HomeMy WebLinkAboutFS 2008-10-07 COMPLETE AGENDA PACKET City of Tukwila Distribution; M. Miotke
�y11�4 Duffle J. Morrow
9S P. Linder G. Labanara
D. Finance Safety Committee K. Hougaaard J J. I Pace
Mayor Haggerton D. Speck
Dennis Robertson, Chair R. Berry R. Still
C. O'Flaherty D. Tomaso
Pam Linder B. Fletcher Judge Walden
1908 D. Haynes C. Parrish
Kathy Hougardy S. Hunstock B. Arthur
M. Hart K. Narog(cover)
AGENDA V. Jes S. Kirby (email)
S. Kerslake S. Norris (email)
T. Kinlow C. Flores
K. Matei L. Verner
TUESDAY, O CTOBER 7, 2008
CONFERENCE ROOM ##3; 5 PM
PLEASE NOTE THE PRESENTA TIoN BELOW BEGINS A T 4 PM
Item Action to be Taken Page
1. PRESENTATIONS
4 PM Representatives from the City of DesMoines will
be in attendance to provide an overview of their Animal
Control Process; Police Chief Roger Baker and Animal
Control O>fcer Jan Magnuson.
2. BUSINESS AGENDA
a. A resolution authorizing the cancellation of a. Forward to 10/13 C.O.W. Pg.1
outstanding claims checks, Municipal Court checks, and 10/20 Reg.
and Foster Golf gift cards;
Shawn Hunstock, Finance Director.
b. A resolution ordering the cancellation of past -due b. Forward to 10/13 C.O.W. Pg.7
accounts receivables and returned check write -offs; and 10/20 Reg.
Shawn Hunstock, Finance Director.
c. Memorandum of Agreement for FEMA National Urban c. Forward to 10/13 C.O.W. Pg.11
Search Rescue Response System; and 10/20 Reg.
Chris Flores, Assistant Fire Chief.
3. ANNOUNCEMENTS
4. MISCELLANEOUS
Next Scheduled Meeting: Tuesday, October2l, 2008
Future Agenda Items:
Council Goal #3; work together in cooperation with nearby cities to address common problems (safety)
in the Highway 99 corridor and Military Road.
Animal Control status monitoring.
Safety in Overnight Lodging (on hold pending outcome of court case).
Panhandle ordinance.
The City of Tukwila strives to accommodate individuals with disabilities.
Please contact the City Clerk's Office at 206- 433 -1800 for assistance.
City-2f Tukwila
Department of Finance Shawn Hunstock, Finance Director
MEMORANDUM
October 7,2008
From:
Mayor Jim Haggerton
Finance & Safety Committee
Shawn Hunstock, Finance Director'&-
Finance Department
To:
Subject:
Annual Write-Off of Outstanding/Unredeemed Accounts Payable Claims Checks,
Municipal Court Checks, and Foster Golf Claims Checks/Gift Cards
The attached proposed resolution will write-off a total of $4,624.80 in unredeemed/outstanding items to
be reported in the year 2008 to the Washington State Department of Revenue Unclaimed Property
Section as follows:
General Fund (000):
Claims Checks (various)
Municipal Court Checks (various)
General Fund Subtotal
$ 339.57
2,141.00
$2,480.57
Water (401 Fund):
Claims Check (Annalisa Blacker)
Claims Check (Specialtees)
Claims Check (Lucky Irish Holdings)
Water Fund Subtotal
$ 16.00
35.00
15.00
$ 66.00
Golf Course (411 Fund):
Claims Check (Jim Sullivan)
Gift Cards (various)
Grand Total - All
$ 25.00
$2,053.23
$4.624.80
Once the City cancels these outstanding items, the amounts will be retained by the City and returned to
the General, Water and Golf Course Funds, respectively. The Golf Course outstanding gift cards amount
will be remitted as payment to the Washington State Dept. of Revenue Unclaimed Property Section.
Attachments
Lej!
6200 Southcenter Boulevard' Tukwila, Washington 98188-2544' Phone: (206) 433-1838' Fax: (206) 433-1833
Email: shunstock@ci.tukwila.wa.us
RAFT
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
TUKWILA, WASHINGTON, AUTHORIZING THE CANCELLATION
OF OUTSTANDING CLAIMS CHECKS, MUNICIPAL COURT
CHECKS, AND FOSTER GOLF GIFT CARDS.
WHEREAS, the State of Washington, Department of Revenue Unclaimed Property
Section, for the reporting year 2008/ requires a one-year dormancy period for
outstanding claims checks, a two-year dormancy period for municipal court checks, and
a three-year dormancy period for gift cards; and
WHEREAS, the City Finance Department has made all reasonable attempts to
resolve the outstanding, unredeemed claims checks, municipal court checks, and gift
cards; and
WHEREAS, the City Council of the City of Tukwila wishes to cancel all
outstanding, unclaimed claims checks issued prior to July 1, 2007, municipal court
checks issued prior to July 1, 2006, and gift cards issued prior to January 1, 2006;
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF TUKWILA,
WASHINGTON, HEREBY RESOLVES AS FOLLOWS:
The Tukwila City Council authorizes the cancellation of claims checks, municipal
court checks, and gift cards, as detailed on Attachment A.
PASSED BY THE CITY COUNCIL OF THE CITY OF TUKWILA, WASHINGTON,
at a Regular Meeting thereof this day of ,2008.
ATTEST/AUTHENTICATED:
Joe Duffie, Council President
Christy 0' Flaherty, CMC, City Clerk
APPROVED AS TO FORM BY:
Filed with the City Clerk:
Passed by the City Council:
Resolution Number:
Office of the City Attorney
Attachments: -- Attachment A, Washington State Department of Revenue 2008
Unclaimed Property Reporting (1 page)
-- 2008 Unclaimed Property Summary Report (2 pages)
C:\Documents and Settings\All Users\Desktop\Kelly\MSDATA \Resolutions\Outs Warrants 2008.doc
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Page 1 of 1
Attachment "A"
.. " , .C' 00 'W:" :4' "S't' .t.-
.. --
- - . - - - ---- -- -- - -- - -
--.- ----- ----- -
-- ----. - - -..- -- --
~%~:c~""'~'7c'.cnn cc1!-
- - - . - - - ------ - ---------
______ - - - ___ __ - .__ . __ ____ - __ . __n_
..c~~.....n.~n.C_nc. '2nO'0' uS' 'U' n.~
--------------- - - ----
R-7"E~~~~~~ .....nc
- --- - - - -- -- --
ill NU1\ffiER
000 - General Fund
VariOllS
Various
11863
11866
11882
DATE
VEl\TDOR
AMOUNT
Various
Various
08/26/05
09/23/05
12/29/05
Aggregate-Various (Claims Checks under $50)
Aggregate-Various (Court Checks under $50)
Baljit Singh
David Keith Legge
Alliance One Inc.
General Fund Total:
$339.57
$25.00
$1,900.00
$150.00
$66.00
$2,480.57
401 - Water Utility Fund
324862 07/17/06
325038 07/17/06
329636 02/20/07
Annalisa Blacker
Specialtees
Lucky Irish Holdings Inc.
401 Fund Total:
$16.00
$35.00
$15.00
$66.00
411- Foster Golf Course
326201 09/05/06
Jim Sullivan
411 Fund Total:
$25.00
$25.00
Seventy-two (72) miscellaneous gift cards
411 Fund Total:
$2,053.23
$2,053.23
GRAIVD TOTAL:
$4,624.80
Treasurer's Checks:
No outstanding treasurer's checks to report for 2008 Unclaimed Property filing year.
Total Treasurer's Checks:
Claims_Ch k G
#324698
324925
324934
324956
325027
325035
325419
325796
325817
326868
326971
327665
327680
327841
327898
329523
330837
330851
330865
330939
331599
331770
ec s Gen
000 Fund:
07/03/06
07/17/06
07/17/06
07/17/06
07/17/06
07/17/06
08/07/06
08/21/06
08/21/06
10/16/06
10/16/06
11/20/06
11/20/06
11/20/06
11/20/06
02/20/07
04/16/07
04/16/07
04/16/07
04/16/07
05/21/07
05/21/07
.Claims_Ch?J ks Water 401 Fund:
#324862 07/17/06
325038 07/17/06
329636 02/20/07
Property Owner:.
Laura Lilyblade
Brett Gallaguer
Ronald Green
Jennifer Jergensen
Leda Schuening
Lois E. Slade
Jon H. Blount
Sanja Gregor Kearns
Stanley A. Leghorn
Chris Buser
David L. Jacobson
Bill Britt
Phuoc Chiem
Joseph Nguyen
Daniel Shample
Joe Bays
Lien Lai
Jacob Magnusson
Stephen A. Muckerheide
Susan Stark
Vildana Jusufbegovic
John R. Young
Total General Fund Claims Checks:
Psoerty Owner:
Annalisa Blacker
Specialtees
Lucky Irish Holdings Inc.
Total 401 Fund Claims Checks:
Claims Checks GQjLGQU1 411 Fund: Property Owner:
Ck #326201 09/05/06 Jim Sullivan
Total 411 Fund Claims Checks:
2008 Unclaimed Property
Summary Report
Total All Claims Checks:
Rescri tion•
Refund Swim Lesson
Juror fee
Juror fee
Juror fee
Juror fee
Juror fee
2005 PSE Utility Tax Rebate
Juror fee
Juror fee
Juror fee
Juror fee
Refund TCC Fitness Pass
Juror fee
Juror fee
Juror fee
Refund Permit #PG06 -049
Juror fee
Juror fee
Juror fee
Juror fee
Juror fee
Juror fee
ILeacrigtion:
Refund Overpayment on water bill
Refund Account credit balance
Refund Overpayment on water bill
D_escrip_tiom.
Refund Tourney Fee
$0.00 All Code: CK04
0.00
0.00
$4.50
15.34
12.23
11.78
14.45
12.67
35.16
12.22
10.00
12.22
12.22
27.00
14.00
15.34
17.12
30.00
24.84
11.69
12.91
10.00
11.94
11.94
339.57
$66.00
$430.57
$16.00
35.00
15.00
General Fund
All Code: CK06
401 Fund
All Code: CK06
$25.00 411 Fund
$25.00 All Code: CK06
lej 09/21/2008 6:09 PM
p ��Cjp �tl4l
rncmed Property filing Yea
to report fo
payroll checks
No outstanding p
Del' #11863 08126105
11866 09123105
11882 12129!05
11920 02128106
G9 Various
ID Number
G Fund
Total Payroll Claims:
Baljit Singh
David Keith Legge
Alliance One Inc.
Paul Jon Dewald
Total Municipal Court Checks:
(72) Misc. Gift Cards aperty owners)
unknown p
ed
(All variously nom to State:
Grand Total to be Reported
Vendor
Aggregates (under $50)
Total General Fund
Date,
Various
ao ptioD:.
Bail refund
Bail bert Trust #57694
Overpayment court Fee
2008
Unclaimed Propel Page 2
$1,90
150.Q
66.0
25.0
2, 1 4
$2,053.
L$11,6
All Code: CK06
G Fund
All General Fun
All Code
411 Fund
All Code: Mg•2
Am
$339.
$33
lej 09/21/2008 6:09 PM
MEMORANDUM
To:
Mayor / City Council .
Shawn Hunstock, Finance Director~
From:
Date:
September 29, 2008
Subject:
CANCELLATION OF ACCOUNTS RECEIVABLE
The annual proposed resolution totaling $9,080.51 reflects amounts deemed
uncollectible. The items listed have been through the City's collection program and
have not been successfully resolved. Although we are writing them off the "official" City
books, these amounts will still be subject to collection. These items include: False
Alarms Account total of $175.00, NSF Checks Account total of $lJ77.00 and all other
Miscellaneous Billing Account total of $7,728.51. The funds affected will be properly
adjusted.
The process for tracking accounts receivable is quite thorough. The steps below are
followed prior to the attached write-off resolution:
· Invoice is sent to recipient by the Finance Department, payable in 30 days.
· Second notice is then sent specifying due date before receivable is forwarded to
collection agency.
· Collection agency sends a series of three letters for the original amount due, with
the final letter advising that legal action will be taken if payment is not made. If
there is no response from debtor after the letter series, the debt is then reported to
the National Credit Bureaus.
· Collection agency then pursues legal action after the debtor is given a final
opportunity to dispute the claim. This includes attaching checking accounts,
garnishments, lawsuits and other legal methods.
The items on the proposed resolution reflect those that have been through the process
above and receivables are still due with the likelihood of collection being very low. We
do collect amounts after write-offs, but very seldom.
The City cannot revoke or deny a business license for non-payment of an accounts
receivable claim.
C:\Documents and Settings\A1l Users\Desktop\Kelly\MSDATA\Finance\Cancellation of Accounts Receivable memo.doc ksn 9/29/2008
DRAFT
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF TUKWILA,
WASHINGTON, ORDERING THE CANCELLA TION OF PAST-DUE
ACCOUNTS RECEIVABLE AND RETURNED CHECK WRITE-OFFS.
WHEREAS, certain receivables and checks have been deemed uncollectible after
efforts by both the City and a collection agency have been unsuccessful; and
WHEREAS, the City will continue to pursue these receivables when practical;
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF TUKWILA,
WASHINGTON, HEREBY RESOLVES AS FOLLOWS:
Miscellaneous Accounts Receivable and Returned Checks. The total of $9,080.51
is deemed uncollectible. See Attachment A.
PASSED BY THE CITY COUNCIL OF THE CITY OF TUKWILA, WASHINGTON,
at a Regular Meeting thereof this day of , 2008.
ATTEST / AUTHENTICATED:
Joe Duffie, Council President
Christy O'Flaherty, CMC, City Clerk
APPROVED AS TO FORM:
By:
Office of the City Attorney
Filed with the City Clerk
Passed by the City Council
Resolution Number
Attachment: "Attachment A"
C:\Documents and Settings\All Users\Desktop\Kelly\MSDATA \Resolutions\ Write offs.doc
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Page 1 of 1
Return Date
01/26/07
04/09/07
04/05/07
05/14/07
06/29/07
08/16/07
12/14/07
Invoice Date
06/30/05
12/31/06
03/31/05
12/31/07
12/31/07
12/31/06
08/23/06
08/23/06
09/06/06
10/02/06
Invoice Date
05/23/06
05/23/06
12/31/06
12/31/06
12/31/06
05/14/06
12/27/07
Attachment A- Past Due Accounts Receivable and Returned Check Write -offs as of 10/6/08
Customer
Tanisha Brown (MB0605)
Geico Insurance (MB1209)
Antoinette Jones MB0345)
Phil Kneedler
Dennis Knudson
Charles Lau
Master Printers Northwest
Master Printers Northwest
Master Printers Northwest
Master Printers Northwest
Miscellaneous Billing Total
Customer
Champs Sports Warehouse
Champs Sports Warehouse
Eagle Global Warehouse
Eagle Global Warehouse
Eagle Global Warehouse
Furniture Factory
Jiffy Lube
MISCELLANEOUS
Fund Invoice No. Amount For
Water CD -00394 1,131.04 Fire hydrant damage
Water CD -00397 372.50 Fire hydrant damage
General CD -00384 1,883.12 jersey barrier damage
General MB -00134 1.78 Clean -up program excess fees
General MB -00131 23.16 Clean -up program excess fees
General MB1215 3,926.91 Tree and shrub damage -EMW So
General CD -00336 60.00 Reinspection fee
General CD -00335 85.00 Reinspection fee
General CD -00334 110.00 Reinspection fee
General CD -00333 135.00 Reinspection fee
Customer
Mac D Services /Willie Jones
Leonard Sampson
Leonard Sampson
Artina Mitchell
Jeffrey W. Kairis
Jose A. Garza
Clarence McMillan
Returned Check Total
Write -off Grand Total
Fund
General
General
General
General
General
General
General
False Alarms Total
Fund
General
Golf
Golf
General
General
Golf
General
Invoice No.
CD -00166
CD -00174
CD -00103
CD -00092
CD -00105
CD -00110
PF -00431
Check No.
Ck 1032
Ck #1104
Ck 1107
Ck 104
Ck 1522
Ck 3444
Ck 1034
7,728.51
i FA'I SE ALARM§
Amount For
25.00 Police false alarm
25.00 Police false alarm
25.00 Police false alarm
25.00 Police false alarm
25.00 Police false alarm
25.00 Police false alarm
25.00 Police false alarm
175.00
RETURN CHECKS
Amount For
30.00 Fitness Pass -TCC
66.00 Greens fees, power cart
70.00 Greens fees
36.00 Fitness Pass -TCC
220.00 Daycamp -TCC
720.00 24- greens fees
35.00 Fitness Pass -TCP
1,177.00
9,080.51
Notes
To EPR 3/2/07
To EPR 5/9/07,9/29/08
To EPR 5/9/07,9/29/08
To EPR 8/2/07
To EPR 9/14/07
To EPR 9/24/07
To EPR 2/6/08
Notes
Failed to pay court ordered restitution 11/23/07
Insurance company would only pay 1/2 of bill
Pd. $75.00 then did not pay further restitution
Mail returned 1/16/08 -too small for collections
Wrong address given -mail returned 1/21/08
Vehicle stolen- insurance will not pay
Out of business 3/5/07 -To EPR 8/10/07
Out of business 3/5/07 -To EPR 8/10/07
Out of business 3/5/07 -To EPR 8/10/07
Out of business 3/5/07 -To EPR 8/10/07
Notes
To EPR 8/10/07
To EPR 8/10/07
Business not licensed w/ City -To EPR 9/26/07
Business not licensed w/ City -To EPR 9/26/07
Business not licensed w/ City -To EPR 9/26/07
To EPR 9/26/07
Bankruptcy 1/7/08
[ x ] Action Required
[ ] Informational
[ ] Review with Cre\vs
Tukwila Fire Department
Informational Memorandum
TO:
The Finance and Safety Committee
Mayor Haggerton
FROM:
Chris Flores, Operations Chief
DATE:
09/26/08
RE:
FEMA MOA
Issue: Approval of the Memorandum of Agreement between the City of Tukwila and Pierce
County Department of Emergency Management for the continued participation of Tukwila Fire
Department members in 'Washington Task Force 1 ofthe FEMA National Urban Search and
Rescue Task Force System.
Background: Tukwila Fire Department members are, under the existing agreement, also
members ofW ATF-l. When activated these members become temporary federal employees. All
expenses related to their deployment, including back fill and overtime, are reimbursed. They are
tasked with responding to nationally declared disasters. Our members have been deployed to the
Oklahoma City Bombing, Northridge Earthquake, \\Torld Trade Center, and Hurricane Katrina,
to name a few.
Discussion: Our participation in this FEMA program allows our members to be exposed to
experiences and specialized training that would not normally be available to the average fire
department or its members. These experiences and training have proved invaluable in assisting
our members in dealing with emergencies that have occurred within our response area and that of
our mutual aid neighbors. In general these experiences and training have greatly enhanced the
careers and response capabilities of our participants. The city benefits greatly from such
investments in its personnel.
Recommendation: It is the recommendation of the Tukwila Fire Department Administration
that this MOA with Pierce County DEM be approved and signed and that the relationship
between the City of Tukwila and Pierce County DEM, with regard to W ATF-l and the FEMA
National Urban Search and Rescue Task Force System, be maintained as long as is possible and
feasible to the advantage of all involved parties. Weare requesting this item be fonvarded to the
next Committee of the Whole Meeting for consideration.
POLICY BOARD
Pierce Co. DEM, Sponsor
King Co. DEM
King Co. Fire Chiefs Assn.
Pierce Co. Fire Chiefs Assn.
Seattle DEM
Seattle Fire Department
OTHER AGENCIES
Arneberg Consutling
Auburn Fire Department
Bellevue Fire Department
King County Fire District 6 4
Kent Fire Department
I.'PFF Engineering
Mercer Island Fire Department
Pierce Co. Public Works
Pierce Co. Sheriff's Department
Pierce County Fire District 2
Pierce County Fire District 6 3
Pierce County Fire District 6 5
Pierce County Fire District `6 6
Puyallup Fire Department
R Hudson Engineering
R. Middleton Engineering
Redmond Fire Department
Renton Fire Department
Shoreline Fire Department
South King Fire and Rescue
1MRU
Tacoma Fire Department
Tukwila Fire Department
Woodinville Fire Life Safety
WASHINGTON STATE TASK FORCE 1
NATIONAL URBAN SEARCH RESCUE TEAM
2501 S 35 Street
Tacoma, WA 98409
(253) 798 -6595 Fax (253) 798 -3307
August 20, 2008
Nick Olivas, Chief
Tukwila Fire Department
444 Andover Park East
Tukwila, WA 98188
RE: Memorandum of Agreement with Participating Agencies
Dear Chief,
Sincerely,
Cthia�._ Faj ardo
Acting Program Manager
WATF -1
cfaiardna co.nierce.wa.us
WA -TF -1 is a Member of the Department of Homeland Security/FEMA Sponsored,
National Urban Search and Rescue System
Steve Bailey
Sponsoring Chief
Tom Miner
Program Manager
Since 1989, Washington Task Force 1 has been an integral part of the Federal Emergency
Management Agency's (FEMA) National Urban Search and Rescue (US &R) Response System.
Pierce County, through the Department of Emergency Management (DEM) has been designated
the Sponsoring Agency for this program.
Pierce County and the Participating Agencies have been operating under the same Memorandum
of Agreement since nearly the inception of the program. There have been a number of legal and
regulatory changes made since then, including the transfer of FEMA to the Department of
Homeland Security and the publication of the US &R Final Interim Rule at 44 CFR Part 2008.
Pierce County DEM is requesting that you review, sign and return three (3) original copies of
the enclosed MOA with in 60 days. We recognize that your agency may need additional time to
confer with your legal counsel on this matter, and ask that you notify us of any needed extension.
Any questions or concerns can be directed to Tom Miner 253- 798 -2682,
tminer@co.nierce.wa.us.
We look forward to continuing the strong, cooperative relationship that has been established
over the years.
'MEMORANDUM OF AGREEMENT
BETWEEN
Pierce County
AS THE SPONSORING AGENCY
OF THE WASHINGTON STATE TASK FORCE 1
OF THE NATIONAL URBAN SEARCH AND RESCUE RESPONSE SYSTEM
AND
[LEGAL ENTITY NAME]
AS A PARTICIPATING AGENCY OF THE TASK FORCE
This "Agreement" is entered into by and between the parties designated in Section 1, below, who
agree that subject to all of the provisions of this Agreement, The Pierce County Sheriffs
Department will serve as a Participating Agency for the Washington State Task Force 1 of the
National Urban Search and Rescue Response System. Each party further agrees that it assumes
all of the duties and responsibilities assigned to that party under this Agreement and that so long
as this Agreement remains in effect, the party will fully perform all of those duties and
responsibilities.
1. PARTIES
The parties to this Agreement are the following entities:
1.1. Sponsorinq Aqency:
Pierce County
2501 So 35TH. Street, Suite D
Tacoma WA 98409
253-798-6595
1
1.2 Participatinq Aqency:
[LEGAL ENTITY NAME]
2. RECITALS
Sponsoring Agency and Participating Agency have entered into this Agreement in
recognition of the following Recitals:
2.1 Sponsorinq Aqency. Sponsoring Agency is a cooperating party under a
"Memorandum of Agreement" with the Federal Emergency Management Agency ("FEMA") and the
State of Washington.
2.2 National Urban Search & Rescue Response System. Pursuant to federal law,
principally the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. SS
5121 through 5206 (the "Stafford Act"), the U.S. Department of Homeland Security ("DHS"), acting
through FEMA, operates the National Urban Search & Rescue Response System ("System") in
conjunction with State and local governments.
2.3 Task Forces. Each Sponsoring Agency is responsible for recruiting and
organizing a Task Force consisting of individuals occupying certain specified positions plus
additional support personnel, all of whom have been properly trained with the requisite skills and
capabilities required for urban search and rescue operations and/or deployment of the Task Force.
A Task Force may be deployed as a single unit or it may be reorganized into teams for purposes of
modularized responses for limited or specialized Activations. Members of a Task Force may also
be deployed as members of a management or other technical team.
2.4 Washinqton State Task Force 1. Pierce County Department of Emerqency
Manaqement is the Sponsoring Agency for Washington Task Force 1 (the "Task Force") and is
charged with, among other things, recruiting and organizing members for the Task Force. In the
performance of its responsibilities, the Sponsoring Agency may enter into cooperative
arrangements with federal, state, or local government entities, or non-profit or for-profit entities, to
serve as participating Agencies in the Task Force and with individuals to serve as Affiliated
Personnel of the Task Force. The Sponsoring Agency is obligated to enter into written agreements
with those Participating Agencies and Affiliated Personnel setting forth the relationship between the
parties.
2.5 Participatinq Aqency. The [LEGAL ENTITY NAME] desires to be a Participating Agency in
the Task Force, subject to all of the provisions of this Agreement.
2.6 Applicable Provisions. With respect to National Urban Search & Rescue
Response System activities, this Agreement incorporates the provisions of Interim Final Rule,
"National Urban Search and Rescue Response System," 70 Fed. Reg. 9182 (Feb. 24, 2005)
2
("Interim Final Rule") as well as the provisions of the FEMA MOA. To the extent the Interim Final
Rule is contrary to the FEMA MOA, the Interim Final Rule will prevail. Upon the effective date of
the Final Rule governing this subject ("Final Rule"), the Final Rule shall supersede the Interim Final
Rule and shall prevail over any contrary provisions of the Interim Final Rule or the FEMA MOA.
2.7 Definitions of Terms. Capitalized words and phrases in this Agreement have the
same meaning as they do in the Interim Final Rule, unless or until superseded by the Final Rule.
Capitalized words and phrases not defined in the Interim Final Rule or the Final Rule have the
meaning given in this Agreement.
3. AGREED TERMS AND CONDITIONS
3.1 Participatinq Aqency.
3.1.1 Participating Agency agrees to provide personnel to serve in certain
designated positions on the Task Force as determined by Sponsoring Agency. A list of the
individuals who will occupy those designated positions, and who are referred to in this
Agreement as "Participants or authorized members," as well as other pertinent information
about them is contained in Appendix A.
3.1.2 Participating Agency further agrees that Participants will meet the required
qualifications for the positions to be filled, will receive the required training specified in this
Agreement and will satisfy other conditions of preparedness and response as required by
the Sponsoring Agency as listed in Appendix B.
3.1.3 The Parties will cooperate with each other so as to facilitate achievement
of the goals and objectives of the System as fully and completely as possible.
3.2 Third Party Liability and Workers' Compensation.
3.2.1 Participating Agency and its Participants shall be afforded such coverage
for third party liability and workers' compensation as is afforded all Task Forces and their
System Members under Federal law, the scope of which is generally described in the
Interim Final Rule.
3.2.2 Except as afforded by the Federal Government, the responsibility for risks
associated with claims for third party liability and workers' compensation arising out of
participation in the Task Force, either organizationally by the Participating Agency or
Individually by its Participants, shall be the responsibility of Participating Agency and not
under any circumstances, the responsibility of Sponsoring Agency. At all times,
Participating Agency shall maintain in full force and effect, and provided proof thereof, for
the benefit of its Participants and its other employees engaged in System activities,
coverage for workers compensation and third party liability to the full extent required by
law.
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3.3 Financial Provisions.
3.3.1 Preparedness Funds
3.3.1.1 In its sole discretion, Sponsoring Agency may distribute to
Participating Agency such preparedness grant funding as Sponsoring
Agency shall be eligible to and does receive from FEMA. Any such
distributions shall be subject to the requirements of the preparedness
grants and the needs of the Task Force generally.
3.3.1.2 Any other funding received by Sponsoring Agency from sources
other than the federal government may also be made available as
Sponsoring Agency determines in its discretion. Sponsoring Agency shall
make such distributions fairly and equitably taking into account the
mission, goals and objectives of the Task Force and the needs of the
Sponsoring Agency as compared to other proper needs and demands.
3.3.2 Response Funds
3.3.2.1 Sponsoring Agency shall promptly reimburse Participating Agency
for response expenses that are authorized to be incurred by or for the
benefit of Participants engaged in Task Force activities, upon receiving
reimbursement for such expenses from the federal government. Such
expenses must be properly ascertained, accumulated and reported to the
Sponsoring Agency, and the funds to be utilized for payment must have
been reimbursed by or on behalf of FEMA to Sponsoring Agency.
3.3.2.2 After an Activation, Participating Agency shall provide Sponsoring
Agency with a complete cost reimbursement package to be submitted by
Sponsoring Agency as part of an overall claim package which Sponsoring
Agency is obliged to submit to FEMA. The Participating Agency's cost
reimbursement package shall be submitted to the Sponsoring Agency
within 60 days after the end of the Personnel Rehabilitation Period
established by FEMA. Participating Agency's cost reimbursement
package shall be prepared in conformance with applicable federal
directives which Sponsoring Agency shall disseminate to Participating
Agency. See Appendix C for reimbursement procedures and applicable
Federal Directives for compensation.
3.3.2.3 Participating Agency shall provide Sponsoring Agency with
employee compensation information for its Participants at least annually,
or as changes occur in compensation rates payable to Participants. That
information and other pertinent Participant data required by Sponsoring
Agency shall be provided in an updated version of Appendix D.
3.3.2.4 To ensure proper reimbursement from FEMA, the compensation
of Participants on the Task Force shall be in accordance with pay
4
schedules and policies established by the Final Interim Rule from the time
of activation and until the Task Force returns, is deactivated and
Participants are returned to regular work schedules.
3.3.2.5 All financial commitments of Sponsoring Agency are subject to
the availability and receipt of funds by Sponsoring Agency from FEMA and
other sources.
3.3.2.6 Neither Participating Agency nor any Participant shall be
reimbursed for costs incurred outside the scope of this Agreement.
3.4 Reportinq And Record Keepinq Requirements.
3.4.1 The Participating Agency shall provide the Sponsoring Agency with the
records described in Appendix E.
3.4.2 The Sponsoring Agency shall issue a Task Force Picture Identification
Card for all authorized members listed in Appendix A.
3.4.3 Participating Agency and Sponsoring Agency shall ensure that any
medical or other records and information that are afforded confidentiality under
applicable law are protected from unauthorized disclosure.
3.4.4 Participating Agency shall provide prompt and accurate reporting as
specified in this Agreement as outlined in Appendix C, D and F.
3.5 Mandatory Minimum Requirements For Participation. Each Participant must satisfy all of
the following for participation on the Task Force.
3.5.1 Each Participant shall be an employee in good standing of the
Participating Agency. Entry-level employees who are probationary or in a similar
status are not eligible.
3.5.2 Each Participant shall be of good moral character and shall not have been
convicted of any felony or any other criminal offense involving moral turpitude.
3.5.3 Participants serving in a Task Force position that requires the individual to
hold a license, registration, certificate or other similar authorization to lawfully
engage in an activity must hold the appropriate authorization, which must be
current and validly issued.
3.5.4 Subject to any applicable FEMA standards, each Participant must meet
the medical/fitness standards mutually agreed upon by Sponsoring Agency and
Participating Agency and not have any medical condition or disability that will
prevent performance of the duties of the Task Force position he/she occupies.
5
3.5.5 Each Participant must be available on short notice to mobilize within 2
hours of request and be able to respond on a mission for up to 14 days.
3.5.6 Each Participant must be capable of improvising and functioning for long
hours under adverse working conditions.
3.5.7 Each Participant must receive such inoculations as are specified by the
DHS/FEMA in Appendix G.
3.5.8 Each Participant must be aware of the signs, symptoms and corrective
measures of Critical Incident Stress Syndrome.
3.5.9 Each Participant must understand and adhere to safe working practices
and procedures as required in the urban disaster environment.
3.5.10 Each Participant must have a working knowledge of the US&R System
and the Task Force's organizational structure, operating procedures, safety
practices, terminology and communication protocols.
3.5.11 Each Participant must have completed such courses of education and
training and other requirements as FEMA shall specify.
3.5.12 Sponsoring Agency has authority to immediately suspend or terminate a
Participant's participation on the Task Force for failure to satisfy any mandatory
requirement.
3.6 Clothinq and Equipment.
3.6.1 Sponsoring Agency will issue to each Participant certain items of personal
protective clothing and equipment, as outlined in the WA TF-1 "Activation Manual",
for use in Task Force activities and operations. In the event of Activation,
Participant shall provide certain additional items of personal clothing and
equipment. Items of clothing and equipment supplied by Sponsoring Agency shall
remain the property of Sponsoring Agency and shall be returned promptly
whenever a person ceases to be a Participant.
3.6.2 Subject to FEMA requirements, all uniforms will display the official patch
of the Task Force and the official patch of the US&R system, as specified by
FEMA. The Sponsoring Agency shall specify the design of the uniform and any
identifying insignia or markings.
3.7 Command, Control and Coordination.
3.7.1 When a Participant has been activated or has otherwise been placed at
the direction, control and funding of FEMA, such as, for example, during
participation in FEMA sponsored training, the ultimate authority for command,
control and coordination of the service of the Participant reposes with FEMA
6
exercised through the system chain of command. Subject to the principle just
stated, the following provisions of this Section 3.7 govern the responsibilities of the
parties with respect to supervisory, disciplinary and other specified aspects of the
Participant's employment within the context of his/her participation on the Task
Force
3.7.2 Sponsoring Agency shall exercise direct supervisory authority over
Participants during Activations, deployments and other activities of the Task Force
conducted by Sponsoring Agency, but for disciplinary purposes, that authority is
limited to temporary suspension or permanent exclusion from participation. In all
other instances where disciplinary action may be necessary, Sponsoring Agency
shall report the pertinent circumstances to Participating Agency, which shall
cooperate with Sponsoring Agency and shall administer discipline as appropriate
in accordance with the Participating Agency's established rules and regulations.
3.7.3 Nothing in this Agreement is intended to, nor does it, affect the employer-
employee relationship between Participating Agency and its employees who are
Participants, and Participating Agency shall at all times continue to be fully
responsible for all of its employment obligations to its employee Participants,
including the compensation and benefits that the Participating Agency has agreed
to provide.
3.7.4 While participating in System activities conducted by the Task Force,
Participants shall be subject to and observe and comply with all lawful orders and
directions of the authorized representatives of Sponsoring Agency and the Task
Force. Sponsoring Agency retains the right to suspend or exclude any Participant
from participation on the Task Force for cause including failure to abide by the
provisions of this Agreement.
3.8 Media and Information Policy.
3.8.1 Subject to applicable law, including FEMA regulations and directives, all
photographs and video taken during a deployment will be kept under the control of
Sponsoring Agency until use in internal or external education programs or other
dissemination is approved by FEMA.
3.8.2 All applicable federal, state, and local media policies will be strictly
enforced and followed.
3.8.3 Subject to applicable rules and regulations, Sponsoring Agency will have
the primary responsibility for coordination of media coverage and liaison with
media sources and representatives concerning activities of the Task Force.
Sponsoring Agency shall endeavor to expose all Participating Agencies to
favorable media coverage opportunities.
7
3.9 Rules of Conduct.
3.9.1 All Participants will be expected to abide by the code of conduct
established by FEMA and the Sponsoring Agency.
3.9.2 The failure of a Participant to abide by the rules of conduct constitutes a
violation of the US&R code of conduct and may result in suspension or exclusion
from the Task Force under Section 3.7 above.
3.10 Preparedness Activities.
3.10.1 Sponsoring Agency shall conduct Task Force management
administration, training, equipment procurement and other preparedness activities
required by FEMA. Participating Agency and its Participants shall cooperate with
Sponsoring Agency and shall participate in the activities as necessary to achieve
Task Force preparedness goals and objectives.
3.10.2 Specific training activities to be conducted, respectively, by Sponsoring
Agency and by Participating Agency, including training, administration and
reporting requirements, are contained in Appendix E
3.10.3 As established by System directives but subject to the availability of
federal funding, Sponsoring Agency shall procure and maintain required caches of
equipment and supplies. The contents of these caches shall be utilized for
deployments of the Task Force and, subject to federal rules and regulations, will
be made available for training activities of Sponsoring Agency and Participating
Agency. Participants shall use Task Force cache equipment and supplies only for
authorized purposes and shall exercise reasonable care to protect and preserve
the property against loss or damage. The Participating Agency shall be financially
accountable for any Task Force property that is lost or damaged due to negligence
or unauthorized use by the Participating Agency or its authorized personnel.
3.11 Notification Procedures and Other Communications.
3.11.1 Alerts and Activation.
3.11.1.1 Sponsoring Agency's commander/chief executive officer or
his/her designee shall determine whether the Task Force is capable of
and will respond to Activation Orders.
3.11.1.2 Participating Agency shall maintain at all times a "Point of
Notification" for receipt of notices from Sponsoring Agency concerning
possible deployments of the Task Force. The Point of Notification shall
include 24-hour telephonic and electronic capabilities. Information
concerning the Participating Agency Point of Notification shall be set forth
in Appendix F.
8
3.11.1.3 Upon receipt of Alert or Activation Orders, Sponsoring Agency
shall give prompt telephonic and electronic notice to Participating
Agency's Point of Notification. The notice shall designate the Task Force
positions for which Participating Agency's Participants are being
requisitioned, the location of the assembly point, and to the extent known,
the nature and character of the Activation.
3.11.1.4 Participating Agency shall at all times maintain the capability of
providing requisitioned Participants for participation on a deployment of
the Task Force.
3.11.1.5 Upon receipt of an Activation Order for the Task Force,
Participating Agency shall cause the required Participants to respond to
the assembly point designated in the notice.
3.11.2 Mobilization.
3.11.2.1 All requisitioned Participants will respond to the designated
assembly point within 2 hours of notification with all required personal
clothing and equipment and required documentation.
3.11.2.2 Participating Agency will select its Participants through a pre-
established selection system that ensures the requisition is promptly filled
with fully qualified Participants.
3.11.2.3 Selected Participants will be subject to a pre-deployment
medical screening. Any Participant who fails the screening will not be
deployed.
3.11.2.4 Sponsoring Agency retains the sole right to determine which
Participating Agency personnel, if any, will respond with the Task Force
when Activated.
3.11.3 Other Communications. Sponsoring Agency will remain in contact with
Participating Agency through the Participating Agency Point of Notification during
the period of Activation.
3.12 Critical Incident Stress Syndrome ("CISS") and Manaqement.
3.12.1 Sponsoring Agency will have primary responsibility to provide CISS
training, intervention and support, before, during and after activation.
3.12.2 Costs incurred for unauthorized CISS activities are not eligible for
reimbursement.
9
4. GENERAL PROVISIONS
4.1 Effective Date. This Agreement shall be effective
has been duly and regularly authorized and executed by both parties.
4.2 Authority. As more specifically indicated above and below, this Agreement is
made (a) pursuant to the provisions of the Interim Final Rule or the Final Rule; and (b) under the
authority of Washington State law, in furtherance of the purposes of the National Urban Search and
Rescue Response System,
[date], and when it
4.3 Contents of the Aqreement. Upon its execution, the Agreement consists of this
Agreement, along with the following Appendices and other attachments, if any:
4.3.1 Appendix "A" - Roster of personnel updated twice annually on January 30
and June 30 each year with name of individual and task force position.
Participating agency may not exceed number of personnel authorized by
Sponsoring Agency.
4.3.2 Appendix "B" - List of general training required for all participants which
identifies who is responsible for providing funding and to what extent. A list of
position specific, FEMA sponsored or sanctioned training and the financial
responsibility associated with each course]
4.3.3 Appendix "C" - Cost reimbursement procedures required by sponsoring
agency in accordance with final interim Rule and Pierce county budget and
Finance policy and procedures
4.3.4 Appendix "0" =-Compensation rates updated annually for each participant
from the participating agency.
4.3.5 Appendix E - List of required documents and records from participating
agency for each participant to include required certificates, licenses, Continuing
education credits.
4.3.6 Appendix F - List of participating agency contacts to be updated twice
annually on January 30 and June 30 each year.
4.3.7 Appendix G - Directive 2005-008, Medical screening requirements
4.4 Amendments and Termination.
4.4.1 Except as otherwise expressly provided, this Agreement may be modified
or amended only by another written agreement approved and executed by both parties,
and all such amendments will be attached to this Agreement.
4.4.2 Term and Termination. The Agreement shall continue in effect unless and
until terminated as provided in this Agreement. The Agreement may be terminated by
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either party upon 30 days written notice, except that Participating Agency may not
terminate this Agreement without the written consent of Sponsoring Agency during any
time interval when the Task Force has been placed on Alert status or has been Activated if
the Alert or Activation affects Participants of the Participating Agency.
4.5 Miscellaneous Provisions.
4.5.1 The obligations of the Participating Agency set forth in this Agreement are
non-delegable and may not be assigned to or assumed by any other person
without the prior written consent of Sponsoring Agency.
4.5.2 Except and to the extent federal law controls, this Agreement shall be
construed and enforced, as between the parties, according to the laws of the State
of Washington.
4.5.3 No party shall engage in any conduct or activity in the performance of this
Agreement or participation in the System that constitutes a confiict of interest
under applicable federal, state or local law, rules and regulations.
4.5.4 Each party shall at all times observe and comply with all applicable
federal, state and local laws, rules and regulations.
4.5.5 Except as provided otherwise with respect to emergency notifications, if it
is necessary for the purposes of this Agreement for one of the named parties to
give notice to the other named party, notice shall be in writing with the expenses of
delivery or mailing fully prepaid and shall be delivered by personal service or a
form of public or private mail service requiring proof of delivery. Notice is effective
upon personal delivery, or by mail service, on the date of either actual receipt or
five days after posting, whichever is first. Unless changed in writing in accordance
with this Section, notice shall be served on the party at the address shown in
Sections 1.1 and 1.2 of this Agreement.
4.5.6 Titles and section headings are for convenience only and are not a part of
the parties' Agreement.
4.5.7 Should any provision of this Agreement be determined to be invalid or
unenforceable under applicable law, the provision shall, to the extent required, be
severed from the remainder of the Agreement which shall continue in full force and
effect.
4.5.8 This Agreement and its provisions are binding upon and inure to the
benefit of the parties and to their respective successors in interest, provided,
however, this Agreement does not and will not bestow any rights or remedies upon
persons to whom an unlawful delegation or assignment has been made by
Participating Agency.
11
4.5.9 This Agreement is made for the sole and exclusive benefit of the named
parties and their lawful successors in interest, and no other person or entity is
intended to, nor shall such other person or entity acquire or be entitled to receive
any rights or benefits as a third-party beneficiary of this Agreement.
4.5.10 Neither the United States of America or the State of Washington is a party
to this Agreement.
4.5.11 Each person executing this Agreement represents that: he/she was and
is lawfully authorized to sign the Agreement on behalf of the party he/she
represents; execution of the Agreement was duly and regularly authorized by the
party's governing body; and, to the person's best knowledge and belief the
Agreement is a binding and enforceable obligation of the party on whose behalf
he/she acted.
4.5.12 Each party represents to the other: that the party has fully read and
understood all of the provisions of this Agreement including the Appendices and
other attachments, if any; that the party has secured and considered such legal
advice and other expert counsel as the party deemed necessary and advisable for
these purposes; and, that in agreeing to execute and become a signatory to this
Agreement the party has deemed itself adequately informed and advised as to all
of the risks assumed and obligations undertaken pursuant to this Agreement.
4.5.13 This Agreement, including the Appendices and attachments, if any,
constitutes the entire agreement between the parties and it supersedes any prior
agreements on this matter.
12
5. Execution
This Agreement was executed by the parties on the dates shown below.
SPONSORING AGENCY:
Date:
By:
Title:
And By
Title:
PARTICIPATING AGENCY:
Date:
By:
Title:
And By
Title:
13
Appendix A
WATF 1 Personnel Roster
[PARTICIPATING AGENCY TO LIST THEIR ROSTERED PERSONNEL
AND POSITION ASSIGNED]
14
Appendix 8
Training responsibilities
Sponsoring agency responsibility
FEMA Sponsored, Sanctioned, Equivalent, approved training
1. The sponsoring agency will provide funding for travel, lodging and meals for all FEMA
sponsored and FEMA sanctioned training for participating members selected to attend by
the Sponsoring Agency as funding from the CA permits. Salary expense to include backfill
or overtime is not authorized
2. The sponsoring agency will provide funding for travel, lodging and meals for FEMA
approved and FEMA Equivalent training on a case by case basis and only with prior
approval as funding from the CA permits. Salary expense to include backfill or overtime is
not authorized
3. The sponsoring agency will provide funding for travel, lodging, meals and wages to include
overtime or backfill for hours worked only, for training that is required to maintain a
certification. Salary expenses are authorized only if the training is unique to the task force
and is not a requirement of the individuals participating agency as a condition of
continued employment and as funding from the CA permits.
4. The Sponsoring agency will provide funding for expenses to include overtime or backfill for
mobilization exercises and other activities identified on a case by case basis and as
funding from the CA permits.
5. The Sponsoring Agency will financially support only the authorized members from a
participating agency, identified in Appendix C, and no more than the allowed 3 deep for
each functional position on the FEMA US&R approved Task Force compliment.
. Authorized members from the participating agency must be identified by name as well
as position and the list must be updated twice annually on January 30 and June 30 by
the participating agency.
. An individual may hold only a single position on the task force. The only exception to
this rule is that a member may also hold a position as a CDL driver.
. A maximum of 210 positions have been identified and each participating agency is
authorized to have on the task force a set number of positions which they are allowed
to fill with qualified personnel. Thirty additional positions are allocated for CDL drivers.
The US&R Task Force Readiness Cooperative Agreement specifies the number of
authorized personnel.
. The specific positions available for a participating agency to fill are determined by the
Task Force Leaders from Seattle, King County and Pierce County in consultation with
the participating agency.
15
General requirements I Sponsoring Agency
1. Inoculations: The sponsoring agency will provide funding for the expense of
obtaining the required inoculations. Reimbursement for salary to include overtime or
backfill for the time required to obtain them is NO authorized for these individuals. See
appendix J for list of required inoculations.
2. Hazmat Operations: The Sponsoring Agency will provide annual refresher
training for First Responder Operations Level Hazardous Materials per OSHA standard
1910.120, Hazardous Waste Operations and Emergency Response if a participant
would not normally receive that training as a condition of employed by a first response
organization. Reimbursement for salary to include overtime or backfill is authorized for
these individuals.
3. US&R orientation: Four hours of training will be provided by the Sponsoring Agency.
Salary expense to include reimbursement for backfill or overtime is authorized.
4. Annual quantitative Fit testinq: The Sponsoring Agency will provide opportunity
to fit test the Task Force Scott Face pieces and will issue a certificate of refresher
training per 29 CFR 1910.134. Reimbursement for salary to include overtime or backfill
is not authorized. Every effort will be made to provide fit testing opportunities to
individuals who are on duty and at a location within their area of responsibility.
5. FEMA US&R WMD enhanced operations: Training will be provided by the
Sponsoring Agency. Salary expense to include backfill or overtime reimbursement is
authorized.
6. Water rescue operations: Awareness level training for will be provided by the
sponsoring agency. Salary expense to include backfill or overtime reimbursement will
be authorized
7. Confined space: Awareness level training for will be provided for individuals who
do not receive this training from their agency as a condition of employment or who do
not have operations or technician level confined space training as required by their
position description. Reimbursement for salary to include backfill or overtime
expenses will be authorized.
8. GPS: Awareness level training will be provided. Reimbursement for salary to
include backfill or overtime expenses will be authorized
9. Biennial medical screeninq: The Sponsoring Agency contracts with a medical service
provider for this purpose. (Appendix J)
. All participants who do not receive medical screening as a condition of
employment will receive this service according to the process outlined in Appendix
J.
. Expenses associated with medical screening requirements that exceed a
participating agencies medical screening process will be reimbursable by the
Sponsoring Agency.
. Reimbursement for salary to include backfill or overtime expenses will not be
authorized
16
Participating Agency Responsibility I General Requirements
Authorized members will be allowed to attend FEMA Sponsored and FEMA Sanctioned training as
staffing allows, when the opportunity presents itself and when the training is an identified
requirement for the specific position on the task force.
Participating agency's are responsible for an authorized member's salary or backfill expense and it
is not eligible for reimbursement from the Sponsoring Agency.
Participating agencies are responsible for a participant meeting the general training requirements
listed below
1. Must be Physically fit to perform the duties assigned without accommodations
2 Must be available on short notice to mobilize within 2 hours to the point of assembly, be
self sufficient for at least 72 hours and be available for a response assignment of up to 10
days.
3. Must be capable of improvising and functioning for long hours under adverse conditions.
4. Must be able to function safely at heights and on and around rubble.
5. Participating agency must provide certificate of training or letter signed by their agency,
showing an individual has been provided training to make them aware of the signs and
symptoms of Critical Incident Stress Syndrome.
6. Provide and maintain a current certificate for American Heart Association or equivalent
CPR, Basic Life Support.
7. Provide a current certificate of training or agency letter as proof of annual refresher training
for First Responder Operations Level Hazardous Materials per OSHA standard 1910.120,
Hazardous Waste Operations and Emergency Response if employed by a first response
organization and if it is required as a condition of employment.
8. Certificates of completion for IS 100, IS 200, IS 700 and IS 800 on line courses must be on
file with the sponsoring agency. Salary expense to include backfill or overtime
reimbursement is not authorized for taking these courses.
9. Participating agencies will schedule authorized members to attend annual fit testing
opportunities while the individual is working and on duty to reduce expense.
10. Participating agencies will provide certificates of completion for DOJ Emergency Response
to Terrorism, Basic Concepts or equivalent. Salary expense to include backfill or overtime
is not authorized
11. Rescue Systems 1 training is a requirement for all members and is the responsibility of the
participating agency. Tuition and Salary expense to include backfill or overtime is not
authorized.
12. Participating Agencies that have an annual or bi annual medical screening program will
provide a fit for duty letter signed by the agencies medical service provider per FEMA
directive 2005-008. See appendix J
17
Participating agency responsibility I Position Specific Requirements
If an individual must maintain a certificate or license as a condition of employment it is the
responsibility of the Participating Agency to forward to the Sponsoring Agency a copy of
updated license or certification. Examples are;
. Hazmat Medical Surveillance
. Annual EMT CE's
. EMT Certification
. Medical Licensure
. CPR Recertification every three years
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Appendix C
Reimbursement procedures
The Sponsoring Agency will reimburse a Participating Agency in accordance with the language of
the Interim Rule in a timely manner upon receipt of accurate and complete required documentation
of expenses.
Only actual expenses authorized will be reimbursed.
Equipment expenses
. All purchases related to activation must be processed and approved by the Sponsoring
Agency and must be items located on the DHS/FEMA approved US&R cache list.
. Purchase orders must include the cache item number associated with the purchased
equipment.
. Cache item numbers are located on the current cache list which can be found in the WA TF
1 web portal.
. For every equipment item procured, there must be proper supporting documentation to
receive reimbursement including, purchase orders, requisitions, and invoices from the
vendors with appropriate authorizing signatures.
. If an equipment purchase exceeds the item's cost cap, the purchasing agent must receive
in advance Sponsoring Agency approval and provide written justification to the Sponsoring
Agency for documentation purposes.
. Requests for purchase or maintenance of equipment and supplies not appearing on the
equipment cache list, or that exceed the number specified in the equipment cache list,
must be made in writing to the DHS/FEMA US&R Program Manager.
. No Federal funds provided under any preparedness cooperative agreement may be
expended to purchase or maintain any equipment or supply item unless:
1. The equipment and supplies directly support the Sponsoring Agencies US&R
capability, or
2. The DHS/FEMA US&R Program Manager approves the expenditure and gives written
notice of his or her approval to the Sponsoring Agency before the participating agency,
or Sponsoring Agency purchases the equipment or supply item.
. The Sponsoring Agency is responsible for compiling all reimbursement claims. For each
invoice, the Sponsoring Agency will provide a cover sheet. The invoice cover sheet will
itemize each item purchased. A summary document will be provided to list all invoices
submitted.
Salary and Wage reimbursement
. Salaries and Backfill reimbursement for Readiness activities shall be reimbursed as
specified above and in accordance with the Participating Agency's standard pay policy.
The Sponsoring Agency retains the right to modify reimbursement levels for each
Readiness activity based on Cooperative Agreement funding availability and other
mitigating factors.
. Salaries and Backfill reimbursement for Activation activities shall be reimbursed in
accordance with the Participating Agency's standard pay policy and all rules as specified in
19
the Interim Rule. Furthermore, the Participating Agency must prepare and submit to the
Sponsoring Agency, in the proper claim format, all requests for reimbursements within 60
days after the Rehabilitation Period has ended. The Sponsoring Agency will provide the
Participating Agency the most current format available at time of activation. Proof of
salaries/benefits/backfill payments to Activated Personnel and backfill personnel must be
submitted as part of the reimbursement claim request packet.
. The Sponsoring Agency will submit a full claim reimbursement request to DHS/FEMA.
Upon completion of review by DHS/FEMA, the Sponsoring Agency will process payments
to the Participating Agency based on the final claim approval by DHS/FEMA.
. The Participating Agency can request the Sponsoring Agency submit an appeal of any un-
allowed expenses within 30 days of receiving notification of an exception to the original
reimbursement claim amount. Additional documentation or explanation must accompany
the appeal request.
20
Appendix 0
Compensation Rates
[PARTICIPATING AGENCY TO LIST THE COMPENSATION RATE FOR THEIR ROSTERED
PERSONNEL]
21
Appendix E
Required documents and records from Participating agency
1. On Agency letterhead, verification of "General Training Requirements" for rostered
personnel.
2. Certificates of completion for requirements listed in the "Position Description Directive"
dated 2008-05, or any subsequent revisions of this document.
3. Participating Agencies that have an annual or bi annual medical screening program will
provide a fit for duty letter signed by the agencies medical service provider per FEMA
directive 2005. This is to include a respiratory questionnaire.
22
Appendix F
List of participating agency contacts
Participating agency: [LEGAL ENTITY NAME]
Address
Phone
Point of Contact
23
Appendix G
Medical Screening
Medical Screening of all authorized members is required annually by DHS I FEMA US&R program
directive.
Departments with an existing annual medical screening program;
. WA TF-1 will reimburse Task Force member's agency for any required additional medical
testing that is not currently provided under the agency's existing program. The
Department may bill WA TF-1 with a single billing for all of its authorized members for the
additional testing required by FEMA.
. WA TF-1 will reimburse agencies for expenses incurred up to but no more than the current
contracted prices from the Sponsoring Agencies Contracted Medical Service Provider.
. Individual Task Force members may not submit medical bills for reimbursement - only
participating agency bills will be accepted.
Departments without an existing annual medical screening program
. Authorized members without existing health screening from their Participating Agency will
be required to use the Sponsoring Agency's contracted medical service provider for health
screening.
Required testing includes;
. Vital signs and standard physical examination
. Laboratory
o CBC, Differential platelets
o Chemistry panel to include liver & renal function tests
· Aspartate Aminotransferase (AST)
· Alanine Aminotransferase (AL T)
· Alkaline Phosphatase (AlkPhos)
· Gamma-Glutamyl Transpeptidase (GGTP)
· Total and direct Bilirubin
· creatinine
· blood Urea Nitrogen (BUN)
· Glucose
· electrolytes, (Na, K, CI, Co2)
· Total protein
· Albumin
· Calcium.
o Urinalysis (urine dip, microscopic if indicated)
o Urine heavy metal screen, (qualitative, spot urine). HAZMAT task Force
members onlv
o Spirometry
o Chest x-ray (PA and Lateral) To establish baseline, Does not need to be repeated
annually unless medically indicated
o Resting 12-lead ECG
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Stress 12 -lead ECG (as indicated, stratified by age above 46 years, or coronary
artery disease risk factor assessment in accordance with sponsoring agency
policy)
RBC cholinesterase (initial baseline or additional testing if medically indicated)
does not need to be repeated annually unless medicallv indicated.
HBsAB Hepatitis B Surface Antibody, (validation of hepatitis B immunity) Titer
need only be done once unless previously documented and greater than 10mU /ml;
Administer Hepatitis B vaccine series if titer less than 10 mU /ml and repeat
approximately 6 weeks after vaccination series.
Frequency: All current and future newly assigned US &R task force members shall receive the
minimum baseline health screening to be repeated annually unless procedure is to establish
baseline. The need for post deployment interval screening will be determined by the presence
of symptoms or based upon mission risk assessment by the Incident Support Team Medical
and Safety Officers and consultants like CDC, NIOSH, OSHA, and EPA.
Vaccinations and TB Screening
PPD (TB skin Test) annually
Influenza A B (Seasonal)
Tetanus Toxoid or teanus /diptheria (Td) every 10 years
MMR (measles, Mumps and Rubella)
Polio (OPV or elPV)
Hepatitis A B
Varicella (or personal history of illness or prior antibody titer)
Documentation of MMR, polio, hepatitis A &B and varicella by reported history and signed by.
the Authorized member should be reasonable proof of vaccination if other documentation is not
available.
Vaccination declination must be documented in TF occupational health records.
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