State of Utah Application for DUI Enforcement Equipment for 2014 For Utah Law Enforcement Agencies Only Department or Agency __________________________________________________________________________ Address_______________________________________________________________________________________ Phone Number_______________________ E-mail Address_____________________________________________ Contact Name_____________________________________ Department Size: Please list the number of sworn personnel in your department whose primary responsibilities include impaired driving enforcement. DO NOT include corrections, court security, reserve officers. ________________ The following equipment listed below is available, on state contract, for law enforcement agencies to apply for concerning this application. Items available on State Contract: Digital In-Car Video Cameras NOTE** All camera contracts are due to expire in September 2014 ** (We expect all vendors to renew their contract and are working now to renew early, but if they do not, purchases will have to be made through another vendor or purchased by your agency and submitted for reimbursement.) Brand Requested (circle one) Coban Technologies Public Safety Equipment CDW Government Inc. (Panasonic HD). WatchGuard Video Number of digital cameras requested: __________________ Agencies will be responsible for all software, storage and set up/installation costs related to the digital camera systems. Agencies that want a camera system, different from those listed above, may request one up to the dollar amount of $5,000 per camera. These special requests may not always be honored by the review committee. Please list the camera system you are requesting if different from those on state contract. ______________________________________________________________________ Portable Breath Testing Devices (PBT’s) Brand Requested: (circle one) CMI SD-5 or SD 2 Draegger Alcotest 5510 Intoximeter FST Lifeloc Lifeguard PA2 or FC10 Number of PBT’s requested: ________________________ Law enforcement agencies that receive equipment from this program shall use the equipment in a manner set forth by your own policies and procedures. Equipment awarded through this program will be used primarily to enforce alcohol and drug related violations. Make sure appropriate records are maintained in an effort to comply with state and local audits should they occur. _________________________________________________________ Signature of Chief/Sheriff/Chief Administrator/Superintendent ______________________ Date Send your completed request to: ADTEC Committee Utah Highway Patrol Attn: Sergeant Chris Newlin 410 West 9800 South Sandy, Utah 84070 Cell # 801-503-6516 E-mail: cnewlin@utah.gov Applications are due no later than November 30, 2014.