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Submit one original plus one copy of this form to: d- a�, o - LYO - L[(Oocb�)
,Lindsey Phelan, Highway Safety Division, 10 Park Plaza, Suite 3720, Boston, MA 02116
Mobilization Expenditure Report
Drive Sober or Get Pulled Over (DSOGPO) August 13, 2014 - September 1, 2014
Reporting Deadline: September 16, 2014
Maximum Award per Mobilization: $1,500
Name of Department Reporting: Mansfield Police Department Page 1 of
Number of
Officer NamegW
Ofc. Martell00
Ofc. Martell00
S t. Crosman00
S t. Crosman00
Ofc,Kerr0
pecific Shift Hours
egular or Military Tlme
hrs. - 1800 hrs.
hrs.-2000hrs.
hrs. 2200 hrs.
hrs.-2400 hrs.
hrs.-2000hrs.
Patrol Hours
(2-8 hrs)
4.00
4.00$
4.00
4.00
4.00
Hourly Rate
of Pa
$ 41.5700
41.5700
$ 54.9700
$ 64.9700
$ 39.7600
Total Pa
$166.28
$166.28
$219.88
$219.88
$159.04
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Subtotals --------->
'
20.00
$931.36
Totals -------------->
Total Reimbursement (not to exceed actual expenditures) ------------------------->
$931.36
IMPORTANT NOTE: Carry both the hourly rate of pay and total pay to four decimal places. Use exact
amounts of pay; do not round or estimate. If an officer works a shift with a differential rate of pay, use two
separate lines for that officer and include an explanation. Carry out the total reimbursement only two
decimal places. The total reimbursement cannot exceed the maximum award per mobilization or the
maximum expenditures for the reporting period.
NOTE: Failure to submit this form by the deadline may result in non -reimbursement. Departments must
have received written approval by EOPSS/HSD during the current federal fiscal year in order to
participate in this and any future mobilizations. Departments who submit this form without prior written
approval by EOPSS/HSD will not be reimbursed. Use additional pages if necessary.
/ certify that this report, schedules, statements, and the expenses for which payment is requested are true,
correct, and complete and were made in accordance with the appropriate Federal and State Regulations
and that the articles or services listed were (or will be) necessary for and are to be used solely for the
purpose specified in the award for this project.
Print/Type Name of Chief or Authorized Signatory:
Signature of Chief or Authorized Signatory (in blue ink):
Date (in blue ink):
Submit one original and one copy of this form to:
Lindsey Phelan, Highway Safety Division
10 Park Plaza, Suite 3720, Boston, MA 02116
Mobilization Activity Reports
Drive Sober or Get Pulled Over (DSOGPO) August 13, 2014 - September 1, 2014
Reporting Deadline: September 16, 2014
Name of Department Reporting:
Page 1 of
Name
Officer Name
Officer Name
Officer Name
Officer Name
arteil
Ofc.Martell
SGT.Crosman
SGT. Crosman
Ofc. Kerr
ODate
Date
Date
Date
Date
CURRENT
. REPST
TOTAL.#OF;
/14
8/21/14
8/28/14
8/29/14
8/30/14
PAGE
Traffic Sto s
10
1
5
6
27
27
Safety Belt Citations
0
0
Child Safety Citations
0
0
Child Safety - No Seat
0
0
Reckless Driving
0
0
Speeding - Citations
1
1
Speeding - Written
1
Warnings
1
2
3
3
Suspended Licenses
0
0
Uninsured Motorists
0
0
Recoveredo en
Vehicles
0
0
Breath Tests
01
0
OUI Arrests
0
0
OUI Drug Arrests
0
0
Felony Arrests
0
0
Other Arrests
0
0
Criminal Summons
0
0
Fugitives Apprehended
0
-0
Other Citations
0
0
Other Written Warnings
2
8
1
5
4
20
20
Indicate in the lines below the rationale why minimum performance measures (less than three stops per hour)
may not have been met. (For example: Tow, Weather, Medical Emergency, etc.)
08/17- Very low traffic volume. 08/28-08/29 Very low traffic during enf. period 6pm-10pm. 08/30 - waited for tows during two
my stops. Unreg and exp lic. Durint the eforcement period traffic was very light during Holiday Weekend.
Indicate in the lines below the types of citations and/or warnings the codes in the "Other" cateaory reflect.
NOTE: Failure to submit this form by the reporting deadline may result in non -reimbursement. Departments must have received written approval
by EOPSS/HSD during the current federal fiscal year in order to participate in this and any future mobilizations. Departments who submit
this form without prior written approval by EOPSS/HSD will not be reimbursed. Use additional pages if necessary.
Page 1 Revised WW014
Commonwealth of Massachusetts
Executive Office of Public Safety and Security
Office of Grants and Research
Highway Safety Division
10 Park Plaza, Suite 3720
Boston, MA 02116
Tel: 617.725.3356
Application Form (REVISED 9113113)
FFY 2014 Traffic Enforcement Program
Open Enrollment (but no later than July 18, 2014)
All sections must be completed to be eligible.
Organization Name: Mansfield Police Department
Grant Contact Last Name
First Name
Title
Kinahan
David
Traffic Safety Officer
E-Mail Address
Telephone
Fax
508-261-7300
dkinahan@,mansfieldma.com
Ext.220
508-339-1031
Department and Community Profile
Identify the # of officers trained in the use of
Preliminary Breath Test PBT units:
32
Identify the # of officers trained as certified crash
reconstructionists:
1 in -training
Identify the # of officers trained as certified Child
Passenger Safe (CPS) Technicians:
1
Does your department have a PBTpolicy?
yes
Has your department adopted a voluntary HSD
Zero Tolerance safety belt enforcementpolicy?
yes
Experience- Did your department receive a 2012 or 2013 EOPSS/HSD Traffic Enforcement Grant?
If so, describe grant successes and challenges.
no
Goals- Describe your department's traffic safety goals that you expect to accomplish
grant. You will be asked to note your progress towards your goals in the Final Report.
Our first goal is to reduce the amount of injury producing collisions at specific high incident
intersections, and commuter routes especially during the grant period.
Our second goal is to educate the public advising the public the use of seatbelts saves lives.
Evaluation- Describe your evaluation plan and how you will determine grant success.
We will evaluate our success by making comparisons of injury producing collisions at specific
high incident intersections and commuter routes during the grant period and past years.
Mobilization Schedule
First Mobilization
Second Mobilization
Third Mobilization
Fourth Mobilization
Click It or Ticket (CIOT)
October 18, 2013 — November 1, 2013
Drive Sober or Get Pulled Over
December 13, 2013 — January 1, 2014
Click It or Ticket (CIOT)
May 12, 2014 —May 26, 2014
Drive Sober or Get Pulled Over
2
this
Breakdown of Funding Allocation
Population
Award per
Mobilization
Maximum
Total Award
for Four
Mobilizations
0-30K
$1,500
$6,000
31K-70K
$2,800
$11,200
71K-100K
$4,000
$16,000
1OIK-150K
$7,000
$28,000
>150K
$28,000
$112,000
Budget
Number of mobilizations your department plans to Total Award
participate in; if less than 4, please specify which Award Amount
mobilizations . per Mobilization Amount
(N of mobs x award amt)
Third mobilization, fourth mobilization $ 1500.00 $ 3000. 00
Please Note
If your department does not implement a safety belt policy, your award will be reduced
by 50%.
This is an open enrollment grant. Trevor Bayard -Murray is the grant contact and any
questions regarding this application should be directed to him at Trevor.Bayard-Murray
@@state.ma.us.
Applications are to be delivered to the address below with two complete sets of the
complete application — one original and one copy*. No faxes or emails will be accepted.
Trevor Bayard -Murray, Program Coordinator
Executive Office of Public Safety and Security
Highway Safety Division
10 Park Plaza, Suite 3720
Boston, MA 02116
*It is suggested that departments verify with EOPSS/HSD receipt of application prior to
deadline (this is because of potential mail delivery problems). Please email Trevor
Bayard -Murray at Trevor.Bayard-Murray W).state.rna.us to verify receipt.
RO.GKLAND Advice of Credit
T. siS
TOWN OF MANSFIELD
6 PARK ROW 10/21/2014
MANSFIELD, MA 02048-2433
Effective Date Account Number Originating Company
10/21/2014 XXXXXX2771 COMM OF MASS
Department Reference Identification Amount
EXECUTIVEOFFICEOFPUBLICSAFET PRCEPS 017 4000000000358050neAs PDOI,ENRB/13.9/1/14 $931.36
Y&HOMELANDSECURITY617-727- hburtonPiace
7776_
Total: 2�2��_Acam `C�O�'-L%{¢p�jQd $931.36
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