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06/18/1997 Agreement
BRANCH OFFICE 3117 OVERSEAS HIGHWAY MARATHON, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 289-1745 �ouNry 4 6 CO uF 'a ♦i Oy90f COUNTS • t~� ;Bannp 1. Ralbage CLERK OF THE CIRCUIT COURT MONROE COUNTY 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 FAX (305) 295-3660 M E M O R A N D U M TO: Reggie Paros, Director of Public Safety FROM: Isabel C. DeSantis, Deputy Clerk DATE: December 1, 1997 BRANCH OFFICE 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 At the June 18, 1997 meeting the Board approved the following Basic Service Agreements between the Lower and Middle Keys Fire and Ambulance Districts and the Big Coppitt, Layton, Conch Key, Sugarloaf, Marathon and Islamorada Volunteer Fire Departments, Inc. to provide fire rescue services in Monroe County and reimbursement for same. At the August 19, 1997 meeting the Board approved the Basic Service Agreement between the Lower and Middle Keys Fire and Ambulance District and the Big Pine Key Volunteer Fire Department, Inc., to provide fire rescue services in Monroe County and reimbursement for same. Enclosed are duplicate originals of the above Agreements for your return to the Corporations. Should you have any questions concerning the above, please do not hesitate to call. cc: County Attorney County Administrator, w/o docs. Finance Director �/ File AGREEMENT C C7 CD z � rn �, r13 o ZZ r ?> ca ro AGREEMENT made this day crtiIV*f 1997 by and between the Board of Governors, Lower & Middle keys Fire and Ambulance District hereafter known as DISTRICT ("DISTRICT") and Sugarloaf Key Volunteer Fire Department, Inc. hereafter known as CORPORATION ("CORPORATION"). RECITALS WHEREAS, The Monroe County Board of County Commissioners has pursuant to the authority granted to it in Chapter 125, Laws of Florida, and Article 7, Section 9 (b) of the Florida Constitution, established the Lower and Middle Keys Fire and Ambulance District and Municipal Service Taxing District 6 for the purpose of providing fire protection and other related municipal services primarily for the benefit of the taxpayers residing within said Districts, and WHEREAS, Corporations have been organized for the purpose of providing Fire Rescue Services within the Districts, and WHEREAS, Fire Rescue Services constitute essential services necessary for the health and safety of residents and visitors of Monroe County, and WHEREAS, the Monroe County Board of County Commissioners has provided funding appropriations within the budgets of the Districts for the reimbursement of certain expenses incurred by the various Corporations in providing Fire Rescue Services, and WHEREAS, the firefighters and rescue personnel of the Corporations are available, to respond to emergencies, and WHEREAS, the parties desire to enter into an AGREEMENT for the provision of Fire Rescue Services. NOW, THEREFORE, in consideration of the covenants contained herein and other good and valuable considerations the parties agree as follows: 1. TERM OF AGREEMENT n n QD rn 0 0 The term of this AGREEMENT shall be for a period of two (2) years, commencing on / and expiring on 3 9' unless terminated earlier under provisions specified herein. Upon expiration, i necessary the contract may continue on a month to month basis until re -negotiated. 2. TERMINATION Either party may terminate this AGREEMENT without cause by giving sixty (60) days written notice to the other indicating its desire to terminate same. All equipment and facilities of the DISTRICT or Monroe County and used by the CORPORATION to provide Fire Rescue Services shall be returned to the DISTRICT when requested upon expiration or termination of this AGREEMENT. During the interim period which might exist between expiration of this AGREEMENT and the execution of a new AGREEMENT, the CORPORATION may be authorized to continue use of the equipment and facilities. 3. SERVICES TO BE PROVIDED The CORPORATION shall be the primary provider of Fire Rescue Services within their assigned geographical service area; that being: from the east end of Shark Channel Bridge (approx. MM 12) to the east end of Kemp Channel Bridge (approx. MM 23), and provide mutual aid in accordance with established policies and procedures to any department or agency upon request, if equipment and personnel resources are available without leaving its service area unattended. Fire Rescue Services shall include, as a minimum, but not limited to the following: fire suppression, rescue, first responder level basic life support emergency medical services (non - transport), and other related emergency services within the CORPORATION's capability. Additionally, the CORPORATION shall provide hazardous material response in accordance with the current Monroe County Hazardous Material Emergency Plan and perform fire rescue services related emergency support functions for local emergency management efforts in accordance with the current Monroe County Peacetime Emergency Plan or Monroe County Comprehensive Emergency Plan, Monroe County Hurricane Preparedness, Evacuation, Shelter and Refuge of Last Resort Plan, Monroe County Fire Rescue Hurricane Plan, Turkey Point Emergency Procedure, Monroe County Mass Immigration Emergency Plan and other emergency plans and procedures which may be applicable to a particular service area. The CORPORATION shall conduct its business operations and provide Fire Rescue. Services in accordance with applicable laws, rules, regulations, policies, procedures, protocols, and standards. 4. LEVEL OF SERVICE The CORPORATION shall provide Fire Rescue Services in accordance with ATTACHMENT "A", which establishes standards for the minimum number of appropriately trained personnel, the minimum number and type of motor vehicles and equipment, and the maximum response time for initial responses to various kinds of incidents requiring Fire Rescue Services; it is not intended to be all inclusive. The actual allocation of fire rescue resources by the CORPORATION to a particular incident should be based upon and proportionate to its magnitude. Additionally, automatic aid and mutual aid should be used appropriately to ensure the provision of effective Fire Rescue Services. The CORPORATION shall immediately respond to emergency calls for Fire Rescue Services within its assigned geographical service area. A record shall be made of any situation where the CORPORATION cannot respond when dispatched. A record shall also be made of those instances where more than four (4) minutes elapsed between the initial dispatch of the CORPORATION to an emergency call and its response. Additionally, any delay in which over ten (10) minutes elapsed from the initial dispatch of the CORPORATION to the arrival of its essential resources at the scene of an emergency call shall be recorded. All records of such incidents shall include complete documentation of the circumstances which either prevented or delayed the response. The above mentioned response records shall be kept on file by the CORPORATION and a copy of each shall be sent to the Fire Rescue Coordinator's Office for examination. Nothing in this section creates, or is intended to create, any duty, obligation or liability on behalf of the fire department to any third party based on the department's failure to respond within the time parameters described in this section. 5. PERSONNEL The CORPORATION shall use volunteer and/or paid personnel to provide Fire Rescue Services on a twenty-four (24) hour day basis. Scheduling and assignment of personnel shall be arranged to utilize volunteer personnel to the maximum extent possible. The CORPORATION shall provide an accurate and complete membership roster of volunteers to the DISTRICT quarterly. The membership roster shall contain, as a minimum, the names of all of the CORPORATION's volunteers. The roster shall be dated and submitted to the DISTRICT so as to arrive at the Fire Rescue Coordinator's Office on October 15, January 15, April 15, and July 15. 6. CORPORATION'S PAID EMPLOYEES Part time and full time personnel may be employed by the CORPORATION to provide Fire Rescue Services or to meet administrative staffing needs only if the CORPORATION and the DISTRICT mutually deem it necessary. The CORPORATION shall submit to the DISTRICT a request to employ such part-time or full-time employees needed to provide Fire Rescue Services. The DISTRICT shall review then approve or deny such request within 30 days. If the DISTRICT denies such a request, a letter stating the reasons shall be provided to the CORPORATION and may include alternative solutions. Part-time or full-time employees of the CORPORATION shall be compensated by the CORPORATION at a rate commensurate with that of other similarly trained and experienced personnel employed within Monroe County. The DISTRICT shall reimburse to the CORPORATION on a regular monthly basis all costs, charges, or expenditures relating to the paid employees of the CORPORATION, from funds budgeted for such purposes. 7. MINIMUM STANDARDS AND TRAINING The CORPORATION shall require that all volunteer personnel that engage in providing Fire Rescue Services comply within one (1) year with the minimum training, education and performance requirements listed in ATTACHMENT `B". Paid firefighters shall at time of employment meet minimum State qualification standards for such firefighters or achieve same within one (1) year from date of hire. The CORPORATION and DISTRICT shall maintain accurate and current training and proficiency records for all personnel evidencing compliance with this provision. Additionally, the CORPORATION shall establish and maintain a training and continuing education program designed to ensure that a high degree of competency and skills are maintained by all volunteer and paid fire rescue personnel. The CORPORATION shall also encourage and facilitate attendance by all volunteer and/or paid fire rescue personnel at proficiency training programs provided by the CORPORATION and/or the DISTRICT. The cost of registration fees, tuition, lab fees, books, manuals, supplies and travel expenses directly related to training activities and conducting the business of the CORPORATION shall be reimbursable by the DISTRICT in accordance with applicable laws, rules and regulations, upon receipt of proper invoices and other supporting documentation and in a sum not to exceed the budgeted allocation for such purposes. The DISTRICT shall provide basic Fire Rescue Services training programs at various locations throughout the County. 8. EQUIPMENT AND FACILITIES The DISTRICT shall provide the equipment and facilities described in ATTACHMENT "C" for the CORPORATION's use in providing Fire Rescue Services. The CORPORATION shall ensure that such equipment and facilities are at all times maintained in proper operational condition for the intended service and used accordingly. Equipment shall be maintained as a minimum in accordance with the manufacturers' recommended maintenance schedules. Equipment that is not functioning properly or whose operational condition is questionable shall not be used until it has been thoroughly inspected, repaired and/or tested for proper operation. Maintenance and repairs of motor vehicles shall be performed through the DISTRICT's maintenance contractor(s). The CORPORATION shall be responsible for notifying the DISTRICT when maintenance, repairs and certifications are needed and shall assist in making arrangements for those services. The DISTRICT shall arrange for annual pump tests and testing and certification of aerial devices. Copies of test results and certifications shall be maintained by both the DISTRICT and the CORPORATION. The CORPORATION shall perform routine weekly equipment checkout and servicing in accordance with the schedule in ATTACHMENT "D". Additionally, the CORPORATION shall perform applicable periodic testing of equipment and devices in its possession, in accordance with nationally recognized industry standards. The DISTRICT shall have the right to inspect the equipment and facilities at any reasonable time. 9. PROPERTY CONTROL The CORPORATION shall provide a system for property control of the DISTRICT's equipment and facilities in its possession. The CORPORATION shall assist in the performance of the DISTRICT's annual inventory of same. 10. SUBCONTRACTS The CORPORATION may with prior approval of the DISTRICT and/or Monroe County subcontract its services. The CORPORATION may utilize the DISTRICT's equipment and facilities in conjunction with such subcontracts provided that no unreasonable reduction in the level of service to their respective service area results. Notice of intent to subcontract, when the DISTRICT's equipment and facilities will be used, must be provided to the DISTRICT prior to execution of said subcontract in order to allow for proper review, comment, and action concerning same. A signed copy of all subcontracts shall be provided to the DISTRICT. 11. DISTRICT INSURANCE A. The DISTRICT and/or Monroe County on behalf of the DISTRICT shall provide the following insurance coverage on and for the volunteers of the CORPORATION. a. Workers' Compensation Insurance as required by Florida Statutes Chapter 440, including minimum $500,000 Employer's Liability coverage. If Monroe County provides the Workers' Compensation Insurance for volunteers, then the volunteers will be subject to Monroe County's Workers' Compensation Drug -Free Workplace Policy. b. General Liability Insurance, with minimum limits of $5,000,000. C. Automobile Liability Insurance with minimum limits of $5,000,000 including Physical Damage Insurance on all vehicles owned or leased by the DISTRICT or Monroe County and used by the CORPORATION. The policy shall provide secondary liability coverage on private vehicles only during such time as they are operated in response to a call, and ending, either at such time as the volunteer returns to his/her home, or to the first location to which a volunteer stops on the way home, after completion of participation in the emergency services that were subject to the call, whichever occurs first. B. The DISTRICT and/or Monroe County on behalf of the DISTRICT shall provide the following insurance coverage on all facilities owned and/or leased by the DISTRICT and used in providing Fire Rescue Services by the CORPORATION. a. Fire, Wind, Flood, and liability in accordance with Monroe County policy for such coverage for all County buildings. C. All DISTRICT liability insurance policies shall name the CORPORATION as an additional insured. Proof of all insurance in a form acceptable to the CORPORATION shall be provided by the DISTRICT upon request. 12. CORPORATION INSURANCE A. The CORPORATION shall provide the following insurance on all part-time and full- time employees of the CORPORATION: a. Workers' Compensation Insurance in compliance with Florida Statutes Chapter 440 including minimum $500,000 Employer's Liability coverage. b. Unemployment Compensation in compliance with Florida Statutes Chapter 443. C. General Liability Insurance with minimum limits of $300,000 Combined Single Limit. B. The CORPORATION may provide the following insurance on all Volunteers and/or part-time and full-time employees of the CORPORATION: a. Disability income insurance for a minimum of three hundred dollars ($300.00) weekly upon total disability for the first thirty (30) days and thereafter, in an amount up to six hundred dollars ($600.00) weekly, not to exceed the volunteer's regular salary. Said benefit shall continue until the volunteer can return to his regular work duties. b. Death benefit insurance with a minimum amount of fifty thousand ($50,000) death/permanent disability benefit for the volunteer while engaged in the performance of his/her duties. C. The vehicles listed on ATTACHMENT "B" are either owned by or leased to the CORPORATION. The DISTRICT agrees that they can be used by the CORPORATION to provide Fire Rescue Services. The CORPORATION shall provide the following insurance on them. a. Automobile Liability Insurance with minimum limits of $300,000 Combined Single Limit. Additionally, the CORPORATION shall keep in full force and effect auto physical damage insurance to full replacement cost value of the vehicles. D. All liability policies are to name both the DISTRICT and Monroe County as additional insured, and shall provide for no less than thirty (30) days notice of cancellation, non- renewal, or reduction in coverage. Proof of all insurance in a form acceptable to the DISTRICT shall be provided by the CORPORATION upon request. 13. INSURANCE REIMBURSEMENT The costs of insurance policies described under the provisions of Section 12 of this AGREEMENT shall be a cost, charge, or expenditure of the CORPORATION for which the DISTRICT, upon receipt of proper invoices and applicable documentation, shall reimburse the CORPORATION in an amount not to exceed the budgeted allocation. 14. PRIVATE VEHICLE INSURANCE All CORPORATION personnel shall keep in full force and effect a policy of liability insurance on his/her private vehicle(s) in at least such minimum amounts of coverage as are required under Florida Law. Proof of insurance in a form acceptable to the DISTRICT shall be provided by each volunteer and maintained on file in the business office of the CORPORATION. The CORPORATION shall provide copies of proof of insurance to the DISTRICT upon request. 15. VOLUNTEER PERSONNEL REIMBURSEMENT OF EXPENSES ALLOWANCE A. The DISTRICT shall provide a reimbursement of expenses allowance to the CORPORATION for volunteer personnel in accordance with Section 2-261 of the Monroe County Code and in the following amounts: a. For each eligible volunteer, a minimum of one hundred dollars ($100.00) per month. b. For each eligible volunteer Assistant and/or Deputy Fire Chief, a minimum of one hundred seventy five dollars ($175.00) per month. C. For each eligible volunteer Fire Chief, a minimum of two hundred fifty dollars ($250.00) per month. B. The CORPORATION shall have the right to establish its own eligibility requirements for the reimbursement of expenses allowance based on participation in CORPORATION activities. The CORPORATION shall provide a copy of such eligibility requirements to the DISTRICT. DISTRICT funding of these costs shall not exceed the budgeted allocation for such purpose. The above amounts may be changed or adjusted by written approval of the DISTRICT and the CORPORATION, during the term of this AGREEMENT by an agreement addendum. 16. LENGTH OF SERVICE AWARD PROGRAM (LOSAP) It is the intent of Monroe County to develop and institute a LOSAP during the term of this contract for the volunteer firefighters who provide emergency services within Monroe County. The LOSAP shall be instituted provided that an analysis finds the proposed program to be viable, feasible, and within the capability of Monroe County to fund. 17. COMMAND VEHICLE The DISTRICT shall provide $450.00 per month to the CORPORATION for the purchase or lease and associated and/or related operating expenses of a motor vehicle to be used by the CORPORATION primarily for response to fire rescue related incidents and to support incident command activities at the scene. Said vehicle shall be either leased to or registered to and licensed by the CORPORATION. 18. RECORDS The CORPORATION is responsible for the following, as a minimum; A. Keeping an accurate and current inventory of all equipment and facilities used by the CORPORATION. B. Maintaining detailed, accurate, and current records of all maintenance and repairs performed by the CORPORATION on equipment and facilities, including documentation of any testing of equipment and devices. C. Maintaining accurate and current records of training, testing, and certification of all volunteers and part-time and full-time employees. D. Preparing and filing with the DISTRICT in a timely fashion, an incident report for each response by the CORPORATION for Fire Rescue Services, mutual aid or other type calls. E. Preparing and filing a NOTICE OF INJURY FORM with the DISTRICT within 24 hours of any reportable injury involving volunteer personnel. A Monroe County Accident Investigation Report shall be submitted to the DISTRICT within ten (10) working days of the accident. F. Preparing and maintaining complete and accurate records of the CORPORATION's activities including, but not limited to, telephone logs, fuel logs, and supply requisitions. 19. MEDICAL REQUIREMENTS FOR FIRE FIGHTERS The CORPORATION shall ensure and document in its personnel records that all new personnel of the CORPORATION submit to a medical examination evidencing good physical condition prior to engaging in the actual provision of Fire Rescue Services. Additionally, the CORPORATION, shall ensure and document in its personnel records that all of its personnel who are actively engaged in providing Fire Rescue Services have an annual medical evaluation which may include a medical examination. Medical evaluations and examinations shall be given by a physician or surgeon licensed to practice in the State of Florida pursuant to Chapter 458, Florida Statutes, or an osteopathic physician or surgeon licensed to practice in the State of Florida pursuant to Chapter 459, Florida Statutes. The physician should have in his possession a copy of the Standard on Medical Requirements for Fire Fighters 1992 Edition as outlined in NFPA 1582, for reference during a medical evaluation and examination, and the results of a medical examination shall be reported to the CORPORATION on completed Form MEF-1 entitled "Medical Examination Form". A copy of both NFPA 1582 and Form MEF-1 are included in ATTACHMENT "F". The DISTRICT shall reimburse the CORPORATION for the reasonable and customary charges of the medical evaluation and examination upon receipt of proper documentation and in a sum not to exceed the budgeted allocation for such costs. 20. ACCOUNTABILITY The CORPORATION shall be accountable to the DISTRICT as required by this AGREEMENT. The CORPORATION shall elect or appoint a Fire Chief for its respective service area. The Fire Chief, subordinate officers and Firefighters of the department, whether appointed or elected, shall meet the requirements in "ATTACHMENT B" or have other documented training and experience which is equal to or better than that provided by Monroe County. The Fire Chief shall appoint subordinate officers accordingly. The Fire Chief, subordinate officers and members of the CORPORATION shall perform their duties in a lawful, professional and responsible manner at all times. The Monroe County Fire Rescue Coordinator shall have the authority to direct, coordinate, and control all Fire Rescue Services during a State of Local Emergency in conjunction with Emergency Management of Monroe County. Additionally, the Monroe County Fire Rescue Coordinator may direct, coordinate, and control Fire Rescue Services during major incidents which require the response and interaction of multiple Fire Rescue Service providers and resources. The DISTRICT shall provide administrative and technical assistance, within its capability to the CORPORATION, as requested, in matters relating to the operation of Fire Rescue Services. Representatives of both the DISTRICT and the CORPORATION shall meet on a regular basis for discussions regarding the operation of the Fire Rescue Services contemplated within this AGREEMENT and other related matters; meeting dates to be jointly agreed upon. All administrative correspondence shall be sent to: To the DISTRICT: Monroe County Fire Rescue Coordinator's Office 490 63 rd St., Suite 160 Marathon, Fl 33050 To the CORPORATION: V 21. COMMUNICATIONS SYSTEM The DISTRICT and/or Monroe County shall provide a communications system for the dispatching of all emergency and non -emergency calls. Dispatch and coordination of all Fire Rescue Services' resources responding to an incident shall be in accordance with the Monroe County Public Safety Division Dispatch Protocol. The DISTRICT shall ensure that copies of the current Dispatch Protocols are provided to the CORPORATION, and shall schedule and conduct meetings when necessary to revise them to improve the efficiency and effectiveness of the response system. 22. PROCUREMENT The CORPORATION shall procure goods and services, for which the DISTRICT is financially responsible, in accordance with current Procurement Policies for Monroe County . The CORPORATION may orally request a purchase order through the Fire Rescue Coordinator's office for such supplies, equipment, and/or services required to provide Fire Rescue Services and for which the DISTRICT has allocated funds in the current budget. However, a "Request to Purchase" form shall be completed and forwarded to the Fire Rescue Coordinator's Office for purchases exceeding $500. The Fire Rescue Coordinator's Office shall act on the request to purchase in a timely manner. The procurement of goods and services occurring after normal business hours or during weekends by the CORPORATION shall be limited to only those emergency situations in which case such procurement was necessary in order to avoid interruption of services or to maintain current service levels during such period, with notification of said obligation to the Fire Rescue Coordinator's Office the next business day. 23. PAYMENT Reimbursement requests will be submitted monthly to the DISTRICT through the Fire Rescue Coordinator's Office, in accordance with ATTACHMENT "G", Reimbursement Procedures. Reimbursable expenses will be reviewed for appropriateness by the County Clerk's Finance Department and processed accordingly. Evidence of payment by the CORPORATION shall be in the form of a letter, summarizing the expenses, with supporting documentation attached. The letter should contain a certification statement as well as a Corporate official's signature. An example of a reimbursement request cover letter is included as ATTACHMENT «H„ After the Clerk of the Board examines and approves the request for reimbursement, the DISTRICT shall reimburse the CORPORATION. However, the total of said reimbursable expense payments in the aggregate sum shall not exceed the total budgeted allocation during the term of this agreement. 24. DISTRICT BUDGET The DISTRICT budget, as adopted, provides funding for personal, operating and capital expenses necessary or incidental to the provision of the Fire Rescue Services contemplated within this AGREEMENT. The Monroe County Fire Rescue Coordinator's Office, on behalf of the DISTRICT, shall be responsible for managing these funds. Monroe County's performance and obligation to pay under this contract, is contingent upon an annual appropriation by the BOCC. 25. TRIAL BALANCES The DISTRICT shall provide a trial balance report to the CORPORATION each month, to apprise the CORPORATION of budgeted appropriations and the status of expenditures. Other financial reports will be provided upon request. 26. BUDGET REQUEST Upon request of the DISTRICT, the CORPORATION shall submit a proposed budget appropriations request, by line item account, for the forthcoming fiscal year. When deemed necessary, based on statistical analysis of usage, mileage, serviceability, and/or level of service, the DISTRICT shall consider a budget appropriations request for refurbishment, replacement, or purchase of additional vehicles. In such cases, the CORPORATION shall prepare and submit minimum vehicle and associated and related equipment requirements to the DISTRICT for review and concurrence. The DISTRICT shall then prepare specifications and procure the vehicles in accordance with its procurement policies and procedures. The CORPORATION shall be involved in monitoring all phases of refurbishing or purchasing of vehicles to be used by the CORPORATION. 27. ANNUAL AUDIT REPORT The CORPORATION shall present a copy of its annual audit report, prepared by a certified public accountant licensed to do business in the State of Florida, to the DISTRICT. The report shall be presented to the DISTRICT within thirty (30) days of its receipt by the CORPORATION. The CORPORATION shall comply with this requirement for each audit year concurrent in whole or in part with the term of this AGREEMENT. The cost of such audit shall be a cost, charge, or expenditure of the CORPORATION for which the DISTRICT, upon receipt of proper invoices and other applicable documentation, shall reimburse the CORPORATION in a sum not to exceed the budgeted allocation for same. 28. INDEMNIFICATION The CORPORATION to the fullest extent permitted by law, shall indemnify and forever hold harmless the DISTRICT and Monroe County, their officers, agents, and employees, from all claims of any sort whatsoever that may arise from negligence, acts, or omissions of the paid -part time and/or full-time employees of the CORPORATION, not related to the provision of Fire Rescue Services and/or related administrative services. 29. NOTICES The DISTRICT shall give proper notice to the CORPORATION at any time during the term of this agreement if the CORPORATION defaults under any provisions specified herein, or violates any standard specified in the AGREEMENT, or violates any other law, regulation or standard applicable to furnishing of Fire Rescue Services in Monroe County. In such event, the County Administrator or designee shall furnish the CORPORATION written notice of any such default or violation and the CORPORATION shall have thirty (30) days from receipt of said notice to correct or remedy such default or violation. If such violation is not corrected or such default is not remedied within said thirty (30) day period, or is of such nature that it can not be corrected or remedied, this AGREEMENT shall be considered terminated. Any notice required or permitted to be given hereinafter shall be deemed properly given at the time it is personally delivered or mailed, properly addressed and postmarked to the respective address specified below or to such other addresses as may be specified in writing. To the DISTRICT: Office of the County Administrator Public Service Building, Wing II 5825 College Rd. West Key West, Fl 33040 To the CORPORATION: 30. INVALIDITY If any section, subsection, sentence, clause, or provision of this AGREEMENT is held invalid, the remainder of this AGREEMENT shall not be affected by such invalidity. IN WITNESS WHEREOF, the parties hereto have caused this AGREEMENT to be executed the day and year first above written. SEAL Attest: Danny L. Kolhage, Clerk BOARD OF GOVERNORS OF THE LOWER AND MIDDLE KEYS FIRE AND AMBULANCE DISTRICT, MONROE COUNTY, FLORIDA APPROVED AS TO FORM A AL S FFICIE B ROBERT N. W DATE 6; - Z V - �- SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE �COUNTY, FLORIDA ` I ETHICS CLAUSE 4� X-�-� warrants that Wit has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2 of Ordinance no. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price,. or otherwise recover, the foil amount of any fee, commission, percentage, gift, or consideration paid o ifie former County officer or employee. 2- (signature) � c/N� 7n STATE OFL' COUNTY OF W �j PE SONALLY APPEARED BEFORE ME, the undersigned authority, who, after first beingb sworn y me, affixed his/her sign tore (name of individual signing) in the space provided above on this Sf� day of 19 '(% 11 My conunission expires: MCP#4 1 JOHN M A ROLLI My Commission CC5374�i �r Qe Expires Mar. 06, 2000 j' SWORN STATEMENT PURSUANT TO SECTION.287.133(3)(a), ll FLORIDA STATUTES. ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTH� I AUTHO EDL TO ADMINISTER OATHS. This sworn statement is submitted to [print nary4 of the public e6tityl for [print individual's nema end title] [print name of entity sudmitting sworn statement] whose business address is and (if applicable) its Federal Employer Identification Number (FEIN) is Sf-,A311 5-72- (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: II .) I understand that a "public entity crime" as defined in Paragraph 281 333(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1.1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: I. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or pooling of equipment,or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida S'Mutes�, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods -or services'let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity.1.2.3.4.5. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [Indicate which statement applies.] k-Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 191989. The entity submitting t is orn statement, nor any of its officers, directors, executives, partners, shareholders, employees, mem s, or agents who are active in the management of the entity, nor an affiliate of the entity has been cha d wit d convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this ore statem t or one or more of its officers, directors, executives, partners, shareholders, employees, m bers, r agents who are active in the management of the entity, or an affiliate of the entity has been charge w' h and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subse roceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings the Fi Order entered by the Hearing Officer determined that it was not in the public interest to pl a the entity su itting this sworn statement on the convicted vendor list. [Attach a copy of the final or r] 1 6. I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED ON PARAGRAPH 1(ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FL9WA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAUAD 09 THIS FORM. Sworn to and subscribed before me this Ste` day of .19 [ 7 Personally known 1 �t,C�z� a� C. �dec�.ific^�io: _ _.._.._...._.,=:L .. Not blic State of - -_ ---- T�Yylroulm1ss expires (Type of identification) Form PUR 7068 (Rev. 06/11/92) (Printed typed or stamped commissioned name of notary public) �n1 JOAN M A ROLU a 7C . My Commission CC5$"87 •`'lFOF Ft�Q'\OF Expires Mar. 06, 200p Attachment A OPERATIONAL RESPONSE DOCUMENT ATTCH-A.DOC 05/27/97 This document only details the minimum number of appropriately trained personnel, the minimum number and type of motor vehicles and equipment, and the maximum response time established for initial responses to various kinds of incidents requiring Fire Rescue Services; it is not intended to be all inclusive. The actual allocation of fire rescue resources by the Corporation to a particular incident should be based upon and proportionate to its magnitude. Additionally, automatic aid and mutual aid should be used appropriately to ensure the provision of effective Fire Rescue Services. Nothing in this section creates, or is intended to create any duty, obligation or liability on behalf of the Fire Department to any third party based on the Fire Department's failure to respond within the time parameters described in this section. 1.) STRUCTURE FIRES Minimum response staff: 4-FF responding with apparatus X being on scene not later than 2 minutes after apparatus' arrival on scene, under normal response conditions Minimum apparatus response: 1 Class "A" pumper; Maximum apparatus response time: Arrival on scene 10 minutes from dispatch; 5 miles or less from Fire Station, Under normal response conditions. Responses which exceed the maximum response time are to be documented and forwarded to MCFR office 2.) OUTSIDE FIRE- (fires which threaten life or structures ) Minimum response staff: Minimum apparatus response: Maximum apparatus response time: ATTCH-A.DOC 4-FF responding with apparatus or being on scene not later than 2 minutes after apparatus' arrival on scene, after apparatus' arrival on scene, under normal response conditions 1 Class "A" pumper; Arrival on scene 10 minutes from dispatch; 5 miles or less from Fire Station, Under normal response conditions. Responses which exceed the maximum response time are to be documented and forwarded to MCFR office 3.) HEAVY RESCUE/EXTRICATION Minimum response staff: 4-FF responding (AII trained in extrication)with apparatus or being on scene not later than 2 minutes after apparatus' arrival on scene, after apparatus' arrival on scene, under normal response conditions. Minimum apparatus response: 1 - apparatus appropriately equipped for the type of incident; Maximum apparatus response time: Arrival on scene 10 minutes from dispatch; 5 miles or less from Fire Station, Under normal resoonse conditions. Responses which exceed the maximum response time are to be documented and forwarded to MCFR office. 4.) LIGHT RESCUE -MEDICAL 1ST. RESPONDERIBLS Minimum response staff: 2-FF responding with apparatus or POVs being on scene not later than 12 minutes after tone out, after apparatus' arrival on scene,_ under normal response conditions Minimum apparatus response: 1-apparatus or POV appropriately equipped for the type of incident; Maximum apparatus response time: Arrival on scene 10 minutes from dispatch; 5 miles or less from Fire Station, Under normal _response conditions. Responses which exceed the maximum response time are to be documented and forwarded to MCFR office 5.) HAZ-MAT Minimum response staff: Minimum apparatus response: Maximum apparatus response time: ATTCH-A.DOC 4 (maximum 1 trained in awareness level HAZ- mat response). 1-apparatus best equipped for the type of incident; Arrival on scene 10 minutes from dispatch; 5 miles or less from Fire Station, Under normal response conditions. Responses which exceed the maximum response time are to be documented and forwarded to MCFR office 2 6.) MUTUAL AID- To be provided as requested or If not specified as follows. Under all circumstances the department providing mutual aid shall ensure that their primary area of responsibility shall be adequately covered. Minimum response staff: 4 firefighters; or as requested. Minimum apparatus response: 1-Class "A" pumper or tanker as available. Additional apparatus as requested; Maximum response time: To be determined district by district . 7.) OTHER EMERGENCIES (emergencies other that those involving life or structures) Minimum response staff: 2 or greater, based upon the incident. Minimum apparatus response: 1-apparatus or POVs best equipped for the type of incident; Maximum response time: 10 minutes from dispatch; 5 miles or less from Fire Station or POV location, under normal regpon,7e conditions 8.) NON -EMERGENCIES Minimum response staff: 1-2 FF or as needed. Minimum apparatus response: 1-apparatus or POVs best equipped for the type of incident; Maximum apparatus/ POV response time: 10-20 minutes from dispatch or as directed; miles or less from Fire Station or POV location. ATTCH-A.DOC 3 05/27/97 Attachment B MONROE COUNTY FIRE/RESCUE JOB DESCRIPTIONS AND QUALIFICATIONS PURPOSE: The purpose of this standard is to establish requirements for each and every position of the fire department. No person shall be accepted into, promoted within, or advanced to a higher position in any Monroe County Volunteer Fire Department without first being certified as qualified to the level herein established through the Monroe County Fire Rescue Department. Persons not qualifying will be granted one year to successfully meet the requirements of the position they currently hold. Failure to pass the written and practical test shall require the person to take and successfully pass the course in question in order to continue in the position. A verbal test may be given in place of a written test. A challenge to the written or verbal test, accompanied by a practical test, may be allowed in lieu of taking the course. Failure to pass the challange to the written test shall require the person to take and sucessfully pass the course in question in order to continue in the position. Any other documented training and experience which is equal to or better than that provided by Monroe County shall be acceptable if approved by the office of the Monroe County Fire Rescue Department. A wavier of time in rank or service (only) may be granted if the person is best suited for the position. The waiver of time in rank and service shall 'be granted only if both the Chief of the Department making the request and the Fire Rescue Coordinator agree on the waiver. Position Of Fire Chief FIRE CHIEF: The Fire Chief is the overall head of the fire department; with duties to include: Establish the goals for a total fire protection plan; determine the requisite budget to support the program; justify the budget/program; interpret fire service legislation; execute the personnel standard of Monroe County and issue the orders necessary for administering personnel procedures. The Chief of the Department or his or her designee, in writing, shall have requesting authority applicable to procurement. The Chief shall attend 40 hours of training each year, and keep informed on the latest developments in the fire service. REQUIREMENTS: The requirements of Fire Chief are: have at least eight (8) years experience in firefighting, with at least three (3) years of supervisory experience; meet the minimum requirements of a company officer; be proficient in Incident Command (IC), should be able to produce written communications to personnel about operations and have a complete understanding of the Monroe County volunteer system. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper; 6. Hazardous Materials course (awareness level) 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC 2 Position Of Deputy Fire Chief DEPUTY FIRE CHIEF: The primary function of the Deputy Fire Chief is to assume the responsibilities of the Fire Chief if not available. He will also oversee the fire department operation to insure that the overall objective of the fire department is being met. The Deputy Fire Chief will also coordinate the activities of the fire department assisting the Fire Chief during normal routine job functions and shall attend 40 hours of training each year. During fire emergencies the Deputy Fire Chief will report directly to the scene and report to the Fire Chief for further instructions. In the absence of the Fire Chief, he will assume command at the scene. He may assume the scene from an Assistant Fire Chief if he feels the need is present or he may assist the Assistant Fire Chief in performing other functions at the fire scene. REQUIREMENTS: The requirements of the Deputy Fire Chief are that he must have at least six (6) years experience in firefighting with at least three (3) years of supervisory experience, meet the minimum requirements of a company officer, be proficient in Incident Command, and have an understanding of the Monroe County volunteer system. The Deputy Fire Chief should be able to produce written communications to the personnel that effect the operation. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, 111 requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper; 6. Hazardous Materials (awareness level) 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC Position Of Assistant Fire Chief Communication & Community Involvement ASSISTANT FIRE CHIEF COMMUNICATION & COMMUNITY INVOLVEMENT: The Assistant Fire Chief will assist the Fire Chief in developing programs to enhance the communication abilities of the fire department and also involve the fire department in programs that project a positive image of the fire department within the community. He will also assist in the training of fire department personnel in firefighting techniques when called upon to do so. During fire emergencies, the Assistant Fire Chief will respond directly to the scene of the emergency and report to the Incident Commander for further instructions and job assignments. REQUIREMENTS: The Assistant Fire Chief must have at least five (5) years of firefighting experience with two (2) years at the supervisory level. He must Possess the ability to supervise large numbers of firefighters during normal and emergency operations. He must possess minimum requirements of a company officer, be proficient in Incident Command, and have an understanding of the Produce written communications to personnel that effect the Monroe County volunteer system. The Assistant Fire Chief should be able to and shall attend forty (40) hours of training each year. Minimum requirements of this position are as follows: operation above, 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous Materials course (awareness level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC Position Of Assistant Fire Chief (Administration) ASSISTANT FIRE CHIEF (ADMINISTRATION): The Assistant Fire Chief is responsible for assisting the Fire Chief in developing administrative functions of the fire department. He will ensure that all fire department personnel are informed and kept abreast of any changes that effect the operation of the fire department. During fire emergencies the Assistant Fire Chief will respond to the scene of the emergency and will report directly to the scene commander for further instructions and job assignments. REQUIREMENTS: The Assistant Fire Chief must have at least five (5) years of firefighting experience and at least two (2) years of experience at the supervisory level. He must also possess the ability to lead a large number of firefighters at the scene of an emergency and during normal duties meet minimum requirements of a company officer, be proficient in Incident Command, and have an understanding of the Monroe County volunteer system. He must possess minimum requirements of a company officer. The Assistant Fire Chief should be able to produce written communications to the personnel that effect the operation, and shall attend forty (40) hours of training each year. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous course (awareness level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC 5 Position Of Assistant Fire Chief (Training) ASSISTANT FIRE CHIEF (TRAINING): The Assistant Fire Chief of training will assist the Fire Chief in the development of a sound training program to benefit the entire fire department. This will include coordination with other agencies to provide required training within the department. He will also maintain fire department and personnel records concerning training. The Assistant Fire Chief will also develop a testing program in order to ensure that there are qualified personnel available at all times. During fire emergencies the Assistant Fire Chief will respond directly to the scene and report directly to the Incident Commander for further instructions and job assignments. REQUIREMENTS: The Assistant Fire Chief must have at least five (5) years of firefighting experience with at least two (2) years of skills necessary to handle a large number of firefighters at the scene of an emergency or during normal duties, be proficient in Incident Command, and have an understanding of the Monroe County volunteer system. He must possess minimum requirements of a company officer. The Assistant Fire Chief should be able to produce written communications to the personnel that effect the operation, meet minimum requirements of a company officer, and shall attend forty (40) hours of training each year. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous Materials course (awareness level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course STAFF FUNCTIONS PERSONNEL MANAGEMENT: Supervising the recruitment, selection and promotion of personnel; supervising the administration of discipline with the department. COMMUNITY RELATIONS: Interfacing with the public and the news media to tell the fire department story. TRAINING: Training of all personnel in their job skill; administrating continuing education programs in special subject areas; administering the fire department safety program and administrating the pre -fire planning. -- ATTCH-B.DOC COMMUNICATIONS: Responsible for the distribution of all relevant information. (Staff functions are advisory in nature and help Incident Commander (IC) in the decision -making role by providing information feedback.) ATTCH-B.DOC 7 Position Of Station Captain STATION CAPTAIN: The Station Captain will be assigned a station for which he is responsible and carry the rank of Captain. He will be responsible for the accomplishments of the station duties and the supervision of the personnel assigned to that station. The Station Captain will ensure that all fire department records and reports produced by the assigned station are complete and sent to the appropriate chief officer in a timely manner. During fire emergencies the Station Captain will report directly to the station and respond to the scene on the vehicle he is assigned. Upon arrival at the scene of the emergency, the Station Captain will assume command of operation until relieved by a chief officer. At that time, he will direct his crew in their assigned firefighting operation or other job tasks assigned by the Chief officer. If the emergency is out of the assigned chief officer's response district, the Station Captain will ensure that personnel are available for additional responses or alarms. He will also be responsible for monitoring the emergency and carry out any instructions he receives from the Incident Commander or his designate. REQUIREMENTS: The Station Captain must have at least four (4) years firefighting experience with at least one (1) year as a company officer, and shall attend forty (40) hours of training each year and be proficient in Incident Command. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous Materials course (awareness level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC Position Of Rescue Captain RESCUE CAPTAIN: The Rescue Captain will be assigned to the rescue vehicle and be responsible for that vehicle only. He will ensure that Standard Operating Procedures (SOP) are established for rescue operations and with other qualified personnel provide training and certification for rescue duties. The Rescue Captain will ensure that the rescue vehicle is kept in a high state of readiness at all times to ensure proper responses. During fire emergencies the Rescue Captain will respond directly to the station and respond to the scene with his crew. Upon arrival he and his crew will don breathing apparatus and advance appropriate hand lines into the building to perform primary rescue. Upon completion of the primary rescue, he will take necessary actions to stop the spread of fire until relieved by the engine company crew. He will then perform a secondary rescue search and report to the Incident Commander for further instructions. On emergency responses that require the "Jaws of Life", the Rescue Captain will take control of the scene and will direct his crew during the operation. The chief officer on the scene will provide necessary resources requested and act as Incident Commander. REQUIREMENTS: The Rescue Captain must have at least four 4 firefighting experience and at least one ()years of experience. He shall also be full ()Year of company officer level rescue principles, be proficient in Incident Command, nt in the and� be on a state certhe Jawstified and Emergency Medical Technician (EMT) or within one year of being instated as a certified rescue captain, and shall attend forty (40) hours of training each year. Minimum requirements of this position are as follows: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous material course (awareness level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC Position Of Lieutenant/Company Officer LIEUTENANT/COMPANY OFFICER: The Lieutenant will be assigned to an engine company and be responsible for the crew and vehicle assigned. He will ensure that the vehicle and the equipment on the vehicle are maintained in a high state of readiness. The Company Officer will also ensure that his crew receives adequate training in basic firefighting, along with the designated duties required of that vehicle. He will complete all necessary reports and records and turn them in to the Station Captain for his review. The Company Officer may be required to assume the duties of the Station Captain in his absence. During fire emergencies, the Company Officer will respond directly to the station and ensure his crew is fully manned and dressed out before responding. When responding to the scene of the emergency the Company Officer should receive instructions from the officer in charge. If no instructions are received, then he will report directly to the Incident Commander for further instructions. If he is the first arriving vehicle on the scene, he will assume command until relieved by a senior officer. He shall attend forty (40) hours of training every year. REQUIREMENTS: The Company Officer must have at least two (2) years firefighting experience and the ability to direct and train a small group of firefighters and shall have a minimum of FireFighter III Classification. The following courses are to be completed within one year of appointment: 1. Completion of FireFighter I and II, III requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper. 6. The completion of a Hazardous Materials Course (awareness Level). 7. Completion of a Company Officer Leadership course; 8. Completion of a Fire Strategy and Tactics course ATTCH-B.DOC 10 Position Of Safety Officer SAFETY OFFICER: The fire department Safety Officer is a staff function position with no authority or responsibility in performing line officer's duties. The Safety Officer is responsible to ensure that all fire department operations, both emergency and routine, are performed in a safe manner. The Safety Officer works under the Assistant Fire Chief of training and reports any safety hazards that have been found within the workplace to the Assistant Chief of training for corrective actions. During fire emergencies, the Safety Officer reports directly to the scene of the emergency and reports in to the Incident Commander. At the scene, the Safety Officer is responsible for monitoring the situation for possible unsafe acts on the outside of the structure only. The Safety Officer will not direct firefighters in any firefighting operations unless the actions being undertaken may cause injury or damage to fire department personnel or equipment. At no time will the Safety Officer enter the structure or the immediate emergency scene while fire operations are in progress. REQUIREMENTS: The Safety Officer will understand department safety procedures on the fire ground, in-house, in -route and Standard on Monroe County Fire Rescue Occupational Safety and Health Program. The Safety Officer will be responsible for the management of this health program. 1. Certified as a C.P.R. Instructor; 2. State certified EMT or First Responder; 3. Completion of FireFighter ll; 4. Demonstrate knowledge of safety procedures; 5. Demonstrate knowledge of NFPA 1500 and 1501. 6. The completion of a Hazardous Materials Course (Awareness Level). ATTCH-B.DOC 11 Position Of Driver/Engineer DRIVER/ENGINEER: The engineer will be assigned to an engine company where he will be responsible for the operational capability and minor maintenance of that vehicle. He will assist the Company Officer in training crew members in the operation of the vehicle. He may be required to fill the Company Officer's position in his absence. During fire emergencies the engineer will respond directly to the station and man the assigned vehicle. He will respond to the scene of the emergency using the safest route and obeying the standard for responses. Upon arrival he will take direction from the company officer and maintain proper water supply and pressures needed. He will also assist personnel in the acquisition of equipment on the fire ground. REQUIREMENTS: The driver/engineer shall have complete knowledge of location and usage of 1. equipment assigned to that vehicle 2. must have at least one 1 year of firefighting experience 3. be completely certified on the fire department vehicles 4. be certified FireFighter III 5. certification of a driver/engineer course 6. attend forty (40) hours of training every year. ATTCH-B.DOC 12 Fire Fighters FireFighter: Firefighters will be responsible for maintaining their vehicle and equipment in a high state of readiness. They will assist the Engineer in the checkout of the vehicle and train to the level of certification for the assigned vehicle as a back-up Engineer. Firefighters are responsible for taking advantage of the available training to improve their skills as a firefighter. They must be certified annually on the ability to perform as a firefighter. During fire emergencies firefighters will respond directly to the station and man their assigned vehicle. They will take direction from their superiors while responding and at the scene of the emergency. When certified as a Drive/Engineer, they may be required to assume that position and shall have a complete understanding involving all safety policies and procedures. ATTCH-B.DOC 13 Position Of Firefighter III FireFighter III: Personnel shall be the core of the volunteer fire department's fighting force. They shall be utilized for all interior firefighting as well as in supervisory positions when needed. They may drive, or operate fire department vehicles if certified as drive/operator for that unit, or ordered by a fire officer. FireFighter III personnel may, in the absence of a fire officer, be temporarily appointed as a fire officer. They may also assume command if no fire officer is present or in charge of any fire -ground or rescue operation. REQUIREMENTS: FireFighter III classification: 1. Completion of FireFighter I and II requirements; 2. Sixty (60) hours volunteer firefighter course; 3. The completion of an Incident Command class; 4. Demonstrate a complete knowledge of firefighting equipment and practices; 5. Certified driver/operator on pumper; 6. Hazardous material course (awareness level). ATTCH-B.DOC 14 Position Of FireFighter II FireFighter II: Personnel will be utilized in exterior firefighting under direct supervision of a fire officer or FireFighter III during all fire ground and rescue operations. They will be limited to interior firefighting and under direct supervision of a fire officer or firefighter III during all fire ground, rescue operations and training. FireFighter II personnel may drive or operate fire department vehicles if certified as driver/operator for that unit, or ordered by a fire officer. They may also be used for support type activities, during all fire ground and rescue operations and training. REQUIREMENTS: FireFighter II classification: 1. Forty (40) hour volunteer firefighter course; 2. The completion of an Incident Command class; 3. Demonstrate a complete knowledge of firefighting equipment and practices; 4. Completion of a driver operator course for fire apparatus. ATTCH-8. DOC 15 Position Of FireFighter I FireFighter I : Personnel shall consist of all new members who wish to be involved in firefighting activities regardless of previous experience or training and shall be designated FireFighter I Trainee. They will remain a trainee until completion of training of FireFighter I. Each member shall remain in this classification for a minimum of six (6) months. FireFighter I personnel will be limited to exterior firefighting and be under direct supervision of a fire officer or FireFighter III during all fire ground and rescue operations or training. They shall not drive or operate a fire department vehicle. They may, however, be used for support type activities, under direct supervision during all fire ground, rescue operations and training. REQUIREMENTS: The requirements of a FireFighter I are: That they must successfully complete the probation period and acquire certification as a FireFighter I. The fire chief may waive these requirements if the individual can provide verifiable written proof of prior experience to the satisfaction of Fire Rescue Coordinators office. Upon completion of the following a department member will advance to a FireFighter I classification and become eligible to begin training for FireFighter II: 1. Acceptance to membership in the volunteer fire department to which they applied; 2. Obtain a recent medical physical; 3. Possess a Florida driver license; 4. Demonstrate a basic knowledge of firefighting equipment and practices; 5. Possess a current first responder and C.P.R. card or better; 6. Hazardous Materials I. 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O P O P 0 0P 001 0 T Oo O10 d O '. to O M m T N C C C C C C 044 9 Ire 'T1 r T r T r T r T r O r D n a 0 0 0 0 o c m,`{, x o x m 0 1 0 0 1 0 1 m i o -01 o• o • o . o r o • o s -� a i I ATTACHMENT "D" FIRE DEPARTMENT MAINTENANCE SCHEDULE WEEKLY VEHICLE CHECKLIST FOR CLASS A PUMPER UNIT NUMBER MONTH DATE: BATTERY CHECK TIRES/AIR/LUGS FUEL LEVEL ENGINE OIL LEVEL OTHER OIL LEVEL COOLING SYSTEM EMERGENCY LIGHTS FLASHLIGHTS AIR BOTTLES BRAKING SYSTEM PUMP CHECK BOOSTER t*K LEVEL CHANGE TANK WATER (TWICE MONTHLY) 1 EXERCISE VALVES/APPLIANCES PRIMER PUMP OIL SCBA AIR BAGS PORTABLE OXYGEN K-1200 CHAIN SAWS SMOKE EJECTOR (GAS) SMOKE EJECTOR (ELEC) GENERATOR PORT GEN RATOR HURST SPREADERS HURST CUTTERS HURST RAMS C-10 AIR GUNS �- RADIOS WEEKLY VEHICLE CHECKLIST - AERIALS UNIT NUMBER MONTH DATE: BATTERY CHECK TIRES/AIR/LUGS FUEL LEVEL ENGINE OIL LEVEL HYDRAULIC OIL LEVEL COOLING SYSTEM EMERGENCY LIGHTS FLASHLIGHTS AIR BOTTLES BRAKING SYSTEM PUMP CHECK BOOSTER TANK LEVELS CHANGE TANK WATER (TWICE MONTHLY) EXERCISE VALVES/APPLIANCES PRIMER PUMP OIL SCBA PORTABLE OXYGEN K-1200 CHAIN SAWS SMOKE EJECTOR (GAS) SMOKE EJECTOR (ELEC) GENERATOR PORT GENERATOR FLY AERIAL RADIOS WEEKLY UTILITY VEHICLE CHECKLIST UNIT NUMBER DATE: BATTERY CHECK TIRESIAIR/LUGS FUEL LEVEL ENGINE OIL LEVEL OTHER OIL LEVEL COOLING SYSTEM EMERGENCY LIGHTS FLASHLIGHTS AIR BOTTLES BRAKING SYSTEM GENERATORS PORTABLE PUMPS t PORTABLE GENERATORS PORTABLE OXYGEN CHAIN SAW SMOKE EJECTOR (GAS) SMOKE EJECTOR (ELEC) HURST PUMP HURST SPREADERS PORTABLE LIGHTS SCBA SCUBA RADIOS MONTH ATTACHMENT "E" �- CORPORATE VEHICLES ATTACHMENT "E" LIST OF CORPORATE VEHICLES The vehicles listed on ATTACHMENT " E" are either owned by or leased to the CORPORATION. The DISTRICT agrees that they can be used by the CORPORATION to provide Fire Rescue Services. The CORPORATION shall provide the following insurance on them. a. Automobile Liability Insurance with minimum limits of $300,000 Combined Single Limit. Additionally, the CORPORATION shall keep in full force and effect auto physical damage insurance to full replacement cost value of the vehicles. D. All liability policies are to name both the DISTRICT and Monroe County as additional insured, and . shall provide for no less than thirty (30) days notice of cancellation, non -renewal, or reduction in coverage. Proof of all insurance in a form acceptable to the DISTRICT shall be provided by the CORPORATION upon request. VEHICLE LIST FIRE CHIEFS COMMAND VEHICLE year make model vin # tag # 1996 CHEVROLET TAHOE 1GNEC13R5TJ383095 VAD95R Sugarloaf ATTCA-E.DOC ATTACHMENT "F" MEDICAL EXAMINATION REQUIREMENTS (2) The Bureau of Fire Standards and Training shall consider the results of the fingerprint procedure outlined in Section 633.34, Florida Statutes, in making a determination as to the applicant's good moral character. Specific Authority 633.45(2) (a) FS. Law Implemented 633.35(2), 633.45(l) (a) FS. History --New 9-7-81, Formerly 4A-37. 04, 4A-37.36. Amended 11-26-85, 1-3-90, 3-20-95. 4A-37.037 Firefighter Training Course Medical Examination. (1) Pursuant to Section 633.34(5), Florida Statutes, an individual shall submit to the division a medical examination evidencing good physical condition in order to gain admission into a firefighter training program. (2) The medical examination shall be given by a physician or surgeon licensed to practice in the State of Florida pursuant to Chapter 458, Florida Statutes, or an osteopathic physician or surgeon licensed to practice in the State of Florida pursuant to Chapter 459, Florida Statutes. An individual shall receive this examination within six months from the date the application for firefighter certification is received by the Bureau of Fire Standards and Training. (3) The results of the medical examination shall be reported to the Bureau of Fire Standards and Training on completed Form FST-2 entitled "Medical Examination." Form FST-2 is incorporated by reference in rule 4A-37.039(2), and can be obtained where indicated in rule 4A-37.039(1). Specific Authority 633.45(2) (a) FS. Law Implemented 633.34(5) FS. History --New 9-7-81, Formerly 4A-37.05, 4A-37.37, Amended 11-26-85, 1-3-90, 6-30-91, 3-20-95. 4A-37.0371 Non -Use of Tobacco. (1) Non-use of tobacco or tobacco products for at least one (1) year immediately preceding application is required prior to certification as a firefighter, pursuant to section 633.35(2), Florida Statutes. (2) Individuals applying for a Certificate of Compliance, under the provisions of Section 633.35, F.S., on and after June 19, 1989 shall be required to submit a completed FST-50 form entitled "Tobacco Affidavit" to the Bureau of Fire Standards and Training attesting that they have not used tobacco or tobacco products for at least one (1) year immediately preceding their application date. Form FST-50 is incorporated by reference in rule 4A-37.039(2), and can be obtained where indicated in rule 4A-37.039(1). Specific Authority 633.45(2) (a) FS. Law Implemented 633.35(2) FS. History --New 1-3-90, Amended 6-30-91, 3-20-95. 4A-37.0385 Termination of Employee. Upon the termination of employment of a firefighter, the employing agency shall forward to the Bureau of Fire Standards and Training a completed form FST-3, entitled "Notice of Termination." This form shall be forwarded within ten (10) working days after -4- Revised 3/95 FIREFIGHTER MEDICAL EXAMINATION FORM MEF-1 TO BE FILLED IN BY EXAMINING PHYSICIAN (PLEASE PRINT) FIREFIGHTER'S NAME: LAST FIRST MIDDLE SOCIAL SECURITY # HEIGHT: FT. IN. WEIGHT: FAR VISUAL ACUITY UNCORRECTED - BINOCULAR 20/ FAR VISUAL ACUITY CORRECTED - BINOCULAR 20/ CORRECTION ACCOMPLISHED UTILIZING: (CIRCLE ONE) HARD CONTACTS - SOFT CONTACTS - SPECTACLES PERIPHERAL VISION: DEGREE OF VISUAL FIELD PERFORMANCE IN THE HORIZONTAL MERIDIAN WITHOUT CORRECTION. LEFT EYE RIGHT EYE CAN THE FIREFIGHTER IDENTIFY RED, GREEN AND YELLOW? YES NO BLOOD PRESSURE READINGS: SYSTOLIC DIASTOLIC CLINICAL EVALUATION OF 12 LEAD EKG AUDITORY -HEARING DEFICIT IN THE PURE TONE THRESHOLDS AS INDICATED: LEFT EAR RIGHT EAR 500 Hz dB dB 1000 Hz dB dB 2000 Hz dB dB 3000 Hz dB dB PLEASE CHECK WHETHER EACH OF THE FOLLOWING SYSTEMS ARE NORMAL (I) OR ABNORMAL (AB) N AB 1. DERMATOLOGICAL SYSTEM 2. EARS. EYES, NOSE, MOUTH, THROAT 3. CARDIOVASCULAR SYSTEM 4. RESPIRATORY SYSTEM LBS. MEF-1 1 10/96 MEDICAL EXAMINATION FORM MEF-1 N AB 5. GASTROINTESTINAL SYSTEM 6. GENITOURINARY SYSTEM 7. ENDOCRINE AND METABOLIC SYSTEMS 8. MUSCULOSKELETAL SYSTEM 9. NEUROLOGICAL SYSTEM IF THERE ARE ANY ABNORMALITIES NOTED DURING THE EXAMINATION OR EKG, A WRITTEN CLARIFICATION OF THE EXTENT AND TYPE OF ABNORMALITY MUST ACCOMPANY THE MEDICAL EXAMINATION. IT IS IN THE BEST INTEREST OF THE FIRE FIGHTER THAT THE EXAMINING PHYSICIAN CAREFULLY NOTE ALL ABNORMALITIES WHICH MIGHT PREDISPOSE THE FIREFIGHTER TO INJURY OR AGGRAVATION OF THE CONDITION BECAUSE OF THE NATURE OF THE TASKS REQUIRED OF A FIREFIGHTER. COMMENT ON ABNORMALITIES: BASED ON THE RESULTS OF THIS MEDICAL EVALUATION, THE FIREFIGHTER MEDICALLY FIT TO ENGAGE IN FIREFIGHTING. IS - IS NOT PHYSICIAN'S NAME (PRINT) DATE PHYSICIAN'S SIGNATURE PHYSICIAN'S OFFICE ADDRESS U TELEPHONE NUMBER MEF-1 2 10/96 ADMINISTRATION 1582-5 NFPA 1582 Standard on Medical Requirements for Fire Fighters 1992 Edition NOTICE; An asterisk (*) following the number or letter designating a paragraph indicates explanatory material on that paragraph in Appendix A. Chapter 1 Administration 1-1 Scope. 1-1.1 This standard contains medical requirements for fire fighters, including full-time or part-time employees and paid or unpaid volunteers. 1-1.2 These requirements are applicable to organizations providing rescue, fire suppression, and other emergency services, including public, military, private, and industrial fire departments. 1-1.3 This standard does not apply to industrial fire bri- gades that also may be known as emergency brigades, emergency response teams, fire teams, plant emergency organizations, or mine emergency response teams. 1-2 Purpose. 1-2.1 The purpose of this standard is to specify minimum medical requirements for candidates and current fire fighters. 1-2.2 The implementation of the medical requirements outlined in this standard will help ensure that candidates and current fire fighters will be medically capable of per- forming their required duties and will help to reduce the risk of injuries and illnesses. 1-2.3 Nothing herein is intended to restrict any jurisdic- tion from exceeding these minimum requirements. 1-3 Implementation. 1-3.1 For candidates, the medical requirements of this standard shall be implemented when this standard is adopted by an authority having jurisdiction on an effective date specified by the authority having jurisdiction. 1-3.2 When this standard is adopted by a jurisdiction, the authority having jurisdiction shall set a date or dates for current fire fighters to achieve compliance with the requirements of this standard and shall be permitted to establish a phase -in schedule for compliance with specific requirements of this standard in order to minimize per- sonal and departmental disruption. 1-4 Definitions. Approved.* Acceptable to the "authority having juris- diction." Authority Having Jurisdiction. The "authority having jurisdiction" is the organizati p roced u re. on, office or individual responsible for "approving" equipment, an installation or a Candidate.* A person who has made application to commence performance as a fire fighter. Category A Medical Condition. A medical condition that would preclude a person from performing as a fire fighter in a training or emergency operational environ- ment by presenting a significant risk to the safety and health of the person or others. Category B Medical Condition. A medical condition that, based on its severity or degree, may preclude a per- son from performing as a fire fighter in a training or emer- gency operational environment by presenting a significant risk to the safety and health of the person or others. Current Fire Fighter. A person who is already a mem- ber and whose duties require the performance of essential fire fighting functions. Drug. Any substance, chemical, over-the-counter tned- wation, or prescribed medication that may affect the per- formance of the fire fighter. Emergency Operations. Activities of the fire depart- ment relating to rescue, fire suppression, and special oper- ations, including response to the scene of the incident and all functions performed at the scene. Evaluation. See Medical Evaluation. Fire Department Physician. The licensed doctor of medicine or osteopathy who has been designated by the fire department to provide professional expertise in the areas of occupational safety and health as they relate to emergency services. Fire Fighter.* A member of a fire department whose duties require the performance of essential fire fighting functions or substantially similar functions. Medical Evaluation. The analysis of information for the purpose of making a determination of medical certifi- cation. Medical evaluation may or may not include a med- ical examination. Medical Examination. An examination performed or directed by the fire department physician that incorporates the components described in 2-4.1.4. Medically Certified. A determination by the fire department physician that the candidate or current fire fighter meets the medical requirements of this standard. Member. A person involved in performing the duties and responsibilities of a fire department, under the aus- pices of the organization. A fire department member may be a full-time or part-time employee or a paid or unpaid volunteer, may occupy any position or rank within the fire department, and may or may not engage in emergency operations. Shall.' Indicates a mandatory requirement. Should. This term, as used in the ap required. s pendixes, indi- cates a recommendation or that which iadvised but not 1992 Edition 1582-6 ME .L REQUIREMENTS FOR FIRE FIGHTERS Chapter 2 Medical Process 2-1 Medical Evaluation Process. �..1* The fire department shall establish and implement a medical evaluation process for candidates and current fire fighters. 2-1.2 The medical evaluation process shall include pre - placement medical evaluations, periodic medical evalua- tions, and return -to -duty medical evaluations. 2-1.3 The fire department shall ensure that the medical evaluation process and all medical evaluations meet all of the requirements of this section. 2-1.4 Each candidate or current fire fighter shall cooper- ate, participate, and comply with the medical evaluation process and shall provide complete and accurate informa- tion to the fire department physician. 2-1.5* Each candidate or current fire fighter shall, on a timely basis, report to the fire department physician any exposure or medical condition that may interfere with the ability of the individual to perform as a fire fighter. 2-1.6 If the candidate or current fire fighter presents with an acute medical problem or newly acquired chronic medical condition, medical evaluation shall be postponed until that person has recovered from this condition and presents to the fire department for review. 2-2 Fire Department Physician. 1.1* The fire department physician shall be a licensed doctor of medicine or osteopathy. 2-2.2* The fire department physician shall be qualified to provide professional expertise in the areas of occupational safety and health as they relate to emergency services. 2-2.3* For the purpose of conducting medical evalua- tions, the fire department physician shall understand the physiological and psychological demands placed on fire fighters and shall understand the environmental condi- tions under which fire fighters must perform. 2-2.4 The fire department physician shall evaluate the person to ascertain the presence of any medical conditions listed in this standard. 2-2.4.1 When medical evaluations are conducted by a physician other than the fire department physician, the evaluation shall be reviewed and approved by the fire department physician. 2-3* Preplacement Medical Evaluation. 2-3.1 The candidate shall be certified by the fire depart- ment physician as meeting the medical requirements of Chapter 3 of this standard prior to entering into a training program to become a fire fighter or performing in an emergency operational environment as a fire fighter. 1992 Edition 2-3.2 The candidate shall be evaluated according to the medical requirements of Chapter 3 of this standard to assess the effect of medical conditions on the candidate's ability to perform as a fire fighter. 2-3.3 A candidate shall not be certified as meeting the medical requirements of this standard if the fire depart- ment physician determines that the candidate has any Cat- egory A medical condition specified in Chapter 3 of this standard. 2-3.4* A candidate shall not be certified as meeting the medical requirements of this standard if the fire depart- ment physician determines that the candidate has a Cate- gory B medical condition specified in Chapter 3 of this standard that is of sufficient severity to prevent the candi- date from performing, with or without reasonable accom- modation, the essential functions of a fire fighter without posing a significant risk to the safety and health of the can- didate or others. 2-3.4.1 The determination of whether there is reasonable accommodation shall be made by the authority having juris- diction in conjunction with the fire department physician. 2-3.5 If the candidate presents with an acute medical problem or newly acquired chronic medical condition that interferes with the candidate's ability to perform the func- tions of a fire fighter, medical certification shall be post- poned until that person has recovered from this condition and presents to the fire department for review. 2-4* Periodic Medical Evaluation. 2-4.1 The current fire fighter shall be annually certified by the fire department physician as meeting the medical requirements of Chapter 3 of this standard to determine that fire fighter's medical ability to continue participating in a training or emergency operational environment as a fire fighter. 2-4.1.1 The components of the annual medical evaluation specified in 2-4.1.2 of this section shall be permitted to be performed by qualified personnel as authorized by the fire department physician. When other qualified personnel are used, the fire department physician shall review the data gathered during the evaluation. 2-4.1.2 The annual medical evaluation shall consist of - (a) An interval medical history. (b) An interval occupational history, including signifi- cant exposures. (c) Height and weight. (d) Blood pressure. 2-4.1.3 The annual medical evaluation shall include a medical examination according to the following schedule: (a) Ages 29 and under —every 3 years. (b) Ages 30 to 39—every 2 years. (c) Ages 40 and above —every year. CATEGORY A AND CATEGORY B MEDICAL CON. ONS 1582-7 2-4.1.4• The medical examination shall include examina- tion of the following components: (a) Vital signs: Pulse, respiration, blood pressure, and, if indicated, temperature. (b) Dermatological system. (c) Ears, eyes, nose, mouth, throat. (d) Cardiovascular system. (e) Respiratory system. (f) Gastrointestinal system. (g) Genitourinary system. (h) Endocrine and metabolic systems. (i) Musculoskeletal system. 0) Neurological system. (k) Audiometry. (1) Visual acuity and peripheral vision testing. (m) Pulmonary function testing. (n) Laboratory testing, if indicated. (o) Diagnostic imaging, if indicated. (p) Electroca?diography, if indicated. 2-4.2 A current fire fighter shall not be certified as meet- ing the medical requirements of this standard if the fire department physician determines that the fire fighter has any Category A medical condition specified in Chapter 3 of this standard. 2-4.3• A current fire fighter shall not be certified as meet- ing the medical requirements of this standard if the fire department physician determines that the fire fighter has a Category B condition specified in Chapter 3 of this stan- dard that is of sufficient severity to prevent the fire fighter from performing, with or without reasonable accommoda- tion, the essential functions of a fire fighter without posing a significant risk to the safety and health of the fire fighter or others. 2-4.3.1 The determination of reasonable accommodation shall be made by the authority having jurisdiction in con- junction with the fire department physician. 2-4.4 If the current fire fighter presents with an acute ill- ness or recently acquired chronic medical condition, the evaluation shall be deferred until the fire fighter has recov- ered from the condition and presents to the fire depart- ment to return to duty. 2-5 Return -to -Duty Medical Evaluation. 2-5.1 A current fire fighter who has been absent from duty for a medical condition of a nature or duration that may affect performance as a fire fighter shall be evaluated by the fire department physician before returning to duty. 2-5.2 The fire department physician shall not medically certify the current fire fighter for return to duty if any Cat- egory A medical condition specified in Chapter 3 of this standard is present. 2-5.3' The fire department physician shall not medically certify the current fire fighter for return to duty if any Cat- egory B medical condition specified in Chapter 3 of this standard is present that is determined to be severe enough to affect the fire fighter's performance as a fire fighter. The fire department physician, in conjunction with the author- ity having jurisdiction, shall take into account the fire fight- er's current duty assignment and alternative duty assign- ments or other programs that would allow a fire fighter to gradually return to full duty. 2-6 Medical Evaluation Records, Results, Reporting, and Confidentiality. 2-6.1 All medical information collected as part of a medi- cal evaluation shall be considered confidential medical information and shall be released by the fire department physician only with the specific written consent of the can- didate or current fire fighter. 2-6.2 The fire department physician shall report the results of the medical evaluation to the candidate or cur- rent fire fighter, including any medical condition(s) dis- closed during the medical evaluation, and the recommen- dation as to whether the candidate or current fire fighter is medically certified to perform as a fire fighter. 2-6.3 The fire department physician shall inform the fire department only as to whether or not the candidate or current fire fighter is medically certified to perform as a fire fighter. The specific written consent of the candidate or current fire fighter shall be required to release confi- dential medical information to the fire department. Chapter 3* Category A and Category B Medical Conditions 3-1 Head and Neck. 3-1.1 Head. 3-1.1.1 Category A medical conditions shall include: (a) None. 3-1.1.2• Category B medical conditions shall include: (a) Deformities of the skull such as depressions or exos- toses. (b) Deformities of the skull associated with evidence of disease of the brain, spinal cord, or peripheral nerves. (c) Loss or congenital absence of the bony substance of the skull. (d) Any other head condition that results in a person not being able to perform as a fire fighter. 3-1.2 Neck. 3-1.2.1 Categor_y-A medical conditions shall include: (a) None. 1992 Edition 1582-8 MEE REQUIREMENTS FOR FIRE FIGHTERS 3-1.2.2* Category B medical conditions shall include: (c) Auricle — severe agenesis or traumatic deformity. (a) Thoracic outlet syndrome. (d) Mastoid — severe mastoiditis or surgical deformity. (b) Congenital cysts, chronic draining fistulas, or similar ion. (c) Contraction of neck muscles. (d) Any other neck condition that results in a person not being able to perform as a fire fighter. 3-2 Eyes and Vision. 3-2.1* Category A medical conditions shall include: (a) Far visual acuity. Far visual acuity shall be at least 20/30 binocular corrected with contact lenses or spectacles. Far visual acuity uncorrected shall be at least 20/100 binoc- ular for wearers of hard contacts or spectacles. Successful long-term soft contact lens wearers shall not be subject to the uncorrected criterion. (b) Peripheral vision. Visual field performance without correction shall be 140 degrees in the horizontal meridian in each eye. 3-2.2* Category B medical conditions shall include: (a) Color vision inadequate to identify red, green, and yellow colors. (b) Diseases of the eye such as retinal detachment, pro- gressive retinopathy, or optic neuritis. (c) Ophthalmological procedures such as radial keratot- omy or repair of retinal detachment. (d) Any other eye condition that results in a person not ng able to perform as a fire fighter. 3-3 Ears and Hearing. 3-3.1* Category A medical conditions shall include: (a) Hearing deficit in the pure tone thresholds in the unaided worst ear: (1) Greater than 25 dB in three of the four frequencies: (i) 500 Hz, (ii) 1000 Hz, (iii) 2000 Hz, (iv) 3000 Hz. (2) Greater than 30 dB in any one of the three frequencies: (i) 500 Hz, (ii) 1000 Hz, (iii) 2000 Hz; and an average greater than 30 dB for the four frequencies: (i) 500 Hz, (ii) 1000 Hz, (iii) 2000 Hz, (iv) 3000 Hz. 3-3.2* Category B medical conditions shall include: (a) Auditory canal — atresia, severe stenosis, or tumor. (b) Severe external otitis. 1992 Edition (e) Meniere's syndrome or labyrinthitis. (0 Otitis media. (g) Any other ear condition that results in a person not being able to perform as a fire fighter. 34 Dental. 3-4.1 Category A medical conditions shall include: (a) None. 3-4.2* Category B medical conditions shall include: (a) Diseases of the jaws or associated tissues. (b) Orthodontic appliances. (c) Oral tissues, extensive loss. (d) Relationship between the mandible and maxilla that precludes satisfactory postorthodontic replacement or abil- ity to use protective equipment. (e) Any other dental condition that results in a person not being able to perform as a fire fighter. 3-5 Nose, Oropharynx, Trachea, Esophagus, and Larynx. 3-5.1* Category A medical conditions shall include: (a) Tracheostomy. (b) Aplionia. (c) Anosmia. 3-5.2* Category B medical conditions shall include: (a) Congenital or acquired deformity. (b) Allergic respiratory disorder. (c) Sinusitis, recurrent. (d) Dysphonia. (e) Any other nose, oropharynx, trachea, esophagus, or larynx condition that results in a person not being able to perform as a fire fighter or to communicate effectively. 3-6 Lungs and Chest Wall. 3-6.1* Category A medical conditions shall include: (a) Suppurative disease of lung or pleural space. 3-6.2* Category B medical conditions shall include: (a) Lobectomy. (b) Bronchial asthma. (c) History of bronchiectasis, bronchitis, fibrous pleuri- tis, fibrosis, cystic disease, tuberculous, or mycotic disease of the lung. (d) Pneumothorax. (e) Any other pulmonary or chest wall condition that results in a person not being able to perform as a fire fighter. .:ATEGORY A AND CATEGORY B MEDICAL Cnnmr S 1582-9 3-7 Heart and Vascular System. 3-7.1 Heart. 3-7.1.1* Category A medical conditions shall include: (a) Current angina pectoris. (b) Left bundle branch block or second degree Type II atriovertricular block. (c) Myocardial insufficiency. (d) Acute pericarditis, endocarditis, or myocarditis. Chronic pericarditis, endocarditis with resultant significant valvular lesions, or myocarditis leading to. myocardial insufficiency or excludable arrhythmias. (e) History of myocardial infarction, coronary artery bypass, or coronary angioplasty. (0 Cardiac pacemaker. (g) Recurrent syncope. 3-7.1.2* Category B medical conditions shall include: (a) Significant valvular lesions of the heart including prosthetic valves. (b) Coronary artery disease. (c) Atrial tachycardia, flutter, or fibrillation. (d) Third degree atrioventricular block. (e) Ventricular tachycardia. (0 Hypertrophy of the heart. . (g) Recurrent paroxysmal tachycardia. (h) History of a congenital abnormality. (i) Any other cardiac condition that results in a person not being able to perform as a fire fighter. 3-7.2 Vascular System. 3-7.2.1* Category A medical conditions shall include: (a) Congenital or acquired lesions of the aorta or major vessels. (b) Marked circulatory instability as indicated by ortho- static hypotension, persistent tachycardia, and severe peripheral vasomotor disturbances. (c) Aneurysm of the heart or major vessel, congenital or acquired. 3-7.2.2* Category B medical conditions shall include: (a) Hypertension. (b) Peripheral vascular disease such as Raynaud's phe- nomenon. (c) Recurrent thrombophlebitis. (d) Chronic lymphedema due to lymphopathy or severe venous valvular incompetency. (e) Any other vascular condition that results in a person not being able to perform as a fire fighter. 3-8 Abdominal Organs and Gastrointestinal System. 3-8.1* Category A medical conditions shall include: (a) Chronic active hepatitis. 3-8.2* Category B medical conditions shall include: (a) Cholecystitis. (b) Gastritis. (c) Hemorrhoids. (d) Acute hepatitis. (e) Hernia. (f) Inflammatory bowel disease. (g) Intestinal obstruction. (h) Pancreatitis. (i) Resection, bowel 0) Ulcer, gastrointestinal (k) Cirrhosis, hepatic or biliary. (1) Any other gastrointestinal condition that results in a person not being able to perform the duties of fire fighter. 3-9 Genitourinary System. 3-9.1 Reproductive. 3-9.1.1 Category A medical conditions shall include: (a) None. 3-9.1.2* Category B medical conditions shall include: (a) Pregnancy, for its duration. (b) Dysmenorrhea. (c) Endometriosis, ovarian cyst r other gynecologic conditions. (d) Testicular or epididymal mass. (e) Any other genital condition that results in a person not being able to perform as a fire fighter. 3-9.2 Urinary System. 3-9.2.1 Category A medical conditions shall include: (a) None. 3-9.2.2* Category B medical conditions shall include: (a) Diseases of the kidney. (b) Diseases of the ureter, bladder, or prostate. (c) Any other urinary condition that results in a person not being able to perform as a fire fighter. 3-10 Spine, Scapulae, Ribs, and Sacroiliac Joints. 3-10.1 Category A medical conditions shall include: (a) None. 3-10.2* Category-B medical conditions shall include: (a) Arthritis. 1992 Edition 1582-10 ME �L REQUIREMENTS FOR FIRE FIGHTERS (b) Structural abnormality, fracture, or dislocation. (c) Nucleus pulposus, herniation of or history of lami- nectomy. (d) Any other spinal condition that results in a person `,,:.got being able to perform as a fire fighter. 3-11 Extremities. 3-11.1 Category A medical conditions shall include: (a) None. 3-11.2* Category B medical conditions shall include: (a) Limitation of motion of a joint. (b) Amputation or deformity of a joint or limb. (c) Dislocation of a joint. (d) joint reconstruction, ligamentous instability, or joint replacement. (e) Chronic osteoarthritis or traumatic arthritis. (f) Inflammatory arthritis. (g) Any other extremity condition that results in a per- son not being able to perform as a fire fighter. 3-12 Neurological Disorders. 3-12.1* Category A medical conditions shall include: (a) Ataxias of heredo-degenerative type. (b) Cerebral arteriosclerosis as evidenced by docu- mented episodes of neurological impairment. (c) Multiple sclerosis with activity or evidence of pro- .-ression within previous three years. (d) Progressive muscular dystrophy or atrophy. (e) All seizure disorders to include psychomotor, focal, petit mal, or grand mal seizures other than for those with complete control during previous five years, normal neu- rological examination, and definitive statement from qual- ified neurological specialist. 3-12.2* Category B medical conditions shall include: (a) Congenital malformations. (b) Migraine. (c) Clinical disorders with paresis, paralysis, dyscoordi- nation, deformity, abnormal motor activity, abnormality of sensation, or complaint of pain. (d) Subarachnoid or intracerebral hemorrhage. (e) Abnormalities from recent head injury such as severe cerebral contusion or concussion. (f) Any other neurological condition that results in a person not being able to perform as a fire fighter. 3-13 Skin. 3-13.1 Category A medical conditions shall include: (a) None. 3-13.2* Category B medical conditions shall include: (a) Acne or inflammatory skin disease. 1992 Edition (b) Eczema. (c) Any other dermatologic condition that results in the person not being able to perform as a fire fighter. 3-14 Blood and Blood -Forming Organs. 3-14.1* Category A medical conditions shall include: (a) Hemorrhagic states requiring replacement therapy. (b) Sickle cell disease (homozygous). 3-14.2* Category B medical conditions shall include: (a) Anemia. (b) Leukopenia. (c) Polycythemia vera. (d) Splenomegaly. (e) History of thromboembolic disease. (0 Any.other hematological condition that results in a person not being able to perform as a fire fighter. 3-15 Endocrine and Metabolic Disorders. 3-15.1 Category A medical conditions shall include: (a) None. 3-15.2* Category B medical conditions shall include: (a) Diseases of the adrenal gland, pituitary gland, par- athyroid gland, or thyroid gland of clinical significance. (b) Nutritional deficiency disease or metabolic disorder. (c) Diabetes mellitus. (d) Any other endocrine or metabolic condition that results in a person not being able to perform as a fire fighter. 3-16 Systemic Diseases and Miscellaneous Conditions. 3-16.1 Category A medical conditions shall include: (a) None. 3-16.2* Category B medical conditions shall include: (a) Connective tissue disease, such as dermatomyositis, lupus erythematosus, scleroderma, and rheumatoid arthritis. (b) Residuals from past thermal injury. (c) Documented evidence of a predisposition to heat stress with recurrent episodes or resulting residual injury. (d) Any other systemic condition that results in a person not being able to perform as a fire fighter. 3-17 Tumors and Malignant Diseases.- 3-17.1 Category A medical conditions shall include: (a) None. APPENDIX A 1582-11 3-17.2• Category B medical conditions shall include: (a) Malignant disease that is newly diagnosed, untreated, or currently being treated. Candidates shall be subject to the provisions of 2-3.5 of this standard. Current fire fighters shall be subject to the provisions of 2-4.4 of this standard. (b) Treated malignant disease shall be evaluated based on that person's current physical condition and on the like- lihood of that person's disease to recur or progress. (c) Any other tumor or similar condition that results in a person not being able to perform as a fire fighter. 3-18 Psychiatric Conditions. 3-18.1 Category A medical conditions shall include (a) None. 3-18.2• Category B medical conditions shall include: (a) A history of psychiatric condition or substance abuse problem shall be evaluated based on that person's current condition. (b) Any other psychiatric condition that results in a per- son not being able to perform as a fire fighter. 3-19 Chemicals, Drugs, and Medications. 3-19.1 Category A medical conditions shall include: (a) None. 3-19.2• Category B medical conditions shall include the use of: (a) Anticoagulant agents. (b) Cardiovascular agents. (c) Narcotics. (d) Sedative-hypnotics. (e) Stimulants. (0 Psychoactive agents. (g) Steroids. (h) Any other chemical, drug, or medication that results in a person not being able to perform as a fire fighter. Appendix A This Appendix is not a part of the requirements of this NFPA docu- ment, but is included for information purposes only. A-1-4 Approved. The National Fire Protection Associa- tion does not approve, inspect or certify any installations, procedures, equipment, or materials nor does it approve or evaluate testing laboratories. In determining the accept- ability of installations or procedures, equipment or materi- als, the authority having jurisdiction may base acceptance on compliance with NFPA or other appropriate standards. In the absence of such standards, said authority may require evidence of proper installation, procedure or use. The authority having jurisdiction may also refer to the list- ings or labeling practices of an organization concerned with product evaluations which is in a position to deter- mine compliance with appropriate standards for the cur- rent production of listed items. A-1-4 Authority Having Jurisdiction. The phrase "authority having jurisdiction" is used in NFPA documents in a broad manner since jurisdictions and "approval" agen- cies vary as do their responsibilities. Where public safety is primary, the "authority having jurisdiction" may be a fed- eral, state, local or other regional department or individual such as a fire chief, fire marshal, chief of a fire prevention bureau, labor department, health department, building official, electrical inspector, or others having statutory authority. For insurance purposes, an insurance inspection department, rating bureau, or other insurance company representative may be the "authority having jurisdiction." In many circumstances the property owner or his desig- nated agent assumes the role of the "authority having juris- diction"; at government installations, the commanding officer or departmental official may be the "authority hav- ing jurisdiction." A-1-4 Candidate. In an employment context, the Ameri- cans With Disabilities Act (discussed in further detail in Appendix D) requires that any medical examination to be conducted take place after an offer of employment is made and prior to the commencement of duties. Therefore, in the employment context, the definition of "candidate" should be applied so as to be consistent with that requirement. Volunteerfire fighters have been deemed to be "employees" in some states or jurisdictions. Volunteer fire departments should seek legal counsel as to their legal responsibilities in these matters. A-1-4 Fire Fighter. See Appendix C. A-2-1.1 See Appendix D. A-2-1.5 Exposures and medical conditions that should be reported if they can interfere with the ability of the individ- ual to perform as a fire fighter include but are not limited to the following: (a) Exposures to hazardous materials or toxic sub- stances. (b) Exposure to infectious or contagious diseases. (c) Illness or injury. (d) Use of prescription or nonprescription drugs. (e) Pregnancy. A-2-2.1 See Section D-2 in Appendix D. A-2-2.2 See Appendix B. A-2-2.3 See Section B-2 in Appendix B and Appendix C. A-2-3 See Section B-3 in Appendix B. A-2-3.4 See Section D-1 in Appendix D. A-2-4 See Section B-3 in Appendix B. 1992 Edition 1582-12 M :AL REQUIREMENTS FOR FIRE FIGHTERS A-2-4.1.4 See Appendix B. A-2-4.3 See Section D-1 in Appendix D. A-2-5.3 See Section D-1 in Appendix D. A -Chapter 3 The medical conditions listed are organized by organ system. With the listing of a condition, a diagnos- tic example is often included to help the examiner under- stand the type of condition that might result in rejection or acceptance. In addition, the rationale for the exclusion is presented in terms of the affect of the medical condition on the capability of the person to perform as a fire fighter. A-3-1.1.2 Category B medical conditions: (a) Deformities of the skull such as depressions or exos- toses (e.g., of a degree that interferes with the use of pro- tective equipment). [Inability to properly wear protective equipment.] (b) Deformities of the skull associated with evidence of disease of the brain, spinal cord, or peripheral nerves. [Potential for sudden incapacitation; inability to properly wear protective equipment; inability to communicate effec- tively due to oropharyngeal dysfunction.] (c) Loss or congenital absence of the bony substance of the skull (e.g., if associated with disease interfering with performance or if appropriate protection cannot be pro- vided for area without interfering with protective equip- ment, vision). [Inability to properly wear protective equip- ment; inability to communicate effectively due to oropharyngeal dysfunction.] (d) Any other head condition that results in a person ,ot being able to perform as a fire fighter. A-3-1.2.2 Category B medical conditions: (a) Thoracic outlet syndrome (e.g., symptomatic). [Fre- quent episodes of pain or inability to perform work.) (b) Congenital cysts, chronic draining fistulas, or similar lesion (e.g., if lesion or underlying disease interferes with performance). [Inability to properly wear protective equip- ment; inability to communicate effectively due to oropha- ryngeal dysfunction.] (c) Contraction of neck muscles (e.g., if it interferes with wearing of protective equipment or ability to perform duties). [Inability to properly wear protective equipment; inability to perform functions as a fire fighter due to limi- tation of flexibility.] (d) Any other neck condition that results in a person not being able to perform as a fire fighter. A-3-2.1 Category A medical conditions: • (a) Far visual acuity. Far visual acuity shall be at least 20/30 binocular corrected with contact lenses or spectacles. Far visual acuity uncorrected shall be at least 20/100 binoc- ular for wearers of hard contacts or spectacles. Successful long-term soft contact lens wearers (i.e., six months with- out a problem) are not subject to the uncorrected stan- dard. [Failure to have adequate visual acuity to read plac- ards and street signs or see and respond to imminently hazardous situations.] 1992 Edition (b) Peripheral vision. Visual field performance without correction shall be 140 degrees in the horizontal meridian in each eye. (Fire fighter must not have just monocular vision.) [Failure to have adequate visual acuity to read plac- ards and street signs or see and respond to imminently hazardous situations.] A-3-2.2 Category B medical conditions: (a) Color vision inadequate to identify red, green, and yellow colors. [Inability to identify red, green, or yellow; to read hazardous materials placards and traffic control signs and signals, other color coded markings, warning signs, labels, or placards; or see and respond to imminently haz- ardous situations.] (b) Diseases of the eye such as retinal detachment, pro- gressive retinopathy, or optic neuritis (i.e., severe or pro- gressive). [Failure to have adequate visual acuity to read placards and street signs or see and respond to imminently hazardous situations.] (c) Ophthalmological procedures such as radial keratot- omy, repair of retinal detachment. Sufficient time (i.e., six months) must have passed to allow stabilization of visual acuity and to ensure that there are no postsurgical compli- cations. [Failure to have adequate visual acuity to read placards and street signs or see and respond to imminently hazardous situations.] (d) Any other eye condition that results in a person not being able to perform as a fire fighter. A-3-3.1 Category A medical conditions: (a) Hearing deficit in pure tone thresholds in the unaided worst ear: (1) Greater than 25 dB in three of the four frequencies: (i) 500 Hz, (fi) 1000 Hz, (iii) 2000 Hz, (iv) 3000 Hz. (2) Greater than 30 dB in any one of the three frequencies: (i) 500 Hz, (ii) 1000 Hz, (iii) 2000 Hz; and an average greater than 30 dB for the four frequencies: (i) 500 Hz, (ii) 1000 Hz, (iii) 2000 Hz, (iv) 3000 Hz. [Inability to hear sounds of low intensity or to distinguish voice from background noise, leading to failure to respond to imminently hazardous situations.] A-3-3.2 Category B medical conditions: (a) Auditory canal—atresia, severe stenosis, or tumor. [Inability to hear sounds of low intensity or to distinguish voice from background noise. leading to failure to respond to imminently hazardous situations.] APPENDIX A 1552-13 (b) Severe external otitis (e.g., recurrent loss of hear- ing). [Inability to hear sounds of low intensity or to distin- guish voice from background noise, leading to failure to respond to imminently hazardous situations.] (c) Auricle, severe agenesis, or traumatic deformity (e.g., interferes with ability to wear protective equipment or with hearing acuity). [Inability to properly wear protective equipment; inability to hear sounds of low intensity or to distinguish voice from background noise, leading to failure to respond to imminently hazardous situations.] (d) Mastoid, severe mastoiditis or surgical deformity. [Inability to properly wear protective equipment; inability to hear sounds of low intensity or to distinguish voice from background noise, leading to failure to respond to immi- nently hazardous situations.] (e) Meniere's syndrome or labyrinthitis (e.g., severe). [Potential for sudden incapacitation; inability to perform job functions due to limitations of balance.] (f) Otitis media (e.g., chronic). [Frequent episodes of pain or inability to perform work; inability to hear sounds of low intensity or to distinguish voice from background noise, leading to failure to respond to imminently hazard- ous situations.] (g) Any other ear condition that results in a person not being able to perform as a fire fighter. A-3-4.2 Category B medical conditions: (a) Diseases of the jaws or associated tissues (e.g., inca- pacitating or preclude ability to use protective equipment). [Inability to properly wear protective equipment.] (b) Orthodontic appliances (e.g., precluding ability to use protective equipment). [Inability to properly wear pro- tective equipment.] (c) Oral tissues, extensive loss (e.g., precludes satisfac- tory postorthodontic replacement or ability to use protec- tive equipment). [Inability to properly wear protective equipment; inability to communicate effectively due to oropharyngeal dysfunction.] (d) Relationship between the mandible and maxilla that precludes satisfactory postorthodontic replacement or abil- ity to use protective equipment. [Inability to properly wear protective equipment; inability to communicate effectively due to oropharyngeal dysfunction.] (e) Any other dental condition that results in a person not being able to perform as a fire fighter. A-3-5.1 Category A medical conditions: (a) Tracheostomy. [Inability to properly wear protective equipment; inability to perform job functions due to limi- tations of endurance; inability to communicate effectively due to oropharyngeal dysfunction.] (b) Aphonia, regardless of cause. [Inability to communi- cate effectively due to oropharyngeal dysfunction.] (c) Anosmia. [Inability to smell smoke or hazardous materials resulting in failure to respond to imminently haz- ardous situation.] A-3-5.2 Category B medical conditions: (a) Congenital or acquired deformity (e.g., interferes with the ability to use protective equipment). [Inability to properly wear protective equipment.] (b) Allergic respiratory disorder (e.g., not controlled). [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limi- tations of endurance.] (c) Sinusitis, recurrent (e.g., severe requiring repeated hospitalizations or impairment). [Frequent episodes of pain or inability to perform work.] (d) Dysphonia, severe. [Inability to communicate effec- tively due to oropharyngeal dysfunction.] (e) Any other nose, oropharynx, trachea, esophagus, or larynx condition that results in a person not being able to perform as a fire fighter or to communicate effectively. A-3-6.1 Category A medical conditions: (a) Suppurative disease of lung or pleural space (e.g., chronic abscess of lung, bronchiectasis, or empyema). [Inability to perform functions as a fire fighter due to lim- itations of endurance.] A-3-6.2 Category B medical conditions: (a) Lobectomy (e.g., medical examination or pulmonary function testing that indicates significant impairment). [Inability to perform functions as a fire fighter due to lim- itations of strength or endurance.] (b) Bronchial asthma (e.g., frequent medication use or symptoms caused by exposures to exertion, heat and cold, or products of combustion and other irritant inhalation). [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation; inability to perform functions as a fire fighter due to limitations of endurance.] (c) History of bronchiectasis, bronchitis, fibrous pleuri- tis, fibrosis, cystic disease, tuberculous, or mycotic disease of the lung (e.g., significant residual impairment of pulmo- nary function or requiring frequent therapy). [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limitations of endurance.] (d) Pneumothorax (e.g., history of recurrent spontane- ous pneumothorax). [Potential for sudden incapacitation; inability to perform job functions due to limitations of endurance.] (e) Any other pulmonary or chest wall condition that results in a person not being able to perform as a fire fighter. A-3-7.1.1 Category A medical conditions: (a) Current angina pectoris. [Frequent episodes of pain or inability to perform work; progressive illness leading to func- tional impairment; potential for sudden incapacitation.] (b) Left bundle branch block or second degree Type II artioventricular block. [Potential for sudden incapacitation.] (c) Myocardial insufficiency (e.g., congestive circulatory failure, cardiac decompensation). [Frequent episodes of pain or inability to perform work; progressive illness lead- ing to functional impairment; potential for sudden inca- pacitation.] 1992 Edition 158?-'14 MED.-,L REQUIREMENTS FOR FIRE FIGHTERS (d) Acute pericarditis, endocarditis, or myocarditis. Chronic pericarditis, endocarditis with resultant significant valvular lesions, or myocarditis leading to myocardial ` ufficiency or excludable arrhythmias. [Frequent epi- � des of pain or inability to perform work.] (e) History of myocardial infarction, coronary artery bypass, or coronary angioplasty. [Progressive illness lead- ing to functional impairment; potential for sudden inca- pacitation.] (f) Cardiac pacemaker. [Potential for sudden incapacitation.] (g) Recurrent syncope. [Potential for sudden incapacitation.] A-3-7.1.2 Category B medical conditions: (a) Significant valvular lesions of the heart including pros- thetic valves (e.g., risk of sudden incapacitation, bleeding due to anti -coagulant therapy, or impaired exercise tolerance; mitral valve prolapse without significant symptoms or simple presence of aortic bicuspid valve would not exclude an indi- vidual). [Potential for sudden incapacitation.] (b) Coronary artery disease (e.g., asymptomatic, docu- mented significant coronary artery disease). [Frequent epi- sodes of pain or inability to perform work; progressive ill- ness leading to functional impairment; potential for sudden incapacitation.] (c) Atria] tachycardia, flutter, or fibrillation (e.g., acute or recurrent even with treatment). [Potential for sudden incapacitation.] (d) Third-degree artioventricular block (e.g., disqualifi- cation unless exercise can be performed with an adequate art rate response). [Frequent episodes of pain or inabil- to perform work; potential for sudden incapacitation.] (e) Ventricular tachycardia. [Potential for sudden inca- pacitation; inability to perform job functions due to limita- tions of strength or endurance.] (0 Hypertrophy of the heart (e.g., likely to lead to con- gestive heart failure). [Potential for sudden incapacitation; inability to perform job functions due to limitations of endurance.] (g) Recurrent paroxysmal tachycardia. [Potential for sudden incapacitation; inability to perform job functions due to limitations of strength or endurance.] (h) History of a congenital abnormality that has been treated by surgery but with residual complications or that has not been treated by surgery leaving residuals or com- plications. [Frequent episodes of pain or inability to per- form work; potential for sudden incapacitation.] (i) Any other cardiac condition that results in a person not being able to perform as a fire fighter. A-3-7.2.1 Category A medical conditions: (a) Congenital or acquired lesions of the aorta and major vessels (e.g., syphilitic aortitis, demonstrable athero- sclerosis that interferes with circulation, and congenital or acquired dilatation of the aorta). [Potential for sudden incapacitation; inability to perform functions of a fire F-hter due to limitations of endurance.) 1992 Edition (b) Marked circulatory instability as indicated by ortho- static hypotension, persistent tachycardia, and severe peripheral vasomotor disturbances. [Inability to perform functions as a fire fighter due to limitations of endurance; inability to perform functions of a fire fighter due to'limi- tations of balance.) (c) Aneurysm of the heart or major vessel, congenital or acquired. [Frequent episodes of pain or inability to per- form work; potential for sudden incapacitation.] A-3-7.2.2 Category B medical conditions: (a) Hypertension (e.g., uncontrolled or poorly con- trolled, with evidence of significant end -organ damage, or requiring medication likely to interfere with performance of duties). [Progressive illness leading to functional impair- ment; potential for sudden incapacitation.) (b) Peripheral vascular disease such as Raynaud's phe- nomenon (e.g., interferes with performance of duties or makes the individual likely to have significant risk of severe injury). [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limitations of endurance.] (c) Recurrent thrombophlebitis. [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limitations of endurance.] (d) Chronic lymphedema due to lymphopathy or severe venous valvular incompetency. [Inability to perform func- tions as a fire fighter due to limitations of endurance.) (e) Any other vascular condition that results in a person not being able to perform as a fire fighter. A-3-8.1 Category A medical conditions: (a) Chronic, active hepatitis. [Frequent episodes of pain or inability to perform work.] A-3-8.2 Category B medical conditions: (a) Cholecystitis (e.g., frequent pain due to stones, infec- tion). [Frequent episodes of pain or inability to perform work.] (b) Gastritis (e.g., recurrent pain and impairment). [Fre- quent episodes of pain or inability to perform work.] (c) Hemorrhoids (e.g., severe symptoms leading to impairment). [Frequent episodes of pain or inability to per- form work.] (d) Acute hepatitis (e.g., until resolution of acute hepati- tis as determined by clinical examination and appropriate laboratory testing). [Frequent episodes of pain or inability to perform work.] (e) Hernia (e.g., unrepaired inguinal or abdominal her- nia that could obstruct during duty). [Potential for sudden incapacitation.] (f) Inflammatory bowel disease (e.g., disabling pain or diar- rhea). [Frequent episodes of pain or inability to perform work; progressive illness leading to functional impairment.] (g) Intestinal obstruction (eg., recent obstruction with impairment). [Frequent episodes of pain or inability to per- form work; potential for sudden incapacitation.] APPENDIX A 1582-15 t� (h) Pancreatitis (e.g., chronic or recurrent with impair- ment). [Frequent episodes of pain or inability to perform work.j (i) Resection, bowel (e.g., if frequent diarrhea precludes performance of duty). [Frequent episodes of pain or inabil- ity to perform work.) 0) Ulcer, gastrointestinal (e.g., symptoms uncontrolled by drugs or surgery). [Frequent episodes of pain or inabil- ity to perform work.] (k) Cirrhosis, hepatic or biliary (e.g., symptomatic or danger of bleeding). [Frequent episodes of pain or inability to perform work.) (1) Any other gastrointestinal condition that results in a person not being able to perform as a fire fighter. A-3-9.1.2 Category B medical conditions: (a) Pregnancy. [Frequent episodes of pain or inability to perform work; progressive inability to perform work due to limitations of endurance, flexibility, or strength; inability to properly wear protective equipment.] See Section B-4, Reproductive. (b) Dysmenorrhea (e.g., leading to recurrent incapacita- tion). [Frequent episodes of pain or inability to perform work.] (c) Endometriosis, ovarian cysts, or other gynecologic conditions (e.g., severe leading to recurrent incapacita- tion). [Frequent episodes of pain or inability to perform work.] (d) "Testicular or epididymal mass (e.g., requires medical evaluation). [Frequent episodes of pain or inability to perform work; progressive illness leading to functional impairment.] (e) Any other genital condition that results in a person not being able to perform as a fire fighter. A-3-9.2.2 Category B medical conditions: (a) Diseases of the kidney (e.g., requiring dialysis). [Fre- quent episodes of pain or inability to perform work; pro- gressive illness leading to functional impairment.] (b) Diseases of the ureter, bladder, or prostate (e.g., requiring frequent or prolonged treatment). [Frequent episodes of pain or inability to perform work.] (c) Any other urinary condition that results in a person not being able to perform as a fire fighter. A-3-10.2 Category B medical conditions: (a) Arthritis (e.g., progressive impairment or limitation of movement). [Progressive illness leading to functional impairment; inability to perform functions as a fire fighter due to limitations of endurance or flexibility.] (b) Structural abnormality, fracture, or dislocation (e.g., progressive or recurrent impairment). [Progressive illness leading to functional impairment; inability to perform functions as a fire fighter due to limitations of strength or flexibility.) (c) Nucleus pulposus, herniation of or history of lami- nectomy (e.g., if symptomatic within last three years). [Pro- gressive illness leading to functional impairment; inability to properly wear protective equipment.] (d) Any other spinal condition that results in a person not being able to perform as a fire fighter. A-3-11.2 Category B medical conditions: (a) Limitation of motion of a joint of a degree to inter- fere with successful and safe performance of fire fighting duties. [Inability to perform functions as a fire fighter due to limitation of flexibility.] (b) Amputation or deformity of a joint or limb of a degree to interfere with successful and safe performance of fire fighting duties. [Inability to perform functions as a fire fighter due to limitations of strength; inability to perform functions as a fire fighter due to limitations of balance.] (c) Dislocation of a joint (e.g., recurrent or with residual limitation of motion of a degree to interfere with successful and safe performance of fire fighting duties; successful sur- gery for recurrent shoulder dislocation if range of motion is intact would not exclude a person.) [Inability to perform functions as a fire fighter due to limitations of strength or flexibility.] (d) Joint reconstruction, ligamentous instability, or joint replacement (e.g., recurrent or with residual limitation of motion of a degree to interfere with successful and safe performance of fire fighting duties; surgery for a torn ante- rior cruciate ligament may disqualify if quadriceps strength is not normal or if the knee is lax or develops pain or swelling when stressed.) [Inability to perform functions as a fire fighter due to limitations of strength or flexibility.] (e) Chronic osteoarthritis or traumatic arthritis (e.g., recurrent exacerbations leading to impairment). [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limitations of strength, endurance, or flexibility.] (f)Inflammatory arthritis (e.g., severe recurrent or pro- gressive illness or with deformity or limitation of range of motion of a degree to interfere with successful and safe performance of fire fighting duties). [Frequent episodes of pain or inability to perform work; inability to perform functions as a fire fighter due to limitations of strength, endurance, or flexibility.] (g) Any other extremity condition that results in a per- son not being able to perform the duties of fire fighter. A-3-12.1 Category A medical conditions: (a) Ataxias of heredo-degenerative type. [Inability to perform functions as a fire fighter due to limitations of bal- ance.] (b) Cerebral arteriosclerosis as evidenced by docu- mented episodes of neurological impairment. [Inability to perform functions as a fire fighter due to limitations of strength; inability to perform functions due to limitations of balance.] (c) Multiple sclerosis with activity or evidence of pro- gression within previous three years. [Inability to perform functions as a fire fighter due to limitations of strength or flexibility.] (d) Progressive muscular dystrophy or atrophy. [Inabil- ity to perform functions due to limitations of strength; inability to perform functions as a fire fighter due to limi- tations of balance.] 1992 Edition 1582-16. MEDICAL REQUIREMENTS FOR FIRE FICIITERS (e) All seizure disorders to include psychomotor, focal, Petit mal, or grand mal seizures except for those with com- plete control during previous five years, normal neurological -examination, and definitive statement from qualified neuro- �_,ogical specialist. [Potential for sudden incapacitation.] A-3-12.2 Category B medical conditions: (a) Congenital malformations (e.g., severe vascular mal- formations that interfere with ability to wear protective equipment). [Inability to properly wear protective equip- ment.] (b) Migraine (e.g., recurrent with impairment not con- trolled). [Frequent episodes of pain or inability to perform work.] (c) Clinical disorders with paresis, paralysis, dyscoordi- nation, deformity, abnormal motor activity, abnormality of sensation, or complaint of pain (e.g., progressive or severe). [Progressive illness leading to functional impair- ment; inability to perform functions as a fire fighter due to limitations of strength, flexibility, or balance.] (d) Subarachnoid or intracerebral hemmorhage, verified either clinically or by laboratory studies, except for those cor- rected with verification by laboratory studies and report of treating physician. [Progressive illness leading to functional impairment; potential for sudden incapacitation.] (e) Abnormalities from recent head injury such as severe cerebral contusion or concussion. [Potential for incapacitation.] sudden (0 Any other neurological condition that results in a person not being able to perform as a fire fighter. —A-3-13.2 Category B medical conditions: (a) Acne or inflammatory skin disease (e.g., if condition precludes good fit of protective equipment such as SCBA face piece or prevents shaving). [Inability to properly wear protective equipment.] (b) Eczema (e.g., if broken skin results in impairment from infections or pain or interferes with seal between skin and personal protective equipment). [Frequent episodes of pain or inability to perform work.] (c) Any other dermatologic condition that results in the person not being able to perform as a fire fighter. A-3-14.1 Category A medical conditions: (a) Hemorrhagic states requiring replacement therapy (e.g., von Willebrand's disease, thrombocytopenia, hemo- philia). [Frequent episodes of pain or inability to perform work.] • (b) Sickle cell disease (homozygous). [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation.] A-3-14.2 Category B medical conditions: (a) Anemia (e.g., requiring regular 'transfusions). [Fre- quent episodes of pain or inability to perform work; pro- gressive illness leading to functional impairment.] 1992 Edition (b) Leukopenia (e.g., chronic, indicative of serious illness). [Progressive illness leading to functional impairment.] (c) Polycythemia vera (e.g., severe, requiring treatment). [Frequent episodes of pain or inability to perform work; Potential for sudden incapacitation.] (d) Splenomegaly (e.g., susceptible to rupture from blunt trauma). [Potential for sudden incapacitation.] (e) History of thromboembolic disease (e.g., more than one episode, underlying condition). [Potential for sudden incapacitation.] (1] Any other hematological condition that results in a person not being able to perform as a fire fighter. A-3-15.2 Category B medical conditions: (a) Diseases of the adrenal gland pituitargland, athyroid gland, or thyroid gland ofclinical significance (erg., symptomatic, poorly controlled). [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation.] (b) Nutritional deficiency disease or metabolic disorder (erg., clinically significant and not correctable by replace- ment therapy or other medication). [Frequent episodes of pain or inability to perform work.) (c) Diabetes mellitus (e.g., poorly controlled or untreated or significant risk of developing hypoglycemic episodes). [Frequent episodes of pain or inability to per- form work; progressive illness leading to functional impair- ment; potential for sudden incapacitation.] (d) Any other endocrine or metabolic condition that results in a person not being able to perform as a fire fighter. A-3-16.2 Category B medical conditions: (a) Connective tissue disease, such as dermatomyositis, lupus erythematosus, scleroderma, and rheumatoid arthri- tis (e.g., when manifested by systemic impairment or ]imi_ Cations of motion). [Progressive illness leading to functional impairment; inability to perform functions as a fire fighter due to limitations of strength or flexibility.] (b) Residuals from past thermal injury resulting in significant symptomatic i y fort•, frost bite to perform functions as a fire fighter due discomfort). limitaionslity of strength, endurance, or flexibility.] (c) Documented evidence of a predisposition to heat stress with recurrent episodes or resulting residual injury. [Potential for sudden incapacitation; inability to perform functions as a fire fighter due to limitations of endurance.] (d) Any other systemic condition that results in a person not being able to perform as a fire fighter. A-3-17.2 Category B medical conditions: (a) The medical evaluation of any person with malig- nant disease that is newly diagnosed, untreated, or cur- rently being treated will be deferred. (b) Any person with treated malignant disease should be evaluated based on that person's current physical condi- tion and on the likelihood of that person's disease to recur or progress. APPENDIX B 1582-17 (c) Any other tumor or similar condition that results in a person not being able to perform as a fire fighter. A-3-18.2 Category B medical conditions: (a) Any person with a history of a psychiatric condition or substance abuse problem shall be evaluated based on that person's current condition. [Frequent episodes of pain or inability to perform work; progressive illness leading to func- tional impairment; potential for sudden incapacitation.] (b) Any other psychiatric condition that results in a per- son not being able to perform as a fire fighter. A-3-19.2 Category B medical conditions: (a) Anticoagulant agents (e.g., coumadin). [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation.] (b) Cardiovascular agents (e.g., antihypertensives). [Fre- quent episodes of pain or inability to perform work; poten- tial for sudden incapacitation.] (c) Narcotics. [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation.] (d) Sedative-hypnotics. [Frequent episodes of pain or inability to perform work; potential for sudden incapacita- tion.] (e) Stimulants. [Frequent episodes of pain or inability to perform work; potential for sudden incapacitation.] (f) Psychoactive agents. [Frequent episodes of pain or inability to perform work; potential for sudden incapacita- tion.] (g) Steroids. [Frequent episodes of pain or inability to perform work.] (h) Any other chemical, drug, or medication that results in a person not being able to perform as a fire fighter. Appendix B Guide for Fire Department Physicians This Appendix is not a part of the requirements of this NFPA docu- ment, but is included for information purposes only. B-1 Introduction. This information is designed to help physicians implement the requirements of this standard. The appendix includes sections on the occupational health risks for fire fighters, organization of a medical program for fire fighters, guidance for conducting the examinations, and further information on medical conditions that might cause difficulties when implementing this standard. The medical conditions outlined in Chapter 2 apply to individuals conducting essential fire fighting functions. (See Appendix C.) The application of these guidelines to individ- uals with other fire department jobs requires a careful con- sideration of the job duties of these other individuals and medical conditions that might affect a person's ability to conduct those duties. B-2 Occupational Safety and Health Problems for Fire Fighters. Fire fighting and emergency response are very difficult jobs. People in these jobs must perform functions that are physically and psychologically very demanding. These functions must often be performed under very diffi- cult conditions. (See Appendix C.) Studies have shown that fire fighting functions require working at near maximal heart rates for prolonged periods of time. Heavy protective equipment (including respirators) and the heat from the fire contribute to this physical load. Fire fighters and emergency response personnel also are exposed to many toxic substances during their work. Car- bon monoxide is the most common contaminant; studies have shown individual exposures as high as 5000 ppm in actual fires. Other significant exposures common in fires include cyanide, acrolein, hydrogen chloride, nitrogen dioxide, and benzene. The burning of plastics and other synthetic materials may expose fire fighters to other toxic materials such as isocyanates and nitrosamines. Hazardous materials incidents may involve exposures to many other toxic materials. While the use of respirators helps to reduce exposures, mechanical, environmental, and behavioral fac- tors may limit their use during all phases of a fire. . The available health data on fire fighters are limited. While the protection for fire fighters has improved over the last several years, exposures may be changing due to the introduction of more synthetic materials. Given the delay between exposure and onset of many occupational illnesses (i.e., latency), current or past health studies of fire fighters may not reflect future health risks. These limita- tions should be recognized when reviewing the available studies. Available data indicate that fire fighters have increased risk for injuries, pulmonary disease, cardiovascular disease, cancer, and noise -induced hearing loss. The increased risk for injuries is expected, given the demands and circum- stances for this work. Fatalities and serious injuries from burns or other fire scene hazards may occur. The risk for respiratory disease occurs due to the respi- ratory damage caused by many of the components of fire smoke (particulate, acrolein, nitrogen oxides, etc.). Acute reductions in pulmonary function and even hypoxemia are not uncommon after fires, even in asymptomatic fire fight- ers. Permanent damage from smoke inhalation has also been reported. Studies of chronic pulmonary changes from fire fighting have not had consistent results. Some follow-up studies have shown a greater rate of decline in pulmonary function among fire fighters over titne while others have not been able to detect this change. Increased use of protective equipment and job selection factors (ill fire fighters transferring to other duties) may account for these inconsistent findings. The strenuous work demands of firefighting combined with exposures to carbon monoxide and other toxic sub- stances may increase the risk for cardiovascular disease among fire fighters. Acute respiratory changes also may stress the cardiovascular system. This increased cardiovas- cular disease risk has been documented even in some mor- tality studies despite the job selection factors that tend to mask any increase when compared to the general popula- tion. Other studies have not detected this risk. Certainlv, the combination of the physical stress of fire fighting and exposures for aperson with preexisting coronary heart dis- ease would be expected to increase the risk of a myocardial 1992 Edition 1582-18 MED L REQUIREMENTS FOR FIRE FIGHTERS infarction or other acute event. However, the degree of this acute risk and whether fire fighting also contributes to the development of coronary heart disease is uncertain. ncreased cancer risk for fire fighters has been found in �leral recent studies. While not totally consistent, these studies generally show an increased risk of brain cancer, gastrointestinal cancers, and leukemia among fire fighters in many different parts of the world. Increased incidence of other cancer sites has also been shown in some studies. Several studies are currently underway to further evaluate this risk. Noise -induced hearing loss has now been documented in several studies of fire fighters. Fire fighters may also be at risk from other specific exposures including infectious diseases and liver, kidney, or neurological damage from exposure to specific chemicals. B-3 Guidance for Medical Evaluations. B-3.1 Preplacement and Base Line Medical Evaluations. Preplacement medical evaluations assess an individual's health status before assignment to a position. The purpose of the evaluation is to ascertain whether the individual has any health condition that prevents him or her from per- forming the job, including the ability to wear protective equipment required for the job. The evaluation should also identify any health problems that could be substantially aggravated by the physical demands and working condi- tions. Base line medical information concerning the appli- cant's health status can then be compared to subsequent evaluation results for the purpose of determining whether the individual has any significant health trends that may be occupationally related. -wo types of information are essential for a medical pre- pTacement evaluation for those performing fire fighter duties. First, the physician must understand the working conditions and physical demands of this occupation. Appendix C provides a list of the environment encoun- tered in fire fighting and emergency response. The physi- cian should also obtain additional information from the fire department such as specific job duties and task lists if the fire department has conducted a validation study or job analysis and should be familiar with the organization of the fire department. For the evaluation of some medical condi- tions, the physician will need to obtain further information about specific job duties in order to make a determination. This may require on -site inspections and consultation with fire department personnel. Secondly, the physician needs to have accurate informa- tion about the person's disease or medical condition, the functional limitations associated with that condition, and an understanding of how physical demands and working conditions would impact on that condition. An accurate diagnosis is often the key factor in determining the per- son's capability. For example, different skin diseases may have similar clinical appearances but may markedly differ in their response to environmental exposures. The physi- cian must also recognize that individual variability may exist between persons with the same clinical condition. Upon completion of the examination, the physician should inform the authority having jurisdiction if the applicant is medically qualified to perform as a fire fighter. 1992 Edition B-3.2 Periodic Medical Evaluations. The periodic medi- cal evaluation is designed to evaluate the person's continued ability to perform their duties and to detect any other signif- icant changes in the condition of their health. The latter includes possible job -related changes or abnormalities. Every year, each fire fighter will be medically evaluated by the fire department physician. This medical evaluation includes an update on the fire fighter's medical history, including any significant changes, a brief review of symp- toms, and a report on any significant job -related exposures experienced during the past year. Height, weight, visual acuity, and blood pressure are measured and recorded. The extent of the medical evaluation and additional testing will depend on the fire. fighter's medical condition. A more thorough evaluation, including a medical exam- ination, is conducted on a periodic basis. For individuals less than 30 years of age, the medical evaluation and exam- ination is conducted every three years; for those 30 to 39, every two years; and for those 40 or over, every year. This evaluation should include an updated medical and interval history, complete physical examination, vision testing, audiometry, pulmonary function testing, and a CBC, uri- nalysis, and blood biochemistry (SMA). The use of chest X-rays in surveillance activities in the absence of significant exposures, symptoms, or medical findings has not been shown to reduce respiratory or other health impairment. Therefore, only Preplacement chest X-rays are recommended. Nofirm guidelines for stress electrocardiography in asymptomatic individuals have been developed. There have been problems with false positive results from this testing, especially in younger age groups. In those with one or more risk factors for coronary artery disease, there may be more justification for performing the testing. At this time, stress tests may be considered on an individual basis depending on age (over 40) and the presence of coronary artery disease risk factors (premature family history (less than 551, hypertension, diabetes mellitus, cigarette smok- ing, and hypercholesterolemia [total cholesterol greater than 240 or HDL cholesterol less than 35]). Testing can also be done as indicated for those with symptoms sugges- tive of coronary artery'disease as reported in their yearly medical histories or interim reports. B-3.3 Content of the Medical Evaluation. B-3.3.1 Medical and Occupational History. The medical history should cover the person's known health problems, such as major illnesses, surgeries, medication use, allergies, etc. Symptom review is also important for detecting early signs of illness. In addition, a comprehensive medical his- tory should include a personal health history, a family health history, a health habit history, an immunization his- tory, and a reproductive history. An occupational history should also be obtained to collect information about the person's past occupational and environmental exposures. APPENDIX B 1582-19 B-3.3.2 Medical Examination. The medical examination includes the following organ systems: (a) Vital signs: Pulse, respirations, blood pressure, and, if indicated, temperature. (b) Dermatological system. (c) Ears, eyes, nose, mouth, throat. (d) Cardiovascular system. (e) Respiratory system. (f) Gastrointestinal system. (g) Genitourinary system. (h) Endocrine and metabolic systems. (i) Musculoskeletal system. 6) Neurological system. (k) Audiometry. (1) Visual acuity and peripheral vision testing. (m) Pulmonary function testing. (n) Laboratory testing, if indicated. (o) Diagnostic imaging, if indicated. (p) Electrocardiography, if indicated. B-3-3.2.1 Laboratory Tests. • Base line CBC, biochemical test battery (SMA), and urinalysis should be conducted for detecting specific illnesses as well as developing a base line for later comparison. B-3-3.2.2 X-Rays. A base line chest X-ray may be helpful for individuals with a history of respiratory health prob- lems or symptoms. For others, it may be useful for later comparison: B-3-3.2.3 Pulmonary Function Testing. Pulmonary function testing may be helpful for individuals with a his- tory of respiratory health problems and as a base line for later comparison. A base line test should be administered by an experienced person. Only a spirogram that is techni- cally acceptable and demonstrates the best efforts by an individual should be used to calculate the forced vital capacity (FVC) and forced expiratory volume in one sec- ond (FEV1). B-3-3.2.4 Audiometry. Audiograms should be per- formed in an ANSI -approved "soundproof' booth (ANSI S3.1-1977) with equipment calibrated to ANSI standards (ANSI S3.6-1973). If a booth is unavailable, the test room sound pressure levels should not exceed those specified in the federal OSHA noise regulations (29 CFR 1910.95). B-3-3.2.5 Electrocardiography. Base line electrocardio- graphy should be conducted. B-3.4 Reporting the Results of the Medical Evaluation. All individuals participating in a medical evaluation should be informed ahead of time about the purpose of the med- ical evaluation and the content of the exam. The results of any medical evaluation are considered to be confidential medical information subject to customary patient -physician confidentiality restrictions. Under most circumstances, results and recommendations arising from the evaluation should be expressed in general terms without specific diag- nostic information. In cases where more specific informa- tion is needed in order to make a decision on the status of a candidate or fire fighter, a specific consent form releasing that information should be obtained from the candidate or fire fighter. Blanket or general "release of medical infor- mation" forms should not be used. In most cases, a simple statement will suffice: Based on the results of the preplacement medical evaluation of December 10, 1990, Jane Doe is (or is NOT) medically certified to engage in training and emergency operations for Anytown Fire Department. OR Based on the results of the preplacement medical evaluation of December 10, 1990, John Doe is NOT medically certified to engage in training and emer- gency operations for Anytown Fire Department. He has been advised of the medical reasons for this rec- ommendation and of the policies and procedures available to him if he disagrees with the results of the medical evaluation. B-3.5 Second Opinions. Fire department policies and procedures should allow for a medical "second opinion" when a candidate or fire fighter disagrees with the results or recommendations of a medical examination conducted by the fire department physician or when the fire depart- ment physician is uncertain about the limitations or prog- nosis of the individual's condition. Often other physicians will not be familiar with the duties and demands of fire fighting and emergency response. When possible, the fire department physician should help educate the other phy- sician about how the individual's condition may affect or be affected by fire fighting. If there is still disagreement about the condition or placement recommendation, a third phy- sician (acceptable to both the fire department and the can- didate) may be consulted. B-4 Specific Medical Conditions. B-4.1 Diabetes. The term insulin -dependent diabetes as used here applies to an individual whose disease course is characterized by an. absolute need for insulin with a ten- dency toward ketoacidosis or marked hyperglycemia and insulin -induced hypoglycemia. The latter condition is the major concern, as an individual who becomes hypoglyce- mic during a fire or other emergency response could endanger themselves, other fire fighters, or the public. The best predictor for the occurrence of a hypoglycemic epi- sode in a diabetic is a history of a previous episode. On the other hand, the occasional individual treated with insulin for what would normally be considered maturity -onset dia- betes (Type II) may be considered if there has been a doc- umented stable course without a history of hypoglycemic episodes and where ongoing monitoring is assured. B-4.2 Asthma. Asthma and asthma -like conditions are characterized by variable and often rapidly fluctuating air- ways obstruction, cough, and sputum production. Condi- tions encountered in fire fighting (irritants, hot/cold air inhalation, and heavy exertion) may trigger asthmatic attacks in some individuals. However, asthmatics with a sta- ble history of symptoms (i.e., only after respiratory infec- tions or exposure to usually avoidable allergens) may not have attacks triggered by fire fighting. For a current fire fighter with preexisting or new onset asthma, their past response to fire fighting episodes may provide guidance on 1992 Edition 1582-20 N/ ZAL REQUIREMENTS FOR FIRE FIGHTERS their ability to continue to work. It should be noted that exposure to products of combustion and other irritants may cause acute airways obstruction in many individuals without asthma. Therefore, the mere presence of some air- vays obstruction after a fire does not necessarily indicate �Ilthat an asthmatic condition exists. B-4.3 Coronary Artery Disease. Due to the high preva- lence of this condition and the changing diagnostic tech- nology, this category may cause difficulty. Most individuals with coronary artery disease should not be doing fire fight- ing tasks. An example of an acceptable person with coro- nary artery disease would be an asymptomatic individual with insignificant coronary artery disease (less than 70 per- cent obstruction of any coronary artery) with normal left ventricular function and no evidence of myocardial ischemia at maximal exercise tolerance as determined by Thallium imaging, echocardiography, or a comparable technique. B-4.4 Reproductive. Exposures in the fire fighting envi- ronment may cause adverse reproductive effects for both males and females. Medical evidence exists to indicate that chemical exposure, heat, noise, and physical exertion may affect various endpoints of reproductive health including fertility, fetal loss, and growth parameters of the offspring. All candidates and fire fighters should be educated about these risks and about the need to take appropriate steps to limit their exposures. There also may be some situations where a male or female fire fighter is attempting to con- ceive a child and is having difficulty. In these situations, where a complete medical evaluation has not identified another cause for this infertility, temporary assignment on a voluntary basis to alternative duty or a leave of absence should be considered. Medical evidence exists that certain toxic substances or conditions that are present in the fire fighting environment are dangerous to the safety and well-being of the fetus. Therefore, it is important to educate all fire fighters about these risks and the reasons for recommending that pregnant fire fighters restrict their fire suppression activities. For example, there is good evidence that the fetus is especially sensitive to carbon monoxide, a known significant compo- nent of fire smoke. Although the use of SCBA is assumed to be protective, sometimes such equipment is not used throughout a fire suppression or hazardous materials inci- dent. The use of such equipment also increases other fetal stressors, such as exertion and heat. Other concerns are those involving physical work. Prolonged standing, heavy lifting, and exposures to temperature extremes and humidity have been related to an increase of preterm and low birth weight infants. Because the fetus should be protected from these exposures at the earliest -possible time, the fire fighter who may be pregnant should obtain early pregnancy testing. Rec- ognizing potential risks to the fetus from the fire fighting environment is a relatively recent event, and many fire fight- ers may not be aware of these risks. Based on a recent U.S. Supreme Court decision (Interna- tional Union, et al. v. Johnson Controls, Inc., 59 U.S.L.W. 4209, March 20, 1991), the ability to perform as a fire fighter is to be the basis for the medical certification. without consider- ation of health risks to the fetus. However, the pregnant fire fighter should be counseled of the potential risks to her fetus due to her exposures during fire fighting duties. 1992 Edition Any fire fighter who becomes pregnant should be offered the opportunity at any time during the pregnancy to be voluntarily removed from fire fighting duties and from other duties involving the hazards or physical stress that might endanger the fetus. If practical, the fire fighter should be offered voluntarily reassignment to an alterna- tive position. At such time as the pregnant fire fighter can no longer be medically certified as being capable of per- forming fire fighting duties, the fire fighter should be re- assigned to other duties. At such time as the fire fighter is no longer pregnant, the fire fighter should be reinstated to the position held prior to being pregnant. Nursing fire fighters should also be advised about the potential expo- sures to their infants. B-4.5 Noise -Induced Hearing Loss. This category may pose difficulties because a high percentage of current fire fighters have noise -induced hearing loss due to their expo- sures as fire fighters. Implementation of hearing conserva- tion programs and programs to reduce noise exposures should lead to a decrease in the prevalence of this condi- tion in the future. Appendix C Essential Fire Fighting Functions This Appendix is not a part of the requirements of this NFPA docu- ment, but is included for information purposes only. The medical requirements in this standard were based on in-depth consideration of essential fire fighting func- tions. These essential functions are what fire fighters are expected to perform at emergency incidents and are derived from the performance objectives stated in NFPA 1001, Standard for Fire Fighter Professional Qualifications. Such essential functions are performed in and affected by the following environmental factors: (a) Operate both as a member of a team and indepen- dently at incidents of uncertain duration. (b) Spend extensive time outside exposed to the elements. (c) Tolerate extreme fluctuations in temperature while Performing duties. Must perform physically demanding work in hot (up to 400°F), humid (up to 100%) atmo- spheres while wearing equipment that significantly impairs body -cooling mechanisms. (d) Experience frequent transition from hot to cold and from humid to dry atmospheres. (e) Work in wet, icy, or muddy areas. (0 Perform a variety of tasks on slippery, hazardous sur- faces such as on rooftops or from ladders. (g) Work in areas where sustaining traumatic or thermal injuries is possible. (h) Face exposure to carcinogenic dusts such as asbes- tos, toxic substances such as hydrogen cyanide, acids, car- bon monoxide, or organic solvents either through inhala- tion or skin contact. (i) Face exposure to infectious agents such as hepatitis B or HIV. (j) Wear personal protective -equipment that weighs approx- imately 50 pounds while performing fire fighting tasks. APPENDIX D 1582-21 (k) Perform physically demanding work while wearing positive pressure breathing equipment with 1.5 inches of water column resistance to exhalation at a flow of 40 liters per minute. (1) Perform complex tasks during life -threatening emer- gencies. (m) Work for long periods of time, requiring sustained physical activity and intense concentration. (n) Face life or death decisions during emergency con- ditions. (o) Be exposed to grotesque sights and smells associated with major trauma and burn victims. (p) Make rapid transitions from rest to near maximal exertion without warm-up periods. (q) Operate in environments of high noise,.poor visibil- ity, limited mobility, at heights, and in enclosed or con- fined spaces. (r) Use manual and power tools in the performance of duties. (s) Rely on senses of sight, hearing, smell, and touch to help determine the nature of the emergency, maintain per- sonal safety, and make critical decisions in a confused, cha- otic, and potentially life -threatening environment through- out the duration of the operation. Appendix D Guide for Fire Department Administrators This Appendix is not a part of the requirements of this NFPA docu- ment, but is included for information purposes only. D-1 Legal Considerations in Applying the Standard. The consideration of an application or continued employ- ment of a fire fighter based on medical or physical perfor- mance evaluations involves a determination that is not without legal implications. To this end, prior to making an adverse employment decision based on the foregoing stan- dard, the authority with jurisdiction may wish to consult with counsel. (a) Individuals with Handicaps or Disabilities. The Reha- bilitation Act of 1973, as amended, 29 U.S.C. 791 et seq., and implementing regulations, prohibit discrimination against those with handicaps or disabilities under any pro- gram receiving financial assistance from the federal gov- ernment. The Americans with Disabilities Act of 1990, Pub. L. 101-336, to become effective in July 1992, will also pro- hibit employment discrimination by certain private employers against individuals with disabilities.* In addi- tion, many states have enacted legislation prohibiting dis- crimination against those with handicaps or disabilities. *Under Section 101 of the Americans with Disabilities Act of 1990, an "employer" is defined, generally, to include those persons with 15 or more employees for each working day in each of 20 or more cal- endar weeks in the current or preceding calendar year." However, for the first two years after enactment in July 1992, a phase -in period increases the "15 or more employees" threshold to "25 or more employees." These laws prevent the exclusion, denial of benefits, refusal to hire or promote, or other discriminatory conduct against an individual based on a handicap or disability, where the individual involved can, with or without reason- able accommodation, perform the essential functions of the job without creating undue hardship on the employer or program involved. Application of this standard should be undertaken with these issues in mind. The medical requirements of this standard have been shown to be job -related by a committee comprised of med- ical doctors, physiological specialists, and fire service pro- fessionals, 'as processed through the NFPA consensus standards -making system. The standard provides, to the extent feasible, that decisions concerning those with medi- cal ailments, handicaps, or disabilities be made after case - by -case medical evaluations. The medical requirements in this standard were devel- oped based on the fire fighting functions contained in Appendix C. Prior to use, therefore, appropriate measures should be taken to ensure that the fire fighting functions performed in the local jurisdiction are substantially similar to those contained in Appendix C. (b) Individuals Who Are Members of Protected Classes (Race, Sex, Color, Religion, or National Origin). Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000e, and implementing regulations by the Equal Employment Opportunity Commission prohibit discrimination in employment on the basis of race, sex, color, religion, or national origin (i.e., protected classes)." Additionally, many states, cities, and localities have adopted similar leg- islation. Generally, physical performance or other require- ments that result in "adverse impact" on members of a protected class (e.g., on the basis of gender) are required to be validated through a study in accordance with EEOC guidelines, if such requirements are to be relied on in mak- ing employment decisions. Under EEOC guidelines, a study validating employment standards in one jurisdiction may be transportable to another jurisdiction (and therefore used in lieu of conducting a separate study). However, spe- cific preconditions must be met in this regard, and the authority having jurisdiction should seek the advice of counsel before relying on a transported validation study. (c) Pregnancy and Reproductive. Federal regulations, as well as many court decisions (including the U.S. Supreme Court's decision in International Union, et al. v. Johnson Con- trols, Inc., 59 U.S.L.W. 4209, March 20, 1991), have inter- preted the requirements of Title VII with respect to preg- nancy and reproduction. The authority having jurisdiction should seek the advice of counsel in resolving specific ques- tions concerning these requirements as well as other requirements that may be imposed by state or local laws. "Under Title VII, an "employer" is defined, generally, to mean a person with "15 or more employees for each working day in each of 20 or more calendar weeks in the current or preceding calendar year." See 42 U.S.C. 2000e. Several federal jurisdictions have held that unpaid volunteers are not considered to be "employees" under Title VII. 1992 Edition 1582-22 MEDI REQUIREMENTS FOR FIRE FIGHTERS D-2 Choosing a Fire Department Physician. Several fac- tors should be considered in choosing a fire department physician. There are relatively few physicians with formal idency training and certification in occupational medi- `� Therefore, physicians with other specialties need to 1TLr considered. The background and experience of the physician should be considered. Knowledge of occupa- tional medicine and experience with occupational health programs obviously would be helpful. The physician must be committed to meeting the requirements of the program including appropriate record keeping. Their willingness to work with the department to continually improve the program is also important. Finally, their concern and interest in the program and in the indi- viduals in the department is vital. There are many options for obtaining physician services. They could be paid on a service basis or through a contrac- tual arrangement. For volunteer departments, local physi- cians may be willing to volunteer their services for the pro- gram with additional arrangements to pay for laboratory testing, X-rays, etc. Some departments may want to utilize a local health care facility for their care. However, in that case, the department should be sure to have one individual physician responsible for the program, record keeping, etc. Index D-3 Coordinating the Medical Evaluation Program. Art individual from within the department should be assigned the responsibility for managing the health and fitness pro- gram, including the coordination and scheduling of evalu- ations and examinations. This person should also act as liaison between the department and the physician to make sure that each has the information necessary for decisions about placement, scheduling appointments, etc. Confidentiality of all medical data is critical to the suc- cess of the program. Members must feel assured that the information provided to the physician will not be inappro- priately shared. No fire department supervisor or manager should have access to medical records without the express written consent of the member. There are occasions when specific medical information is needed to make a decision about placement, return to work, etc., and a fire depart- ment manager must have more medical information. In that situation, written medical consent should be obtained from the individual to release the specific information nec- essary for that decision. Budgetary constraints may affect the medical program. Therefore, it is important that components of the program be prioritized such that essential elements are not lost. With additional funding, other programs or testing can be added to enhance the program. ® 1992 National Fire Protection Association, All Rights Reserved. The copyright in this index is separate and distinct from the copyright in the document which it indexes. The licensing provisions set forth for the document are not applicable to this index. This index may not be reproduced in whole or in part by any means without the express written permission of the National Fire Protection Association, Inc. -A- Abdominal organs ........................................... 3.8, A-3-8 Administrators, fire department, guide for ................ App. D Asthma............................................................... B-4.2 -B- Blood and blood -forming organs ...................... 3-14, A-3-14 .C- Cancerrisk ...................................... :.................... B-2 Candidate Definition................................................... 1-4, A-1-4 Cardiovascular disease .............................................. B-2 Category A medical condition .............. see Medical conditions Category B medical condition .............. see Medical conditions Certified, medically ..................................... 2-4.3, A-2-4.3 Definition........................................................... 1-4 Chemicals ................................................ 3-1 9, A-3-19.2 Chestwall ..................................................... 3-6, A-3-6 Coronary artery disease .......................................... B-4.3 Dental........................................................ 3-4, A-3-4.2 Diabetes............................................................. B-4.l 1992 Edition Drugs..................................................... 3-1 9, A-3-1 9.2 Definition........................................................... 1-4 -E- Ears............................................................ 3-3, A-3-3 Emergency operations Definition...........................:............................... 1-4 Endocrine disorders .................................... 3-15, A-3-15.2 Esophagus................................................... 3-5, A-3-5.1 Evaluation ..................................... see Medical evaluations Extremities............................................... 3-1 1, A-3-1 1.2 Eyes.......................................................... 3-2, A-3-2.1 -F. Fire department ,Guide for administrators ................. ..:................ App, D Guide for physicians ...................... Fire fighters ................... App. B Current................................................. 2-1.5, A-2-1.5 Definition .................................. 1-4 ................ Definition ........... 1-4. A-1-4 ....................................... Occupational safety and health problems .................... B-2 Fire fighting functions, essential ............................. A C PP• -G. Gastrointestinal system ............- ....................... 3-8, A-3-8 Genitourinary system ................................... 3-9. A-3-9.1.2 ATTACHMENT "G" REIMBURSEMENT PROCEDURES Expense Reimbursement Requirements This document is intended to provide "basic" travellers, and contractual guidelines to Human Service Organ1zations, county parties who have reimbursable expenses associated with Monroe County business. These guidelines, as they relate to travel, are from which is attached for reference. m Florida Statute 112.061, A rover letter summarizing the major line items on the reimbursab contain a certified statement such as: le expense request should also I certify that the attached expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this with the Monroe County Board of County mmissioCo organization's contract ners. Invoices should be billed to the contracting agency. Third p�Y payments a ments will not be considered for reimbursement. Remember, the expense should be paid prior to r Only current charges will be considered, no previous requesting a reimbursement. balances. Reimbursftent requests will be monitored in accordance with the level _This document should not be considered all-inclusive. The Clerk's the right to review reimbursement requests on an individual°f detail in the contract. guidelines should be directed to Stephanie Griffiths at 305-29 basis. Any questions regarding these Finance Department reserves 3528. Payroll: A certified statement verifying the accuracy and authenticity t city of the payroll expenses. If a Payroll Journal is provided, it should include: Payroll Journal dates employee tee, teary, or hourly rate hours worked during the payroll journal dates withholdings where appropriate check number and check amount If a Payroll Journal is not provided the following check number, date, payee, check amount must be listed: 'PPort for applicable payroll taxes owginal e g vendor invoices must be submitted for Worker's Co mpensation and liability insurance V Telephone expenses: A user log of pertinent information must be remitted: the party called, the caller, the telephone number, the date, and the purpose of the call must be identified. Telefax, fax, etc.: A fax log is required. The log must define the sender, the intended recipient, the date, the number called, and the reason for sending the fax. Supplies, services, etc.: For supplies or services ordered the County requires the original vendor invoice. Rents, leases, etc.: A copy of the rental agreement or lease is required. Deposits and advance payments will not be allowable expenses. Postage, overnight deliveries, courier, etc.: A log of all postage expenses as it relates to the County contract is required for reimbursement. For overt or express deliveries, the original vendor invoice must be included. Reproductions, copies, etc.: A log of copy expenses as it relates to the County contract is required for reimbursement. The log must define the date, number of copies made, source document, purpose, and recipient. A reasonable fee for copy expenses will be allowable. For vendor services, the original vendor invoice is required and a sample of the finished product. Travel expenses: please refer to Florida Statute 112.061. Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel Expenses. Credit card statements are not acceptable documentation for reimbursement. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. i Auto rental reimbursement requires the original vendor invoice. Fuel purchases should be documented with original paid receipts. Original taxi receipts should be provided. However, reasonable fares will be reimbursed without receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Original toll receipts should be provided. However, reasonable tolls will be reimbursed without receipts. Parking is considered a reimbursable travel expense at the destination. Airport parking during a business trip is not. Lodging reimbursement requires a detail listing of charges. The original lodging invoice must be submitted. The County will only reimburse the actual room and related bed tax. Room service, movies, and personal telephone calls (see previous guidelines) are not allowable expenses. Per diem lodging expenses may apply. Again, refer to Florida Statute 112.061. Meal reimbursement is breakfast at $3.00, lunch at $6.00, and dinner at $12.00. Meal guidelines are that travel must begin prior to 6 am for breakfast reimbursement, before noon and end after 2pm for lunch reimbursement, and before 6pm and end after 8 pm for dinner reimbursement. Mileage reimbursement is calculated at 20 cents per mile for personal auto mileage while on county business. Effective October 1, 1994, mileage will be reimbursed at 25 cents per mile. An odometer reading must be included on the state travel voucher for vicinity travel. A mileage map is attached for reference to allowable miles from various Florida destinations. Mileage is not allowed from a residence or office to a point of departure: for example, driving from ones? dome to the airport for a business trip is not a reimbursable expense. Data processing, PC lime, etc.: The original vendor invoice is required for reimbursement. Intercompany allocations are not considered reimbursable expenditures unless appropriate payroll journals for the charging department (see Payroll above) are attached and certii~ed. The following expenses are not allowable for reimbursement: penalties and fines non -sufficient check charges fundraising contributions capital outlay expenditures (unless specifically included in the contract) d6preciation expenses (unless specifically included in the contract) SGRIFFITHS WP5I\PROCEDUR\EXP RE1M V MILEAGE CHART KEY WEST TO: Bay Point 15 Big Coppitt 10 Big Pine 31 Big Torch Key 29 Clearwater Beach 399 Coco Beach 350 Conch Key 55 Cudjoe Key 22 Dania 180 Daytona Bich 416 Duck Key 62 Ft. Lauderdale 183 Ft. Myers 275 Gainesville 476 Grassy Key 56 Hollywood 175 Homestead 127 Islamorada 83 i Jacksonville 505 Key Colony Beach 53 Key Largo 101 Lakeland 365 V Layton 70 Little Torch Key 28 Long Key 70 Lower Matecumbe Key 75 Marathon 48 Marathon Shores 53 Marco Island 221 Miami 155 Miami Beach 170 Middle Torch Key 26 Naples 236 Ocean Re4l 118 Opa Locka t 180 Orlando 378 Palm Beach 223 Palm Beach Gardens 238 Panama City 702 Plantation Key 87 Ramrod Key 27 Rock Harbor 100 Stock Island 05 Sugarloaf Key 17 Summerland Key 24 10 %I- W. Summerland Key 31 Sunshine Key 39 Tallahassee 606 Tampa 391 Tavernier 92 Vacation Village MARATHON 84 TO: Big Pine Key 17 Conch Key 12 Lslamorada 35 Key Largo 50 Long Key 22 Miami 4 110 Plantation Key 39 Summerland Key' 24 Sunshine Key 09 Taverner 45 BOOT KEY TO: LONG KEY TO: Long Key 20 Boot Key 20 Middle Torch 22 Cudjoe Key 47 HOMESTEAD TO: Homestead 61 Islamorada 16 Key West 127 Marathon 22 Plantation 42 Miami 109 Tavernier 35 Middle Torch 43 KEY LARGO TO: Plantation Key 20 Big Pine Key 70 Homestead 27 MUM TO: Islamorada 72 Islamorada 36 Key Largo 54 Long Key 40 Marathon 110 Marathon 50 Miami 57 PL NTATION TO: ' Big Pine 56 Ocean Reef 17 Duck Key ' 26 Plantation 14 Homestead 42 Key Largo 14 Key West 87 f Layton 17 Marathon 39 Miami 67 Sunshine Key 48 Y- F.S. 1995 PUBLIC OFFICERS AND EMPLOYEES; GENERAL PROVISIONS Ch. 112 when the Attorney General ruled that such dual retire- ments are prohibited by s. 122.10(3), as recodified by the Legislature in 1965, shall receive and enjoy the retirement b., nefits awarded upon retirement, the provi- sions of s. 122 10(3) to the contrary notwithstanding. (2) The exceptions granted to state retirees coming under the provisions of subsection (1) shall not apply to any state employee retiring -subsequent to November 1, 1970, and the administrator of the Florida Retirement System is hereby directed to establish such rules and procedures as may be necessary to prohibit such dual retirements for members of the Florida Retirement Sys- tem or any retirement system consolidated therein pur- suant to s. 121.011(2). History.—s. 1, ch. 72-202, s. 684, ch. 95-147. 112.0515 Retirement or pension rights unaffected by consolidation or merger of governmental agencies. It is hereby declared to be the policy of this state that in any consolidation or merger of governments or the transfer of functions between units of governments either at the state or local level or between state and local units, the rights of all public employees in any retirement or pension fund shall be fully protected. No consolidation or merger of governments or governmen- tal services, either state or local, accomplished in this state shall diminish or impair the rights of any public employee in any retirement or pension fund or plan which existe.0 at the date of such consolidation or merger and 'in%4vhich the employee was participating, nor shall such consolidation or merger result in any impairment or reduction in Benefits or other pension rights accruing to such en . yee. History.—s. t, ch 72-210. 112.061 Per diem and travel expenses of public officers, employees, and authorized persons.— (1) LEGISLATIVE INTENT. —There are inequities, conflicts, inconsistencies, and lapses in the numerous laws regulating or attempting to regulate travel expenses of public officers, employees, and authorized persons in the state. It is the intent of the Legislature: (a) To remedy same and to establish uniform maxi- mum rates, and limitations, with certain justifiable exceptions, applicable to all public officers, employees, and authorized persons whose travel expenses are paid by a public agency. (b) To preserve the standardization and uniformity established by this law: 1. Tne provisions of this section shall prevail over any conflicting provisions in a general law, present or future, to the extent of the conflict: but if any such gen- eral law cent�ins a specific exemption from this section, including a specific reference to this section, such gen- eral law shall prevail, but only to the extent of the exemp- tion. 2. The provisions of any special or local law, pres- ent or future, shall prevail over any conflicting provisions in this section, but only to the extent of the conflict. (2) DEFINITIONS. —For the purposes of this section, the following words shall have the meanings indicated: (a) Agency or public agency —Any office, depart- ment. agency, divis,on, subdivision, political subdivision, board, bureau, commission, authority, district, public body, body politic, county, city, town, village, municipal- ity, or any other separate unit of government created pursuant to law. (b) Agency head or head of the agency —The highest policymaking authority of a public agency, as herein defined. (c) Officer or public officer —An individual who in the performance of his or her official duties is vested by law with sovereign powers of government and who is either elected by the people, or commissioned by the Gover- nor and has jurisdiction extending throughout the state,, or any person lawfully serving instead of either of the foregoing two classes of individuals as initial designee or successor. (d) Employee or public employee —An individual, whether commissioned or not, other than an officer or authorized person as defined fierein, who is filling a reg- ular or full-time authorized position and is responsible to an agency head. (e) Authorized person- 1. A person oth 'han a public officer or employee as defined herein, w per elected or commissioned or not, who is authorize, Dy an agency head to incur travel expenses in the performance of official duties. 2. A person who is called upon by an agency to contribute time and services as consultant or adviser. 3. A person who is a candidate for an executive or professional position. (f) Traveler —A public officer, public employee, or authorized person, when performing authorized travel. (g) Travel expense, traveling expenses, necessary expenses while traveling, actual expenses while travel- ing, or words of similar nature —The usual ordinary and incidental expenditures necessarily incurred by a trav- eler. (h) Common carrier —Train, bus, commercial airline operating scheduled flights, or rental cars of an estab- lished rental car firm. (i) Travel day —A period of 24 hours consisting of four quarters of 6 hours each. (j) Travel period —A period of time between the time of departure and time of return. (k) Class A travel —Continuous travel of 24 hours or more away from official headquarters. (1) Class B travel —Continuous travel of less than 24 hours which involves overnight absence from official headquarters. (m) Class C travel —Travel for short or day trips where the traveler is not away from his or her official headquarters overnight. (n) Foreign travel —Travel outside the United States. (3) AUTHORITY TO INCUR TRAVEL EXPENSES. — (a) All travel must be authorized and approved by the head of the agency, or his or her designated repre- sentative, from whose funds the traveler is paid. The head of the agency shall not authorize or approve such a request unless it is accompanied by a signed state- ment by the traveler's supervisor stating that such travel is on the official business of the state and also stating the purpose of such travel. (b) Travel expenses c+lravelers shall ibe limited to those expenses necessarily incurred by them in the per- formance of a public purpose authorized by law to be [:?A Ch. 112 _ -^ PUBLIC OFFICERS AND EMPLOYEES; GENERAL PROVISIONS F.S. 1995 performer: by the agency and must be within the limit a day, but any time lost from regular duties shall be taken Uons prescribed by ?his section• as annual leave and authorized in the usual manner. The (c( Travel by public otticers or employees serving tray ler temporarily in behalf of another agency or partly in behalf of more than one agency at the shall not be reimbursed for travel expenses in excess of the established rate for per dwil allowable had same time, or authorized persons who are called upon to contribute. he or she remained at his or her assigned f)o;t. However, time and services as consultants or advisers, may be authorized by the agency head. Complete when a traveler has been tem;.)orarily assigned away from his or her official headquarters for explanation and justification must be shown on the travel expense an approved period extending beyond 30 days, fie or she shall be entitled to reimbursement for travel voucher or attached thereto. (d) Travel expenses of public employees for the sole expenses at the established rate of one round trip for each 30-day period actually taken to his or tier home purpose of taking merit system or other job placement in addition to pay and allowances otherwise provided. examinations, written or oral, shall not be allowed under (5) COMPUTATION OF TRAVEL TIME FOR REII�1- any circumstances, except that upon prior written BURSEMENT.—For purposes of reimbursement and approval of the agency head, candidates for executive methods of calculating fractional days of travel, the fol- or professional positions may be allowed travel lowing principles are prescribed: expenses pursuant to this section. (a) The travel day for Class A travel shall be a calen. (e) The agency head, or a designated representa- dar day (midnight to midnight). The travel day for Class tive, may pay by advancement or reimbursement, or a B travel shall begin at the same time as the travel period. combination thereof, the costs of per diem of travelers For Class A and Class B travel, the traveler shall be and authorized persons for foreign travel at the current reim. bursed one-fourth of the authorized rate of per diem for rates as specified in the federal publication "Standardized Reaulations (Government Civilians, For- each quarter, or fraction thereof, of the travel day included within the travel Class A eign Areas)" and incidental expenses as provided in this period. and Class B travel shall include any assignment on official business section. (f) A traveler outside of regular office hours and away from regular who becomes sick or injured while places of employment when it is considered reasonable away from his or her official headquarters and is there. and necessary to stay overnight and for which travel fore unable to perform the official business of the expenses are approved. agenc�inay continue to receive subsistence as pro (b) A traveler shall not be reimbursed on a per diem vided in subsection (6) during this period of illness or basis for Class C travel, but shall receive subsistence as injury until such time eis he or she is able to perform the provided in this section, which allowance for meals shall efficial business of the agency or returns to his or her be based on the following schedule: official headquarters, whichever is earlier. Such subsist- 1 • Breakfast —When travel begins before 6 a.m. ence may be paid when approved by the agency head. and extends beyond 8 a.m. (g) The secretary of the Department of Health and 2. Lunch —When travel begins before 12 noon and Rehabilitative Services or a designee may authorize extends beyond 2 p.m. travel expenses incidental to the rendering of medical 3• Dinner —When travel begins before 6 p.m. and services for and on behalf of clients of the Department extends beyond 8 p.m., or when travel occurs during of Health and Rehabilitative Services. The Department nighttime hours due to special assignment. of Health and Rehabilitative Services may establish rates lower than the maximum provided in this section No allowance shall be made for meals when travel is for4hese travel expenses. confined to the city or town of the official headquarters () OFFICIAL HEADQUARTERS. —The official head- quarters of an or immediate vicinity: except assignments of official business outside the traveler's regular of officer or employee assigned to an office shall be the city or town in which the office is located place empioy- ment if travel expenses are approved, except that: (6) RATES OF PER DIEM AND SUBSISTENCE (a) The official headquarters of a person located in ALLOWANCE. —For urposes of reimbursement rates and methods of calculation, the field shall be the city cr town nearest to the area where the majority of the person's work is per diem aria subsistence allowances are divided into the followirg groups and performed, or such other city, town, or area as may be designated by the agency head provided that in all such rates: (a) All travelers shall be allowed fc! subsisten o cases desig- nationt must be in the best interests of the agency and for when traveling to a convention or confe ence or when traveling within or outside the in not the convenience of the person. (b) When any state employee is stationed in state or; er to cond�ict bona fide state business, which convention, conference, any city or town for a period of over 30 continuous workdays, or business serves a direct and lawful public purpose with relation to the such city or town shall be deemed to be the employee's official headquarters, and he or she shall be public agency served by the person attending such meeting or conducting such business, not allowed per diem or subsistence, as provided in this section, either of the following for each day of such travel at the option of the traveler after the said period of 30 continuous workdays has elapsed unless this pencil of time is extended by 1. Fifty dollars per diem; or the express approval of the agency mead. 2. It actual expemses exceed $50, the amounts per (c) A traveler may lease his or her assigned post to return home ovem!cht, over a mitted in paragraph (b) for meals, plus actual expenses for lodging at a single -occupancy rate to be substant, weeK(,nd, or during a holi ated by paid bills thei,�tor. 828 IN 8 F.S. 1995. PUJLIC OFFICERS AND EMPLOYEES; GENERAL PROVISIONS Whcn lodging or meals are providers at a state institu- tion, the 1mveler shall be reimbursed only for the actual expenses of such lodging or meals, not to exceed the maxirnunr provided for in this subsection. (b) All travelers shall be allowed the following amounts for subsistence while on Class C travel on offi- cial business as provided in paragraph (5)(b): 1. Breakfast ................ ;.........................................$3 2. Lunch .............. .................................................... $6 3. Dinner...............................................................$12 (c) No one, whether traveling out of state or in state, shall be reimbursed for any meal or lodging included in a convention or conference registration fee paid by the state. (7) TRANSPORTATION. — (a) All travel must be by a usually traveled route. In case a person travels by an indirect route for his or her own convenience, any extra costs shall be borne by the traveler; and reimbursement for expenses shall be based only on such charges as would have been incurred by a usually traveled route. The agency head shall designate the most economical method of travel for each trip, keeping in mind the following conditions: 1. The nature of the business. 2. The most efficient and economical means of travel (considering time of the traveler, cost of transpor- tation, and per diem or subsistence required). 3. The number of persons making the trip and the amount of fpuipment or material to be transported. (b) The Department of Banking and Finance may provide any form it deems necessary to cover travel requests for traveling on oflficial business and when paid by the state. (c) Transportation by common carrier when travel- ing on official business and paid for personally by the traveler, shall be substantiated by a receipt therefor. Federal tax shall not be reimbursable to the traveler. unless the state and other public agencies are also required by federal law to pay such tax. In the event transportation other than the most economical class as approved by the agency head is provided by a common carrier on a flight check or credit card, the charges in excess of the most economical class shall be refunded by the traveler to the agency charged with the transpor- tation provided in this manner. (d)1. The use of privately owned vehicles for official travel in lieu of publicly owned vehicles or common carri- ers may be authorized by the agency head. Whenever travel is by privately owned vehicle, the traveler shall be entitled to a mileage allowance at a fixed rate c` 25 cents per mile for state fiscal year 1994-1995 and 29 cents per mile thereafter or the common carrier fare for such travel, astdetermined by the agency head. Reimburse- ment for expenditures related to the operation, mainte- nance, and ownership of a vehicle shall not be allowed when privately owned vehicles are used on public busi- ness and reimbursement is made pursuant to this para- graph. except as provided in subsection (8). 2. All mileag.-, shall be shown from point of origin to point of destination and, when possible, shall be com- puted on the basis of the current reap of the Department of Transportation. Vicinity mileage necessary for the conduct of official business is allowable but must be shown as a separate item on the expense voucher. _Ch. 112 (e) Transportation by chartered vehicles when tray. eling on official business may be authorized by the agency head when necessary or where it is to the advantage of the agency, provided the cost of such transportation does not exceed the cost of transporta- tion by privately owned vehicle pursuant to paragraph (d) (f) The agency head may grant monthly allowances in fixed amounts for use of privately owned automobiles on official business in lieu of the mileage rate provided - in paragraph (d). Allowances granted pursuant to this paragraph shall be reasonable, taking into account the customary use of the automobile, the roads customarily traveled, and whether any of the expenses incident to the operation, maintenance, and ownership of the auto mobile are paid from funds of the agency or other public funds. Such allowance may be changed at any time, and shall be made on the basis of a signed statement of the traveler, filed before the allowance is granted or changed, and at least annually thereafter. The state- ment shall show the places and distances for an aver- age typical month's travel on official business, and the amount that would be allowed under the approved rate per mile for the travel shown in the statement, if pay- ment had been made pursuant to paragraph (d). (g) No contract may be entered into between a pub- lic officer or employee, or any other person, and a public agency, in which a depreciation allowance is used in computing the amount due by the agency to the individ- ual for the use of a privately owned vehicle on official business; provided, any such existing contract shall not be impaired. (h) No traveler shall be allowed either mileage or transportation expense when gratuitously transported by another person or when transported by another trav- eler who is entitled to mileage or transportation expense. However, a traveler on a private aircraft shall be reimbursed the actual amount charged and paid for the fare for such transportation up to the cost of a com- mercial airline ticket for the same flight, even though the owner or pilot of such aircraft is also entitled to transpor- tation expense for the same flight under this subsection. (8) OTHER EXPENSES. — (a) The following incidental travel expenses of the traveler may be reimbursed: 1. Taxi fare. 2. Ferry fares; and bridge, road, and tunnel tolls. 3. Storage or parking fees. 4. Communication expense. 5. Convention registration fee while attending a convention or conference which will serve a direct public purpose with relation to the public agency served by the person attending such meetings. A traveler may be reimbursed the actual and necessary fees for attending events which are not included in a basic registration fee that directly enhance the public purpose of the partici- pation of the agency in the conference. Such expenses may include, but not be limited to, banquets and other meal functions. It shall be the responsibility e' the trav- eler to substantiate that the charges were proper and necessary. However, any meals or lodging included in the registration fee will be deducted in accordance with the allowances provided to subsection (6). 829 F-1 Ch. 112 PUBLIC OFFICERS AND EMPLOYEES; GENERAL PZOVISIONS F.S. 1995 (b) Other expenses which are not specifically tion or conference. The form shall inclu, debut not be lirn- authonzed by this section may be approved by the ited to, provision for the name of eacr. traveler, Jepartment of Banking and Finance pursuant to rules adopted by it. Expenses approved purpose of travel, period of travel, estimated cost to the state, pursuant to this para- graph shall be reported by the Department of Banking Fr; and a statement of benefits accruing to the state by vir- We of such travel. A Copy of the or and ,ance to the Auditor General annually. (9) RULES AND REGULATIONS.— program agenda of the convention or conference, itemizing registration fees (a) The Department of Banking and Finance shall and any meals or lodging included in the registration fee, shall be attached to, and filed with, the copy the promulgate such rules and regulations, including, but not limited to, the general criteria to be of travel authorization request form on file with the agency. The used by a state agency to predetermine justification for attendance by form shall be signed by the traveler and by the traveler's supervisor state officers and employees and authorized persons at conventions and conferences, and prescribe forms stating that the travel is to be incurred in con - nection with official business of the state. The head of such as may be necessary to effectuate the purposes of this the agency or his or her designated representative shall not authorize or approve such in section. The department may also adopt rules prescrib- ing the disposition request the absence of the appropriate signatures. A copy of the travel autho- proper and use of promotional items and rebates offered by common carriers and rization form shall be attached to, and become a part of, other enti- ties in connection with travel at public expense; how- the support of the agency's copy of the travel voucher. (b) Voucher forms. — ever, before adopting such rules, the department shall consult with the appropriation committees 1. The Department of Banking and Finance shall of the Legis- lature. furnish a uniform travel voucher form which shall be (b) Each state agency shall promulgate such addi- used by all state officers and employees and authorized t;orial specific rules and regulations and specific criteria to be used by it to predetermine justification for persons when submitting travel expense statements for approval and payment. No travel expense statement attend- ance by state officers and employees and authorized shall be approved for payment by the Comptroller unless made on the form prescribed and furnished by persons a, conventions and conferences, not in conflict with the rules and regulations of the Department the department. The travel voucher form shall provide of Banking and Finance or with the general criteria to be for, among other things, the purpose of the official travel used by a state agency to predetermine justification for and a certification or affirmation, to be signed by the traveler, indicating the truth and correctness attendanalpy state officers and employees and author- ized persons at conventions, as may be necessary to of the claim in every material matter, that the travel expenses were actually incurred by the traveler as effectuate the purposes of this section. (10) FRAUDULENT CLAIMS. —Claims submitted necessary in the per - formance of official duties, that per diem claimed has been pur- suant to this section shall not be required to be sworn appropriately reduced for any meals or lodging included in the convention or conference to before a notary public or other officer authorized to administer oaths, but any claim authorized or required registration fees claimed by the traveler, and that the voucher con - forms to be made under any provision of this section shall con- tain in every respect with the requirements of this sec - tion. The original copy of the executed a statement that the expenses were actually incurred by the traveler as necessary travel expenses in uniform travel authorization request form shall be attached to the uni- form the performance of official duties and shall be verified by travel voucher on file with the respective agency. 2. Statements for travel expenses incidental a written declaration that it is true and correct as to every material matter; and any person who willfully makes to the rendering of medical services for and on behalf of clients of the Department of Health and Rehabilitative and subscribes any such claim which he or she does not believe to be true and correct as to Services shall be on forms approved by the Department of Bank - every mate- rial matter, or who willfully aids or assists in, or procures, counsels. or advises the preparation or ing and Finance. (12) ADVANCEMENTS. —Notwithstanding any of the presentation under the provisions of this section of a claim which is fraudulent or is false as to any material foregoing restrictions and limitations, an agency head may make, or authorize the making of, advances to matter, whether or not such falsity or fraud is with the knowledge or con- sent of the person authorized cover anticipated costs of travel to travelers. Such advancements may include the costs of subsistence or required to present such claim, is guilty of a misdemeanor of the second degree, and travel of any person transported in the care or cus- tody of the traveler in the punishable as provided in s. 775.082 or s. 775.083. Whoever shall receive an allowance performance of his or her duties. or reim- bursemenl by means of a false claim shall be civilly liable in the amount (13) DIRECT PAYMENT OF EXPENSES BY AGENCY. Whenever an agency requires an of the overpayment for the reimbursement of the public fund from which the claim employee to incur either Class A or Class B travel on emergency notice to was paid. (1 I) TRAVEL AUTHORIZATION AND VOUCHER FORMS the traveler, such traveler may request the agency to pay his or her expenses for meals and lodging — (a) Authorization forms. —The Department of Bank- ing and Finance shall furnish a uniform directly to the vendor, and the agency may e vndor actual expenses for meals and lodging duhngthe trathe el travel authoriza- period, limited to an amount not to exceed that author- tion request form which shall be used by all state officers ized pursuant to this section. In emergency situations, and employees and authorized persons when request- the agency head may authorize an increase in the ing approval for the performance of travel to a conven- amount paid for a specific meal, provided that the total 830 r F.S. 1995 _ PUBLIC OFFICERS AND EMPLOYEES; GENERAL PROVISIONS Ch. 112 C1.Wy cost of meals does not exceed the totai amount „uttlonzed fur meals cacti day. The agency head or his or her designee may also grant prior approval for a state agency to make direct payments of travel expenses in other situations that result in cost savings to the state, and such cost savings shall be documented in the voucher submitted to the Comptroller for the direct pay- ment of travel. expenses. TDe provisions of this subsec- tion shall not be deemed tv apply to any legislator or to any employee of either house of the Legislature or of the Joint Legislative Management Committee. History.- ss 1,3 ch 22830.1945:SS. 1.2.3,ch 23892. 1947: ss. 1. 3. ch 25040, 1949 ss. 1 3, ch. 26910, 1951: S. 1, ch 28303, 1953. s. 1, ch, 29628. 1955; s. 1, ch. 7-230. s 1. ch. 61-183. s- 1. ch 61-43; s. 1, ch, 63-5. s. 1, ch, 63-192, s. 1, ch. a3-122 s 1.ch 63-400.ss 2.3,ch 67-371: ss. 1. 2. ch. 67-2206. S, 1. ch 69-193: s 1. ch 69-381; ss. 12, 23. 34135. ch. 69-106; s. 65. ch. 71-136; s. 1, ch. 72-213: s 1-ch 72-217.s.1.ch. 72-324:s 26 ch 72-404: s, 1. ch 73-169: s. 1, ch 74-15, s 1 ch 74-246.s 1,ch 74-365,ss 1,2.ch 75-33;s 1. ch. 76-166: s 2. ch 76-208, ss 1. 2. ch 76-250. s. 1, ch 77-174: s. 1, ch. 77-231. ss. 1. 2, ch. 77-437: s. 2, ch. 78-9b s 51. ch 79-190. s 1, ch. 79-205: s. 1. ch, 79-303; s. 1. ch. 79-412, ss. 1. 2 ch 81-207:ss 1,2, Ch. 83-307;s.1,ch. 85-140..s.1.ch. 87-407:s 4.ch 88-235: s 12. ch 89-291, S. 18, ch. 91-45: s. 1, ch 94-139, S. 1403, ch. 95-147; s. 26, ch. 95-312. 112.062 Cabinet members; educational and infor- mational travel expenses. -When he or she deems it necessary in order to carry out an official function of office. a member of the Cabinet may incur and be reim- bursed for travel expenses pursuant to s. 112.061 for the purpose of educating and informing the public as to the Cabinet member's official duties. History.-s 1, ch. 80-212, s. 685. ch. 95-147. 112.063 geimbursement of county employees for educational eIbenses.-County constitutional officers and county commissioners are authorized to reimburse employees for educational expenses, subject to the fol- lowing conditions: (1) The coursework must be designed to enhance the knowledge, skills, and abilities relating to official duties which the employees perform. (2) The reimbursement of educational expenses in no way obligates the officer or commissioner to grant time off or leave for the taking or completion of such course or program of instruction. (3) An employee shall not be permitted to utilize any space, personnei, equipment, or supplies of the office by which he or she is employed in the process of fulfilling any of the requirements imposed by the coursework for which he or she is being reimbursed. (4) The limitations contained in subsections (1)-(3) shall not be construed to apply to any courses offered by or as a part of an educational program sponsored by any state agency for which the constitutional officer or commissioner is obligated to perform duties prescribed by law, or any educational program conducted in fur- therance of s. 195.002, if such limitations did not exist prior to Juiy 1, 1990. Nothing in this section shall be construed as prohibiting employees from receiving otherwise authorized per diem expenses provided for by s. 112.061, nor shall it be construed as prohibiting the payment of wages other- wise due under the provisions of state or federal law. History.-s 1, ch 90 80. s. 686 ch `JS-147. 112.08 Group insurance for public officers, employees, and certain volunteers; physical examina- tions.- 831 (1) As used in this section, the term "local govern- mental unit" means any county, municipality, community college district, school board, or special district or any county officer listed in s. 1(d), Art. VIII of the State Con- stitution. (2)(a) Every local governmental unit is authorized to provide and pay out of its available funds for all or part of the premium for life, health, accident, hospitalization. legal expense, or annuity insurance, or all or any kinds of such insurance, for the officers and employees of the local governmental unit and for health, accident, hospi- talization, and legal expense insurance for the depen- dents of such officers and employees upon a group insurance plan and, to that end, to enter into contracts with insurance companies or professional administra- tors to provide such insurance. Before entering any con- tract for insurance, the local governmental unit shall advertise for competitive bids; and such contract shall be let upon the basis of such bids. However, the local governmental unit may undertake simultaneous negotia- tions with those companies which have submitted rea- sonable and timely bids and are found by the local gov- ernmental unit to be fully qualified and capable of meet- ing all servicing requirements. Each local governmental unit may self -insure any plan for health, accident,, and hospitalization coverage or enter into a risk manage- ment consortium to provide such coverage, subject to approval based on actuarial soundness by the Depart- ment of Insurance; and each shall contract with an insur- ance company or professional administrator qualified and approved by the Department of Insurance to admin- ister such a plan. (b) In order to obtain approval from the Department of Insurance of any self -insured plan for health, acci- dent, and hospitalization coverage, each local govern- mental unit or consortium shall submit its plan along with a certification as to the actuarial soundness of the plan., which certification is prepared by an actuary who is a member of the Society of Actuaries or the American Academy of Actuaries. The Department of Insurance shall not approve the plan unless it determines that the plan is designed to provide sufficient revenues to pay current and future liabilities, as determined according to generally accepted actuarial principles. After implemen- tation of an approved plan, each local governmental unit or consortium shall annually submit to the Department of Insurance a report which includes a statement pre- pared by an actuary who is a member of the Society of Actuaries or the American Academy of Actuaries as to the actuarial soundness of the plan. The report is due 90 days after the close of the fiscal year of the plan. The report shall consist of, but is not limited to: 1. The adequacy of contribution rates in meeting the level of benefits provided and the changes, if any, needed in the contribution rates to achieve or preserve a level of funding deemed adequate to enable payment of the benefit amounts provided under the plan and a valuation of present assets, based on staterent value, and prospective assets and liabilities of the plan and the extent of any unfunded accrued liabilities. 1 2. A plan to amortize any unfunded liabilities and a description of actions taken to reduce unfunded liabili- ties. ATTACHMENT 6611" EXAMPLE: REIMBURSEMENT COVER LETTER FIRE OR AMBULANCE ORGANIZATION LETTERHEAD Monroe County Board of County Commissioners Finance Department 500 Whitehead Street Key West, Florida 33040 June 23, 1995 The following is a summary of the expenses for it time period of a �r Ce Or¢ani a►i to nn"� for the Qtr,k # g . &WI'11I 101 A Company 102 103 B Company rent Sxxxx.xx 104 D Company utilities Sxxxx.xx 105 Person A phones Sxxxx.xx Person B payroll Sxxxx.xx (A) Total payroll Sxxxx.xx t (B) Total prior payments � (C) Total requested and paid (A + B SxXoc. xx Sxxxx.xx I certify that the above checks have been submitted to the vendor are accurate and in agreement with the records of this or a s as noted and that the expenses are in compliance with this or 8 nization. Furthermore, these expenses ganization's contract with the Monroe County Board of County will not be submitted for reimbursement to any other fundin Commissioners and 8 source. Organu-anon president or Chief Attachments (supporting documentation) Sworn and subscribed before me this __ day of Notary public Notary Stamp 199