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CITY <br /> © AROA X. <br /> CARFAXFORPOLICE.COM <br /> ENROLLMENT FORM FOR LAW ENFORCEMENT <br /> Official Agency Name(must provide FULL name)("Agency''): City of Everett Police Department <br /> Agency ORI Number:WA-0310300 <br /> Name of Chief of Police: Dan Templeman Number of Sworn Officers: 206 <br /> Address: 3002 Wetmore City: Everett <br /> County: Snohomish State: Washington Zip: 98201 <br /> Estimated number of motor vehicle accident reports per year: 2937 <br /> Enrollment in the CARFAX For Police Program allows Agency to subscribe, in exchange for motor vehicle accident reports data created or <br /> collected by Agency, to the CARFAX investigative tools ("Investigative Tools"), the CARFAX E-Commerce Service, and such other tools and <br /> services that CARFAX may offer participants of the CARFAX For Police Program. <br /> Agency wishes to subscribe to: <br /> Investigative Tools ® Yes ❑ No <br /> CARFAX E-Commerce Service ❑Yes ® No(If Yes, please provide the additional information requested below) <br /> Additional information required for the CARFAX E-Commerce Service: <br /> Does applicable state or local law or regulation require that motor vehicle accident reports can only be provided to specific interested parties <br /> (as defined by such law or regulation)? ❑ Yes ® No <br /> Amount to be reimbursed to Agency for each accident report sold through the CARFAX E-Commerce Service: $NA <br /> By signing below, I represent that I am duly authorized to execute this Enrollment Form on behalf of Agency and bind Agency to the CARFAX <br /> For Police Program Terms and Conditions: <br /> Signature: / .__ /4111:_.,/, 4 ,, A <br /> 111 I <br /> APPBOV D AS TO FOR <br /> Title: Mayor Pri4'd Name: Mayor Ray Stephanson `�/._r <br /> J 0 itildri,i1Shi,Ci fttorny <br /> Date: 11/ /W/*-- <br /> , <br /> A V EST.• i,. <br /> - - nd completed form to: Chris Marchetti <br /> City Clerk <br /> EMAIL: ChrisMarchetti@carfax.com I FAX: 800-790-8563 <br /> PCA Enrollment Form-02/17 <br />