(C)
Materials
and
Supplies
(d)
Contract
Services
(e)
Fixed
Assets
(f)
Travel
and
Traininq
(g)
Total
A. Development of Written Policies
o
B. Adoption of Written Policies
o
C. Training Officers on New Policies
o
(08) Total Direct Costs (A, B, C)o
Indirect Costs
(09) Indirect Cost Rate [From ICRP or 10%]
(10) TOtal IndireCt COStS [Refer to Claim Summary Instructions]
(11 )Total Direct and Indirect Costs [Line (06) + line (08Xg) + line (10)]67,252
Cost Reduction
(12) Less: Offsetting Revenues
(13) Less: Other Reimbursements
(14) Total Claimed Amount [Line (11) minus {line (12) + line (13)}]S7,252
Revised 9/2020
EXHIBIT A
PROPOSED COSTS
FISCAL YEAR 2020-2021
GENERAL LAW ENFORCEMENT
Proposed Hours - ActMty
Proposed Hours - Patrol
Total Hours
41,881.0
Capped Rates/Costs FY 2020-2021
TRAFFIC ENFORCEMENT - DAYS:
Proposed Hours
g,ois.o
Capped Rates/Costs FY 2020-2021 @ S227,64Motor @ 5226.48 S2,041,717
RATES CuPERTINO
LOS ALTOS
HILLS SARATOGA
'i 5,421.C1 20,060.0
UNINa)RP.
CITIES
14,696,0
B,so,oos sa,4s:,sb 9:p,;;q;tgs.
1,859,5
69,789
S*i:i,e:i,
4,lp5.4
5955,029
TRAFFIC ENFORCEMENT - NIGHTS:
Pmposed Hours
0,0
Capped Rates/Costs FY 2020-2021 @ 6234,92
Motor @ S233,76 SO
INVESTIGATIVE HOURS:
ProposedHours
7,200.0
Capped Rates/Costs FV 2020-2021 @ 6229.65 = ,j,16,5p,480
60
GOO,O 2,400,0
S551,160
SO
FY21 Contract Cities Proposed Costs 3-20-2020 A - 36
DSA.3%
DOMESTIC V'OLENCE
Caae#Oate rThargei
20483-0079C 7/1/20 :273.5(a) I'C [F] Domestic Violence
2M84 -0322€?/atlO " iiji(ejii',i'iE'iujoamasUeN!!ary"""" = .... ..20-187-0111C 7/5/20 '
PC 273.5(a} P(: [F] OomestlcVlolence Batfflry Causlng Injury <> 236 PC [FI False Imprisonment 0 136.llb)11) PC [F] Dlssuading a Vlctlm f?am Repartlna! Cringe@ 12022;fPC (F) Felony Committed While on Felony Ball
20-188-022!C 7/G/20 '173,51a) pc (F} oomestic 'lllolence sattery Causlng Injury <> 245(a)i4) PC [F] Assault Wlth a DeadlV Weapan <> 211 PC [F] Robbsrv <> 236 PC [F] FalsaImprlsonment
20-191-037X .719120 273.51a) Pq [F] Domesklc Violence Causlng Injury
20-196-0309C 7/14/20 273.5ia) PC (Fl Domestlc Vlalence Cauilng Injury <> 245(a)14) PC [F] Assaultwlth a Deadly Weapon <> 273,6 PC [M] Violation of a Restraining Order
20-201-00SAC 7/19/20 mJal (a" PC l I iDomestlcViolence iaa20-201-0104C 7/19/zo "273,51 ',ai PC I F]i omestlc Violence Battery Causin4 Iniury
20-207-0344C 7/25/20 243(e)(1) PC [M] Domestic Elattery <> 591.5 PC [M] Obstruct the use of a wlrelass device <> 5150 Wl [0] 72-Hour Mental Health Evaluation
2CI-21!1-0028C 8/5/20 273.5(a) PC [F] Domastlc Violence <> 5')li5 PC [Ml Preventfimm calliiig 911 <> 136 PC [Fl False Impilsonment <> 488 PC [M] PettV Theft
20-221-0031C 8/8/2(1 273.!ii'a)jjCIPIDomes€lcVlolenceBatkeiy a aaaai
aiai ai aai20-233-(1019C gleam 2431e,I(1)"PC [M] Domeitic Violence " " " "20-23!)-0220C aQ6/20 273.51,a}PC(F]0omestmViol*ncelnvoMngCorporallBjurytoSpausec>2451a)01))'ClF]Assaultw/DeadlyWeapon
'2CI-243-0119C s/so/26 z'ia.Sl',a) FIC (q Corpoml Iriliiiyof!ipauasor Cahabltant <> 2za,6(a) PC [F) Violation of Restraining Order20-144-0110C 8/31/20 273,51101I PC I:EIDomestlcVlolence<>a2PtlFICrrnilnalThrests . .20-246-0325C 9/?/20 273a (a13}C I'@:.DomestlcVlgla(J 8@tkery <> z45(J(41 PC [F] Assault to uuse G(11 <> 422 PC lFf Ci!;lnal Threat
202520183C 9/8/20 273.5 K [F] ornestlc Violence, Felony () 236 PC [M) False Imprlsonment <!1 j43.4(e%l) PC [M] Sexiial Battery (> 591.5 P:'[M] Prevent calling !ill <>5150 Wl [01 Mental Hsaltlyj4old aai
2(1-252-0183C 9/8/20 273.5 PC'[F] DOmeStlC Vlolence+ Felony <> z:iti pc [M] FalSe Imprisonment<> 243.4(e)(1) PC [M] Sexual asttery (> 5915 PC [Ml PreVentcalling 911 <>5150 Wl }Ol Manual He'alth Hold
20-267-0175C 9/23/20 273d(aj' PC [FlChlldAbuse<>243(e)(1)T'C[Ml[i6;ffeii!aVlolence(lattery... aai '20-281-0120C 10/7/26 " ""273.5 pc'(:' Domestic Violence
20-285-OnB9C 10/11/2CI i?aa(a) PC IFI Child Abuse (> 243[e)1%) PC IMjt)4mattWiOlenWbttnry (> 59L5 PC(M'l fk'rm)Vlnp Electronic DegiCe " "20-294-0255C 10720/20 iii z>@,i,((i)pc it) DomastleVi@Iiiqees422ial pi [F] CtlmlnalTmeat20495-0042C 10}21/20 j7j:j.'jC_ {Pi DomeitleVloT*n<e Batte5'C'iuslng Injury " """20-2m-0075C 10/25/20 27.i.!11!5 $'C pj Cmmastlc Violence Battery <> 3056(al K [F] Parole Vlalatkin20-29!)-0092C 101:4iar'i ,2<3-(e 11i:i pc i M]i t'oni;stlc Violence !latkery20:i6\6334C 10/29/20 "'273-.!;1i}PC I i(:6rpoial Iniun On Spouse "'ia-aaj-oiigc 11/3/20 2t e.S:a) PC I:Fi Domestlcyiiilence 8atteryaiusinBlnluiy20-3100150C lq/5/20 D.3:5 a) PC [F]iDamestlcViolance8attery -20-3170281C 11712/20 273.5 PC (Fl Domestic'(/iJaiietyyl thtraumatlccondRlon
20-319-0328C 11/14/20 "'2745(a) PC jF) Corporal Irduryto':!pou;e""' """""" ""'
20-3200079C 11/15/20 273.5[a} PC (Fl Domastlc Violence Battery Causlng Injury <> 487(a) K [F] Grand Thefk - Value Over 5950 <> 591.5 PC [M] Prevent Call for Emergency20-334-0151C 11/29/20 243(e)(1) PC [Mi Domatl5.glolenpe Baktery <> 368(c) PC iM] ElderAbuse "20-3490338C 12/14/20 243(stI(J} F'C (Mi DomestlcVlolencenattety """"""""' """"'20-355-0009C 12,120/20 2>&!!1i4.ffiCi F)'.Dommth:'Vlal*nce aaltery('auslnB in)pry2a4S7-b2'inE"""'121JjlO za0ld Ijc iiji'L*Qd orloglvmutackwlth tbltdwho Is 9nder 14 <>.243(e )01) PC (Ml Spoutal !lattaq"i0-3ij-Oii2C 12,i22/20 " "'2j3.5i a':.I PC',FJ Felony Do;edic V!ale'nce (> 273.61a} PC (Fl Violation of Pnotectlva 'ardet ii20-363-0127C 12/28/20 273.!) PC [F] Domestic Vlole6ffl;'Bati;7 Causlng Injury """"""""'21-002-0123C V2/21 243(i IC ) PC[Ml Domestic vialance batkery not causlng Injury21-012-0457C 1/12/21 ""'273.5.(a) PC [1l] Domestic Violence Batkeiy Causlng Injury
21-017411 €1/17/21 24$)1:i)',?pl%l,,ponmxtkWolencaBattQ " ""' ""21-053-0379C 2/22/21 273,$,IN;lFlboamdia.Vlolince!hikbiryCausinglnlury " "' "" "21-(153-a084C 2/27/21 243(e)11) pC [M] Domestic Vlolsnce aaffery <> 2071a) PC [F] Kidnapping <> 236 PC [F] False Imprlsonnient <) 5150(a) Wl [01 AEp!lcatian farAssessment, 72-Hour Hold
21-064-0388C 3/5/2i"z<3(e)<1!> PC [M] Domstlc Violence <> 273a(a) PC [M] Chlld Abuse """"21-(172-0157C 3/13Ql 273.51;-)'K [F] Co;poiffi! Injury of Spouse or Cohabltant ""'21-078-03a2C 4/19/21 .24:l[e%l) K IQ Domastlc oatte;21-082-0092C ""''s7isfii '27&S(a) PC !Pl DamasllcVialanc6metti iry*lth Inlury <> 591.5 PC 'iM] Prevent Calling for Asslstancs21-(X17-0056C '3/28/21 27ad(ai iP6(tfl Chlla'Akille 6 243(e%l)i PC [M] Domestic Violence21-092-03R9C A/2/21 273.5(a,3) PC IFI Domesklc Violence
21-(194-0115C 4/4721 2431e)(1) PC iMj 6on'i;stlcVlolence Batkery Nok Causing Injury (> 236 PC [F] False Imprisonment <;i'li'.'5 PC'OM] Preventlng Calling 9-1-1 an CellPhone
zi-itig-oziic 4/19/21 243 e 1 PC [M] [)omestlc Battery
21-112-0340C 4/22/21 24!*L PC IM] Domast!cVlolenca Battery "21-!jU 1-a2iK 4/23/21 "'243€(::) pc.ii41 Dome;i!c eattQ j> 137 €10 PC IOj'Domestlc blspute21-11!!02aac 445/21 24'J(i It,t ),PCIMJ Oamestlc.Vlolence Battery Not Causlng Injury21426-0003C 5/6/2i"273.5 a)3) PC [F] Domestic Violence (> 3056 PC (Fl Parole Hold21-127.0120C 5/7/21 24311 (1IK [M] DomesticViolence
21429-0028C 5/9pl' .zn,spclv)'oomesticvioienceauiirig'hilury "" " " "" " """""2143t)0306C 5/10/21 271,51B) PC (pl Domestic Violence <>27JJb) PC IMJ Child endangsrment21-1310153C 5/11/21 2431e)(1) ?C (Ml Battary W s Spouse "21-136-0262C 's4.6/il U3.51 a) PC ('l Corparal Injury ofSpouse or Cohabitant<> 23G PC IF} False Imprisonment21-147-0295C :(i/'ii7/fl z<ale,'Ill PC iM] Domestic Violence Battery
""" ""'21-148-005(IC @4i !a/ax 275.!a} K I i Battery Caus1ng Injury <> 245(a)(4) PC [F] Assault- areat Bodllv Injury21-1!i'l0204C €i/8/21 "zys,s'l!l) F'C (P j Domestic Violence" """ " " """""' "'
21-168-031I(iC epylifi' """ :273,316>pc(p1oomesticviotenceffiattaiycaiiii4nly ,,,,,21-17!i-Offii5C uufii i4j(*l(1) ))C'0yll Doniestla aattay.2$-178-0201C 6F?/2!_ ii as(e)(1)PClMlDomastleVki)ene#Battary " ""-""" " ""' - -
(o!:igr
atate ofOalifornia
atate aokitrollar'a Offtce
""'--'["BME-8ilCVIC5LENCEARRE8T8.ANDVICTIM
iASSISTANCE CLAIM FOR PAYMENT-FORM
I
For 8tataController Ust5-nly
(19) ProgramNumber00274
(20) Date Flled
(2'i_) lRllnput . ,, -,-,
Pvograrn
274 !
- .ijj')'El@imant Identtfiaatian Number 084328i ' Reim5ursementClaimi Data %',02) aldimpnt.%ame City of'Q_iipamino (22)rosu i, (p*) A. 1. <t):'ounty of Loqtion 8anba elara - (23) .FORM-i, (e4') A. 2. (f)3tnaatj";drealQrF!OaBoxand8ulta j0300ToH@yenue '(24) :FORM i: (1*4) A, 3. (f)City, Sttte, and.2ip (:ioae Cupertlno, GA 960f4 -(:25)FORMI,(',W) B. I(f)5,0371(ea)Typeaf'Claim
-l:26) FORQI: (;as()I:(14)',(OEI-)Relmbumierr)ent
(21 " i(27)FORM 1, (007-) '[0;)[11(/1.C,embiried
I(28)'FORM 1, I;og)l(06:)(I'l:},.Arneviaeei
(29)FORMi,l (i'O)
I
p2:)(112:- )Fiaml Year o9 Cost 2020/2024 '(30 )I I "'(08:i.(f3)"7otal Clalrffed Amount' $5,037 (31 i'
I
(14).Less: '1U5% I_ateaPeJalty ('32 )'(16:) Less: Prior elaim P-ayitnt Reoeived i:33):la )NetClalmiArnomrit ii ....$5,037 I:.34)'iff-L-_._._(1'7)'Due.hmemte $5,037 I{36:)i"-""a'-"-'-'-' -(li8i )Du'a.te_ata- te
(36:)I-(3;7) C:-ER'f71F-ICATION OF CLAIM - -lnamrdaneemththeprpvisionsofGovernmentCaelaaeationsl7680andl7561,Immfy.thatlamtheoffloer
'autiorizedm7the loaal a@s4y to file m@nelateJ mat da)mswith ttiia State of California forttiis pr6gram, ani certffyumd@rpenalty6f@slury.tuat:l'haVenstvieilatedanyoftheprovibioffsofArUda4,Ohapterl
5f5ivisimi4pfTitlsslof the Government aode,
I further oertify that there We_S no applimtion other than from the claimant, nor any grant(s) or payment(s)remived.for teimqhursem*rit of oosts.qlaime4 iereln arid al*imea oo6ts arefora riew pf:Ogrtam or increased live( ofsenims.of an existimg pcagram. All offaettiryg revenues arid. relmbucsements aetto* In the pammetem andguieteliries are'imeritlfied, and all coats claimed are supportelhy sourcedqauarientation airreritly-maintained by thedaimant,
The amountkrthis reimbursement is hereby daimed from the 8tate for payment of adual msts setforth on theattadied sbaternents.
I oerUfy under penalty of perjury underthe laws ofthe !3tate & Caltfomia thmthe foregoing is true and corred.
8ignatureo-fAuthomedC&er
DateSignad_ - .(l -
----=;ZAVhsrz;l- = - aI,%'lVy,pa,,8-, .___,_
I '- - -
Telephone Number
f _. _ _ ._.. ... _.. _.
j' J' "
(408) 777-3226TJ!pe"orPrintNameandTitla,ofAuthomed'Signa-tory----'-Ern-ail:Aairem
'-k!mensa'cuoertino.oro ";Kiraten aquarcia, City Clerk
Mandatad CoatManual for local A@saies
(38)NsimeofAgengyC,ttitadPeraonforClalm
T*lephone'NumberI .. -,I Emaiil Addresa a '-I'Name of'Consulting. Flmi/alaim Preparer Telephona:Number (916) 7e?-4883 a" - "- --.DaV@d WOllhoua@& Aa*eeLataa_ era? fffflei!l Addfflae jiataa xxvizAjjeiyi isxiiiixai& xas&
- - - - - - - - --- q + a;++ giyy yayal ar i y 1*1111411 lallilMl QQa-l tjlp!)161(45ul tjWQQl,jlll51R4aVIMla !1/20!0
State of California
State Controller's Office Mandated Cost Manual for Lccal AgenciesPROGRAM
274 DOMESTIC VIOLENCE ARREST8 AND VICTIM ASSIST ANCE
CLAIM SUMMARY
FQRM
j
(01) Claimant
City of Cupertino
(02) FiscalYear
2020/2021(03) Department
DirectCosts ObjictAccounts
(04) Reimbursable Activities
(a)
Salaries
(b)
Benefits
(C)
Materials
and
Supplies
(d)
Contract
Services
(e)
Fixed
Assets
(f)
Total
A. One-Time Activity
1. Print Victim Cards
2. Add Two New Crimes to Response Policy
3. Add Information to Response Policy
B. Ongoing Activities
1. Provide Cards to Victims 9i5,037 SO SS,037
(05) Total Dired Costs SS,037 SO 65,037
Indirect Costs
(06) Indirect Cost Rate [From ICRP or 10%]
(07) TO!al IndireCt COStS [Re%r to Claim Summary Instructions)
(08) Total Direct and Indirect Costs [Line (05Xf) + line (07)]S5,037
Cost Reduction
(09) Less: Offsetting Revenues
o
(10) Less: OtherReimbursements
o
(11)TotalClaimedAmount [Line(08)-(line(09)+line(10)}]
SS,037
Revised 9/2020
State of California
State Controller'= Office Mandated Cost Manual for Local Agencies
PROGRAM '
274 ;
DOMESTIC VIOLENCE ARRESTS AND VICTIM ASSIST ANCE !i IACTMTYCO8TDETAIL i
i
. i
FORM i,
') i' I,, ,l(Oat) Claimant
City of Cupertino
(02) FiscalYear
2020/2021
(03) Reimbursable Activities: Check only one box per foim to identify the activity being claimed.
A. One-Time Activities B. Ongoing Activity
€ 1. Print Victim Cards [' 1. Provide Cards to Victims
a 2. Add Two New Crimes to Response Policy
a 3. Add Information to Response Policy
(04) Description of Expenses ')bject Accounts
(a)
Employee Names, Job
Classifications, Functions Performed
and Description of Expenses
(b)
Hourly Rate
or Unit Cost
(C)
Hours
Worked or
Quantity
(d)
Salaries
(e)
Benefits
(f)
Materials
And
Supplies
(g)
Contract
Services
(tl)
Fixed Assets
Police Officer/Sergeant
Time spent providing victim cards
to victims, explaining what the
card is and how the victim can
use the card, addressing all
questions about the card and
shelters and providing an
interpreter, if necessary.
Police Officer/Sergeant spent 20
minutes per case. There were 65
cases during the fiscal year.
$232.43 21 .67 $6,037
(05) Total Subtotal Page: __ of $5,037 $0
Revised 9/2020
EXHIBITA
PROPOSED COSTS
FISCALYEAR 2020-2021
RATES CUPERTINO
LOS AITOS
HILLS SARATOGA
GENERAI LAW ENFORCEMENT
Proposed Hours - ActMty
Proposed Hours - Patrol
Total Hours
41,881,0
Capped Rates/Costs P/2020-2021 @5a 9232.43 ) 69,734,401
TRAFFIC ENFORCEMENT - DAYS:
ProposedHours
9,015.0
Capped Rates/Costs FY 2020-2021 @ 6227,64Motor @ 5226.48 S2,041,717
s,*zi:o n II 20,060.0
!91,260,003 n S4,662,546
1,859,5
69,789
Sqi:i,ao:i
4,195.4
5955,029
UNINCORP.
CITIES
14,696,0
53,415,791
TRAFFIC ENFORCEMENT - NIGHTS:
Proposed Hours
Capped Rates/Costs Pf2020-2021 @ S234.92
Motor @ 5233,76
INVESTIGATIVE HOURS:
Proposed Hours
Capped Rates/Costs FV 2020-2021 @ 6229.65
SO
SO
7,2(}0.0
61,6;3,480
600.0
S137,790
2,400.0
6551,160
0.0
50
Pf21 Contrad Citie(Proposed Costs 3-20-2020 A - 36
DSA=3%
DOMESTICVrOlENCE
Casa# I0ak (:larpffl
20-183-€K17!IC a?/142 )-'-'l;rs.51a)ff: [r Domest1c Violenceos-oxuc !n ':I'rai :af1ill 1.1PCIMl(tkmkry
20-187-0111C '7/5Qa .PCi73.5(a) PC [F] DomestlcThlene* 8atteryCaulng Injury 6 za6 PC[@1 Falielmprlsonmentz 13allb)11) PC tpl Dlssuadinga Vlctlnifram Rapiirtlng:a*imes>xzoazitpclq.rmonycommitteawhiieon Fllony8all
204a-0224C '
I
"" ""' " "' I
7/6/20 27:1,51a) PC (tl Domedc Violence Bittery causlng lnju7 c> 245(a):4) Pc'[F] Xsmult%Vlth a Deadly Weapon (> 2ii Pe""""-[FlRo-hbery F-alia'-'Imorlmnment
20-191-0372C .1"7/9/20 273.5(a) PC (q Domutlc !/lolincs Causln@lnlury
20-196aC 7/14/20 ,273,5(a) PC IFI DomesUcVlolanca Causlng ln3ury <>245ia)041 PC [F] Assaultwltha DeadlyWeapon <>273,6 pc [M] Violation ofa RestralnlngOrdar
I
20-201<105JK :7/19/20 27a:81@i PC,F Domatlc Vlc lence20-El-0104C 7/1!1/20 273,51 a'I K [Fi Domestic Vlol.ance ffiatteryCausln4 Injury ..____2(1-2a7 444C 7/25/20 2431e)(1) PC IMI Domatlc BaFtery > 5511.5 PC [M] C)bstruct the use of a wireless davlce <> 5150 Wl iO] 72-Hour Mental Hulth Evaluatlon
E-218-(K128C a/5/20 273.5(a) PC [F] Domastlc Vlalenoe<> 591,S PC [M} Praieritfrom callirig 911 <b 236 PC [F] False lmprlsonmeritz418 PC (Ml Patt'vTheft!0-221-(X)31C api=f !3J1il41Cpl l':)omatlc Violence Bittgy!0-2!li-0019€a/2_0/20 .R 73(e)(i)-PC [1VJ oomaitlc Vlolenceto-z:tg-oz2tiC 8/21/20 273.!i.Th PC ,FlI kmatk: Wlolencelnvolvlng Corpoml InjurytoS(iause<>2451Jl 10 PC',FI Auaukw/ t!iaadlyWeapon2(1-243-0119C 'apt p_0 m34 x) El :FIir4om I.lnlqofspaut*v €1)l)1111klivffi6ayi;a(*) PC iF) %I aU(ih if'Ristralnlrig Ord ler " -' a "'- -20-244-611(x:@pII Qa 2 7%.S !,lail( Ijl I,tkimm IcV lolance zaii-K,l iQ.eilin)inalT+ir4ats'
""'!0-246-032!+C 9/i 1/20 vli .1 lil Thfi It)6Vl6mpa4Thttary<>245 la)14) PC [F] Auaultto awe GBI <> 422 PCiiF] Criminal Threat
j iAl a'i.1.1%l I
20-252-0183C 9/8/20 273.5 PC [F]'DomastlcVlolence, Felony c> z36 PC [Ml False lm-prlsohm*ntx>243.41si)01) pc lM] Seiiuil Battery +59i.5 PC IMI Preventcalllng !Ill <>51_50W1 (O] Mental Heahh Hold
to-zsz-oiasc 9/8/20 273.5 PC iF] Dommtlc VIOlanCli FelOnY (> 236 PC [M] False ImpTiS€lnment(> 243-4(e)il) K (Ml Sexual gsttary <) 5913 PC [Ml flraientcalling su '5150 Wl !Cl] Mental Health Held20-267-0175C 9/23720 27:li I(t I t'(. I[F]ichiiabuiec>iu(e)(i)pc{wl6;rffm_ cVlolenceBatterv!0-281-Q120C 10/7/XI '273.5 'P'-(Pi l omai tltVlolance
"a1041B-0(X19C 20/1:1/20 R7b (*).PC P)Chlli abut;c>24%(0114):Pcl'mum!b1Th ila wiH:aa"'%ffi.sas pciMlRasovmx!_tec__=. _ __ . .i(l<20)4 €12.5!IC 19/21I/X !Ilp,j i€*>J tQm imm%6i4i$i PC i F]e'rlm!nalIThraat " " "'="" - "-"'=""" " "' """"'-' -i()..li )5-Dla142C '10/2:ifi-o i b !I ii.1 mffl (llal;'l)lil +am #;it eiiig lii lurv 'ol 'l!0;2!19-(1076iC IQ/2!i/a )7I '!i *i'i i f i.l X Nu )lc Vlo enca 3atbi_ yq30%_ils}pCIF]t)arolaVlomtion "'a-10-2 99-a09;;(IQ/2i ilt;:)11III [e il k)i(INl €omastlc V lolenca BattaHi(k!(13-0331IC 10/1))il;)!:I .5 a 11K :I l]c orpon i%lurV Oh !ipousa ' a- a10-3 kO:l59g 1171/'i !..B Al'lK j$Ii-0mfflm IcV Iglenc* IfflH $Cau!mghilury
""""
20-310-01_50C ilQ%'20, :l,10;54 i FtC Ipi I oma_t IcVId lancet!aHIeQ20-317-5 izaic 11/1:1/20 y3,5p :tFJ Domestic(Da ma;h'mumaUc'ffindlUan
--20-31%5C 11/1-4/20 d %M "l'a'Q'a7iTlmurytoi iause ,-
20-320-0079C 11/15/20 z73.5(a) K (FJ Domestic Vlolanca Battery Causlng Iniury oal7(a) tlC IF) Grand Theft - Value Ovar5r3o <> 591.5 Pc (Ml Prevent Call for Emergency20-334-0151C 11fBri o 24 l(el 3:i. PC I M)I Damaatla Vla%nca Ilattery<>36!llc)PCIM)Elder0yse " "' """:_o-:iag-oaaac U/14/20 24 il6)I Jili'PC_lAd)i.Domastlc V olenc* Ilackey20-355-t )D0 )C "/?D,tx 15ffi!!l il11P€:l Jek :tmMalmffll m titjr.@audtip.t0yry2J)41SIAa)j K'(2)The,126 ia l(ptI #10)t I uewdaor'!eaQ;{%h calrdw)io iiu3derl4 <>..24i(e.)(1)'PC(MlspousalMuary10-3 574 t36 IC '1:!/'22 rzo !7 l 51,i I PCitI, F*lonyDomdc'Mi oisl1ce'<>_273.61:a)'fi-r. (Fl Vlolitlon-of Prabia Order '!O'3fi3-1 )-12 7C li Jll I,rzo i7 :l,!i 'a I PC I Domestic Vlolencajlatt*ry Caualng(11lurV '-11-002.1 )123C x '2/2 f i4 ff(a l(.kiiN 'lI fAJ Domestm vialance battery not caui}ng Injury11-012457C i:'1;10I:!1 ""i7 3.5 :a_)PC (!] Oomatlc Via en>3att_er_y Causln_g Injury1114l).7-1)2jilC 11'l?'/21 IA 3(Nf 1${KlilWlilkmm # Vl kl ffiil !j*j#*l*+
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