MESA POLICE DEPARTMENT

TEMPORARY EMPLOYMENT AGREEMENT
TO BE COMPLETED BY ALL EMPLOYERS

NAME OF POTENTIAL EMPLOYER: ___________________________________________
NAME OF BUSINESS: ______________________________________________________
BUSINESS ADDRESS: _____________________________________________________
PHONE NUMBER: _________________________________________________________
FAX NUMBER: ____________________________________________________________
NAME OF SITE SUPERVISOR: _______________________________________________
Estimated length of Temporary Employment:_____________________________________
Start Date: _________________

Start Time: ____________________

End Date:__________________

End Time: ____________________

Number of Officers Requested:________________________________________________
Location of Job Site: ________________________________________________________
Person to Contact at Job Site: ________________________________________________
Phone Number of Contact Person: ____________________________________________
TYPE OF WORK: (CHECK ONE)

Traffic Control:

Security:

**

**Any establishment whose primary source of income is from liquor must provide a description of
job duties to be performed by the Mesa Police Department (MPD) member.
1.

Payment is required before the start of job. If payment is NOT received before start of
job, MPD Officers, (Sworn Officers, Municipal Security Officers or Police Service Officers),
will leave the job site before beginning job.

2.

The MPD Officer’s acceptance of employment is conditioned upon approval of the Chief of
Police.

3.

MPD Officer’s working conditions and demeanor are subject to onsite inspection and
review by the Mesa Police Department.

4.

Any employment of uniformed Off-Duty MPD Officers MUST be arranged with the Off
Duty Hiring Coordinator of the Mesa Police Department. The Mesa Police Department
reserves the right to cancel or terminate any Off-Duty work agreement or engagement in
emergency and other situations as determined by the Chief of Police or designee.

5.

MPD Officers are considered to be employees of the above listed temporary employer for
the purposes of the Arizona Worker’s Compensation Laws and any injuries resulting from
such employment shall be the responsibility of the named temporary employer.

MPD 364(F)

Revision Date: 06/12

6.

The temporary employer will cooperate fully in the prosecution of any arrests resulting
from this temporary employment.

7.

Police related temporary employment is authorized ONLY within the boundaries of the
City of Mesa.

8.

Temporary employers MUST purchase and maintain insurance, as evidenced by
Certificate of Insurance BEFORE temporary employment begins, as prescribed by City
Ordinance with the CITY OF MESA AND/OR MESA POLICE DEPARTMENT listed as
the certificate holder or insured:

A.

Commercial general liability insurance with a one million ($1,000,000) dollar per
occurrence limit for products and completed operations, premises liability, personal injury
and contractual liability for the liability assumed under this agreement. Such insurance
shall include false arrest, false imprisonment, violation of civil rights and libel and
slander.

B.

Statutory workers’ compensation insurance and employers’ liability of $500,000.00 policy
limit.

9.

The fee for Off Duty MPD Officers will be according to the following schedule and
stipulations:
Sworn Police Officer
$40.00 per hour
Sworn Police Supervisor (when 4 or more officers are needed) $45.00 per hour
Police Service Officer (PSO)
$35.00 per hour
PSO Supervisor (when 4 or more (PSOs are needed)
$40.00 per hour
Municipal Security Officer (MSO)
$25.00 per hour
MSO Supervisor (when 4 or more MSOs are needed)
$29.00 per hour
3 HOUR MINIMUM

A.

The Mesa Police Department reserves the right to increase the Off Duty Rate of pay upon
a 30 day written notice to all vendors.

B.

Vendors who do not agree with the rate change can cancel the Agreement, upon written
notice within 14 days of receipt of the written notice of rate increase.
**I have read and understand sections A & B above (initials required).

Traffic Control: When roadway construction or traffic control is needed and the MPD Officer is
stationed in the roadway and/or the job impedes the flow of traffic, a fully marked police vehicle
will be required and billed separately at the rate of $5.00 per hour for the duration of the job.
Minimum charge will be $15.00 per job.
Cancellation: 24 hours cancellation notice is required in writing, otherwise the minimum (3
hours) will be paid to the officer. 72 hours notice is needed prior to hiring any Officer unless
exigent circumstances exist.

POTENTIAL TEMPORARY EMPLOYER’S CERTIFICATION

I have read, understand and agree to the conditions for employment outlined in this agreement.
**I have read and understand the approved duties of Mesa Police Department members
as outlined in Mesa Police Department Administrative Order ADM 772. (Only required for
establishments whose primary source of income is from liquor sales).
Signature of Temporary Employer
Approved

Date

Not Approved

Chief of Police or designee (Temporary employment at liquor establishment)

Date

Please forward this form to Vicki Keast, Off-Duty Hiring Coordinator

Mesa Police Department – P. O. Box 1466 – Mesa, Arizona 85211
Phone (480) 644-2092 – Fax (480) 644-8114
MPD 364(F)

Revision Date: 06/12