Sahuarita Police Department
315 W. Sahuarita Center Way
Sahuarita, AZ 85629
(520) 344-7000
FAX (520) 344-7050
EVENT NOTIFICATION FORM
Event
Event Date
Event Hours
Location of Event
Description of Event
Town of Sahuarita Sponsored Event? Yes No
Police Assistance Requested? Yes No
If you mark “Yes” please complete this entire form and return as indicated.
If you mark “No” please complete the top portion of this form and return as indicated.
EVENT POINT OF CONTACT
Name Company Name Title
Phone Email Fax
REQUIRED ATTACHMENTS
POLICE OR VIPS
Town of Sahuarita Special Event Permit, N/A
Certificate of Liability Insurance w/ Endorsement, N/A
Event Location: Route/Map/Layout , N/A
EXPLORERS
Town of Sahuarita Special Event Permit
N/A
Please complete the following sections only if you are requesting police assistance at your event:
Type of Service Requested
Traffic Control Security Demonstration Other, please describe:
Police Vehicle? Yes No
Special Units? Bike Patrol Unit Canine Unit Motorcycle Unit VIPS Explorers Other:
Please return this form and required attachments to:
OR
Describe Request
Attention: Lt. Sam Almodova
Off-Duty/Special Events Coordinator
Sahuarita Police Department
315 W. Sahuarita Center Way
Sahuarita, AZ 85629
FAX:
(520) 344-7050
salmodova@sahuaritaaz.gov
Attention: Melissa Hinkle
Volunteer and Special Event Coordinator
Town of Sahuarita Parks and Recreation
375 W. Sahuarita Center Way
Sahuarita, AZ 85629
FAX: (
520) 822-8895
mhinkle@sahuaritaaz.gov
Sahuarita POLICE Off-Duty Rates and Requirements
The following stipulations pertain to the hiring of Sahuarita Police Department Officers for Off-Duty work. Please acknowledge that you understand
and accept the stipulations by selecting the box and initially on the line.
1) Proof of General Liability Insurance policy in the amount of one (1) million dollars making the Sahuarita Police Department an “additional
insured party” to the policy. ______
2)
Minimum of fifteen (15) days prior notice for job requests to be staffed. All required permits and associated paperwork must be received
b
y the police off-duty coordinator prior to assigning officers to the job. ______
If the department receives less than fifteen days notice to fill any position, a $10.00/hour surcharge will apply for each
staffed position AND the requesting party will be responsible for any overtime accrued by the off-duty coordinator for off-
duty work necessary to staff the request.
3) Payment must be made by the Police Department’s next regular pay period and in no event, later than two (2) weeks of the date of the
billing. ______
Late payment will result in a $20.00 surcharge for each staffed position.
4) Hourly pay rates as follows: ______
Regular Rate Holiday Rate (time and one half of regular rate)
Officer $40.00 Officer $57.50
Sergeant $45.00 Sergeant $65.00
Commander $50.00 Commander $72.50
5) All jobs have a three (3) hour minimum. If cancellation is necessary, a twenty-four (24) hour notification prior to the job must be made or a
three (3) hour minimum will be charged per assigned officer.
______
6) Staffing minimum of one (1) sergeant per four (4) officers is required. ______
7) Where a marked patrol unit is requested or where it is determined to be necessary for the safety of assigned officers, the rate is $50.00 per
car per shift. ______
8) Police will be provided on an availability basis only and may be subject to different rates and/or requirements as determined by the Chief of
Police or his designee. ______
9) When public safety is a concern, the Chief of Police or his designee reserves the right to adjust the staffing and duties. ______
Sahuarita VIPS Requirements
The following stipulations pertain to the staffing of Sahuarita VIPS. Please acknowledge that you understand and accept the stipulations by selecting
the box and initially on the line.
1) Proof of General Liability Insurance policy in the amount of one (1) million dollars making the Sahuarita Police Department an “additional
insured party” to the policy.
______
1) Minimum of fifteen (15) days prior notice for job requests to be staffed. All required permits and associated paperwork must be received
by the police off-duty coordinator prior to assigning VIPS to the job. ______
2) Where a marked VIPS unit is requested or where it is determined to be necessary for the safety of assigned VIPS, vehicle rate of $50.00 per
car per shift may apply. ______
3) As non-commissioned police affiliates, VIPS have limited authority to provide law enforcement services. VIPS may be utilized to assist in
routine traffic control, to operate a demonstration table, to facilitate the distribution of police materials and information, and to conduct
other duties as pre-approved VIPS supervisor.
______
4) VIPS will be provided on an availability basis only and may be subject to different requirements as determined by the Chief of Police or his
designee.
______
5) When public safety is a concern, the Chief of Police or his designee reserves the right to adjust the staffing and duties as necessary, which
may include the assignment of a commissioned officer. ______
Sahuarita EXPLORERS Requirements
The following stipulations pertain to the staffing of Sahuarita Explorers. Please acknowledge that you understand and accept the stipulations by
selecting the box and initially on the line.
1) Explorers are an affiliate of the Boy Scouts of America and the Sahuarita Police Department and as such, are subject to the rules and
regulations required by both for insurance and liability coverage, where applicable. ______
2)
Minimum of fifteen (15) days prior notice for job requests
to be staffed. All required permits and associated paperwork must be received
by the police off-duty coordinator prior to assigning Explorers to the job. ______
3)
As
non-commissioned police affiliates, Explorers do not provide law enforcement services. Explorers represent a youth development and
community service organization. Explorers may be utilized to support event staff with logistical operations, to operate a demonstration
table, to facilitate the distribution of police materials and information, to assist with supervised traffic control and to conduct other duties as
pre-approved by Explorers supervisor.
______
4) Explorers must be accompanied by a requisite number of adult advisors as determined by the Explorers staffing supervisor. ______
5) When public safety is a concern, the Chief of Police or his designee reserves the right to adjust the staffing and duties as necessary, which
may include the assignment of a commissioned officer.
______
6) Explorers will be provided on an availability basis only and may be subject to different requirements as determined by the Chief of Police
or his designee.
______
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