HomeMy WebLinkAboutAgenda - 06-23-2004-5dORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: June 23, 2004
Action Agenda
Item No. 6—,d
SUBJECT: NC State Firemen's and Rescue Squad Pension Fund Certification Roster
DEPARTMENT: Emergency Management PUBLIC HEARING: (Y /N) No
ATTACHMENT(S):
Certification Form
Roster
Three Training Certificates
INFORMATION CONTACT:
Mike Tapp, 919- 968 -2050
TELEPHONE NUMBERS:
Hillsborough
Chapel Hill
Durham
Mebane
732 -8181
968 -4501
688 -7331
336 - 227 -2031
PURPOSE: To approve the certification requirements for the Fire Marshal to participate in the
North Carolina State Firemen's and Rescue Squad Workers' Pension Fund.
BACKGROUND: Recently, county fire marshals became eligible to participate in the North
Carolina Firemen's and Rescue Squad Worker's Pension Fund. The North Carolina State
Firemen's and Rescue Squad Worker's Pension Fund allows members who meet the
requirements to receive a monthly pension, upon retirement. State law requires, that in order
for members to be eligible to participate in the Pension Fund and receive a year of credit in the
fund, members must attend thirty -six (36) hours of training in the calendar year. The Fire
Marshal received ninety -four (94) hours of training in fire /arson investigations and child death
investigations. Certificates of training are included with the agenda abstract.
North Carolina General Statute 58 -86 -25 requires submission of a complete and certified roster
of eligible staff annually. The governing body, the County Commissioners, must certify the
annual certification roster. The certified roster and minimum training requirements determine
eligibility for Pension Fund credit as well as line of duty death benefits. The roster document,
which is utilized both for membership in the NC State Firemen's Association and for Pension
Fund Certification, is attached and lists two individuals. However, under Pension Fund
Certification guidelines, only the Fire Marshal is eligible for certification. The other individual
listed is for Firemen's Association purposes only, and the BOCC is only addressing Pension
Fund Certification for the Fire Marshal.
As an additional point of information, individual County fire departments submit their own
Pension Fund Certification rosters based on approval by their respective boards of directors
and signature of approval by the respective board's president.
FINANCIAL IMPACT: The County funds associated training costs for the fire marshal to attend
training seminars and membership in the NC State Firemen's Association. Pension fund dues
are paid by the fire marshal.
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
P.O. Box 188 3
Farmville, NC 27878
800 - 253 -4733
2003
ANNUAL CERTIFICATION OF FIREMEN
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 lti A K[Ge L -DUNTy h12E WW614ALS 0 MCE
Fire Department "`Mailing Address � C) . 6t
City �tLCS►goPMG[4 State �C Zip Code a�a�
Name of Fire Chief ! Y I l IPip m �
(Please mint or tvne)
Signature of Fire
Date �—�% "Q� Daytime Telephone_ 0119)
County A71G6
CERTIFICATION BY GOVERNING BODY
Pursuant to G S, 58- 86 -25, the governing body of afire 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
Name of Governing Body Official BA&2 ( ACO S
ease print or type)
Authorized
Title C PA I P)
Date (p 3 — Q) Daytime Telephone-(!Q14 _7 3Z ` S A 1
S Oo,�LS
11/14/03
Yuu4 hire uepartment Roster
—
ORANGE CO. FIRE MA.RRHAI,
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NC State Fireman's Association
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PO Box 188
Farmville, NC 27828
F m
800 - 253 -4733
252- 753- 3335
Orange
Mike Tapp
Day Phone# 919 - 968 -2050
ORANGE CO. FIRE MARSHAL
Secretary
P o Box 8181
Number Paid
Hillsborough, NC 27278
Number Volunteer
NCSFA Member N
Email
SSN NAME / DOB
ADDRESS PAONF_
!k�/ E GEN MAR P cm
1 239 - 90.1659 Mike Tapp
P O Box 8181
919 - 968 -2050 M M P Y
12/27/51
Hillsborough, NC 27278
mtapp @co. orange.nc us
2 242 -02 -6126 Jerry Wagner, Jr,
P O Box 8181
919 - 563 -2302 M M P Y
2/26/64
Hillsborough, NC 27278
jwagner @co orange nc us
Chief
ORANGE CO. FIRE MARSHAL
Date
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