HomeMy WebLinkAboutAgenda - 01-24-2013 - 5kORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: January 24, 2013
Action Agenda
Item No. 5 -k
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
1
PURPOSE: To approve the certification requirements for the Assistant Fire Marshals to
participate in the North Carolina State Firemen's Association for the year 2013.
BACKGROUND: The NC State Firemen's Association requires eligible members to attend
thirty -six hours of training in each calendar year. The Assistant Fire Marshals received 78 hours
and 207 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 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 County 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
Marshals was approximately $557.
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
2012
ANNUAL CERTIFICATION OF FIREFIGHTERS
*This form MUST be filled out and sent in for your Roster Renewal to be complete*
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 CHIEF
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 58- 86 -25.
Name of Fire Department
Fire Department Mailing Address .51e) ��a e� bnt ,
city 88i t S LG —o C (4A State AJ Zip Code
Name of Fire Chief
l (Please print or type)
Signature of Fire Chief
Date Daytime Telephone _7r ) _aq-5 6 /epo
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
Authorized Signature
Date Daytime Telephone_
(Please print or type)
Title
3.
tA-
north Cii fW o $! tte Fheinen's Assac4it[en
Life Safety Management Fire Department
Chief Thomas David Sykes
510 Meadowlands Drive
Hillsborough, NC 27278
K
2013 Department Roster Renewal
NCSFA
323 W. Jones St, Ste 401
Raleigh, NC 27603
800 - 253 -4733 Phone
membership @ncsfa.com
919 - 821 -9382 Fax
Department Information Roster Last Updated: 0113112011106:41 pm
Dept ID 100783 Paid Thru: 12/31/2012
Type: FDP / Fire Dept Paid Work: (919) 245 -6100
Chief: Thomas David Sykes Fax: 0r'a� �Cc�vn` n(� Jov
County: Orange E -Mail: dsykes �5
Payment Information Department Summary
Paid: 2
Volunteer: 0
Retired: 0
# SSN / ID Full Name / DOB Address Phone #/ GEN MAR PNIR CERT?
Email (circle one)
2
Elizabeth F. Gregory
(919) 245 -6100 P P Y / N
egregory s-pl'0.AjGC,0!Lt i'l gOl
Thomas David Sykes (919) 245 -6100 M P Y1/ N
dsykes@se: *4">taose,►i�t?�QitO\t- + /��a�°�
Life Safety Management Fire Department Paid: 2 Vol: 0 Retired: 0
NOTE(s):
Please find a blank invoice enclosed with your packet.
M
Emergency Services
Training Attendance by Staff
Class Date Between {01/01/2012}. And {12/20/2012}
and Staff ID = "SXKE01"
Date
Time
Category - Class Description CEU
Hours
Hrs Pd
Points
Obj?
SYKE01 Sykes, David
--------------------------------------------------------------------------------
01/16/2012
19:00
EMSO4 Cardiovascular Emergencies
3.00
--------
3.00
-
0.00
- - - --
Y
02/07/2012
09:00
FC40
Strategic and Tactical Operations
3.00
3.00
0.00
Y
04/28/2012
08:00
FV01
General Fire Investigation
12.00
12.00
0.00
Y
05/07/2012
08:00
IAAI
IAAI Conference
32.00
32.00
0.00
Y
07/10/2012
08:30
EL01
Electrical Safety
8.00
8.00
0.00
Y
08/08/2012
09:00
FV29
Arson Methods and Motives
2.00
2.00
0.00
Y
10/13/2012
08:00
FV01
General Fire Investigation
12.00
12.00
0.00
Y
12/05/2012
09:00
FI71
Fire Inspections Upgrade
---------------------------------------
6.00
6.00
0.00
Y
Totals for Staff Member:
78.00
78.00
0.00
*= Unexcused Absence X= Excused Absence
12/20/2012 09:30 Page 1
Emergency Services
Training Attendance by Staff
Class Date Between {01/01/2012} And (12/20/2012)
and Staff ID = 115600"
Date Time Category - Class Description CEU Hours Hrs Pd Points Obj?
5600 Gregory, Elizabeth
-----------------------------------------------------------
02/06/2012
08:00
- - - - --
FI01 Fire Inspections
------------------------------
40.00
40.00
0.00
Y
02/07/2012
09:00
FC40 Strategic and Tactical Operations
3.00
3.00
0.00
Y
02/21/2012
09:00
IS -120 An Orientation to Community
8.00
8100
1.00
Y
Disaster Exercises - An Orientation to
Community Disaster Exe
02/23/2012
09:00
FI73 Commercial Hood Systems
2.00
2.00
0.00
Y
03/13/2012
09:00
FAll Fire Rescue - Class /Certification
24.00
24.00
0.00
Y
03/24/2012
08:00
DT02 Emergency Vehicle Training
9.00
9.00
0.00
Y
03/29/2012
13 :00
EMS 104 Infection Control Update
4.00
4.00
0.00
Y
03/30/2012
09:00
IS -011 Animals in Disaster, Community
3.00
3.00
1.00
Y
Planning
04/16/2012
08:00
FI01 Fire Inspections
32.00
32.00
0.00
Y
05/07/2012
08:00
IAAI IAAI Conference
32.00
32.00
0.00
Y
07/10/2012
08:30
EL01 Electrical Safety
8.00
8.00
0.00
Y
07/25/2012
08:00
CERT Cert Review
16.00
16.00
0.00
Y
08/06/2012
18:00
GANG Gang Awareness
2.00
2.00
0.00
Y
11/07/2012
08:00
CON09 Firehouse Software
-- -------------------------------------
24.00
24.00
0.00
Y
Totals for Staff Member:
207.00
207.00
2.00
*= Unexcused Absence X= Excused Absence
12/20/2012 09:45 Page 1