HomeMy WebLinkAboutAgenda - 02-07-2012 - 5gORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: February 7, 2012
Action Agenda
Item No.
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 Life Safety Management
Inspector/Investigators (Assistant Fire Marshals) to participate in the North Carolina State
Firemen's Association for the year 2012.
BACKGROUND: The NC State Firemen's Association requires eligible members to attend
thirty-six hours of training in each calendar year. The Life Safety Management
Inspector/Investigators (Assistant Fire Marshals) received 165 hours and 209 hours of training
respectively in fire/arson investigations, NC Fire Prevention Code updates, fire behavior,
emergency medical services, and communications. The training received is required to maintain
various certifications held by staff. A training record 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 boards' presidents.
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 members was
approximately $1,598.
RECOMMENDATION(S): The Manager recommends that the Board approve the certification
roster and authorize the Chair to sign the certification documents.
North Carolina State Firemen's Association
323 West Jones Street, Suite 401
Raleigh, NC 27603
1-800-253-4733
2011
ANNUAL CERTIFICATION OF FIREFIGHTERS
North Carolina General Statute 58-$6-25 requires that all certified fire departments subrriit 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 CHIEF
As Fire Department Chief, I have determined that the attached roster is a valid and accurate list of all eligible
firemen, within the defmition pcontained in North Carolina General Statute 5 8-86-25.
Name of Fire Department - ®/~ ~~~ ~ ~O Lt1 SIT `~ ~..~-~~ ~~ /~~ ~i{~ ~~~
Fire Department Mailing Address ~,/b /l~ f~.flC~alL~Nl~s ~} ~~ (~~
City ~~-L~ ~~ (ZD ~/~ State /(J [~ Zip Code ~. ~ a
Name of Fire Chief ~ F} VZ I~ S ~/~ = ,Cj
(Please print or type)
Signature of Fire Chief ~~,
Date ~ - ~ ~ ° ~O /a, Daytime Telephone _( ~ q) ~ ~° (U ~ QO
County d ~~ /if
2
CERTIFICATION BY GOVERNING BODY
Pursuant to G.S. 58-86-25, 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. 58-86-25.
Name of Governing Body
Name of Governing Body Official
(Please print or type)
Authorized Signature Title
Date Daytime Telephone.
3
~_
earth Garptina 5t?te #"ir~cn~n's dociatt~
323 W. Jones Street, Ste. 401 ~ Raleigh, NC 27603
919.821.2132 (p) ~ 919.821.9382 (f) ~ www.ncsfa.com
Thomas David Sykes
Life Safety Management
510 Meadowlands Drive
Hillsborough, NC 27278
Department Roster
Life Safety Management
Printed: 11 /23/2011
Department Information Roster Last Updated: 01/31/2011 ~ 06:41 pm
Dept ID 100783 Paid Thru: 1.2/31/2011
Type: FDP /Fire Dept Paid Work: (919) 245-6100
Chief: Thomas David Sykes Fax:
County: Orange E-Mail: dsykes@orange.nc.us
nt Information
Name on Credit Card:
Credit Card:
Expiration Date:
Signature:
Paid: 2
Volunteer: 0
Retired: 0
# SSN/ID Full Name /DOB Address Phone #/
Cell # GEN/ MAR P/V/R CERT?
EMAIL (circle one)
~ XXX-XX~ Elizabeth F. Gregory 603 Hertford L Ane, (919) 245-6100 F M P Y / N
~ Graham, NC 27253 egregory@co.orange.nc.us
2 XXX-XX# Thomas David Sykes 1101 Sykes Drive, (919) 245-6100 M S P Y / N
~ Efland, NC 27243 dsykes@co.orange.nc.us
Life Safety Management
Paid: 2 Vol: 0 Retired: 0
NOTE(s):
Please find a blank invoice enclosed with your packet.
Emergency Services 4
Training Attendance by Staff
Class Date Between {01/01/2011} And {12/31/2011}
and Staff ID = "SYKE01"
)ate Time Category - Class Description CEU Hours Hrs Pd Points Obj?
~YKE01 Sykes, David
----------
~l/08/2011 -------
08:00 -------
FV29 ---------------------------------------------
Arson Methods and Motives ---------
12.00 ---------
12.00 -------
0.00 -----
Y
X1/08/2011 08:00 FVO1 General Fire Investigation 12.00 12.00 0.00 Y
i2 /07/2011 09:00 FPOl General Fire Prevention 80.00 24.00 0.00 Y
X4/16/2011 08:00 FV29 Arson Methods and Motives 33.00 12.00 0.00 Y
i5 /09/2011 09:00 FVO1 General Fire Investigation 32.00 32.00 0.00 Y
~8/O8/2011 19:00 EMS 1 11 Mandates-BBP, HIPPA, Driving, 3.00 3.00 0.00 Y
Fx,
19/22/2011 09:00 FPO1 General Fire Prevention 14.00 14.00 0.00 Y
X9/27/2011 08:00 FPOl General Fire Prevention 14.00 14.00 0.00 Y
X9/29/2011 08:00 FPO1 General Fire Prevention 32.00 32.00 0.00 Y
.0/10/2011 19:00 EMS27 BLS Skills Test/Scope of Practice 3.00 3.00 0.00 Y
.1/10/2011
---------- 09:00
------- FI71
------- Fire Inspections Upgrade
--------------------------------------------- 7.00
--------- 7.00
--------- 0.00
------- Y
----
Totals for Staff Member:
242.00
165.00
0.00 -
*=Unexcused Absence X=Excused Absence
01/06/2012 14:01 Page 1
Emergency Services 5
Training Attendance by Staff
Class Date Between {01/01/2011} And {12/31/2011}
and Staff ID = "5600"
)ate Time Category - Class Description CEU Hours Hrs Pd Points Obj?
1600 Gregory, Elizabeth
----------
~2/07/2011 -------
09:00 ----------------------------------------------------
FPO1 General Fire Prevention ---------
80.00 ---------
24.00 -------
0.00 -----
Y
i2 /15/2011 09:00 EMS 100 Medical Responder Course 3.00 3.00 0.00 Y
X2/21/2011 11:00 PQCE ProQA Continuing Education - 1.00 1.00 0.00 Y
General
X3/24/2011 10:00 PACE ProQA Continuing Education - 1.00 1.00 0.00 Y
General
l4 /11/2011 08:00 FPO1 General Fire Prevention 30.00 30.00 0.00 Y
15/09/2011 09:00 FVO1 General Fire Investigation 32.00 32.00 0.00 Y
)5/28/2011 09:00 PQCE ProQA Continuing Education - 3.00 3.00 0.00 Y
General
)9/22/2011 09:00 FPOl General Fire Prevention 14.00 14.00 0.00 Y
)9/24/2011 09:00 PQCE ProQA Continuing Education - 0.50 0.50 0.00 Y
General
)9/27/2011 08:00 FPO1 General Fire Prevention 14.00 14.00 0.00 Y
)9/29/2011 08:00 FPOl General Fire Prevention 32.00 32.00 0.00 Y
.0/25/2011 09:00 FIADMIN Fire Service Administration / 20.00 20.00 0.00 Y
Leadership
_1/14/2011 08:00 EMS30 BCLS Certification/CPR 20.00 20.00 2.00 Y
_2/12/2011 16:00 PQCE ProQA Continuing Education - 0.50 0.50 0.00 Y
General
_2/13/2011 08:00 COMM Communications 6.00 6.00 0.00 Y
_2/31/2011 08:00 EMD Emergency Medical Dispatch 8.00 8.00 2.40 Y
Certification Course - Emergency
Medical Dispatch Certification
Totals for Staff Member: 265.00 209.00 4.40
*=Unexcused Absence X=Excused Absence
01/06/2012 14:00 Page 1