HomeMy WebLinkAboutAgenda - 01-20-2011 - 4hORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: January 20, 2011
Action Agenda
Item No. 4 _ h
SUBJECT: NC State Firemen's and Rescue Squad Annual Certification Roster
DEPARTMENT: Emergency Services
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Certification Form
Roster
Training Records Database (2)
INFORMATION CONTACT:
Frank Montes de Oca, 919-245-6100
David Sykes, 919-245-6100
PURPOSE: To approve the certification requirements for the Assistant Fire Marshal and staff to
participate in the North Carolina State Firemen's Association for the year 2011.
BACKGROUND: The NC State Firemen's Association requires eligible members to attend
thirty-six hours of training in each calendar year. The Assistant Fire Marshal received 141 hours
of training in fire/arson investigations, NC Fire Prevention Code updates, fire behavior, and
emergency medical services. The Fire Training Staff Officer received 384 hours of training in
fire/arson investigations, NC Fire Prevention Code updates, communications, and emergency
medical services. The training received is required to maintain various certifications held by
staff. A training records database of hours and training topics is attached.
North Carolina General Statute 58-86-25 requires submission of a complete and certified roster
of eligible staff annually. As the governing body, the Board of County Commissioners must
certify the annual certification roster. The certified roster and minimum training requirements
determine eligibility for benefits through the Association, including line of duty death benefits,
accidental death and dismemberment benefits and participation in the pension fund. The
certification roster is attached and lists two individuals. Individual County fire districts submit
their own certification rosters based on approval by their respective boards of directors and
signature of approval by the board's president.
FINANCIAL IMPACT: The County provides funding for the costs associated with staff
attending various training classes to maintain certifications and membership in the NC State
Firemen's Association. The cost to attend classes for certification for the Assistant Fire Marshal
and staff was approximately $1,255.
RECOMMENDATION(S): The Manager recommends that the Board approve the certification
roster and authorize the Chair to sign the certification documents.
2
North Carolina State Firemen's Association
323 West Jones Street, Suite 401
Raleigh, NC 27b03
1-800-253-4733
North Carolina General Statute 58-86-25 requires that all certified fire departments submit a complete roster of
its eligible firemen annually. This certified list determines eligibility for the $50,000 line-of--duty death
benefit as well as eligibility for Pension Fund credit. Failure to accurately and promptly report this
information is violation of G.S. 58-86-25 and will automatically result in a loss or reduction of benefits.
REPORT BY FIRE DEPARTMENT CLEF
As Fire Department Chief, I have determined that the attached roster is a valid and accurate list of all eligible
firemen, within the definition contained in North Carolina General Statute S8-8b-2S.
Name of Fire Department (~k'/3i/GL-f ~ cI~JTy' G/(~f S/~-!'G' i }' d1'i!~ ~~6Grl~Gl~
Fire Department Mailing Address S'~/O /~j Gj/It~~t,,/ G/-~~/!~S pI'~/ yG1
City ~/L~SljynauGl~
State N ~
Zip Code ~ ~~ ~
Name of Fire Chief 1~A y ~D .~'Y,~S~
(Please print or type)
Signature of Fire Chief ~~~ ~~~-
Date `y ~ ZZ r Zd j~ Daytime Telephone _( / ~1) ~ ~ ~ ~/y ~
County f~~H~JC~Is
CERTIFICATION BY GOVERNING BODY
Pursuant to G.S. S8-8b-25, the governing body of a fire department operated by (i} a county is the county board
of commissioners, {ii) a city is the city council, (iii) a sanitary district is the sanitary district board, (iv) a
corporation, whether profit or nonprofit, is the corporation's board of directors and {v) any other entity is that
group designated by the board. Therefore, in our capacity as the governing body of the above-named fire
department, we certify and find that the attached roster is a valid and accurate list of all eligible firemen in
accordance with G.S. S8-8b-25.
Name of Governing Body
Name of Governing Body Official
Authorized Signature
2010
ANNUAL CERTIFICATION OF FIREMEN
(Please print or type}
Title
Date Daytime Telephone.
11/24/201 2010 Fire Department Roster Page 1 of 1
LIFE SAFETY MANAGEMENT 3
This Roster was last
updated on 6/22/2010
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NC State Fireman's Association
323 West Jones Street, Suite 401
Raleigh, NC 27603
800-253-4733
919-821-9382
Orange
David Sykes Day Phone# 919-245-6100
LIFE SAFETY MANAGEMENT Secretary Lysa May
510 Meadow Drive Number Paid
Hillsborough, NC 27278 Piedmont Region Number Volunteer
NCSFA Member Y Certification Letter N Email mtapp@co.orange.nc.us
Name on Credit Card
Credit Card#
Expiration Date
Signature
SSN NAME /DOB AD~DRES-S PHONE# / EMAIL GEN MAR PN/R CERT
1
Thomas David Sykes 1101 Sykes Drive Z?Z s".3 919-245-6] 00 M S P Y
2/16/1956 Efland, NC 27243 dsykes@co.orange.nc.us
~L~~
Chief Date
LIFE SAFETY MANAGEMENT
Member of NVFC No
Orange County Emergency Services
Activity & Training Hours Detail (no points)
Activity/Training Date Between {01/01/2010} And
{12/20/2010} and Staff ID = "SYKE01
SYKE01 Sykes, David
Date T/A Type Code Hours
01/11/2010 T M
02/24!2010 T 0
02/24/2010 T M
03/08/2010 T M
04/25/2010 T F
05/03/2010 T F
08/09/2010 T M
09/21/2010 T M
09/22/2010 T F
12/01/2010 T F
EMS1002 Respiratory, CPAP, Capnography
IS-001 Emergency Planning
EM503 Behavioral Emergencies
EM504 Cardiovascular Emergencies
ICS400 ICS-400 Advanced ICS
IAAI IAAI Conference
EMSOS Endocrine Emergencies
EMS27 BLS Skills Test/Scope of Practice
FPO1 General Fire Prevention
FI75 Fire Code Administration
Total for Staff Member:
T/A: T=Training, A=Act9.v~.ty
Types; F=Fire, M--EMS/Medical, R=Rescue, O=Other
3.00
24.00
3.00
3.00
16.00
32.00
3.00
3.00
42.00
12.00
141.00
4
12/21/2010 16:05 Page 1
Orange County Emergency Services
Activity & Training Hours Detail (no points}
Activity/Training Date Between {01/01/2010} And
{12/20/2010} and Staff ID = "5600 "
5600 Gregory, Elizabeth Alt ID: 2597
Date T/A Type Code Hours
01/11/2010 T F FVO1 General Fire Investigation 32.00
02/10/2010 T 0 ICS400 ICS-400 Advanced ICS 12.00
02/24/2010 T 0 IS-001 Emergency Planning 24.00
03/05/2010 T F FE01 Portable Fire Extinguishers 2.00
04/26/2010 T F FVO1 General Fire Investigation 32.00
05/03/2010 T F IAAI IAAI Conference 32.00
09/07/2010 T M EMS 100 Medical Responder Course 120.00
09/22/2010 T F FPO1 General Fire Prevention 42.00
10/18/2010 T F FIADMIN Fire Service Administration / Leadership 36.00
10/26/2010 T F AD10 Management Topics 28.00
11/18/2010 T F EMS99 EMS - Other topics, not specified above 8.00
12/02!2010 T F CON09 Firehouse Software 16.00
Total for Staff Member: 384.00
T/A: T=Training, A=Activity
Types: E~Fire, M=EMS/Medical, R=Rescue, Other
5
12/21!2010 16:13 Page 1