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Item C12
C12 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor James K.Scholl,District 3 The Florida Keys Mayor Pro Tern Michelle Lincoln,District 2 Craig Cates,District 1 David Rice,District 4 Holly Merrill Raschein,District 5 Board of County Commissioners Meeting May 21, 2025 Agenda Item Number: C 12 2023-3978 BULK ITEM: Yes DEPARTMENT: Fire Rescue TIME APPROXIMATE: STAFF CONTACT: R.L. Colina N/A AGENDA ITEM WORDING: Approval for issuance (renewal) of a Class A Certificate of Public Convenience and Necessity (COPCN) to Ocean Reef Volunteer Fire Department, Inc. for the operation of an Advanced Life Support(ALS) and Basic Life Support(BLS) transport ambulance service for the period June 1, 2025 through May 31, 2027. ITEM BACKGROUND: On May 22, 2019, a Class A COPCN was issued to Ocean Reef Public Safety Department to operate an ALS and BLS transport ambulance service. The current COPCN expires on May 31, 2025. In view of the foregoing, Ocean Reef Public Safety Department has applied to renew this Class A COPCN which, if approved, will become effective on June 1, 2025. PREVIOUS RELEVANT BOCC ACTION: 05/20/15 BOCC approved renewal of Class A COPCN for the period 06/01/15 through 05/31/17. 05/17/17 BOCC approved renewal of Class A COPCN for the period 06/01/17 through 05/31/19. 05/22/19 BOCC approved renewal of Class A COPCN for the period 06/01/19 through 05/31/21. 04/21/21 BOCC approved renewal of Class A COPCN for the period 06/01/21 through 05/31/23. 05/17/23 BOCC approved renewal of Class A COPCN for the period 06/01/23 through 05/31/25. INSURANCE REQUIRED: Yes CONTRACT/AGREEMENT CHANGES: The renewal will cover the period of June 1, 2025 through May 31, 2027. STAFF RECOMMENDATION: Approve. DOCUMENTATION: Ocean Reef Class A COPCN Expires 5m31m2027.pdf 251 Ocean Reef COPCN Application - Redacted Financial Document.pdf FINANCIAL IMPACT: Effective Date: 06/01/25 Expiration Date: 05/31/27 Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: N/A Source of Funds: N/A CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Grant: N/A County Match: N/A Insurance Required: Yes, per Statutory Requirements 252 M LO N U � N � d '� �� N O O Cd Q U) O� wLO d, R' N ) U � coO p co N U � � O U) co N O O o ° CZ) a � L �� O � o Z � o c co Cd +- U [_ "Z O O W Z co a � ' o z `o O � .s o O W w , co N � cd c � � N � v4 d N O N �� coN � 0 w co O ,U O U d W o E q 4° � � a ° �, U N N U ul N A Z � a U N s�' O 41 b co co cd UocoU CO o 'Q) bO 44 4° °) o O w E N 0 W N � N � cd N U W W � 1W1 co UW � � Lo Q, o ' o o 0) l aN N raj N C/� � O O , O 2 a QL) N O -1 7, C9 0 � U co .� O O a U O Q � o � 4 �❑�O d z U U MONROE COUNTY,FLORIDA APPLICATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY(COPCN) CLASS A EMERGENCY MEDICAL SERVICE —.��rs�����.�:�, +sz�resuwwvmmm,auw,vuw� �ww�� wrnrrGu�ammrymmr¢�a�r,,rra�xrr�r�,;e3r,�x„�„,,. wta+,v�i ;rre� �n,; w. wvimmoiwmrie�za� (PRINT OR TYPE) ❑ INITIAL APPLICATION-$950.00 ® RENEWAL APPLICATION-$475.00 IF RENEWAL,PLEASE LIST NUMBER OF PREVIOUS CERTIFICATE: 25-04 1. NAME OF SERVICE Ocean Reef Volunteer Fire De artment and/or Ocean Reef Public Safet De artment BUSINESS MAILING ADDRESS 110 Anchor Drive KeNr Lar o Fl.33037 BUSINESS PHONE NUMBER 305-367-4357 EMERGENCY PHONE NUMBER 305-367-2222 1. TYPE OF OWNERSHIP(i.e.,Sole Proprietor,Partnership,Corporation,etc.)Corporation,private,non-profit DATE OF INCORPORATION OR FORMATION OF THE BUSINESS ASSOCIATION 06/04/1993 2. LIST ALL OFFICERS,DIRECTORS,AND SHAREHOLDERS(Use separate sheet if necessary): NAME AGE ADDRESS TELEPHONE# POSITION/TITLE See attachment 3. LEVEL OF CARE TO BE PROVIDED: ❑BLS or®ALS IF ALS: ®TRANSPORT or ❑NON-TRANSPORT 4. DESCRIBE THE ZONES(S)THAT YOUR SERVICE DESIRES TO SERVE(Use separate sheet if necessary): All 2600 series fireboxes,generally from the intersection of C-905 and Card sound Road (C-905A)north on C-905 to and including Ocean Reef and west on Card Sound Road (C-905A)to the Dade County line,or as otherwise directed by Monroe County Central Dispatch 5. LIST THE ADDRESS AND/OR DESCRIBE THE LOCATION OF YOUR BASE STATION AND ALL SUB- STATIONS(Use separate sheet if necessary): BASE STATION 110 Anchor Drive,Key Largo Fl.33037 SUB-STATION Page 1 of 6 254 6. DESCRIBE YOUR COMMUNICATION SYSTEM(Attach copy of all FCC licenses): � FREQUENCIES— CALL NUMBERS #OF MOBILESNu #OF PORTABL w , ,n Q ES See attachment _...._. ... ..... ........ ........ i 7. LIST THE NAMES AND ADDRESSES OF THREE(3)U.S.CITIZENS WHO WILL ACT AS REFERENCES FOR YOUR SERVICE: �.w..._.. ....�.a.. .�....__ NAME ........ ....r_. ..... .n... w.ma..a.......�. ADDRESS .... ....... _w. Eddie Fernandez 110 Anchor Drive,Key Largo FL,33037 Ronnie Fell 2202. se 26 lane,Homestead,F � mm ..... . L 33035 John Flynn .m...... 110 Anchor Drive,Key Largo,FL 33037 yn y g 8. ATTACH A SCHEDULE OF RATES WHICH YOUR SERVICE WILL CHARGE DURING THE COPCN PERIOD. 9. PROVIDE VERIFICATION OF ADEQUATE INSURANCE COVERAGE DURING THE COPCN PERIOD. 10. ATTACH A COPY OF YOUR SERVICE'S CONTRACT WITH A MEDICAL DIRECTOR 11. ATTACH A COPY OF ALL STANDING ORDERS AS ISSUED BY YOUR MEDICAL DIRECTOR. 12. ATTACH A CHECK OR MONEY ORDER IN THE APPROPRIATE AMOUNT,MADE PAYABLE TO THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS. I,THE UNDERSIGNED REPRESENTATIVE OF THE ABOVE-NAMED SERVICE,DO HEREBY ATTEST MY SERVICE MEETS ALL OF THE REQUIREMENTS FOR OPERATION OF AN EMERGENCY MEDICAL SERVICE IN MONROE COUNTY AND THE STATE OF FLORIDA. I FURTHER ATTEST THAT ALL THE INFORMATION CONTAINED IN THIS APPLICATION,TO THE BEST OF MY KNOWLEDGE,IS TRUE AND CORRECT. Qor Ronald Fell, Safety/Training/Compliant Manager SIGNATURE OF APPLICANT/AUTHORIZED REPRESENTATIVE NOTARY SEAL A_/l 21 ') NOTARY Me.' ATOI-E DATE E NANCY PICKARD Notary Public State of Florida Commission#HH 401334 My Comm.Expires May 22,2027 Bonded through National Notary Assn. Page 2 of 6 255 PERSONNEL-PARAMEDICS NAME PARAMEDIC CERTIFICATION First,Middle,Last SOCIAL SECURITY# CERTIFICATION# EXPIRATION DATE — .......,� - �_ EnriquePMD519089 12/Ol.�. .....,.m. Arias - - /26 _ � Devin Genchi .... ....� � PMD....�.�� .. .... ....... 537635 12/01/26 ... .... ................_... Giovanni Quintero - PMD535902 12/01/26 Pedro ..- Castillo PMD532880 12/01/26 Yusniel Collado ' --- _ PM0535503 12/01/26 David Trujillo PMD536193 12/01/26 James Faktor - _ PMD514804 12/01/26 Barbara Fassett -_ PMD18382 12/01/26 ..w . Ronald Fell - - PMD510950 12/01/26 Kevin Hulse `" - PMD528298 12/01/26 _- . Pedro Marin -- PMD518111 12/01/26 . Frank Carlos Morales PMD530797 26 12/01/ P m.MD529698 �............... .. ............ Chris Navarro `- - 12/01/26 w Jonathon Saldana -- PMD519247 12/01/26 Este.... ... ........ _ .�.�,, e_ ......... ..... ....A Esteban Sanchez _ _ PMD524494 12/01/26 � Giovanni.R............ �m�...,,,,,,,...�.�,.�......�,,,� ..m.� .,......,,. � ....�.�...m_ ..... ...... osale --- PMD543150 12/01/26 ` --- Kevin N..... _ ........�.... ..... .... egron �-``-.�,�--��� PMD542417 12/01/26 Jonathon Guzman PMD 529312 12/01/2 "`"�--��-- � 6 .Jason Tandlich ,.m ..... - - ..� _ .. PMD511179 .,. ..__ 12/01/26... ...........�.. ._.. .mPMD535192� 12/O1/2.. m._.......... Christian Loaiza '" --... 6 Keith Crouse...w�... ����_m._. ........._ - . � . .__ P1VL�.�... ......... ��_.... _�. ........ D544952 12/01/26 Brian Burt -- PMD532823 12/01/26 Bryan Diamond `"--- _ PMD536098 12/01/26 Christopher Garcia -- _ PMD532356 12/01/26 Brando Fuentes - PNM542608 12/01/26 .. .......... .... m �.����.. ...__ _ _�� .. ......_ ..... ........ _ � ... ..n mm a. mw ....,. ......... ..,............. � �... Page 3 of 6 256 PERSONNEL—EMERGENCY MEDICAL TECHNICIANS ENIT CERTIFICATION NAME First,Middle,Last SOCIAL SECURITY# CERTIFICATION# EXPIRATION DATE Robert Givens 509301 12/01/26 .......... ........... .... ......... .....Ai...._ert—Alvarez ---— ----------------- 547371 12/01/26 . ........-—-............................ .......... ——------ .......... ............ ............... ...................... . .............. ................ ............. ........... ——--------------................. ... ...................--. ............................... -- --------- ................. ............. ........... . ............. ........... . ........... ...... ...... ............. . .................................... ........... . ............... ..................... ................... ...... .................... ................ ... ........... . ..... ........... ............. ........... ............. ........... ........... .................................... ...................... .............. ....................................................... .......... ................... ...... ................ . .............. ........ ....... —7� .......... -------- . .................... ........... .......... ....... ...... .................... Page 4 of 6 257 .... . .,..,........ 4. _. ._. � _u...... F ° d A f=r a z O o � H � z 5 w a a a o s s Y ........ W . . G7 rwi� O O � O sl a � a A A A x w H o w w xw O F � d a A W a av � da Wd C7 � WO aw 0 o � Cd o N G4 � O �o � a ww � a Wd y WCA ++ U d N Q � � w � a xa Ax � U ....._m......... _ .. ,._,.....' 258 �ff tfj t i Ocean Reef Community Association Department of Public Safety Division of Fire Rescue To: Whom it may concern From: Ronnie Fell, Training/Safety Compliance Manager, Ocean Reef Volunteer Fire Department and/or Ocean Reef Public Safety Department Cc: Ref: Renewal OF COPCN Message: Her is the list of our current shift EMS personnel. NAME License # DOB License exp. ALBERTO ALVAREZ FL 04/06/2028 DAMES FAKTOR FL 01/20/2029 BARBARA FASSETT FL C 03/26/2029 RONNIE FELL FL 10/19/2028 ROBERT GIVENS FL 09/03/2026 KEVIN HULSE FL 04/30/2025. CHRISTIAN LOAIZA FL 07/10/2028. PEDRO MARIN FL 02/24/2028. FRANKCARLO MORALES FL 08/28/2030. CHRIS NAVARRO FL 06/05/2025. JONATHAN SALDANA FL 06/05/2026. ESTEBAN SANCHEZ FL 03/23/2027. PEDRO CASTILLO FL 01/18/2029. YUSNIEL COLLADO FL 11/01/2026 DEVIN GENCHI FL 06/09/2027. GIOVANNI QUINTERO FL 02/22/2029. DAVID TRUJILLO FL 04/05/2027. ENRIQUE ARIAS FL 11/03/2028. BRIAN BURT FL 07/17/2030 BRYAN DIAMOND FL 07/12/2030 GIO ROSALE FL 09/20/2032 JASON TANDLICH FL 03/31/2025 BRANDON FUENTES FL 01/27/2032 KEITH CROUSE FL 01/18/2027 CHRIS GARCIA FL 08/23/2025 KEVIN NEGRON FL 11/17/2027 MIGUEL CARILLO FL 09/14/2030 JOSE VERA FL 01/07/2028 JULIO BURGOS FL 1 10/15/2030 Ronnie Fell Training/Safety Compliance Officer Ocean Reef Public Safety 305-367-4357 ext. 3351 office 259 ............... .................. Lxa 00 W) cq cq --............... .... ......... .......... ----------------- 00 00 mt- ..................... ............................ 00 Ztt > rol eq -,t........... kr) kn rn ----------- ci . ....................... ......................... 6TO ..................----------------------........... .......... wl a 'moo in. ..................................... . ........ ...... ..................................... 260 �ff tfj t i Ocean Reef Community Association Department of Public Safety Division of Fire Rescue To: Whom it may concern From: Ronnie Fell, Training/Safety Compliance Manager, Ocean Reef Volunteer Fire Department and/or Ocean Reef Public Safety Department Cc: Ref: Renewal OF COPCN Message: Here is the list of our current Board of Directors Ocean Reef Community Association Board of Directors-2024-2025 Name Age John Welch 75 Harry Totonis 69 Anne Lovett 69 John Hofmann 68 Thomas Snyder 82 Patricia Davidson William Hartmann 71 Raymond Herman 72 Joseph Urbinati 59 Michael Heaney 60 Harlan Kent 62 Amy Olmert 61 Nip Smith President: Juan Perez The address is 35 Ocean Reef Drive, Suite 220 key largo FL,33037 Phone 4 for BOD is 305-367 3067 Ronnie Fell Training/Safety Compliance Officer Ocean Reef Public Safety 305-367-4357 ext. 3351 office 261 REFERENCE COPY This is not an official FCC license.It is a record of public information contained in the FCC's licensing database on the date that this reference copy was generated.In cases where FCC rules require the presentation,posting,or display of an FCC license,this document may not be used in place of an official FCC license.. ��TFA STg2,� Federal Communications Commission o Wireless Telecommunications Bureau K 9� 0� RADIO STATION AUTHORIZATION U'ICATI�i LICENSEE: OCEAN REEF COMMUNITY ASSOCIATION Call Sign File Number WQAM830 0010999797 Radio Service ATTN:ARIEL ARTIME GB -Business, 806-821/851-866 MHz, OCEAN REEF COMMUNITY ASSOCIATION Conventional 110 ANCHOR DRIVE KEY LARGO,FL 33037 Regulatory Status PMRS Frequency Coordination Number FCC Registration Number(FRN): 0010339976 Grant Date Effective Dale Expiration Date Print Date 03-28-2024 03-28-2024 06-02-2034 03-28-2024 STATION TECHNICAL SPECIFICATIONS Fixed Location Address or Mobile Area of Operation Loc.1 Area of operation Land Mobile Control Station meeting the 6.1 Meter Rule:FL Loc.2 Address:ANCHOR DR OCEAN REEF CLUB City: KEY LARGO County:MONROE State:FL Lat(NAD83):25-18-55.4 N Long(NAD83): 080-16-46.2 W ASR'No.: Ground Elev:2.0 Loc.3 Area of operation Operating within a 15.0 km radius around fixed location 2 Antennas Loc Ant Frequencies Sta. No. No. Emission Output_ ERP Ant. Ant. Construct No. No. (MHz) Cls. Units Pagers Designator Power (watts), Ht./Tp AAT Deadline (watts) Meters meters Date 1 1 000812.83750000 FX1 1 20KOF3E 35.000 35.000 7K60FXD 7K60FXE 1 1 000814.38750000 FX1 1 7K60FXD 35.000 35.000 7K60FXE Conditions: Pursuant to §309(h)of the Communications Act of 1934,as amended,47 U.S.C. §309(h),this license is subject to the following conditions: This license shall not vest in the licensee any right to operate the station nor any right in the use of the frequencies designated in the license beyond the term thereof nor in any other manner than authorized herein. Neither the license not the right granted thereunder shall be assigned or otherwise transferred in violation of the Communications Act of 1934,as amended. See 47 U.S.C. § 310(d). This license is subject in terms to the right of use or control conferred by §706 of the Communications Act of 1934,as amended. See 47 U.S.C. §606. FCC 601-LM Page 1 of 2 August 2021 262 Licensee Name: OCEAN REEF COMMUNITY ASSOCIATION Call Sign: WQAM830 File Number: 0010999797 Print Date: 03-28-2024 Antennas Loc Ant Frequencies Sta. No. No. Emission Output ERP Ant. Ant. Construct No. No. (MHz) Cls. Units Pagers Designator Power (watts) Ht./Tp AAT Deadline (watts) meters meters Date 2 1 000857.83750000 FB2 1 20KOF3E 50.000 75.000 30.0 33.0 07-06-2005 7K60FXD 7K60FXE 2 1 000859.38750000 1B2 1 7K60FXD 50.000 75.000 30.0 33.0 11-01-2019 7K60FXE 3 1 000812.83750000 MO. ° 71 20KOF3E 35.000 35.000 07-06-2005 7K60FXD 7K60FXE 3 1 000814.38750000 ISO 71 7K60FXD 35.000 35.000 11-01-2019 7K60FXE Control Points Control Pt.No.1 Address: 110 ANCHOR DR City: Key Largo County: MONROE State:FL Telepbone Number: (305)367-2222 Associated Call Signs <NA> Waivers/Conditions: NONE FCC 601-LM Page 2 of 2 August 2021 263 �ff tfj t i Ocean Reef Community Association Department of Public Safety Division of Fire Rescue To: Whom it may concern From: Ronnie Fell, Training/Safety Compliance Manager, Ocean Reef Volunteer Fire Department and/or Ocean Reef Public Safety Department Cc: Ref: Renewal OF COPCN Message: Here is a copy of our fee schedule for Ocean Reef Public Safety as of today 03/22/2025 Mileage $15 per mile ALS non-emergency $750 ALS Emergency $750 BLS Emergency $650 ALS2 $1000 Treat No Transport $100 Ronnie Fell Training/Safety Compliance Officer Ocean Reef Public Safety 305-367-4357 ext. 3351 office 264 y" BOARD OF COUNTY COMMISSIONERS County of Monroe `"�� Mayor James K.Scholl,District 3 The Florida Keys Mayor Pro Tem Michelle Lincoln,District 2 Craig Cates,District t David Rice,District 4 Holly Merrill Raschein,District 5 Monroe Cotuitv Fire Rescue '; ������� 7280 Overseas Highway Marathon,FL 33050 Phone(305)289-6004 " MEMORANDUM TO: Stephanie Valido FROM: Cara Johnson SUBJECT: Check for Deposit- COPCN DATE: April 11, 2025 ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Attached please find Check dated April 9, 2025, in the amount of$475.00 per check to be deposited in revenue account 141-342000-RC 00345. This check has been issued for the renewal application of a Class A Certificate of Public Convenience for Ocean Reef Volunteer Fire Department and/or Ocean Reef Public Safety Department. Thank you, Ca4CL �06� Cara Johnson 265 CASHIER'S CHECK HORIZON. DATE: 04/09/2025 emitter: OCEAN REEF COMMUNITY ASSOCIATI ty to the Order of. MONROE COUNTY FIRE,RESCUE 0.11 Four Hundred Seventy Five Dollars And 00/100¢ d . mpg lemo: Corporate Controller i i i 266 " m x c I o 2 D m oCD m o _ Do m 23 m z m N No a m-- m 6 CD ?� m m fD Cf) 0 m mm chi < 0 in D- � m T y (D CDQ7 wD OD D 0 O A7 d D z]o d D p D ) C r < 7 z m R CoE O O CD m N O O-1 3 D Z 2 -n M m c m mz€ 0 m r n 3 n• I 267 FLORIDA AUTOMOBILE INSURANCE IDENTIF]CATION CARD COMPANY: Njatiionall Union Fire lins, Co, of PittsbUrgh, Pa. POLICYO: VFNUCM00,02:383 -015,15 EFFEC'nVEDATE: 01-31-2025 PERSOINAL INJURY IEIR "I" UnOIN El BODILY INJURY BEINERTWPIROIPERTY DAMAGE LIABILl"ry LIABlUTY NAMED INSURED: OCEAN REEF VOLUNTEER FIRE IDEPARTMENT, YEAIR.:� 21015 MAKEWODEL: RAM AMB ALS VII * 3C7WRKBL.8FG,607340 FLEET COVERAGE: 1:1 (if more thain 25 vehic[es iiinsu red) NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE IDATE FLORIDA AUTOMOBILE INSURANCE IDENTIFICATION CARD COMPAW: National UnIon Rre lins, Co., of PitlsbUrgh, Pa. POLICYN: WNUCM001,02383 -015,15 EFFEuriVEDATE: 01-31-2025 PERSOINAL INJURY PRur'Eurim BODILY INJURY BEINER'rsYPIR.01PERTY DAMAGE LIABILI"ry LIABlUTY NAMED INSURED: OCEAN REEF VOLUNTEER FIRE II EPARTMENT YEAR: 2,019 MAKEIMODEL: EMERGENCY ONE PUMPER LDH vli�tw 4EN6AAAK)KI002747 FLEET' OVE RAGE: 1:1 (If mc,re than 25 vehicles ilnSUred) NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE IDATE 268 FLORIDA AUTOMOBILE INSURANCE IDENTIFICATION CARD COMPANY: Nafionaln Ulniion Fire lins, Co, of PitlsbUrgh, Pa. POLICY#: VFNUCM00,0238,3 -015,15 EFFECTIVE IDA'TE: 01-31-2025, PEIRSOINAL INJURY PROTECTION BOUILY INJURY El El LITY BElNEFrr,siPlR.01PElRTY IDAMAGE LlAB,l UABlUITY NAMED INSURED: OCEAN REEF VOLUNTEER FIRE DEPARTMENT, YEAR: 2023 MAKEIMODEL: FREIGHTLINER AMB. ALS WIN A: 1FVACWFC0,PHlUM2227 FLEET COVERAGE: (if more Won 26 vehicless ingured NOT VALID FOR MORE THAN ONE YEA FROM EFFECTIVE DATE FLORIDA AUTOMOBILE INSURANCE IDENTIFICATION CARD COMPANY: Njafiondn Union Fire lins, Co, of PittsbUrgh, Pa. POLICYN: VFNUCM00,02,383 -015,15 EFFE,C,riVElDKirE: 01-31-2025, PERSOINAL INJURY PlRo,rEuriOIN El BOUILY INJURY BEINERTS)PIR.01PERTY DAMAGE LIABILl"ry LIABlUTY NAMED INSURED: OCEAN REEF VOLUNTEER FIRE DEPARTMENT,, YEAR: 2016 MAKEIMODEL: CHEVROLET AMB ALS VIIN* lGB3CZC81GdF2376,,04 FLEE'r COVERAGE: 11 (if more than 25 vefides hnsur8d) NOTVALID,FOR MORE THIAN ONE YEAR FROM IEFFECTIVE DA,rE 269 DATE(MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 04/10/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: RSC Insurance Brokerage,Inc. PHONE (305)446-2271 FAx A/C No Ext: A/C,No): 9350 S Dixie Hwy E-MAIL MIA-Certificates@risk-strategies.com ADDRESS: Suite 1400 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33156 INSURERA: National Fire Union Insurance Company of PA INSURED INSURER B Ocean Reef Volunteer Fire Department,Inc. INSURER C: 24 Dockside Lane#505 INSURER D: INSURER E: Key Largo FL 33037 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2541048224 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ MED EXP(Any one person) $ 5,000 A VFNUTR000238205/000 01/31/2025 01/31/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 PJECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Fire Rescue ACCORDANCE WITH THE POLICY PROVISIONS. 7280 Overseas Hwy AUTHORIZED REPRESENTATIVE Marathon FL 33050 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 270 Named Insured: Policy Number: VFNU—TR-0002382-05/000 OCEAN REEF VOLUNTEER FIRE Policy Period: From 0 1—3 1—2 0 2 5 DEPARTMENT, INC To 01-31-2026 THIS IS CLAIMS MADE COVERAGE. PLEASE READ THE POLICY CAREFULLY. Limits of Insurance Aggregate Limit $ 2, 0 0 0, 0 0 0 Coverage A and B Combined Coverage A $ 1, 000, 000 Each Wrongful Act or Offense Coverage B $ 100, 000 Each Action for Injunctive Relief Deductible (Coverage A only) $ 0 Each Wrongful Act or Offense Estimated Coverage Part Premium: $ 14, 636 . 00 Taxes, Fees and Surcharges: $ 161 . 00 Total Premium: $ 14, 797 . 00 me . . . . . . . . . . . . .OIL bilityf6rm�'. See Schedule of Forms and Endorsements VML100(01/20) 01-24-2025 271 Named Insured: Policy Number: VFNU—TR-0002382-05/000 OCEAN REEF VOLUNTEER FIRE Policy Period: From 01-31-2025 DEPARTMENT, INC To 01-31-2026 THIS COVERAGE PART CONTAINS CLAIMS MADE COVERAGE. PLEASE READ IT CAREFULLY. Each Occurrence Limit $10, 0 0 0, 0 0 0 Products- Completed Operations Aggregate Limit $2 0, 0 0 0, 0 0 0 (where applicable) Aggregate Limit $20, 000, 000 Retroactive Date See Schedule of Controlling (applicable to Claims Made coverages) Underlying Insurance Estimated Coverage Part Premium: $ 17, 051 . 00 Taxes, Fees and Surcharges: $ 170 . 51 Total Premium: $ 17, 221 . 51 ��mm®r�il s� �Na�Nli Form sTil See Schedule of Forms and Endorsements. This coverage part consists of these declarations, the schedule of controlling underlying insurance, the schedule of forms and endorsements, and any forms and endorsements we may later attach to reflect changes. EXD100(01-20) 01-24-2025 272 Named Insured: Policy Number: VFNU-TR-0002382-05/000 OCEAN REEF VOLUNTEER FIRE DEPARTMENT, INC Policy Period: From 01-31-2025 To 01-31-2026 SCHEDULE OF CONTROLLING UNDERLYING INSURANCE Controlling Underlying Insurer Type of Coverage Limits of Insurance Automobile Liability Name: NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. Bodily Injury Liability—Each Person Bodily Injury Liability—Each Accident Policy Number: VFNUCM0002383-05 Property Damage Liability—Each Accident Policy Period: or 01/31/2025 to 01/31/2026 $1,000,000 Combined Single Limit General Liability Name: NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. $1,000,000 Each Occurrence $1,000,000 Personal&Advertising Injury Policy Number: VFNUTR0002382-05 $2,000,000 General Aggregate $2,000,000 Products—Completed Operations Aggregate Policy Period: 01/31/2025 to 01/31/2026 [ X ] Occurrence [ ] Claims Made Management Liability Name: NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA. $1,000,000 Each Wrongful Act or Offense Policy Number: $2,000,000 Aggregate VFNUTR0002382-05 NONE Retroactive Date Policy Period: 01/31/2025 to 01/31/2026 [ ] Occurrence [ X ] Claims Made EXS100 (01-20) 01-24-2025 273 Named Insured: Policy Number: VFNU-TR-0002382-05/000 OCEAN REEF VOLUNTEER FIRE DEPARTMENT, INC Policy Period: From 01-31-2025 To 01-31-2026 SCHEDULE OF CONTROLLING UNDERLYING INSURANCE Controlling Underlying Insurer Type of Coverage Limits of Insurance Employer's Liability Name: APPLICABLE IF UNDERLYING INSURANCE APPLIES Bodily Injury by Accident—Each Accident AND ATTACHES AT U/L POLICY LIMITS Policy Number: Bodily Injury by Disease—Policy Limit Bodily Injury by Disease—Each Employee Policy Period: to EXS100 (01-20) 01-24-2025 274 UV71J/ LUU:J LU.JV JV:JJVf4440 ut,GHl'1 ICGGr uulYm Hz)nri rmtlt F71/17kj 5LZ � Medical Dalrectar A reelment THIS MEDICAL DIRECTOR AGREEMENT (this "Agreement") is made and entered into as of the I" day of August, 2003 (the "Effective Date"), by and between David R. Nateman, M.D. ("Physician") and Ocean Reef Community Association (-ORCA-). WITNESSETH: WHEREAS, ORCA EMS provides services to the area known as Monroe County Fire District Number 7 (District). WHEREAS, Physician is a Florida licensed physician experienced in the provision of emergency medical services; WHEREAS, Physician is the employee of South Florida Emergency Physicians, P.A., a Florida professional association (the "P.A.") and the P.A. WHEREAS, ORCA desires to retain the services of Physician to provide medical director services during the term of the Service Agreement, and Physician desires to provide such services in accordance with the terms and conditions here of. NOW, THEREFORE, in consideration of the execution, delivery and performance this Agreement by the parties thereto and of the covenants and conditions contained herein, the receipt and sufficiency of which are hereby acknowledged, the parties hereby agree as follows: 1. Recitals, The parties acknowledge that the foregoing recitals are true and correct, and such recitals are hereby incorporated herein by this reference. 2. Engagement of Physician. ORCA hereby engages Physician, and Physician hereby accepts such engagements, to serve as medical director for the services rendered by ORCA to District pursuant to this Agreement. 3. Duties and Res onsibilities of Ph s clan. The responsibilities and duties to be performed by Physician shall include the following: a) Supervise and accept direct responsibility for the medical performance of CJOJ 17/LrJrJ:J lei.30 3UO3O(4440 ul,tfil`I PCttr tlulyllVl fitD51Y I1put UZI Ud 9LZ any paramedic, EMT's and other medical personnel providing emergency service in connection with this Service Agreement; b) Within 60 days, develop medically correct standing orders or protocols that permit specified Advanced Life Support and Basic Life (as defined in Section 64E-2.001 of the Florida Administrative Code) procedures when communications can not be established with a supervising physician or when any delay in patient care would potentially threaten the life or health of the patient; and issues standing orders and protocols to ensure that patients are transported to facilities that offer a type and level of care appropriate to the patient's medical condition if available within the service region. c) Provide, directly and/or through physicians who are then permitted to provide physician services under the Addendum "A" continuous 24 hours per day, 7 days per week, medical direction which shall include in addition to the development of protocols and standing orders, direction to personnel as to availability of medical director "off-line" service to resolve problems, system conflicts, and provide services in an emergency as determined by Section 252,34(3) of Florida Statues; d) Within 60 days, develop and implement a patient care quality assurance system to assess the medical performance of all medical personnel; e) Audit the performance of personnel by use of a quality assurance program to include a prompt review of run reports, direct observation, and comparison of performance standards for drugs, equipment, system protocols and procedures; f) Participate in quality assurance programs developed by the State of Florida Bureau of Emergency Medical Services (BEMS); g) Maintain registration as a medical director with the U.S. Department of Justice to provide controlled substances and make such registration readily available for inspection upon request; h) Ensure and certify that security procedures for medications, fluids and controlled substances are in compliance with Chapters 499 and 893 of the Florida Statutes and Chapter 6417-12 of the Florida Administrative Code; i) Within 60 days, create, authorize and ensure adherence to detailed written operating procedures regarding all aspects of the handling of medications, fluids and controlled substances; j) Notify BEMS in writing when the use of telemetry is not necessary; UIZ/1'7/Ltitio 1 ri;_10 -Iuo Sb l4L4b UUtHN Kttt- UUMM HSbN F'AUE IJJ/U i LLZ k) Notify BEMS in writing of each substitution by ORCA of equipment or medication. 1) Assume direct responsibility for the use by medical personnel of an automatic or semi-automatic defibrillator, the performance of esophageal intubation by such personnel, and, on routine interfacility transports, the monitoring and maintenance of non-medicated Vs; ensure that all medical personnel are trained to perform these procedures; establish written protocols for the performance of these procedures; and provide written evidence to BEMS documenting compliance with the duties enumerated in this Subsection 3(I); m) Ensure that all paramedics, EMT's and other medical personnel are trained in the use of the trauma scorecard methodology as provided in Section 64E-2.017 of the Florida Administrative Code n) Within 60 days, develop and revise, if necessary, Trauma Protocols for submission to BEMS for approval; o) Participate as a crew member on an emergency medical services vehicle for at least one (1) shift every six (6) months and for at least ten (10) hours per year and complete a minimum of twenty-four (24) hours per year of continuing medical education related to pre-hospital care, emergency care or teaching or a combination of both; and p) Otherwise comply with the requirements of Section 401.265 of the Florida Statutes and Sections 64E-2.004 and 64E-2.005 of the Florida Administrative Code. q) Participates in candidate selection process, as available for review or interview. r) The Medical Director shall provide "medical administrative duties". Medical administrative duties do not include: (i) The providing of or failure to provide on line medical direction via telecommunication to emergency medical personnel; or (ii) Providing or failing to provide professional health care services to individuals or groups of patients. 4. Professional Reouirements. OW l']f LGGo 1 G:30 3GG3G f 4L40 U4 MAN IKttr UUl+M HSSIY r1WIL G4f rid 8LZ 4.1. Licensure: Professional Services Agreement, At all times during the term of this Agreement, Physician shall maintain an unrestricted license to practice medicine in the State of Florida, not subject to disciplinary or corrective action, including, without limitation, probation, and shall otherwise comply with the requirements of this Agreement applicable to physicians providing services thereunder. 4.2. S ecial Re uirements a) Physician shall be knowledgeable of the area of transportation of patients and shall evaluate each patient in person or by written. protocol prior to each transfer for the purpose of determining that the vehicle, medical crew, and equipment meet the patient's needs. b) Physician, during the term hereof, shall be Board certified in emergency medicine, with demonstrated experience in pre-hospital care. c) Physician shall demonstrate and have available for review by GEMS documentation of active participation in a regional or statewide physician group involved in pre-hospital care. 4.3. Medicare and Medicaid. At all times during the term of this Agreement, Physician shall remain a provider in good standing with the Medicare and Medicaid programs. 4.4. Com Ilance with Laws Etc. Compliance with Laws, Etc. In the performance of Physician's responsibilities under this Agreement, Physician shall comply with the requirements of all applicable federal, state and local laws, rules and regulations, including, without limitation, those provisions (a) respecting the licensure and regulation of physicians and providers of emergency medical services, including the provision of Emergency Medical Services, (b) prohibiting employment discrimination and discrimination against patients, and (c) relating to the Medicare and Medicaid programs. 44, Standards. Physician shall perform services under this Agreement in accordance with generally accepted medical and scientific practices, and community standards prevailing at the time of service. 4.6. Approval. No individual other than Physician or those individuals listed in Addendum "A" may provide services hereunder without the specific prior written approval of ORCA. 5. Consideration. UU/11i/'Lbbo lu;dd dU!3db1414b UULAN HLEF UUMM €b!.jN FA(1 E fb'bIU8 6LZ L ` 5.1. Fees. Physician is entering into this Agreement in consideration of the execution, by the parties thereto, and shall be entitled to compensation in the sum of$2,460.00 month for the services to be rendered hereunder. Payable on the Vt day of each month. 5.2. Ownershi of Revenues; qfl!1gg, Physician shall neither bill nor collect nor retain any amounts for such services from any patient, patient member, third party payor or any other person. 6. Term and Termination. 6.1. Term, Subject to earlier termination as provided herein, the term of this Agreement (the 'Term") shall commence as of the Effective Date, and shall continue for a period of one (1) year (the "Initial Term") and thereafter shall continue for additional one (1) year periods (the "Subsequent Term(s) "), unless either party shall give written notice of termination to the other party at least thirty (60) days prior to the expiration of the Initial Term or any Subsequent Term(s). 6.2. Termination. 6,2.1. B _.Areement. In the event ORCA and Physician shall mutually agree in writing, this Agreement may be terminated on the terms and date specified therein. 6.2,2. Bv ORCA for Cause. This Agreement may be terminated immediately upon written notice by ORCA for "cause". For the purpose of this Agreement, the term "cause" shall mean: (a) any act or omission of Physician which is grossly and materially contrary to the business interests, reputation or goodwill of ORCA. (b) The death of Physician or the failure of Physician for any reason to provide the services to be provided hereunder for a continuous period of thirty(30) days or more; (c) the failure by Physician to maintain licensure; (d) conviction of Physician, or a plea of guilty or no contest to, a felony or any crime involving the delivery of, or billing or payment for, health care items or services; (e) suspension or exclusion of Physician from the Medicare or Medicaid programs, or suspension or revocation of the authorization to prescribe controlled substances of Physician; 08/19/100b 10:Jb 30b3b7424b OCEAN REEF COMM ASSN PAGE 06/08 08Z {f) the filing of any petition in bankruptcy or for receivership, the appointment of a trustee, or reorganization of debts or under any similar law, by or against Physician, or the insolvency or written admission by Physician of an inability to pay Physician's debts as they fall due; or (g) Except as more specifically provided herein above, upon Physician's material breach of any provision of this Agreement, and failure to cure such breach within ten (10) days after written notice of thereof from ORSPSD, 6.2.3. U on Notice Without Cause. This Agreement may be terminated without cause by either party upon ninety (90) days prior written notice to the other_ 7, Notices. Any notice required or permitted to be given under this Agreement shall be sufficient if in writing and if sent by registered or certified mail, by overnight express, or by hand delivery to ORCA or Physician, at the addresses set forth below or to any other address of which notice of the change is given to the parties hereto: To Physician: David Nateman M.D. South Florida Emergency Physicians, P.A. 7700 North Kendall Drive, Suite 145 Miami, Florida 33176 To ORCA: Ocean Reef Community Association 24 Dockside Lane#505 Key Largo, Florida 33037 Attention: David Ritz 8. Entire Agreement; Modification, This Agreement supersedes all previous agreements, understandings, discussions and negotiations and constitutes the entire agreement between the parties with respect to the subject matter hereof, including, without limitation. This Agreement. shall not be changed, modified or amended in any respect except by a written instrument signed by the parties hereto. 9. Choice of Law and Invalid Provisions, This Agreement is made and delivered in, and shall be governed by and construed in accordance with, the applicable laws of the State of Florida and if any term or park of this Agreement shall be determined to be invalid, illegal or unenforceable in whole or in part, the validity of the remaining part of such term or the validity of any other term of this Agreement shall not in any way be affected 08/1 i/2UM 10:ju 3UbJb I424b UULAN KLEF UUMM A55N F'AUE U//ub I.gz ry 8 10._Bindln Effect; Assn nment. This Agreement shall be binding upon, and inure to the benefit of, the parties hereto, their heirs, personal representatives, successors and assigns, but neither this Agreement nor any of the rights or duties hereunder shall be assignable or delegable by either party without the prior written consent of the other. 11. Benefits. This Agreement is not intended, nor shall it be deemed or construed, to create or give rise to any rights, privileges or benefits on the part of any party other than the parties hereto, their permitted successors and assigns and CIRCA. 12. Waiver. A waiver by any party of any of the terms and conditions hereof shall be only in writing and shall not be construed as a waiver of any subsequent breach of the same or any other provision by such party and such party shall be free to reinstate any such term or condition, with or without notice to the other party. 13. Counter arts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original and all of which shall constitute a single agreement. 14.Number Gender. When the context of this Agreement requires, the gender of all words shall include the masculine, feminine, and neuter, and the number of all words shall include the singular plural. 15.Hold Harmless Clause. Agency and Dr. Nateman shall defend, indemnify and hold the other harmless, including and without limitation, its officers, agents and employees from and against all claims, losses, costs, damages, and expenses (including reasonable attorney's fees) relating to injury or death of any person or damage to real property resulting from or arising in connection with 1) any act, omission, or neglect, including without limitation, Dr. Nateman and/or Agency's agents, directors, officers or employees. 16.Insurance. Any and all general liability insurance, with respect to Medical Administrative duties only, required for the performance of this contract will be the responsibility of Ocean Reef Community Association. Medical Director will be issued an annual certificate evidencing insurance. Medical administrative duties do not include: (i) The providing of or failure to provide on line medical direction via telecommunication to emergency medical personnel; or (ii) Providing or failing to provide professional health care services to individuals or groups of patients. U8/1yf'ZUU!3 lu:jti db5bbMZ4b UULAN KtU- UUMM AbbN FIAUL btifbti °ZgZ m IN WITNESS WHEREOF, this Agreement has been executed by the parties as the Effective Date. PHYSICIAN: David R. Nate-ma-,D. ORCA: By. _ `'�'� Name: 01 '. � . r Title: Addendum A Physicians employed by The Medical Center at Ocean Reef, Inc. Ocean Reef Community a o „ Department of Public Safetyg �tl ououmommuuouuumoiooummmmouuuuuuuuumumuouoiouuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu�iii��mmummmmmmmmmm mmmmmmmii�uuumi m ooiioim im ouoioiomunuouommmm iouuuuououmoioiouommioioioioio mummmiiii.i.i.00 m ialarWida Regional tonal Conti non EMS' Protocols This mane morammm una is A m mrmrmsfirmmr tfmat:the f,Jcean Revi"Coommianmmity,Association Department oifmPublic fetf hu s adolmted time 171oridem Regional Common EMS'Imuxobfir E'rmmer engy Medic(g Services. "i°lrfs imractmce,is doewneoted in foie book Cbm moan EAAV Notm rmfus,Col) riight 2010,Jown,and I rt;lm t Pmmlrli.slmers,II,and Fire Chiefs Associadon of'lllrowar°d t;"'omrmrt ,lane.Florida The afore lftermt,irmr M fmrrolr is uti:fi od in rrmsfmonses,,as well in training-11irtlror a lrrrmmlr is issued to all. finersmmmmmrel who active�f pierfom mm einergency medical dutimms forThe Ocean Reef t"mmi¢munamrmit; s ciation, as well as nearby r"eslarmrse arem oiAside of the Community. Uie Coffi on E l''.f rotor'col' "loo let lr a bem ap rrmvol and 6 suer mrted by ldme Eincygency Medical. Director for Ocean Reef'Community , sociatimrmr,Dr.David Mittman, Should uld the rotors*6 Cha gee,become a4jusled or allmend is any way,the changes will be notam'i,in a nkei romn.drrriikr,wifl,i an.attachrAl approval of Dr.David Natemrrmm. 00 AJ -'00�� ,*11110 David J"krmr Flynn CMedical or ORCA Fire Rescue Fire Chief Dated: February 25,2025 283 Florida Regional Common EMS Protocols 4t" Edition Version 2 - Revision & Addition Form Protocol Protocol Title Date F New Rev Number Revision/Addition Changed the version to 4.2 Edition effective date March 1, 2015 Actions authorized for the paramedic or the EMT (only with specific Medical Director 1.1 Intent of Protocols approval, i.e. establishing_ an n IV), prior to physician contact. X Added paragraph on transporting all ALS pts and contacting hospital on all transports. 1.4 Death in the Field Removed sentence on leaving/faxing report to Medical Examiner's X office. 1.7 Medical Added-Hospital prenotification of all BLS or ALS (non- Communications interfacility)transported patients is recommended. 1.9 MCI Added three bullets, designating a Triage Aide,designating multiple X RTF's and marking doors with victim counts. 2.1.5 Pain Management Added note (b), If Fentanyl was initially given IN and an IV is X then established, one IV dose (50 mcq) can be given if needed. 2.3.3 Narrow Complex- Critical Note b)removed Consider Amiodarone Amiodarone Added under contraindications atrial fibrillation with Wolf Parkinson 5.4 Hydrochloride White(WPW). Changed iodine allergy warning from contraindication X to precaution. 5.15 Fentanyl Added-If Fentanyl was initially given IN and an IV is then X established, one IV dose (50 mcg) can be given if needed. Changed BP range from 100 to 90 mm Hg.Removed the sentence Once 5.28 Nitroglycerin the container is opened, nitroglycerin has a shelf life of 3 months. X Patients should keep all but a few days' supply of the drug in the refrigerator. X X X X X X X X X X X X X 4th Edition,Version 2 3/1/2015 Florida Regional Common EMS Protocols 284 Florida Regional Common EMS Protocols Section 1 General Protocols 4th Edition, Version 2, March 1, 2015 41 Edition Version 2,3/1/15 Florida Regional Common EMS Protocols 1 285 General Section Table of Contents 1.1 Intent and Use of Protocols 1.2 Behavioral Emergencies 1.3 Critical Incident Stress Management(CISM) 1.4 Death in the Field 1.5 Emergency Worker Rehabilitation 1.6 Helicopter Safety 1.7 Medical Communications 1.8 Refusal of Care 1.9 Mass Casualty Incidents 1.9.1 MCI Organizational Chart 1.9.2 Active Shooter Organizational Chart 1.10 Crime Scene Management 1.11 Protocol Revision Procedure 4'Edition Version 2,3/1/15 Florida Regional Common EMS Protocols 2 286 oRCA OCEAN REEF COMMUNITY ASSOCIATION rig YV ti, � ^✓m u � �Ylk� °6 � fr V'l CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 2024 AND 2023 287 OCEAN REEF COMMUNITY ASSOCIATION, INC. AND OCEAN REEF VOLUNTEER FIRE DEPARTMENT, INC, TABLE OF CONTENTS []E[EMBER 31, 2024 and 2023 INDEPENDENT AUDITOR'S REPC]RT----------------------------------- 1'3 CONSOLIDATED FINANCIAL STATEMENTS Consolidated Balance Sheets ------------------------------------. 4 Consolidated Statements of Revenues, Expenses and Changes in Property Owners' Equity------------------------------- 5 Consolidated Statements of Cash Flows ------------------------------ 6 Notes tothe Consolidated Financial Statement ------------------------- 7'18 Required Supplementary Information on Future Major Repairs and Replacements(Unaudited) ....................................................................................................... 19 Independent Auditor's Report on Supplementary Consolidating Information ............................. ZU Supplementary Consolidating Information Consolidating Balance Sheets ------------------------------------ 21'22 Consolidating Statements of Revenues, Expenses and Changes in Property Owners' Equity------------------------------- 23'24 Consolidating Statements of Cash Flows ------------------------------ 25'26 NICHOLS J� INDEPENDENT AUDITOR'S REPORT Board of Directors Ocean Reef Community Association, Inc. and Ocean Reef Volunteer Fire Department, Inc. Key Largo, Florida Report on the Audit of the Consolidated Financial Statements Opinion We have audited the consolidated financial statements of Ocean Reef Community Association, Inc. and Ocean Reef Volunteer Fire Department, Inc., which comprise the consolidated balance sheets as of December 31, 2024 and 2023, and the related consolidated statements of revenues, expenses and changes in property owners' equity and cash flows for the years then ended, and the related notes to the consolidated financial statements. In our opinion, the accompanying consolidated financial statements present fairly, in all material respects, the consolidated financial position of Ocean Reef Community Association, Inc. and Ocean Reef Volunteer Fire Department, Inc. as of December 31, 2024 and 2023, and the results of their operations and their cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America. Basis of Opinion We conducted our audits in accordance with auditing standards generally accepted in the United States of America (GAAS). Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Consolidated Financial Statements section of our report. We are required to be independent of Ocean Reef Community Association, Inc. and Ocean Reef Volunteer Fire Department, Inc. and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audits. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Responsibilities of Management for the Consolidated Financial Statements Management is responsible for the preparation and fair presentation of the consolidated financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error. 478-928-3888 a 400 Corder Read I Warner Robins„GA'31!088 w n�iclholllscauuiey.corn 289 OCEAN REEF COMMUNITY ASSOCIATION, INC. AND OCEAN REEF VOLUNTEER FIRE DEPARTMENT, INC. NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS YEARS ENDED DECEMBER 31, 2024 AND 2023 NOTE 14-GRANTS During the year ended December 31, 2021 the Association received grants from the County to purchase a fire rescue boat and for a portion of the cost of a new welcome center. All agreed upon funds had been paid to the Association for the welcome center and fire rescue boat at December 31, 2022. The Association received $800,000 of grant monies during the year ended December 31, 2021. The Association recognized $45,591 and $45,591 in revenue related to the grant in 2024 and 2023 (which is included in other income on the accompanying consolidated statement of revenues, expenses and changes in property owners' equity), respectively. The accompanying consolidated balance sheets include $824,294 and $869,885 as of December 31, 2024 and 2023, respectively, as deferred revenue to be recognized in future periods. During the year ended December 31, 2024 the Association received grants from the County to purchase two new fire trucks. All agreed upon funds had been paid to the Association for the fire trucks at December 31, 2024. The Association received $705,878 of grant monies during the year ended December 31, 2024. The Association recognized $41,325 in revenue related to the grant in 2024 (which is included in other income on the accompanying consolidated statement of revenues, expenses and changes in property owners' equity). The accompanying consolidated balance sheets include $664,553 as of December 31, 2024 as deferred revenue to be recognized in future periods. NOTE 15- LITIGATION The Association is party to various claims, legal actions, and complaints arising during the course of business and operations. Although the ultimate result of legal proceedings cannot be predicted with certainty, it is the opinion of the Association's management that the outcome will not have a material effect on the Association's financial statements and the Association intends to vigorously defend the Association's position in all cases. NOTE 16-SUBSEQUENT EVENTS The Association assessed events that have occurred subsequent to December 31, 2024 through April 3, 2025 for potential recognition in the consolidated financial statements. Effective March 1, 2025, the Association renewed its lease for additional office space discussed in Note 7 for an additional two year period expiring on February 28, 2027. Effective February 1, 2025, the Association signed a ten year agreement with the Key Largo Anglers Club and Key Largo Anglers Homeowners Association to provide emergency medical and fire protection services through December 31, 2034. The annual fee for the services will be $140,000 with a 3% increase per annum. No events, other than those discussed above, have occurred that would require adjustment to or disclosure in the consolidated financial statements which were available to be issued on April 3, 2025. 18 290