HomeMy WebLinkAboutContract 46545 CITY SECRETAR!A—G CONTRACT NO.
°10 Regional Organized Crime Information Center
545 Marriot Drive Suite 850 Nashville TN 37214
1-800-238-7985
membership@rocic.riss.net
ROCIC ywww.riss.net
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MEMORANDUM OF AGREEMENT
City of Fort Worth
ROCIC Agency Name of Agency
Number Fort Wor.th,Texas
City and State
Rudolph Jackson
Agency Administrative Head (Please type or print)
As members of the Regional Organized Crime Information Center, all designated personnel from this
Agency shall abide by the Constitution and By-Laws that govern this organization, and follow the policies,
procedures, and guideline concerning the use of all services rendered by the Regional Organized Crime
Information Center.
This Agency also agrees to abide by the principles set forth in 28 CFR 23, §23.20. "Each participating
agency, as a condition of participation, must accept in writing those principles which govern the submission,
maintenance and dissemination of information included as part of the interjurisdictional system." (48454
Federal Register/Vol.58, No. 178, Rules and Regulations 28 CFR Part 23, §23.30 (d)(2)).
The purpose of regulation 28 CFR Part 23 is to assure that all criminal intelligence systems are utilized in
conformance with the privacy and constitutional rights of individuals. Therefore, all information submitted to
the Regional Organized Crime Information Center shall conform to 28 CRF Part 23, §23.20 (attached)
and will remain the property of the submitting agency.
m
rn Donna Williams, ROCIC Director Sioature of Adm istrative Head
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Date Date
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OFFICIAL RECORD
CITY SECRETARY Form MS-006(Revised Jan.2013)
FT. WORTH, TX
ACCEPTED AND AGREED:
APP A RE NoEINr4e*7
By:
Rhonda K. Rob son
Chief of Police
Date:
APPROVED AS TO FORM
AND L GALITY:
By:
Victoria Honey
Assistant City Attorney
Contract Aut on i . '
NO M&C RCQUIRI;D
M&C:
Date Approved:
ATTES `_FaR f.
By:
Mary J. Kays r V 0:0
City Secretar
kAS
OFFICIAL RECORD
CITY SECRETARY
3 FT. WORTH,TX
D CRi N_E!
r'
APPLICATION FOR ASSOCIATE MEMBERSHIP
ROCIC 41 Regional Organized Crime Information Center Date: 01/09/15
A completed ROCIC Application for Membership must be received by the Director of ROCIC 45 days prior to a regularly scheduled Board of Directors Meeting to be
eligible for approval for membership.The application must be accompanied by a Memorandum of Agreement signed by the Administrative Head and the agency
mission statement or a letter stating the responsibilities of your agency,signed by the Administrative Head.
Administrative Head,Title Last 4 Digits of SSN Email Used Daily
Agency Name ORI Number County
Street Address City,State,Zip
Mailing Address City,State,Zip
No.of Sworn Phone Number Fax Number Billing Email
Personnel
No.Assigned
to Intelligence
Person to be ROCIC Executive Member Title Last 4 Digits of SSN
Email Used Daily Phone Number
Person to be ROCIC Representative Title Last 4 Digits of SSN
Email Used Daily Phone Number
Person to be ROCIC Authorized User Title Last 4 Digits of SSN
Email Used Daily Phone Number
Person to be ROCIC Authorized user Title Last 4 Digits of SSN
Email Used Daily Phone Number
Person to be ROCIC Authorized user Title Last 4 Digits of SSN
Email Used Daily Phone Number
This agency agrees to abide by the rules and policies of ROCIC in all matters connected with ROCIC Membership.
Signature of Agency Administrative Head:
El Application Complete Board of Directors Action:
El MOA CITY SECRETARY
p Mission Statement FTS WORTH,TX
E] LEC Agency Review Form Date: Deputy Dir ctor Approval:
Form MS-002(Revised August 2014)