RFA 202512158 Lewiston Overtime Cost_FINAL.docx

STATE OF MAINE

Department of Public Safety

RFA# 202512158

Lewiston First Responder Remaining Overtime Costs

RFA Coordinator

Submitted Questions Due Date

December 12th no later than 4:00 p.m., local time

TABLE OF CONTENTS

Page

A. PURPOSE AND BACKGROUND

B. GENERAL PROVISIONS

C. ELIGIBILITY TO SUBMIT APPLICATIONS

D. CONTRACT TERM

E. AWARDS

F. APPLICABLE LEGISLATION

A. VENDOR SELF SERVICE SYSTEM (VSS)

B. QUESTIONS

C. AMENDMENTS

D. APPLICATION SUBMISSION

A. EVALUATION PROCESS – GENERAL INFORMATION

B. SCORING WEIGHTS & PROCESS

C. NEGOTIATIONS

D. SELECTION AND AWARD

E. APPEAL OF CONTRACT AWARDS

A. CONTRACT DOCUMENT

B. STANDARD STATE CONTRACT PROVISIONS

PUBLIC NOTICE

State of Maine Department of Public Safety

RFP# 202512158

Lewiston First Responder Remaining Overtime Costs

The State of Maine is seeking applications for certain first responder overtime costs associated with the Lewiston mass casualty event on October 25, 2023 that have not yet been reimbursed.

A copy of the RFP and all related documents can be obtained through Vendor Self Service (VSS): https://mevss.hostams.com/PRDVSS1X1/AltSelfService

Proposals must be submitted to the Office of State Procurement Services, via Vendor Self Service (VSS). Proposal submissions must be received no later than 4:00 p.m., local time, on January 9th 2026. Proposals will be opened the following business day.

RFA TERMS/ACRONYMS with DEFINITIONS

The following terms and acronyms, as referenced in the RFA, have the meanings indicated below:

State of Maine Department of Public Safety

RFA# 202512158

Lewiston First Responder Remaining Overtime Costs

PART I INTRODUCTION

A. Purpose and Background

The Department of Public Safety (Department) is seeking applications for certain first responder overtime costs associated with the Lewiston mass casualty event on October 25, 2023 and the subsequent apprehension operation, ongoing investigation, and directly related events as defined in this Request for Applications (RFA) document. This document provides instructions for submitting applications, the procedure and criteria by which the awarded Applicant(s) will be selected, and the contractual terms which will govern the relationship between the State of Maine (State) and the awarded Applicant(s).

These funds are intended for first responder overtime costs associated with the Lewiston Tragedy on October 25th, 2023 and the subsequent apprehension operation, ongoing investigation, and directly related events. The Lewiston tragedy was an incredibly dynamic and fluid situation with a large number of collaborating agencies and resources. Sixty law enforcement agencies signed in with the command post at various times during the operation with twenty-three Fire and EMS agencies also responding. This event saw between 600 and 800 sworn officers who responded and remained in support over the 49-hour period with hundreds of officers deployed at any given moment. The funding is intended to reimburse local and county partners from the State of Maine for the overtime costs that they experienced in response to this tragedy.

The first RFA, released earlier this year, covered the initial 49-hour period. The remaining funds are intended to reimburse additional overtime recognized during events such as the vigil held on October 29, 2023 and the Presidential visit on November 3, 2023.

A. General Provisions

1. From the time this RFA is issued until award notification is made, all contact with the State regarding this RFA must be made through the RFA Coordinator identified on the cover page of this RFA. No other person/State employee is empowered to make binding statements regarding this RFA. Violation of this provision may lead to disqualification from the application process, at the State’s discretion.

2. Issuance of the RFA does not commit the Department to issue an award or to pay expenses incurred by an Applicant in the preparation of a response to the RFA. This includes attendance at personal interviews or other meetings, where applicable.

3. All applications must adhere to the instructions and format requirements outlined in the RFA and all written supplements and amendments (such as the Summary of Questions and Answers), issued by the Department. Applications must follow the format and respond to all questions and instructions specified in Part III of the RFA.

4. Applicants will take careful note that in evaluating an application submitted in response to this RFA, the Department will consider materials provided in the application, information obtained through interviews/presentations (if any), and internal Departmental information of previous contract history with the Applicant (if any). The Department also reserves the right to consider other reliable references and publicly available information in evaluating the Applicant’s experience and capabilities.

5. The application must be signed by a person authorized to legally bind the Applicant and must contain a statement that the application and the pricing contained therein will remain valid and binding for a period of 180 days from the date and time of the bid opening.

6. The RFA and the awarded Applicant’s application, including all appendices or attachments, will be the basis for the final contract, as determined by the Department.

7. Following announcement of an award decision, all submissions in response to this RFA will be public records, available for public inspection pursuant to the State of Maine Freedom of Access Act (FOAA) (1 M.R.S. § 401 et seq.). State contracts and information related to contracts, including application submissions, are generally public records per FOAA.

8. In the event that an Applicant believes any information that it submits in response to this RFA is confidential, it must mark that information accordingly, and include citation to legal authority in support of the Applicant’s claim of confidentiality. In the event that the Department receives a FOAA request that includes submissions marked as confidential, the Department shall evaluate the information and any legal authority from the Applicant to determine whether the information is an exception to FOAA’s definition of public record. If the Department determines to release information that an Applicant has marked confidential, it shall provide advance notice to the Applicant to allow for them to seek legal relief.

9. The Department, at its sole discretion, reserves the right to recognize and waive minor informalities and irregularities found in applications received in response to the RFA.

10. If awarded a contract resulting from this RFA, vendors shall be required to disclose, in writing and in accordance with applicable Maine law, any actual or potential conflicts of interest. Such disclosure must include any financial, professional, or personal relationships that could give rise to a conflict of interest or the appearance of a conflict of interest. Failure to disclose a known conflict or appearance of conflict may result in disqualification, contract termination, or other remedies as provided by law.

11. All applicable laws, whether or not herein contained, shall be included by this reference. It shall be the Applicant’s responsibility to determine the applicability and requirements of any such laws and to abide by them.

B. Eligibility to Submit Applications

Only local and county first responder agencies from the State of Maine who recognized overtime costs related to the Lewiston Tragedy on October 25th, 2023 and/or the subsequent apprehension operation, ongoing investigation, and directly related events are eligible to apply.

C. Contract Term

The term of anticipated contract period resulting from this RFA is defined in the table below. The dates below are estimated and may be adjusted, as necessary, in order to comply with all procedural requirements associated with the RFA, the specific project awarded, and the contracting process. The actual contract start date will be established by a completed and approved contract.

D. Awards

With sixty (60) law enforcement agencies signing in with the command post at various times during the operation and an additional twenty-three (23) Fire and EMS agencies also responding, the Department anticipates making multiple awards.

Awards will be prioritized as follows if there is insufficient funding:

1. Overtime recognized from the vigil held on October 29, 2023.

2. Overtime recognized from the Presidential visit on November 3, 2023.

3. Any other overtime that was recognized outside of these two events and the initial 49-hour period which was reimbursed during the first RFA process.

If there is insufficient funding, then the awards will be issued proportionally to be fair and equitable. For example, if there is $100,000 remaining after the first priority has been fully funded and there is $200,000 in requests for the next priority area then all applicants will have their requests funded at 50%.

The Department may award all, part, none, or modify this allocation at its discretion. The Department reserves the right to make partial awards, eliminate the lowest scoring application(s) and/or make awards for amounts less than requested, whichever is in the best interest of the State.

E. Applicable Legislation

The funding was provided in the Supplemental Budget 2024-2025.

PART II ACTIVITIES AND REQUIREMENTS

A. Required Activities

1. All applicants must provide documentation supporting the overtime reimbursement request.

B. Allowable Use of Funds

1. Funds may only be used to reimburse overtime related to the Lewiston Tragedy on October 25th, 2023 and the subsequent apprehension operation, ongoing investigation, and directly related events as defined in this Request for Applications (RFA) document.

C. Non-Allowable Use of Funds

1. Any other activity other than the reimbursement of overtime is Non-Allowable.

D. Reporting Requirements

1. All applicants must provide documentation supporting the overtime reimbursement request along with any additional documentation requested by the Contract/Grant Specialist prior to the official award.

PART III KEY PROCESS EVENTS

A. Vendor Self Service System (VSS)

1. The Office of State Procurement Services Vendor Self Service System website is found at the link below: https://www.maine.gov/dafs/bbm/procurementservices/vendors/vendor-self-service-system

2. A copy of the RFA and all associated documents will be published in VSS.

3. Only documents published in VSS will be considered binding.

4. Any interested party may view open solicitations in VSS using the Public Access feature.

5. Vendors must have an active User ID and password in VSS to submit questions and respond to solicitations, including this RFA.

a. Vendor registration instructions and User Guide may be found at the link above, which include steps for searching for an existing account/User ID, or registering for a new account/User ID.

b. Vendors interested in responding to a solicitation are encouraged to obtain a User ID and password for VSS as soon as possible.

6. Vendors must have an active Vendor Code (VC or VS) to contract with the department.

B. Questions

1. General Instructions: It is the responsibility of all Applicants and other interested parties to examine the entire RFA and to seek clarification, in writing, if they do not understand any information or instructions.

a. Questions must be submitted in VSS as soon as possible but no later than the date and time published in VSS.

b. Questions should be clearly stated and reference the applicable section and/or page number of the RFA.

c. The Department assumes no liability for assuring accurate/complete/on time transmission and receipt.

2. Question & Answer Summary: Responses to all questions will be compiled in writing and published in VSS no later than seven (7) calendar days prior to the Application Submission Deadline. It is the responsibility of all interested parties to go to VSS to obtain a copy of the Question & Answer Summary. Only those answers issued in writing in VSS will be considered binding.

C. Amendments

All amendments released in regard to the RFA will be published in VSS. It is the responsibility of all interested parties to go to VSS to obtain amendments. Only those amendments published in VSS are considered binding.

D. Application Submission

1. Applications Due

a. Application submissions must be received no later than the Application Submission Deadline (closing date) published in VSS.

b. Any application submissions or any additional or revised application files received after the Application Submission Deadline will be rejected without exception.

2. Delivery Instructions

a. Application submissions must be submitted to the Office of State Procurement Services via VSS.

b. Only application submissions received via VSS will be considered. The Department assumes no liability for assuring accurate/complete receipt.

c. Submissions containing links to file sharing sites or online file repositories will not be accepted as submissions. Only application submissions that have the actual requested files attached will be accepted.

d. Encrypted submissions received which require opening attachments and logging into a proprietary system will not be accepted. Applicants should work with their Information Technology team to ensure that the application submission will not be encrypted due to any security settings.

e. File size limits are 15MB per file. Applicants may separate their submissions into multiple files, as necessary, due to file size concerns.

3. Submission Format

a. Applicants must submit at least one (1) file, labeled and including the required information as defined below:

File Name: RFA# 202512158 Application Submission – [Applicant’s Name]

· Must contain: Applicant’s completed Application Form and all required information and attachments as stated in the form.

b. The Application Form must be submitted as a single, typed file. If including attachments in the same file presents a file size issue, Applicants may submit those attachments as a separate, clearly labeled file.

c. Applicants must include any forms provided in the RFA (such as the Application Form) or reproduce those forms as closely as possible.

d. Applicants are not to provide additional attachments beyond those specified in the RFA or Application Form for the purpose of extending their response. Materials not requested will not be considered part of the application and will not be evaluated.

PART IV APPLICATION EVALUATION AND SELECTION

A. Evaluation Process – General Information

1. An evaluation team, composed of qualified reviewers, will judge the merits of the applications received in accordance with the criteria defined in the RFA.

2. Officials responsible for making decisions on the award selection will ensure that the selection process accords equal opportunity and appropriate consideration to all who are capable of meeting the specifications. The goals of the evaluation process are to ensure fairness and objectivity in review of the applications and to ensure that all contracts are awarded to the Applicants that provide the best value to the State of Maine.

3. The Department reserves the right to communicate and/or schedule interviews/presentations with Applicants, if needed, to obtain clarification of information contained in the applications received. The Department may revise the scores assigned in the initial evaluation to reflect those communications and/or interviews/presentations.

4. Changes to applications, including updating or adding information, will not be permitted during any interview/presentation process and, therefore, Applicants must submit applications that present their rates and other requested information as clearly and completely as possible.

5. Failure to respond to all questions and instructions throughout the RFA may result in the application being disqualified as non-responsive or receiving a reduced score. The Department, and its evaluation team, has sole discretion to determine whether a variance from the RFA specifications will result either in disqualification or reduction in scoring of an application.

B. Scoring Weights & Process

1. Scoring Weights:

2. Scoring Process: For applications that demonstrate meeting the eligibility requirements defined in Part I, if applicable, the evaluation team will use a consensus approach to evaluate and score all sections listed above. Members of the evaluation team will not score those sections individually but, instead, will arrive at a consensus as to assignment of points for each of those sections.

C. Negotiations

1. The Department reserves the right to negotiate with the awarded Applicant(s) to finalize a contract.

2. The Department reserves the right to terminate contract negotiations with an awarded Applicant who submits a proposed contract significantly different from the application they submitted in response to the advertised RFA.

3. In the event that an acceptable contract cannot be negotiated with an Applicant, the Department may withdraw its award and negotiate with the next-highest ranked Applicant, and so on, until an acceptable contract has been finalized. Alternatively, the Department may cancel the RFA, at its sole discretion.

D. Selection and Award

1. The final decision regarding the award of the contract will be made by representatives of the Department subject to approval by the State Procurement Review Committee.

2. Notification of conditional award selection or non-selection will be made in writing by the Department.

3. Issuance of the RFA in no way constitutes a commitment by the State of Maine to award a contract, to pay costs incurred in the preparation of a response to the RFA, or to pay costs incurred in procuring or contracting for services, supplies, physical space, personnel or any other costs incurred by an Applicant.

4. The Department reserves the right to reject any and all applications or to make multiple awards.

E. Appeal of Contract Awards

Any person aggrieved by the award decision that results from the RFA may appeal the decision to the Director of the Bureau of General Services in the manner prescribed in 5 M.R.S.A. § 1825-E and 18-554 Code of Maine Rules Chapter 120. The appeal must be in writing and filed with the Director of the Bureau of General Services, 9 State House Station, Augusta, Maine, 04333-0009 within fifteen (15) calendar days of receipt of notification of conditional contract award.

PART V CONTRACT ADMINISTRATION AND CONDITIONS

A. Contract Document

1. The awarded Applicant will be required to execute a State of Maine Service Contract with appropriate riders as determined by the issuing department.

All exceptions will be negotiated between the awarded Applicant(s) and the State. The State will not accept any proposed exceptions as part of this RFA process. The State is not obligated to accept, negotiate, or compromise of any proposed exceptions.

The complete set of standard State of Maine Service Contract documents, along with other forms and contract documents commonly used by the State, may be found on the Office of State Procurement Services’ website at the following link: Office of State Procurement Services Forms Page

2. Allocation of funds is final upon successful negotiation and execution of the contract, subject to the review and approval of the State Procurement Review Committee. Contracts are not considered fully executed and valid until approved by the State Procurement Review Committee and funds are encumbered. No contract will be approved based on an RFA which has an effective date less than fourteen (14) calendar days after award notification to Applicants. (Referenced in the regulations of the Department of Administrative and Financial Services, Chapter 110, § 3(B)(i).)

This provision means that a contract cannot be effective until at least fourteen (14) calendar days after award notification.

3. The State recognizes that the actual contract effective date depends upon completion of the RFA process, date of formal award notification, length of contract negotiation, and preparation and approval by the State Procurement Review Committee. Any appeals to the Department’s award decision(s) may further postpone the actual contract effective date, depending upon the outcome. The contract effective date listed in the RFA may need to be adjusted, if necessary, to comply with mandated requirements.

4. In providing services and performing under the contract, the awarded Applicant must act as an independent contractor and not as an agent of the State of Maine.

B. Standard State Contract Provisions

1. Contract Administration Following the award, a Contract Administrator from the Department will be appointed to assist with the development and administration of the contract and to act as administrator during the entire contract period. Department staff will be available after the award to consult with the awarded Applicant in the finalization of the contract.

State of Maine RFA# 202512158 1 Rev. 11/10/2025 – DAFS/Office of State Procurement Services

PART VI APPLICATION FORM

As defined in Part III, D, 3 of the RFA, Applicants must complete the Application Form embedded below and produce all required attachments.

The Application Form may be obtained in a Word (.docx) format by double clicking on the document icon below.

Viewing this RFA in a web browser will likely not allow for opening of the embedded document. Download the RFA and view it in the desktop application to access the embedded Application Form below.

image1.jpeg image2.emf

APPLICATION

State of Maine - Department of Public Safety

RFA# 202512158

Lewiston First Responder Overtime Costs

APPLICATION COVER PAGE

Applicant’s Name:

Chief Executive - Name/Title:

Tel:

E-mail:

Headquarters Street Address:

Headquarters City/State/Zip:

(Provide information requested below if different from above)

Lead Point of Contact for Application - Name/Title:

Tel:

E-mail:

Street Address:

City/State/Zip:

· This Application and the pricing structure contained herein will remain firm for a period of 180 days from the date and time of the bid opening.

· No personnel currently employed by the Department participated, either directly or indirectly, in any activities relating to the preparation of the Applicant’s Application.

· No attempt has been made, or will be made, by the Applicant to induce any other person or firm to submit or not to submit an Application.

· The above-named organization is the legal entity entering into the resulting contract with the Department should they be awarded the contract.

· The undersigned is authorized to enter contractual obligations on behalf of the above-named organization.

To the best of my knowledge, all information provided in the enclosed application, both programmatic and financial, is complete and accurate at the time of submission.

Name (Print):

Title:

Authorized Signature:

Date:

RESPONSIBLE APPLICANT CERTIFICATION

Applicant’s Name:

By signing this document, I certify to the best of my knowledge and belief that the aforementioned organization, its principals and any subcontractors named in this application:

a. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from bidding or working on contracts issued by any governmental agency.

b. Have not within three years of submitting the application for this contract been convicted of or had a civil judgment rendered against them for:

i. Fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a federal, state, or local government transaction or contract.

ii. Violating Federal or State antitrust statutes or committing embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property.

c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or Local) with commission of any of the offenses enumerated in paragraph (b) of this certification.

d. Have not within a three (3) year period preceding this application had one or more federal, state, or local government transactions terminated for cause or default.

e. Have not entered into a prior understanding, agreement, or connection with any corporation, firm, or person submitting a response for the same materials, supplies, equipment, or services and this application is in all respects fair and without collusion or fraud. The above-mentioned entities understand and agree that collusive bidding is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards.

f. Is not a foreign adversary business entity (https://www.maine.gov/oit/prohibited-technologies).

g. Is not on the list of prohibited companies (https://www.maine.gov/oit/prohibited-technologies) or does not obtain or purchase any information or communications technology or services included on the list of prohibited information and communications technology and services https://www.maine.gov/oit/prohibited-technologies (Title 5 §2030-B).

Name (Print):

Title:

Authorized Signature:

Date:

Eligibility

Applicants must provide documentation to demonstrate meeting the eligibility requirements stated in Part I of the RFA.

Is the Applicant a local or county first responder agency from the State of Maine who recognized overtime costs related to the Lewiston Tragedy on October 25th, 2023 and the subsequent apprehension operation, ongoing investigation, and directly related events outlined in this RFA?

☐ YES ☐ NO

Applicants must provide supporting documentation for the overtime incurred and complete the Overtime Spreadsheet embedded below to demonstrate meeting the eligibility requirement described in Part I of the RFA.

The Overtime Spreadsheet may be obtained in Excel (.xlsx) format by double clicking on the document icon below. Applicants should be sure to save the Excel file after making changes to ensure all information inserted is recorded.

image1.emf

Overtime Spreadsheet_final.xlsx

Instructions

Vigil

1 Review the Example Worksheet as it will help you complete the following two worksheets.

2 You should have a row for each position that has a different hourly rate.

3 On the Vigil Tab, Fill in columns A through G.

4 Put in your fringe benefit as a percentage in column I.

5 Other columns will fill in automatically.

Presidential Visit

1 Review the Example Worksheet as it will help you complete the following two worksheets.

2 You should have a row for each position that has a different hourly rate.

3 On the Presidential Visit Tab, Fill in columns A through G.

4 Put in your fringe benefit as a percentage in column I.

5 Other columns will fill in automatically.

Any Other Overtime

1 Review the Example Worksheet as it will help you complete the following two worksheets.

2 You should have a row for each position that has a different hourly rate.

3 On the Any Other Overtime, Fill in columns A through G.

4 Put in your fringe benefit as a percentage in column I.

5 Other columns will fill in automatically.

6 Please attach a justification for any other overtime you are claiming outside of the two specific events

EXAMPLE

Dept Date(s)/date range Position/title # of employees Description of actions performed Hours OT Rate Total Salary Fringe Rate Fringe Grand Total Notes

City A 10/25/2023 - 10/27/2023 police officer 2 Active Shooter Response and Search 15.0 $ 59.75 $ 896.25 33% $ 295.76 $ 1,192.01

City A 10/25/2023 - 10/27/2023 sergeant 1 Active Shooter Response and Search 5.0 $75.05 $ 375.25 33% $ 123.83 $ 499.08

City A 10/28/2023-10/31/2023 police officer 2 Ongoing Public Saftey Response 10.0 $ 59.75 $ 597.50 33% $ 197.18 $ 794.68

City A 10/28/2023-10/31/2023 sergeant 1 Ongoing Public Saftey Response 4.0 $75.05 $ 300.20 33% $ 99.07 $ 399.27

Vigil

Dept Date(s)/date range Position/title # of employees Description of actions performed Hours OT Rate Total Salary Fringe Rate % Fringe Grand Total Notes

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

Presidential Visit

Dept Date(s)/date range Position/title # of employees Description of actions performed Hours OT Rate Total Salary Fringe Rate % Fringe Grand Total Notes

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

Any Other Overtime

Dept Date(s)/date range Position/title # of employees Description of actions performed Hours OT Rate Total Salary Fringe Rate % Fringe Grand Total Notes

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

$ - 0 $ - 0 $ - 0

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