23-016 David Wellhouse and Associates for 2023 State Mandated Cost Reimbursement Claims/§David Wellhouse
,..and Associates, Inc.
February 27, 2023
Ms. Kristen Squarcia
City Clerk
City of Cupertino
10300 Torre Avenue
Cupertino, California 95014
RE: COPIES OF FEBRUARY 2023 ST ATE MANDATED COST REIMBURSEMENT
CLAIMS
Dear Ms. Squarcia:
Enclosed are the copies of the February 2023 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 relationsip 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 2023 state mandated cost reimbursement claims. Should you have any questions, please contact
me at (916) 797-4883.
y'
Renee M. Wellhouse
Enclosures
3609 Bradshaw Road, Suite H-382 a Sacramento, California 95827
(916)797-4883 - FAX(916) 797-4887
*DavidWellhouse
...andAssociates, Inc.
ST ATE MANDATED COST CLAIMS RECE1PT
FEBRUARY 2023 ST ATE MANDATED COST CLAIMS
AGENCY: CITY OF CUPERTINO
CLAIMANT ID#: 9843231
February "15, 2023
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
Chapter 256, Statuies of 1995
Domestic Violence Arrest Standards
Chapter 898 & 702, Statutes of 1998
Domestic Violence Arrest & Victim Assistance
CLAIM PERIOD
PI. 2021a022
FY. 202al/2022
AMIOUNT
$6,879
$4,777
Chaptsr 1460, Statutes of 1989
Administrative License Suspension
FY. 20;'1/2022 $2,514
Chapter 465, Statutes of 1976
Peace Officers Procedural Bill of Rights
FY. 2021/2022 $1,876
Chapter 328, Statutes of 2017
Racial and Identity Profiling
FY. 2(121/2022 $40,967
4EflT.[, 77
STATE CONT-Fl-0-LLE'-R":i Oi .
DIV. OF ACCOUNTIN(i & REPOR I"
Steve Purser
Recelved By:
State Controllers Office
Division ofAccountlng & Repontng
Local Reimbursement Bureau
State of Catifomia
State Contmller's Offioe Mandated Cost Manual for Local Agencies
DOMESTIC VIOLENCE ARREST
POLICIES AND ST ANDARDS
CLAIM FOR PAYMENT FORM
For State Control!er Use Only
(19) ProgramNurnber00l67
(20) Date Filed
(21 ) LRS Input
Program
167
(01) Claimant Identification Number 984323j Reimbursement Claim Data(6n) Claiinant Name City of Cupertino (22)FORM 1, (04) (a)57
County of Location Santa Clara (23)FORM i, (04) (b)251.44
Street AddreSS Or p.o. Box and Suite 10300 Torre Avenue (24)FORM i, (06)
City, State, and Zip Code Cupertino, CA 95014 (25)FORM 1, (07) A. (g)
(03)jype of Claim (26)FORM 1, (07) B. (g)
im)(09)Reimbursernent [_(27)FORM 1, (07) C. (g)
(05)("10) Cor6bined ' (28)'-FORM 1, (09)o(06)(11 ') A- mended ' (29)FORM 1, (10)
(07)(12) Fiscai Year of Cost 2021/2022 (30)FORM 1, (12)
(Ci8)(13) Total Claimed Amount $6,879 (31)FORM 1, (1 3)
(14) Less: iO% Late Penalty (32)
(j"b) tress: Prior C!airri Payment Received (3'3)
(18) Net Ciaimed Amount $6,879 (34)
(17) DuefromState $6,879 (35)
(18) Due to State (36)
(37) CERTIFICATiON OF CLAIM
In accordance with the provisions of Govemmerxt Code sections 17560 and 17561, I certify that ! am the officerauthorized by the local agency to file mandated cost claims with the State of Ca!iforriia for this program, and certifyunder penalty of perjury that I have riot violated any of the provisions of Article 4, Chapter 4 of Division 4 of Title I ofthe Goverrirnent Code.
I further certify that there was no application other than from the ciairnant, nor ariy grant(s) or payment(s)received for reimbursement of costs claimed herein and claimed costs are for a new program or increased [eve! ofservices of an existing program. All offsetting revenues and reimbursements set forth in the parameters andguidelines are identified, and all costs clairried are supported by source documentation currently maintained by theclaimant.
The amount for this reimhursement is hereby ciairned from the State fov payrrient of actual costs set forth on theattached staterrients.
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
X p/W e-=/rb,) Terephone Number (408) 777-3225
Type or Print Name'and Title of Authorized Signatory Email Address ___kli_SJ(J Q._QlA3jiQ. c_tJQ
Kirsten Squarcia, City Clerk
(38) Name of Agency Contact Person for Ciaim Telephone Number I
I
[(y)3ji AddreS8 I
'Name of Consulting Firm/Claim Preparer Telephone Number (gie) 797-4883
'David Wellhouse & Associates, Inc Email Address _Cl_V'il_g_"ie_i3_q__('_@).H_Jp_'4eSf__.n6';
Revised 10/2022
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
PROGRA-M -I
i25,
I DOMESTtCVJOLENCEARRESTPOLJCtESANDSTANDARDS
CLABMSUMMARY 'I
IH
(Ol-)Claimant
City of Cupertino
(02) ---'Fiscal Year '
202j /2022
(03) Department
(04) Claim Statistics
(a) Number of reported responses to incidents in the fiscal year of claim 57
(b) Average productive hourly rate including applicable indirect costs
(Submit the supporting documentation for productive hourly rate)S25L44
(c) Standard time allowed - 29 minutes (0.48 of an hour)0.48
Unft Cost Method - Reimbursab[e Activity D
(05) Ongoing Act:vtty
D. Implementaion of New POlicieS [Line (04%a) times (C14)(b) times (04%c)]
(06) Total Direct and Indirect Costs for Activity D [Carry forward from line (05)(D)]
S6,879
!!,6,879
Direct 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
(,. Training Officers on New Policies
o
(08) Total Direct Costs (A, B, C)o
Indirect Costs
(09) Ind!rec COSt Rae [From ICRP or 10%]O.OO%
(10) TOtal IndireCt COStS [Referto Claim Summary Instructions]
(11) Total Direct and Indirect Costs [Line (06) + line (08Xg) + line (10)]%,879
Cost Reduction
(12) Less: Offsetting Revenues
(13) Less: Other Reimbursements
(14) TOtal Claimed Amoum [Line (11) minus {line (12) + line (13)}]S6,879
Revised 10/2022
DOMESTIC VIOLENCE
Case #Date -Charges
21-187-011gC '7/5/2021 243(e)(1) PC (Ml Domestic Violence
zi-igo-oiagc 7/8/2021 273.5(a) PC [F) Domestic Violence Causlng Injury
21-Ig20084C 7/11/2021 243(e)(1) PC [M] Domestic Violence Battery <> 5'll.5 PC (M) Obstruct Communicakion Device
zx-xgs.oazoc 711412621 273.5(a) PC (Fl Domestic violence - vlslble Injury <> 245(a)(1) PC (Fj Assault likely to cause GBI
21-2020114C 7/2(1/2021 243(e %1) PC [M] Domestic Violence Batteiy <> 591.5 K (Ml Prevent rrorn Contactlng 9-1-1
21-2040085C 7/)'2/2021 273.5(a} pc IFI Domestic Violence Battery c> 273alhl PC (M) Child Abuse
21-205-0163C 7/24/2021 273.5(a) PC [F] Domesklc Violence
21-207-0147C 7/26/2021 273.5(a) PC [F) Corporal Injury to Spouie <> 5150 Wl [OT 72 Hour Evaluation
21-215.0053C 8/3/2021 273.5fa) PC (F) Domestic Violence Causing Injury <> 273.6(a) PC [M] Violation Of A Restraining Oider
21-2170252C 8/5/2021 273.5(a) PC (Fl Domestic Violence
21-224.0351C 8/12/2021 243(e%l) PC [MI Domestic violence battery <> 418 PC (M} Tenant lockout <> 211 PC (Fj Robbery
21-229-D15RC 8/17/2021 273.!ila) K [F) Domestic Wo)ence Batkery
21-233-014 €1C 8/21/2021 243ie)(1) PC (M) Doniestlc Violence
21-234-0234C 8/22/2021 273.5(a) PC [F] Domestic Vlolence Causing Injury <> 422 PC [F] Crimlnal Threats <> 27560 K [M] Failure to Register a Firearm Wlthin 60 Days. <>
251t)0(2) PC [Ml Crinilnal Storage of Firearm <> 273ala) K (FI Child Endangeiment
21-237-0417C 8725/2021 273.5(a) F'C (F] DomesUc Vlolence with Injury
21-2480150C 9/5/2021 243(e)(1) PC [Ml Domestic Violence Battery
21-263-0373C 9/20/2024 243(e i(l) PC [Ml F)omestic Violence Battery <> 236 PC [MI False Imprisanment
21-26:AOO38C glz<lzozi 273.5 :a) PC [F) Domestlc Violence
21-;177-0316C 1C1/4/2021 273.5(a) PC jF) Domestic Vlolence Causlng Injury
21-278.0428C 10/5/2021 273.5(a) PC [F2 Domestic Vlolence Bat!ery <> zisio(gXl) PC IFi Improper useofteargas
21-2820014C 10/9/2021 236 PC [F] False Imprisonment <> 236 PC [Fl False Impilsonnient <> 1481a%l) PC [M] 'Oelay Peace Officer <> 243(evil) PC [M] Domestic Vlolence <>
S"ll.5 PC IMlPiaiient Call for Assistance <> 136.Xb)111 K IMl Diisiiade Witness
21-285-0304C 10/12/2021 273.5(a) PC [Fj Domestic Violence Causlng Irilury <> 148(a%l)'PC [M) Resist and Delay Peace Officer
21-2gl0315C 10/18/2021 273.5(a) PC [F] Domestlc Violence Battery Causlng Injury <> 136.1(c)(1) PC [F] Intimldate a Vlclim with Tmeats of Force c> 236 PC iF] False
Imprisonment
;ii-zga.ozozc 10/20/2021 243(e)(1) PC [M] Domestic Violence Battery
21-296-0298C 10/2372021 273.51a) PC (Fl Corporal Injury to Datlng Partner <> 236 PC (Fl False Imprisonment
21-313-D:132C '11/9/2021 273.5(a) PC (Fl Inflictceiiporsl injury an spouse
21-317-0127C 11/13/2021 243(e)(1) PC [M) Domestic Violence Battery
21-319-a056C 11715/2021 273.5(a) PC (Fi Corparal Injury to a Spouse
zi-aig.oasac iui9;io;it 243(e)(1) PC [M] DornestlcVlolence Battery <> 236 PC (M) False Imprisonment
21-345-0260C 12/11/2021 273.5(a) PC [F] Domestic Battery Causing Injury <) 273d(a) PC [F] Child Abuse <> 236 PC [F] False Imprisonment <> 243(a) PC [M] Battery
21-3550402C 12/22/2021 273.5 PC jFiDomestlc Violence Battery (> 262 PC (F) Spougal Rape
21-364-0211C 12/30/2021 273.5 PC (Fl Domestic Vlo!ence Battery <> 211 PC [FI Robbery <> 166 (a)(41 PC [Ml Vlolatlon of a Restraining Order
22-029-015CIC 1/29/2022 243(e%l) PC [MI Domestic Vlolence Battery
22-(143-(1252C 2/12/2022 273.5(a) PC tFl Domestic Violence
22-(158-0257C 2/27/2022 273.5(al PC (F) Coporal Injury to Spouse
21-072-03&7C 3/13/2022 211 K [F] Robbery (> 273.51a} K jF] Domestic Vlolence
22-077-0380C 3/18/2022 273.5(a) PC (F) Spousal Abuse with Injury
22-079.0315C 3/20/2022 243(eel PC (Ml Domestic Violence Battery
zz-ogs.oogic 3/26/2022 273.5(a) PC [FI Domestic Violence Batteryw/ Injury
22-086-0239C 3/27/2022 243(e)(1) PC IMI Domes(lc Vlolence
22-0!l0al76C 3/3U2022 273.5(a) K (Fl Domestic Violence <> 422(a) t'C IFI Criminal Threats
22-104-0362!C 4/14/2022 273.5(a) PC (F) Domestic Violence Corporal Iniurv
22-111-0016C 4/2172022 243(e)(1) PC [M] Domestic Vlolence Battery
22-111-a371C 4/21/2022 273.51a) PC iF) Domestic Violence Battez Causin@ Injury <> 236 K [F) False Imprisonment
zz-usozagc 4/2372022 273.5(a) PC (Fl Domeskic Violence (lattery w/ Inlury
22-125-(1067C 5/5/2022 273.5(a) PC (F} Domestic Violence Causlng Injury
22-132-0409C 5/12/2022 212.5(cl PC (Fl Second Degiae Robbery <> 173.5(al PC IF) Corporal injury to Spause
22-143-0372C 5/23/2022 273.5(a) K [F] Corporal Injury to Girlfriend <> 245(a)(4) PC [F] Assault Llksly to Cause Great Badlly Injury <> 236 PC iF] False Imprisonment
22-1460339C 5/26/2022 243(e)(1) PC (Ml Domestic Batkery
22-157-0016C t}6/2022 273.5(a) PC [Fl Domestic Vlolsnce Causlng Injury
22-160.0160C 6/9/2022 273.5 PC (Fl Domestic Battery
22-161-t)169C 6QO/2022 2431E)11) PC (M) Domestic Violence Batkeg
22-161-0434C 6/10/2022 243fe) (1) PC [M] Domestic Vlolence
22-16%279C 6/15/2022 273.5 la) PC (Fl Domastlc Violence Batkery Causing InJury
22-169-0072C 6/18/2022 243(e%l) PC (M) Domestic Violence, Misdemeanor battery
22-169-0278C 6/18/2022 273.5(a) PC [FI Domestic Vlalence Causlng Injuries <> 273a(b) PC [MI Child Endan@erment
22-171-0083C 6/20/202!273.5(a) PC iF] Corporal IniuHtoSpouse
5'l Oage)
affllff A
98(MS5D Ha
RA"a ajP €MO
LOi ALTOS
HllL$SARATOGA
lmlNCORP.
aTla
6iENERAl tAW alffiRCEMW
Proposed Now-AeUvRy
Propmed Hotira-Patma
To €aR Hours
u&sesao
Capped Rafas/Costs N 2O20-202!
TRAFFIC ENFORCEMENT - DAYS:
Propeam Hours
0,Q!5.0
4,!95.4Cmppei P.mfcs/aist r'V 2020-2O2! @ S227.64'Mkmxhr
@ 6226.aa $2ffiX,7!7
$9,7a9
64%:,40!
$955,029
TWPIC !NFORCEMINT - NlaMTS:ff'vapgaegHlaura
Q.O
CappedRmtas/CaitsFY 2020-2021 @Mem @
$za*.sz
$233.76 60
Pr04ea WOuj'a
60
fl21Cofflmett.!%ip(i(@i rrms q-?&?020
A-W
D!A=@
Cupertlno Los Altos Hffls Sarato@aGeneral lawlnforcemantSeniloas
Budgeted Costs FY2021-2022
ProposedCosts FY2022-2023
Change (6)
Change (%)
§20,168,707
§12,000,463
62,329,200 64,870,568
65,26a,stso
6398,392
8.18%
!Supplemental SffiVleea TPaffk C!Jffin'a'ffl'., ffl " !!!VBudgetad Costs FY 2021-2022 62,'130,275
Proposed Costs FY 2022-2023 62,341,3e!B
Changa(S) S198A31
Change(%) ' 9.21%
6443,€182 9999,668
us,sv ss,em,vs
%i<zs 6gi,zey
9.12% 9.12%
ffnVf'4gEgi.nlivb !'i.ibJbii
Budget-ad Costs
Proposad Costs
Change (S)
Change (%)
nzezi-zazz
FY2022-2023
Suppl*mantil Rwbviirv &mkats
Budgeted Costs o FY 2021-2022
Propoa4 Costs P12022-2023
Change (I)
Change (%)
TraffieSaqpant
Budgeted Costs
Propased Costs
Change (!!l)
Change (%)
FY2021-2022
FY 2022-2023
School Reaourees Offimr
Budgeted Costs
Proposed Costs
change(9)
aianga (%)
FY2021-2022
FV 2022-2023
61,742,544
. = :6),$,i5i2
647,8@8
2,74%
1107,778
62%,780
(585,998)
-79.79%
6486,536
esa:i,g@
6:is,ass
3.17%
6574,732
6@9,086
944,354
7.72%
6145,212
i* 9142,2%
63,984
2.74%
Sl,437
61,452
S15
1.04%
90
90
60
o.oo%
60
10
60
O.OO%
9580,848
1894,7@4
6is,gas
2.74%
!522;209
64,48
(617,721)
-79.79%
60
60
60
O.OO%
6251,445
6270,850
619,405
7.72%
UulualqOnYm
bias
93,568,189
63,860451
S291,862
8.18%
Page I 18
Nbndabd Cost Manual for Lora@ Agencies
DOME:ST!C"VIOLENCE ARRESTS AND VICTIM IASS[STANCE CLAIM FOR PAYMENT FORM
I
(19) Program Number 00274 1
(20) DateFi)ed I
(21) LRS Input I
For State Controller Use Only
Program
j 274
(O'i)ClaimantldentificationNumber 9843231 Reimbursement Ctaim Data
(02) Claimant Name City of Cupertino '(22)FORM 1, (04) A. 1. (f)
County of Location 8anta Clara (23)FORM I , (04) A. 2. (f)
StreetAddressorP.0_BoxandSuite 10300TorreAvenue '(24)FORM 1, (04) A. 3. (f)
City, Stzte, arid Zip Code Cupertino, CA 95014 '(25)FORM 1, (04) B. I (f)4,777
(03)Type of Claim (26)FORM j, (06)O
(04)(09)Reimbursement :_](27)FORM 1. (07)
(05)(10) Combined (28)FORM 1, (09)
(06)(11)Amended (29)FORM 1, (10)
(07)(12) Fiscal Year of Cost" " 2021/2022 (30)
(08)(a!3) Total C!airried Arriount $4,777 . (31)
(14) Less: I 0% Late Penalty (32)
(j5) Less: Prior Claim Payment Received . (33)
(16) Net Claimed Amount $4,7??, (34)
(17)DuefromState $4s777 , (35)
(18) Due to State (36)
(37)CERTlFtCATlONOFCLAlM '
In accordance with the provisions of Government Code sections 17560 and 17561, I certify that I am the ofiicer
authorized by the local agency to file mandated cost claims with the State of California for this program, and certify
under penalty of periury that I have not viaiated any of the provisions of Articte 4, Chapter I of Division 4 of Title 1of the Govemment Code.
I further certify that there was no apptication other than from the claimant, nor any grant(s) or payment(s)
received for reimbursement of costs claimed herein and ciaimed costs are for a new prograrri or increased !evel of
services of an existing program_ All offsetting revenues and reimbursements set forth in the parameters and
guidetines are identified, and ail costs claimed are supported by source documentation currently rt'taintained by the
c!aimant_
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 true and correct.
ISignature of Authorized Officer Date Signed
x ,-=- ""/r/2-) Te[ephoneNumber (408) 777-3225
,TypeorPrintNameanJ'TitleofAuthorizedSignatory EmailAddress __k_ir>B@p_47q__.erg
Kirsten Squarcia, City Clerk
(38) Name of Agency Contact Person for Claim Teleohone Number
I Email Address
Name of Consulting Firm/Claim Preparer Telephone Number (916) 797-4883
David We!lhouse & Associates, Inc Emaii Address i___dyja_____r_e_ne___e@,_s_ltra_WeS___t,tlef
ReVtSed 10/2022
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
PROGRAM
274 DOMESTIC VIOLENCE ARRESTS AND VICTIM ASSIST ANCE
CLAIM SUMMARY
FORM
j
(01) Claimant
City of Cupertino
(02) FiscalYear ,
2021 /2022
(03) Department
DirectCosts ObjactAccounts
(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 S4,777 60 S4,777
(05) Total Direct Costs S4,777 SO S4,777
Indirect Costs
(06) Indirect Cost Rate [From ICRP or iot)O.OO%
(07) TOtal IndireCt COS!S [Refer to Claim Summary Instructionsl
(08) Total Direct and Indirect Costs [Line (05Xf) + line (07)]S4,777
Cost Reduction
(09) Less: Offsetting Revenues o
(10) Less: OtherReimbursements o
(aH) TO!al Claimed Amount [Line (08) - {line (og) + line (1o)}]S4,777
Revised 10/2022
State of California
State Controller's Office Mandated Cost Manual for Local Agenciec
[UJj DOMESTIC VIOLE;lCErAtf,RE.;:AV:CTtM ASS(STANCE
' fm2(01 ) Claimant
City of Cupertino
)----- Fiscal Year'
202"0 /2022
(03) Reimbursable Activities: Check only one box per form to identify the activity being claimed.
A. One-Time Activittes B. Ongoing Activtty
€ 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 Object Accounts
(a)
Employee Names, Job
Classifications, Functions Performed
and Description of Expenses
(b)
Hourly Rate
ot Unit Coat
(C)
Hours
Worked or
Quantity
(d)
Salaries
(e)
Benefits
(f)
Materials
And
Supplies
(g)
Contract
Services
(h)
Fixed Assets
Pofice Officey/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 57
cases during the fiscal year.
I
I
$25"t .44 "19 $4,777
(05) Total Subtotal Page: of $4,777
Revised 10/2022
DOMESTICVIOLENCE
(aW_Q1 'a' 1 am ' Cmirgax- _.' - .. - - --- - - ----' """'----#=-= " '-"'- - -" '-- -''21-li7:01196 j/5/2621 "iiii;1(1)PC!MJ"OamestlcVioience""'-" -" "'--' a"'-'---"""-'-'""' " ""'--a'--- ""- --21-1!10-014!1(, __7/8/2621 @73:5ial?_CJF),pom_a_stltVl_lnJgy , _ _,,___ _ ___ _ __, _, _,____"2j:ii-2-a(ija ""-,7/11/2(ii-1 -243(e)(1)PC $-M)'Domestlc Viorencs Baffiiry-'<->-591.-5PC (M)pbs-truct Communicajo-n Device - - -- -- ------- - - - - -- - '-- - " - - - - - ' "- 'il-f j5-037(IC 7/f47f621 273.5(i) PC IF) Doniestlc violence - visible Injury <> 24!ilp)1)) PC IF2 Assault 11kely to cause GBI21-2 -02'?tlf4C 7/20/2021 24:1(i )(1) PC (M) Domestic Violence Flattery <> 5!11.5 PC (Ml Piavent From Contacting 9-1-121-2i(09085C.__ _____7122[_i021 _2_73_,S(aitQ(El04pegple;_c_e__Ba@lb_l0 ._ ______ __ ______ _____, _ ____ _ ___2'i:i0-5-0163-C' --,7/2Vai€iir 5, I,a tR (2:'G*s"'-stlc Galence'-' -'-'7 7 -'--" ""-""-'- --'-""-" " - -' - -------- - " J --- --- "'ri:z-ouii4Tc -jl26721021 2jjji ja jiC (Fj-(:;ipaial Injury to S(iauge <> 5150 Wl (01 72 !oui Eval-uat1on - ' ""'- ' " '--- - " -2-1-215-Of!i3C 8/1/2021 273.5i'a IPCIFlDomestlcVlolen_ceCaii*Ing_Iiurv<>273.6(a)PC(MlVlolatlqnOfARast_ ralnln40rder21-217-0252C 8/5/2021 273.5(a I PC [F) Deimestle Violence
21-224-0351C 8/12/202!zaali_)(:f) PC (M} Domeitrc vmlance battery <> 418 PC %l Tenant lockout <> 211 PC (F) Rabbery21-2'i9-01-58!.atiyixizz -273.5(a) PC (FI Domestic Wolence Batterykl-2.13-0140C 8/21/2021 2431e)(1) K (M) Domestic Violence ._
21-234-0234C 8/22/2011 273.5(a) PC [FI DomesUcVlolence Causlng Injury<> 422 PC [Fl Cilmlnal Threats <> 27560 PC [Ml Failure ta Reglstera Flreatm-Within 60 Days.<>k5_lO_0(2).t,C[Ml_Crirnlnal StorageofFlrearm i:>273ala) PC (Fl,Child Endariger@ant _, ____, _______,, , _ _ ___ __ _ __ _ __-2i?237-0417a 7 sjTyioix- "27j,'j(a)i(:.(06ffimestlc_Wolencewl.ihlnJury " - -------"--' ---- "' "'- "- '21-248-0150C 9/5/202!24'lle Ill) K [Ml'Domatic Violence (latiery21-26:1;0373C 9/20/2021 zo:ile l(1) PC [M] Domestic Vlolence Battery <> 236 PC jM) False Imprisqnmenn _ _ __2414@74-3!IC ilz47;ion 273.5 (a) PC [F)lDomastlcVlolenca _ __ _ _ __2!1-277 416C 10/4/2021 27:l.s(a) PC iq lDomeitlcVlalenca.Causln@Injury ._ _ _2147842BC 10/5/2021 " :273:5(1 )PCif ioomsstieviaiericssattary<zzaio(gilij'pclp1'?mproperussotteargas "- " -
21-282-0014C 10/9/2021 236 Pc[?] Falselniprlsonment<> 236 PC [F] Falsa Imprisonment<>148(aXl) PC IMI Dalay Peace Officer<>2431eHl) PC [M] DaniesllcVlalence<>_591,pP_(_lM)Pteyp_ntCallforAulsta_nca.<>2%.1(b),(1}.P_ClMl,Dl4tuade,Q!tne_ss______ ___ _, _______aslo-s-no-c- -'-'-so2iaji-6ii'--273."ij-a)?(:(F)(iomestlc'Vlolence'E-auslff@Injury<y'i48?;)ii!'Pe(M)Ralstarid6era-vPeaceOfficer ' "'- ' -"'-" ' -24-2!11-0315C 10/18/2021 27i.S{a)PC(F]DomestlcVlolenceBatteryCausinHlnlury<>la6Jc)11)PC[F]lntlmldateaVictimwithThreatsofFiircec:+236PC[F]?:i-Ise- "Imprlsonment
:'1-29m2-4ie 10/20/2021 .243(e)(1)PCIM30omesticVlolanr.eBattery il __________ ___ _21-296-0298 €10/23/2021 273.51a) PC_i:F'', Corporal Injury to Datlng Partner<> 236 PC (FI False Inlpilsonment21-3j$03:12€11)L9i202l 27tl,5i !al K'l IF'i-iffrk ceirp-oral Injury_an spouss - -21-:117-0127C "12j 'f3/X121 z*a(eI(l),uC (Mi Damastlc Vlolence Battery -3;-gig-aossc 11/15/2021_273.5.'p} PC (Fl.Corparal Inlury.tii x Spouia21-31'i-03A-:IC rui';120;11-i4:i(a)(i) PC [M] DomestlcVlalancs Battery <> 236 PC (x) False Imprisonment
21445-0260C xzliiQozi 273.Sla) PC IF) Domestic Battery Caus}ng Injury <> 273d(a) PC [F) Child Abuse <> 236 PC (Fl False Imprisonment <) 243(a) PC [M] Battery
21-355-0402€12/22/2021 273.5PCiFlDomatlcViolencsBatteryc>262PC(FISpousalRas - - '-"21-3t40ffrC '22/30/2021 273.5 K (Fl Domatlc Violence Battery<> 211- PC iFi Robbery<> 166 (a)(Q PC (M),Vlalatlon of a Restraining Order22-029-0150C 1/29/2022 2431a)(1)aPC_ (M) DommtlcVlolsnca Battery
22-043-0252C 2p2/2022 273.5(a)PCIF)DomestlcVlolenae __ ___ _ _xi-osg-ozszc 2;a7/2022 27j.!;(a) NC (F)-Coparaf tnJury to Spguse
21-072a87C V13/2022 allPC(F]Ribffrv<>z73.5(a)P!.(FJ'oomestlcVlalence '22-0>7-OmOC .'4_ano:iz_ f 2ji.51 p)jC(Fl_$ouselAbu.s_swlthl_nJuH . . _ ___ _ . ____ ______ _______ ______ ___ _____ _22.07!i-D315C -a7z-olzozz - -243(e ir-PC(M-10;niastlc*!o-IencaB-attery " ' -'-"-""' " ---- "-'-'- " "-'-- "--" -' -'ax-mg-(xigxC 3/26/2022 273,5i a) PC (l')Domii'flc-Vl- olerice8attervw71n-lury
2246-023"lC 3/27/2022 2431aIll) m:,IM) Domestlc Vlolenca
22!030ffOl76C 3/:41/202i2 273.51 ja) PC41I-DomesUc Violence.<> 422(el) PC IF) Crlmlnal Threatsm4(14-Oa62.C yso7z=i2 r7-.S 'a} flC II') Domestic Violence Corporal Injury22-iff-€lOr6C "41il1262i2 zs(a 11:k) PC [M)-5oiastlcVrolence-Bat€ery _.... ___22.111-0371C -=)1/21/1-022 _173.!V a IKI Q Dom*stlcVlolence Battary Causin4 Injury (> 236 PC IF) palse Imprisonment _ ____22-113-0289C -4-723/2022 Q73.!!jaI PC:Fl Domestic Violence Batterv w/ Inlury.22{25-0067C 5/5/2022 27i:51 'a I PC',Fl Doniestlc Vlolenee Ciuslng Injury
22-132-0409C '5/12/2022 212.5i',c) PC i',F) Second Deltas Robbay <) 273,5(a) PC iEl Corporal Irilury to Spouse
22-143-0372C 5/23/2022 273.5(a) PC iF] Corporal IrJuryto Glrffriend <> 245(a%4) PC (Fl Assault Llkelyto aiuse Great Bodily Injury <> 236 PC (Fl False Impdsonment
22-146-0339C !i/26/2022 24:1(e-1(1k} PC-(MJ Doiaii!c B-atteiy
22ffll57ff00l6C i/6/2022 Z73.5(a iPC (FI OomaitlcVlolenca Causlng Inlury
22-160-0160C 6/1/2022 273.5 PC"jFl Domestic Battery
g%p<xrsc -,,5/i-o2zoi_z -24_1(E1(li_pC(MlDom_astlc.Vlolencg_@attey __ . ai22-16i-04me_ -67!i0-/-2022- '-24-3ril'(jj PC $Aj D'om-sst!c iiitilsnce "- "- " - - "- ' -"'-" - '- ""- ''n-ieis-ozzgc 6/15/2022 273.5 (a) PC (F) Domastlc Violence Battsry Causln4 InJurv.2;,-169_q072C_6Q8 1_/2022 zas(e)(i) PC-(M]JOoffi_es-tic v=ience, Misd_emein_or bati_arv __, - _ _ _, ,,, __ ,,, _ __ ,, ____ ,,,22-It!1-027K -6/i-j f7zi-z -j7-j.'5(a)PC(Fj-,Dams-st!cVlak;nceCffiuslng-Inlur!a-x6'>-73a(6-)PC(M)C'6jdEndangermsnt- "'- "-- --" -""'- - '- '-22-171-0083C i/20 i/X122 27:l.51a) PC (Fl Corporal In)uryto Spouse
57 Ca9!.:r
M?"b
afflffiA
LDSALTO$
CUPERTRWO HtLLS sm
uWINa)RP.
cma
GENERA! !AWENFORCEMENT
To5au Hours
Capped Rates/amts FY
Mmy @ $227.64
@ $226.N $o7as
$4t%4!
$955,029
TRAFFIC ENFORCEMENT - NM3HTS:
Ra.u ! aliJ ( !utaiii
0.O . O.0
conred !afg/Oxrsi FY 2020-202! * *zs4.92Momto
@ $233.76
INV!$T €aAffiE MOuRS:
Proped Hours
CaDffd aies/Cats ff 2020-202:[ @ $229.65
7,2QO.Q
64,653,4aO
6Q0.0 - 2,400.0
ii 643779g . $qs44;eio
FY21(!'a$RnHsJroposad!l=2O
:1020 A-a6
[fA4%
Figcal Years 2022-2022 and 2022-2023 Costs Corrxpaison
CuperUno LosAltosHiTo
aenaral LIW EnforaamamSendees
Budgeted Costs FY2021-2022
PmposedCosts FY2022-2023
Change(S)
Change (%)
SI0,268,707 61,3t9,200
911,000,463 6%,423,880
Supplemental SOmCt%-Tg*ffli Eiaftnuaq@nt- Q@y
Budgetad Costs FY 2 €)21-2022 62,!50,275
PraposedOosts FY2022-2023 04,ap
Change(61
*:tga,eat
Change(%)
' 9.21%
Invsas*%dbas Qqrylcta
Budgeted Costs
%Oposed 0g5
Change (6)
Change (%)
PY2021-2022
FY2022-2023
Supplemental Rasaxa brvkai
BudgetedCests - FY2021-2022
Proposed Cosb FY 2022-2023
Chat'ige (l)
Change (%)
l'raffiCSvi@v*ni
Budgeted Costs
Pmposed Costs
Change(!S)
Change ('Q
FY 2021-2022
FY 2022-2023
SabOvl ni*uur!iia Orfiiiur
Budgeted Costs
Propo4ed Costs
change(S)
Changa(%)
FY 2021-2022
FV 2022-2023
61,742,!i44
!52,790162
647,BOB
2,74%
5 ioy7ya
621,7Q
(985,998)
-7g,79%
Sa6,sag
65alJ66
!915,410
3.17%
9574,732
!>sxg,oBs
644,354
7.72%
6443,082
gsa@my. -
%,425
9.12%
9145,212
3449,$%
63,984
2.74%
51,437
63.452
615
1.04%
60
SO
60
O.OO%
60
SO
SO
O.OO%
Sarato4ga
S4,870,568
65,268,960
#98,392
&18%
S999,688
6iJ)90,875
691,207
9.12%
6580,848
6S%,70
815,'336
2.74%
§2z;209
64,488
(617,721)
-79.79%
60
60
SO
O.OO%
6251,445
6270,850
S19,405
7.72%
uuUiiw!'piuisdmJ
Areas
63,568,189
*634q0,951
6291,862
8.18%
Page I 18
C/
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
ADMINISTRATIVE LICENSE
SUSPENSION - PER SE
CLAIM FOR PAYMENT FORM
(19) Program Number 00246 I
(20) DateFiled I
(21) LRS Input I
For State Controller Use Only
Program .
246
(01) Clairnarit identification Number 984323j Reimbursement Claim Data
(02) Claimant Name City of Cupertino (22)FORM i, (04) A. I . (h) .
County of Location Santa Clara (23)FORM 1, (04) A. 2. (h)
Street Address or P.0. Box and Suite 10300 Torre Avenue (24)FORM 1, (04) B. 1. (h)2,248
City, St=te, and Zip Code Cupertino, CA 95014 (25)FORM 1, (06)o
(03)Type of Claim (26)FORM 1, (07)
(04)(09) Reimbursernent B (27)FORM I , (09)
(05)(10) Combined (28)FORM 1, (10)
(08)(1 ! ) Amended (Fg)-
(07)(12) Fisca) Year of Cost 2021/2022 (30)
(08)(13) Totai Ciaimed Arriount $2,514 (31)
(14) Less: 10% Late Periaity (32)
(15) Less: Prior Claim Payment Received (33)
(j6) Net Claimed Amount $2,514 (34)
(17) Due from State $2,514 (35)
(18) Due to State (36)
(37) CERTiFlCAT10N OF C-LA- IM
In accordance with the provisions of Government Code sections 17560 and 17561, I certify that ! am the officer
authorized by the iocal agency to fife mandated cost claims with the State of California for this program, and certify
under penalty of perjury that ) have not violated any of the provisions of Article 4, Chapter 5 of Division 4 of Title 1 ofthe Government Code.
) 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 prograrri or increased level of
services of an existing program. Ail offsetting revenues and reimbursements set forth in the pararneters and
guidelines are identified, and a)) 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
x +' % '2,-,''/7/,3, Telephone Number(408) 777 -3225
Type Eir Print Name and Title of Authorized Signatory Email Address !(ir stens@ci.iperti no*org
Kirsten Squarcia, City Clerk
(38) Name of Agency Contact Person for Claim Telephone Number
Email Address
Name of Consulting Firm/Ciaim Preparer Telephone Number (916) 797-4883
David Wellhouse & Associates, Inc Email Address C!__iJ'/a'-cr_,i'p__i'!e_p_@J;_l_-Ii:b____VvC!S!.t-iC-.ii
Revised 10/2022
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
PROGRAM-I
,o 246 il-.........-. ..........
- - -- -' I
Administrative License Suspension- Per Se l
CLAIMSUMMARY '
I-(Ol)-C-la-imant: " "' -'-' -'----'-'-"""'-"-----'-"-"-'-""--------'-""'-
Cfty of Cupertino (On)--------=a-""""-"'-""'-"" =-"--- 2FO)f2:a/:2'ffi022
- - -- "- 1(03) Department
i'-'-'-'-'-'-'-'-""""-""""""'-""""""""""""""""""""-"'-"-'-"-"""'-""-""-"""'-""'-""""""""""""-"-""'-'-"'-""""""-'-""'--"""""""""""-""'-""-" """- --'
4osts _l.* 'i ObjectA.ccounts _____ I
i - --
(04) Reimbursable Activities
(a) '
Number'
of
Cases
---l
"-""""-"-""""' I
(b) i
Uniform :
Time
Allowance j
(hours) li
.-.-l
"""' ""'-'""""""l
(c) '1I Salary
Hourlyl
Rate 'l
)
I.i
""-"'-('d)"""-'I
:Benefit
Rate
I
I
(e) '
Subtotal
Salaries
____(at)'im" _,,_mesesc(l::.1
"""' "-"l(f)
I Subtotal'
I
E?.,::,
(e)
1. .w
(g)
' Materials &
Supplies
I
rh* I' Total I
i (e) + (f) + I(g)
A. Minors Detained But Not Arrested
1. Admonish Drivers/Screen Tests on
Minors (IV.A.L & 2.)q--""""""""-"'1
a.-2667 ._l -l - g
-'-"""-"'-l
I
I
I
-'
I
I
II
O!
2. Seize Licenses & Serve Notices/Completing
r3toA5e)ports/ JJub mitReportstoDMV( LV.A.
-l-""-'-
-l 0.2500
I
I I
I
I
I
I
il
I
j I -l
$0
- -'-- ---""-"'----"-'-'--'---' "'- -"-"-'--"-"""-"""-'-'--""'-""'-""" - '- I
B. Arrested Drivers for Violation or DUI Statute
1. Seize Licenses & Serving Notices/
Completing Sworn Reports/ Submitting Reports
'tO DMV (IV. B.1 . tO B. 3.)
il
' 40
-l
10.25001
I
i
I
$2_51,44 :
7'--""-" "l
)
it
I
I
' $2,514
- J
I I
I
I
__$2,5_!_!1
(05) Total Direct Costs
r-'l ""- I-(
I 1'.$2,514 l - -'lI
$2,514
Indirect Costs
(06) Indirect Cost Rate [From ICRP or 10%]
O.OO%
(07) Total Indirect Costs [Line (06) times line (05)(e)]I
(08) Total Direct and Indirect Costs [Line (05)(h)+line(07)]
' $2,514
Cost Reduction
- " ' '- '-' "'-" -'--'- '-'- '
(09) Less: Offsetting Revenues
- "i
$0
___...__ I
(10) Less: Other Reimbursements
' -'- I
$0
I
ffiTotal Claimed Amount [Line (08)-{line (09) +line (10)}]
I
$2,514
i ______ I
Revised 10/2022
RATES
aHIBffA
PROPO6!D COSTS
FISCALiR 2020-202!
10S AL'TOS
....5gp.gy3;g... . a-'-!'!!!"!'--t SARATOGA
Uf41NCORP,
ctna
GENERAI tAW ENFORCEMENT
Pyo@osed Hours - At)vlty
Proposed Hours - PatroJ
Tota( Hours
TRAFFIC ENFORCEMENT - DAYS: i 6 ";L ;= bProposedHours
9,Ot5.0 !,859.5 4,%9S.4 0.0CappedRates/CostsFY 2020-2O2! @ 6L!7.64
691789 $955,029 90
TRAFFIC ENFORCEMENT - NIGHTS:f%roposed Hours
Cooped Rates/Costs Pf 2020-2025L @ 6234,92Motor
@ 6233.76
INVESTIGATaVE HOURS:
Proposed Hours
Capped Rmes/Costs FV 2020-202:L @ 5229-65
0.0
7,200.0 , , 600.0
6:1,653,480 1137,790
2,40Q.0
O.0
!SO
0.0
lilllOMlffls ,, IIIIP
FV21 ContractCIUasJroposed Costs :440-2020 A-:16
63%
Fiscal Years 2021-2022 and 2022-2023 Costs Comparison
Cupertino Los Ahos Hills
General Law En&rcernentServlces
BudgetedCosts FY2021-2022
Proposed Costs FY 2022-2023
Change (e)
Change (%)
SI0,168,707 61,319,20D
Sll,000,463 Sl,423,880
Supplemental Seniics - Traffic Enforcement- D9Y
Budgeted Costs FY2021-2022 !52,150,275
Proposed Costs FY 2022-2023 62,348,306
Change(S} S198,031
Change(%) ' 9.21%
Invest!gative Seniic*s
Budgeted Costs
Proposed Costs
change (S)
Change (%)
FY2021-2022 !51,742,544
FY 2022-2023 Sl,790,352
647,808
2.74%
Supplemental Resehe Senilces
Budgeted Costs - F%' 2021-2022
Proposed Costs FY 2022-2023
Change (*)
Change (%)
TrafficSatgeant
Budgeted Costs
Proposed Costs
Change (6)
Change (%)
FY 2021-2022
FY 2022-2023
School Resources Officer
Budgeted Costs
Proposed Costs
change(9)
Change (%)
FY 2021-2022
FY 2022-2023
S107,778
S21,780
(S85,998)
-79,79%
S486,536
S501,966
615,430
3,17%
9574,732
%ig,oss
544,354
7.72%
9443,082
Ma,soy
940,425
9.12%
S145,212
9iig,igs
S3,984
2.74%
Sl,437
61,452
915
1.04%
90
50
SO
0,00%
90
SO
!50
O.OO%
Saratoga
S4,870,568
55,268,960
5398,392
g.:tav
9999,668
61,0510,875
691,207
9.12%
6580,848
6sgs,zsi
615i936
2.74%
!522;209
54,488
(S17,721)
-79.79%
90
SO
50
O.OO%
S251,445
5270,850
S19,405
7.72%
Umneorporated
Areas
63,568,189
63,860,051
S291,862
8,18%
Page I 18
DRIVING UNDER THE INFLUENCE
Case Dare. a Charges
21-182-0031C 7/1/21 CVC 23152(a%b), PC 148.9(a)
21-184-0049C 7/3/21 VC 23152(a)/(b)-DUI, VC 14601.1(a) - Supended or Revoked DL
21-195-0024C 7/14/21 VC 23152(a)/(b) - DUI, VC 12500(a) - Llnlicensed Driver
21-199-0281C 7/18/21 CVC 23152(f) , CVC 12500(a)
21-203-0362C 7/22/>-1 CVC 23152(b)/CVC 14601.1
21-209-0018C 7/24/21 VC 23152(a)/(b)
21-220LOO40C s7jzz:i,"cvc zaisz(a)/(b)
21-227-0031C 8/15/21'PC 3056(a), VC 23152(a)
21-239-0309C 8/27/21 CVC 23152(b)
21-241-0007C 8/29/21 CVC 23152(a/b), PC 148(a)(1), CVC 14601.2(a)
21-242-0037C 8/30/21 VC 23152(a)
21-249-0229C 9/6/21 a cvc zsisz(a)/(b)
21-280-0026C 10/7/21 VC 23152(f), VC 2800.2(a), VC 2800.4
zi-zgs-oogoc 10/22/21 VC 23153(a) VC 2800.2(a) VC 20001(a) HS 11378 HS 11379(a) HS 11364(a) PC466PC485
21-297-0045C 10/24/21 CVC 23152(b)
21-297-0049C 10/24/21 CVC 23152(a), CVC 21651(b)
21-311-0036C 11/7/21 CVC 23152(a), CVC 12500(a)
21-318-0002C 11/14/21 CVC 23152(b)
21-323-0353C 11/19/21 VC 23152(a), VC 23152(b)
21-326-0341C 11/22/21 VC2j'l52(f),VC2800.2(a),VC2800.4, PC148(a%l)
21-339-0020C 12/5/21 VC 23152 (g)
22-005-0003C 1/5/22 VC 23153(a), 12500(a)
22-030-0269C 1/30/22 cvc z:iisz(a)/(b)
22-031-0020C 1/31/22 CVC 23152(b) .
22-032-0027C 2/1/22 VC 23152 A/B
22-038-OD12C 2/7/22 cvc z.iisz(aXb)
22-044-0020C 2/13/22 CVC 23152(a/b), CVC 21806(a)(1)
22-051-0015C 2/20/22 CVC 23152(a), cvc 23152(b)
22-056-0285C 2/26/22 VC 23152(a)/(b)
22-064-0330C 3/5/22 CVC 23152(b), CVC 12500(a)
22-078-0289C 3719/22 cvc 2315z(a)
22-080-0024C 3/21/22 CVC 23152(a%b) - DUI
22-107-0049C 4/17/22 CVC 23152 (a), CVC 23152 (b)
22-114-0045C 4/24/22 CVC 23152(a), CVC 23152(b)
22-114-0303C 4/i4/22 VC 2800.2(a), VC 23152(a/b), VC 23247(e), HS 11357(b)(2)
zz-iis-ooogc 4/25/22 CVC 23152(a)/(b)
22-119-0310C 4/29/22 VC 23152(a) and VC 23152(b)
22-134-0187C 5/14/22 CVC 23152(a%b), CVC 12500(a)
22-139-0025C 5/19/22 Vc 23i5z(a)
22-161-0276C 6/10/22 VC 23152(a) / 23152(b)
40 (2(lf5
C/'
8tate of Ca@ifomia
!3tate Contmler's Office
PEACE OFF!CERS
PROCEDURAL BILL OF RIGHTS
CLA!M FOR PAYMENT FORM
For State Controller Use Only
(19) PrograrnNumber00l87
(20) Date Filed
(21) LRS Input
Program
187
(01 ) Claimant Identification Number 9843231 Reimbursement Clairri Data
' (02) Claimant Name City of Cupertino (22)FORM 1, (04)34
',6ounty of Location Santa Clara (23)FORM 1, (05)1,84%
'gtreetAddressorP.O.BoxandSuRe 10300TorreAvenue (24)FORM 1, (06%A%g)
'City, State, and Zip Code Cupertirio, CA 950'l4 l (25)FORM 1, (06%B%g) "
'(03)Type of Claim (:_e)FORM 1, (06)((j)(g)
'(04)(09)Reirnbursement e '' (27)'FORM 1, (06)([55(g) "
:(05)(alO) Combined , (28)FORM 1, (08)
(06)(! I ) Amended i (;_g)FORM 1, (09)
i(07)(12) Fisca! Year of Cost 2021/2022 I (30)FORM 1, (11)
(08)(! 3) Tota! Claimed Amount $1,876 i (31)FORM 1, (12)
(M) Less: !0% Late Penalty (32)
(15) Less: Prior Claim Payment Received ' (33)
(16) Net Claimed Amount $1,876 (34)
(17) Due from State $1,876 I (35)
(18) Due to State i (36)
'(37)CERTIF!CATIONOFCLA!M '-'
In accordance with the provisions of Government Code sections 17560 and 17561, I certify that I am t!ie officer
authorized by the local agency to file mandated cost claims with the State of Caiifornia for this program, and certify
under penalty of perjury that I have not violated any of the provisions of Article 4, Chapter I of Division 4 of Titie Iof the Government Code.
I further certify that there was no application other than from the claimant, nor any grant(s) or paymerit(s)
received for reirnburserrient of costs claimed herein and ciaimed costs are for a new program or increased level of:services of an existing program. All offsetting revenues and reimbursements set forth in the parameters and'guidelines are identified, and all costs claimed are supported by source documentation currently rrnaintained by the
Iciaimant.
:The, amount for this reirnbursement is hereby claimed from the State for payment of actual costs set forth on theI:attached statements.
i
':l certify under penaity of perjury under the laws of the State of California that the foregoing is true and correct.
I
fSignatureo!AuthorizedOfficer DateSigned i
',- 4,- 2,Ek Telephone Number (408) 777-3225
.TypeorPrintNarneand'ritieofAuthorizedSignatory EmailAddress kirstens(.copertirio.orq
Kirsten Squarcia, City Clerk
(38) Name of Agency Contact Person for Claim Telephone Number
I Email Address
iName of Consulting Firm/Ciaim Preparer Telephone Number (916) 797-4883
DaVid Welihouse & ASSOCiateS, InC Email AddjqSS da,va-renee@su_r_evye_si,pe__t
Revised 10/2022
Mandated Cost Manual for Lor:al Agencies
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
l"loM"7i
l'i
ff
PEACE OFFICERS PROCEDURAL BILL OF RIGHTS
CLAIM SUMMARY Il
j I
(01) Claimant
City of Cupertino
(03) Department
Claim Statistics
(04) Number of full-time sworn peace officers employed by the agency during this fisca! year 34
Flat Rate Method
(05)TotalCost [Line(04)timesunitcostratel[Skiplines(06)through(09)andcarryforwardtotaltoline(10)]92,876
Actual Cost Method
Direct Costs Object Accoupts
(06) 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 I ndirect Costs [Refer to Claim Summary Instructionsl Sl,876
Cost Reduction
(1 1 ) Less: Offsetting Revenues
(12) Less: Other Reimbursements
(13) TOtal Cla!med Amount [Line (10) minus {line (11) + line (12)}]61,876
Revised 10/2022
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
2020-21
Unit Cost Rate
2021-22
Unit Cost Rate
.95..LCountywid;.Tax Rat.e4 . iiiii . iiii i . i'ii iii ii iii;ii ....2.,b97 iii *iiiiiiiii a2aA9'!-.. ii' 51.41 ' 55.17")..........1.97 ....l P.e.ace_9ffi.cers_P.ro.ced.ura.I_q.i.I.I. of Rights_ i'iiii . ii . iii'iiii"i"iiii iiiiiiiii ;. . iiii iiiiiii iii iiiiiiiii... .....4:,.§"-+}il'lai iiiiiii.
262 ' Crime Victim's Domestic Violence '!'ncident Reports ' 0.73 ' 0.79
School Districts
Program
Number
Program
Name
2020-21
Unit Cost Rate
2021-22
Llnit Cost Rate
Il , Collective Bargaining and Collective Bargaining Agreement 5B51 6282
Disclosure
32 :. Immunization Records 9.06 'I 9.72
48 . Notification of Truancy 22.89 ' 24.58
. Juvenile Court Notices II
155 Per Notice 63.20 ' 67.85
' PerLetter ' 44.93 ' 48.24
166 HabitualTruants o 43.37 ' 46.57
250 I AIDS Instructions and AIDS Prevention Instruction O.1073 ' 0.1152
I Pupil Health Screenings
IV. A. Notification to Parents ' 0.1104 ' 0.1185
261 = -- - - - - - - - - - - - - - - - - - - - - - - - --1 - - ..... ...=..-..,.. ... .............. .......... .... ... .. .. ..... ..
', IV. B. Obtaining Parental Compliance ' 7.2080 ' 7.7373
l IV. C. Exclusion ofPupils ' 18.962 ' 20.355
I Annual Parent Notification / Schoolsite Discipline Rules/Alternative Schools
0 1066 011 44272 Per Page
. PerNotice ' 0.4238 ' 0.4549
297 Graduation Requirements ' 182.25 ' 210.22
' Consolidated Suspensions, Expulsions, and Expulsion Appeals
', 1V.D.3. (a) Hearing Preparation ' 227.54 ' 244.22
330 .' 1V.D.3. (b) Hear!ng ' 284.29 ' 305.13
' 1V.D.3. (c) Written Expulsion Recom;6;a'anon'<o';tQf:.33623"" i 360,8l ....................................G.oye.r@.i.ng__Boa.rd___......... iiiiii iiiiiiiiiiiiiiiii iiiiiiiiiiii iiii iiii , .
1V.D.3. (d) Hearing Record 2 90 311
357 :, Immunization Records - Pertussis 10.69 I 11.48
368 ;' Immunization Records - Mumps, Rubella, and Hepatitis B ' 11.28 ' 12.12
Community College Districts
Program
Number
Program
Name
2020-21
Unit Cost Rate
2021-22
Unit Cost Rate
232 , Collective Bargaining and Collective Bargaining Agreement 5B51 , e.:_s' Disclosure
10/2022
Staate of Califomia
State Controller's Office a&Hndatad Cost Manual for Local Agencies
RAC!AL AND IDENTITY PROFILING
CLAIM FOR PAYMENT FORM
For State Controller Use Only
(19) Program Number 00375
(20) Date Filed
(21) LRS)nput
Program
375
(O'l) Clairnarit Identification Number 984323l Reimbursement Claim Data '
(02) Claimarit Name City of Cupertino ,(22)FORM i, (04) A. 1. (f)(J
County of Location Santa Cfara (23)FORM 1, (04) A. 2. (f)o
Street Address or P.0. Box and Suite 10300 Tone Avenue (24)FORII/I 1, (04) B. 1. (f)o
City, St=te, and Zip Code Cupertino, CA 96014 (25)FOR!M 1, (04) B. 2. (f)40,967
(03)Type of Claim (26)FORM 1, (04) B. 3. (f)o
,(04)(09) Reimbursement ta (27)FORM 1, (04) B. 4. (f)0
(05)(10) Combined (28)FORM i, (04) B. 5. (f)0.
(06)(1 '1 ) Amended (29)FORM 1, (06)o
(07)(12) Fiscal Year of Cost 2021/2022 (30)FORM 1, (07)
(08)('13) Total Claimed Amount $40,967 (31)FORM 1, (09)o
(14) Less: 10% Late Penalty (32)FORM 1, (10)o
('15) Less: Prior Claim Payrrient Received (33)
('16) Net Claimed Amount $40,967 (34)
(17)DuefromState $40,967 (35)
(18) Due to State (36)
(37) CERTIFICATION OF CLAIM
In accordance with the provisions of Goverriment Code sections 17560 and 17561, I certify thatl am the officer
authorized by the local agency to file mandated cost claims with the State of Caiifornia For ttiis program, arid certify
under penalty of perjury that 1 have not violated any of the provisions of Article 4, Chapter I of Division 4 of Title 'l
of the Government Code.
i further certify that there was no application other thari from the claimant, nor any grarit(s) or payment(s)
received Tor reimbursement of costs claimed herein and claimed costs are for a new program or increased level of
services of an existing program. Al) offsetting revenues and reimbursements set forth in the parameters arid
guidelines are identified, and al) costs claimed are supported by source documentation currently maintained by the
claimant.
The amount for this reimbursement is hereby claimed from the State for payment of actual costs set forth on the
attached statements_
) certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Signature of Authorized Officer Date Signed
>< aV,I,, Telephone Number (408) 777-3225
TypeorPrintNameandT%ofAuthorizedSignatory EmailAddress ______!6!'S_'_enS@Cllperf!nO.Ol'q
Ktrsten Squarcia, City Clerk
(38) Narrte of Agency Contact Person for Claim Telephone Number
I Email Address
Name of Consulting Firm/Claim Preparer Telephone Number (916) 797-4883
David Wellhouse & Assoc3ates, Inc Email Address __d!_r.4$_-rel l___;e'e@_jS__i_lre',Aj_'e_St.ilet
Revised 10/2022
State of California
State Controller's Office Mandated Cost Manual for Local Agencies
F'ROGRAM
375 RACIAL AND IDENTITY PROFILING
CLAIM SUMMARY
FORM
j
(01) Claimant
City of Cupertino
(02) FiscalYear
2021/2022
(03) Department
DirectCosts Obje:tAccounts
(04) Reimbursable Activities
(a)
Salaries and
Benefits
(b)
Materials
and
Supplies
(C)
Contract
Services
(d)
Fixed Assets
(e)
Training
(f)
Total
A. One-Time Activity
1. Training per peace officer employee and
supervisor assigned to perform the
reimbursable activities.
SO SO
2. Installation and testing or software
necessary to comply with state-
mandated requirements.
SO
B. Ongoing Activities
1. Identification of the peace officers required
to report stops, and maintenance of a
system to match individual officers to their
Officer 1.D. number
SO
2. Collection and reporting data on all stops
940,967 S40,967
3. Electronic Submission of data to
Department of Justice and retention of stop
data collected.SO SO
4. Audits and validation of data collected
SO SO
5. For stop data collected, ensure the
identities of the individual and the peace
officer involved are not transmitted to the
Attorney General in an open text field.
SO
(05) Total Direct Costs S40,967 S40,967
Indirect Costs
(06) IndirectCostRate [FtomlCRPor10%]O.OO%
(07) TOtal Ind!reCt COStS [Referto Claim Summary Instructionsl
(08) Total Direct and Indirect Costs [Line (05Xf) +line (07)]S40,967
Cost Reduction
(09) Less: Offsetting Revenues o
(10) Less: OtherReimbursements o
(11)TotalClaimedAmount [Line(08)-{line(09)+line(10)}]S40,967
Revised 10/2022
State of California
State Controller'; Office Mandated Cost Manual for Loca Agencies
W
It RACIAL AND IDENTITY PROFILING ACTMTYiCOST DET AIL
FORM '
12
(01 ) Claimant
City of Cupertino
(02) FiscalYear
2021 /2022
(03) Reimbursable Activities: Check only one box per form to identify the activity being claimed.
A. One-Time Activities B. Ongoing Activities
€ L Training per peace officer and supervisor 0 1. Identification of the peace officers required to report stops, and
assigned to perform the reimbursable activities maintenance of a system to match individual officers to their
Officer 1.D. number.
@ 2. Installation and testing of sofhuare necessary to a, z. Collection and repO,ing da,a on all stops
comply with state-mandated requirements
a 3. Elecironic submission of data to Depariment of Justice and
retention of stop data collected
€ 4. Audits and validation of data collected
z 5. For stop data collected, ensure the identities of the individual
and the peace officer involved ate not transmitked to the
Attorney General in an open text field
(04) Description of Expenses Object Accounts
(a)
Employee Names, Job
Classifications, Functions Performed
and Description of Expenses
(b)
Hourly
Rate or
Llnit Cost
(C)
Hours
WOrked Or
Quantity
(d)
Salaries
and
Benefits
(e)
Materials
and Supplies
(f)
Contract
Services
(g)
Fixed
Assets
(h)
Training
Police Officer/Sergeant
The mandate requires that the
Police Department report
annually to the Attorney
General the data on all stops
conducted during the fiscal
year. The City reported 2,444
stops during the fiscal year
with an average time of 4
minutes per stop.
$251 .44 162.93 $40,967
I
(05) Total Subtotal Page: of S40,967
Revised 10/2022
dwa-renee@lurewest.net
From:
Sent:
To:
Subject:
McGuire, Melanie <Melanie.McGuire@shf.sccgov.org>
Tuesday, February 7, 2023 3:14 PM
dwa-renee@surewest.net
RE: [EXTERNAL] RIPA Stop Data
Hi Renee,
I actually got it just this morning. The data I received was as follows:
RIPA Stops for FY21-22 (July 1, 2021 to June 30, 2022) for CuperUno: 4888 with an average time of 4 minutes per stop.
And you are correct-the County is responsible for training, software and auditing costs.
Hope this helps.
Warm regards,
Melanie McGuire #72?4
Management Analyst, West Valley Patrol
Office of the Sheriff, Santa Clara County
(408) 868-6604, office
(408) 960-4871, cellular
melanie.mcguire@sheriff.sccgov.or@
mlWTA
!R4-Ma!4(ffi$m
Rma&'Wa Ml
RJ)l&We
i - pQpg[ HII&S
uWIWa)RP.
mW-..!
TotaN Houm
4JJj,Jal
%pruA n<ini+iy{n #lNHs 9ii 4yJ@-2W! @Moan
@ $955,029
. OAe ,
Proposeml Hazy
N')'9 'mUiR!ad(ANlrlgp@ladle@ttW!
:IO 2D20 A-46
DW&
FY2021-2022 620,168,707 $2,3!9,2 €X)
FY2022-2023 *xs,as,asp
audgetedCosts 62,250,2-zs
r/t!2p5d uaui PV 2022-2023
Has,osa
i@7
940,425
pk!J,ffl2 6H9,8611
34,=s;z, ,@,,t@y4q4- ,
[45 $9!,207
9398,392
63,Sa!,!89
63,860,QS!
6292,862
8.!8%
9.12%
!ivpq$slm%.vKoes
eudgetcd Casts
rgupuaaA Qabk%
ciange(e)
Change(%)
fl202X-2022 6:L,742,544 6145,2!2
FY2022-2023 S!7Ms3!2 $449,!96
647,8W 63,984
9!!10,648
2,74%
muppkmagbfiffl Wnrimqiipi ffgp.rkgai
dg" rrX"Q fl 2022-2022
Change (l)
Charxge
%ffle!tssm
&Jdl4!taj CO!tffi
%pQd costs
aqanga(l}
Change (%)
FY 2021-2022
FVX)22-2023
*iev,na st,say
,,,,!6@- '+aalll .!!.; ,-
(5ss,gos) !15
-79.79% l.@4%
8486,!+3g
6sqx,5i@
!9!5,430
3.27%
tiO
SO
SO
O.OO%
074,732
A&fia
944,affi4
7.72%
10
61
60
O.OO%
2zg
i*ii ii 9448
(!117,721)
-79.79%
10
60
9e
O.OO%
625!,445
6270,850
6!9,405
7.72%
Page I 18