HomeMy WebLinkAboutResolution 2015-011 N.C.S. 01/26/2015Resolution No. 2015-011 N.C.S.
of the City of Petaluma, California
AUTHORIZING THE CITY MANAGER TO EXECUTE
AN AGREEMENT FOR THE TEMPORARY ASSIGNMENT OF
VEHICULAR EQUIPMENT BETWEEN THE CALIFORNIA GOVERNOR'S
OFFICE OF EMERGENCY SERVICES AND THE CITY OF PETALUMA
FIRE DEPARTMENT FOR A TYPE ONE FIRE ENGINE
WHEREAS, the California Governor's Office of Emergency Services (Cal-OES) has
indicated that it has a Type One fire engine available for temporary assignment and deployment
in furtherance of the California Fire Service and Rescue Emergency Mutual Aid Plan; and
WHEREAS. Cal-OES has determined that the Petaluma Fire Department is correctly
situated in the State to receive and use a Type One response engine and act as an assignee agency
to staff the engine and respond to wherever Cal-OES deems it is needed; and
WHEREAS, the Type One fire engine comes fully equipped with all necessary
equipment and the State covers all major maintenance costs over $100.00, as well as reimburses
staffing costs associated with mutual aid, plus a 10% administrative fee, pursuant to a
Governor's disaster proclamation or when conditions warrant invoking the California Fire
Assistance Agreement, the State of Nevada Cooperative Agreement or the Interstate Compact;
and
WHEREAS, in return, the State allows the engine to be used by the assignee agency as a
reserve engine, whether for temporary usage when emergency conditions warrant or when
regular apparatus is out of service for repairs; and
WHEREAS, the Petaluma Fire Department has an aging fleet of fire apparatus and
utilization of a Cal-OES Type One fire engine will allow the Department to surplus its oldest
reserve fire engine which is already six years past due for replacement; and
WHEREAS, per Cal-OES, personnel assigned to this engine have to meet Wildland Fire
and ICS standards established in the California Incident Command Certification
(CICCS) and meet the Rescue Systems 1 standards as certified by the California State Fire
Resolution No. ?01 5-01 1 N.C.S. Page I
Marshal and Petaluma Fire Department do fulfill this requirement.
NOW, THEREFORE, BE IT RESOLVED that the City Council does hereby authorize
the City Manager, on behalf of the City of Petaluma, to enter into an agreement with the
California Governor's Office of Emergency Services (Cal-OES) for the temporary assignment of
a Type One Fire Engine, in accordance with the terms of the Agreement for Temporary Transfer
of Vehicular Agreement, attached hereto as Exhibit A, and further authorizes the City Manager
to execute the agreement and all related documents.
Under the power and authority conferred upon this Council by the Charter ol'said City
REFERENCE: 1 hereby certify the foregoing Resolution was introduced and adopted by the ApprtR���e```d as to
Council of the City of Petaluma al a Regular meeting on the 26°i day of January. to
�:
2015. by the following vote:
v
City A oroey
.AYES: Albertson, Barrett, Mayor Glass, Healy, Kearney, King, Vice Nlayor Miller
NOES: None
ABSENT: None
ABSTAIN: Noir
Resolution No. 2015-011 N.C.S. Page 2
Exhibit A
s ane of cabfeonia
CMCE OF E+:QRGEN
Fix and piamwc Rhinsion
AGREEMENT FOR
TEVIIPORARV ASSIGNMENT OF VEHICULAR EQUIPAIENT
THIS AGREEXIENF, entered into this ? day of = by and between the
Govern s OD-mx of Emergency Scirviccs, hereinafter "CAL OES" acting by and between its
duly appointed and gozdifaed Director of the Governoes OtTiee of Emergency Services and the
acaicg by and through its duly appointed, qualified and acting officers, hereinafter called
''ASSIGN'EE."
WITNESSETH:
W IIERRFLAS, the State of Califomia has purchased fire apparatus and equipment for the purpose
of regpanding to incidents in furtherance of the California Fire Service and Rescue Emergency
Mumid Aid Plan. and
AVIIEREAS, Cal OES is authorized to assign these rue apparatus and equipment to local
jurisdictions throughout the Slate under written agreements to be staged for Cal OES purposes
and for use by local jurisdictions for the purposes described below; now, therefore,
IT IS HEREQV MUTUALLY AGREED between the parties hereto as follows:
1. Asstro%xiENa_ CAL OES hereby transfers possession to ASSIGNEE and ASSIGNEE
hereby; accepts possession from CAL OES of the fire apparatus and equipment listed on the
auadied Exhi it "A" which is by this reference: made a pan hereof. for the period commencing
for the following all-risk events, emergency incidents, civil defense and disaster
purposes- namely -
Matt tl aid, multiple alum events and emergency incidents, emergency incidents
threatening properties vital to national defense or important military installations,
parade and displays, training of regular, volunteer and auxiliary firefighters and
temporary standby for ASSIGNEE's regular apparatus and the regular apparatus
ofother delmatrnens while out of service for repairs.
a. Vehicle Dmeription:..
Vehicle Designation:...:.:
Vehicle License Number. _
Vehicle Identification Number. _
Value of Vehicle: _
Value of Hose and Appliances:
b. Equipment inventories (Exhibit "A") may by mutual concurrence of the CAL
OES and ASSIGNEE be changed during the tent of this Agreement, utilizing property
a"untability procedures established or approved by the State.
2 TEPhL The temp of this Agreement shall be for ten (10) years unless terminated pursuant
to the terms of this Agreement.
3, Coi;%ivczAwou, Consideration for this Agreement is the mutual benefit the parties will
enjoy by having a fire apparatus locally available for use as provided in this Agreement.
0412012
Apreemmi for Temporary Auignment of Vehicular Equipment
Resolution No. 2015-011 N.C.S. Page 3
Stile of Califlemie
GOVERNORS OFFICE OF EMERGENCY SERVICES
I ire and Resew Division
4. HOUSING. MAIN TFNANCE RFPAIR. .AND REPLACEMENT. During the tern of this tro lsfer.
ASSIGNEE agrees to adequately house in an enclosed secure structure, staff, operate. maintain
and repair (consistent with section 4b) said fire apparatus and equipment (hereinafter collectively
referred to as "the .-Apparatus" except where it is desired to refer to equipment alone, in which
case the term "Equipment" is used) at its sole cost and expense, except as othenvise expressly
provided in this Agreement. ASSIGNEE also agrees to complete all reports and maintain
records consistent with Section 14. Apparatus shall be housed on property of the ASSIGNEE in
a manner to provide reasonable protection against inclement weather, sabotage. theft, or
malicious damage, Apparatus shall be maintained in such condition tial it is available for
immediate emergency use, and at the same standard as other emergency apparatus operated by
ASSIGNEE. Aiaintenance shall include care of ]lose, batteries, tires, appliances, lubrication and
fuel, general cleaning and polishing. minor body repairs and periodic testing. Repairs shall
include, without being livnited to, motor tuna -ups, pump repairs. transmission, differential laid all
running gem% brake and exhaust systems, cooling devices including radiator, pump packing. and
equipment assigned to Apparatus.
a. Repairs to the extern of $100.00 for each individual item of repair shall be the
responsibility of ASSIGNEE.
b. Repairs to the extent that they exceed $100.00 for each individual item of repair
shall be tlic responsibility ofCAL OES on a $100.00 deductible basis, unless in the judgment of
the CAL OES the need for repair results from misuse or negligence on the part of ASSIGNEE
in the maintenance or use of the Apparatus, in which event the cost of each such item of repair
above $100.00 shall also be the responsibility of ASSIGNEE, In no event shall ,"SIGNEE
arrange for repairs costing over $100.00 for any item of repair, whether it is the iespousibiliq. of
CAL OGS or ASSIGNEE, without first obtaining written authorization four the Cal OES Fire
and Rescue Division.
C. Notwithstanding the foregoing, replacement of hose. batteries and tires shall be
the responsibility of CAL OES, except to the extent CAL CIES determines that the damage
thereto is the result of negligence or misuse on the part of ASSIGNEE, in which event
ASSIGNEE hill bear such portion of the replacement cost thereof as; the CAL OES deems
equitable. Procurement of lire_,, hose laid batteries is subject to Slate fiscal policies mid
procedures. and written approval must be obtained from the Cal OES Fire and Rescue Division
prior to procurement.
d. Maintenance and repairs unnt he requested and authorized pursuant to the most
recent version of the Cal OF.S Fire and Rescue Division Operations Bulletin "IS, which is
hereby incorporated into this Agreement by reference.
e. Repair or replacement of 0te .Apparatus transtin ed hereunder which is consumed,
lost. stolen, damaged or destroyed during mutual aid operations when CAL OES has dispatched
or directed the dispatch of said Apparatus through Regional or Operational Area Fire and Rescue
Coordinators, or when CAL OES has reassigned said Apparatus pursuant to die provisions of
paragraph I I of this Agreement, shall he file responsibility of CAI, GIES. providing that all
such loss m' dmnage shall be the responsibility of ASSIGNEE. if due to the negligence of
ASSIGNEE. ASSIGNEE agrees that it will assune responsibility in full for the repair or
replacement of Apparatus that has been consumed, lost, stolen, damaged or destroyed in
0412012
Agreement for Temporary Assignment of Vehicular Equipment
Resolution No. 2015-011 N.C.S. Page 4
Slate of Califomia
GOFZRNOR S OFFICE OF EAILIZOENC1' SERVICES
hire and Rescue Division
Operations ASSIGNEE has directed or controlled.
f ASSIGNEE must request Dont CAL OES, in writing, permission to make any
and all changes to assigned }ire apparatus aid equipment. Purthemtore, ASSIGNEE will not
stake modifications, changes, adjustments, or additions. including decals or stickers. to
Apparatus without prior written approval from CAL OES.
S. INSPECTION im APPARATUS. ASSIGNEE agrees that representatives of the Cul OEs Fire
and Rescue Division and other authorized State personnel may inspect the Apparatus at any time.
6. ST.AF'FI::G. Reasonable and continual training shall be carried on so that trainer) personnel
shall at all times be available In stafTand operate said .Apparatus. The ASSIGNEE shall provide
personnel to staff the assigned apparatus per FIRESC'OPE ICS standards. 'Che Cal OES engine
any be assigned lO cul of area assigimments for tip to 14 days. plus travel time. When local
goverimmut personnel, staffing Cal OES Appamus, are coninitted to estcnded assigriments
there ntay be a need to replace or rotate personnel. Personnel rotation will follow the direction
outlined in die California Fire Assistance Agreement when assigned to an incident within
California. Crew rotation for incidents outside of California shall be consistent with the
appropriate forest's agencies policy acid coordinated by Cal OHS,
7, PERSONAL PROTECTIVE EQUIPMENT (PPE) AND SPECIALIZED EOCm%IENT In addition to
providing the suuidard complement of firefighting PPG, it shall be the ASSIGNEE'S
responsibility m
to provide its personnel with all other PILE that may be required by NFI?A 1901.
other NEPA Standards, and California 'title S. 'fhis shall include. but not be limited to. one
Traffic Vest (ANSI, ISEA 307) for each seating position. In addition, ire recommend chainsaw
chaps be provided. In addition, an automatic external defibrillator (ARD) has been added to
"hliscellmleous Equipment" in NFPA 1901. 'to provide consistency with the ASSIGNEE'S
equipment, it shall be the ASSIGNEE'S responsibility to provide this device for use on the
assigned engine,
8. TRA@IItR3. Personnel assigned shall niter wildland fire and TCS standards established in
the California hicident Connnand Certification System (CICCS) or NWCG 310-1, Wildlife
Qualification System Guide (eunent edition). Personnel assigned to Cal OES Engines slmll
nicer Rescue System I snmda-ds its certified by the California Slate Fire -Marshal, orhave
completed an equivalent coupe that meets or esceeds Rescue System I curriculum.
9. DISPATQiitIG. All nnovement ofthe Apparatus shall be handled through the official
dispatching channels of ASSIGNEE. ASSIGNED, dispatchers will recognize and act on all
of -ficial requests for nmvenient ofthe apparatus in conformance with the Fire Lind Rescue Annex
(Clifornia Fire and Rescue Mutual Aid SyslOnn) to the Stale Emergency Plan Lind its subsequent
revisions. CAL IDES reserves the right to dispatch. direct the dispatch of or temporarily
reassign the Apparatus whenever. in the opinion of the Director of Cal OES. his representatives
or Operational .Area and Regional Fire and Rescue Coordinators. such Apparatus is essential to
the protection of life and property in anotherjurisdiction or in the best interest of the State.
1(1 NlnTtint. Am RESPONSF. Procedures for mutual aid response shall 6e in accordance with
California Fire Service and Rescue Eutergency Mutual Aid Plan.
11. REIMBURSABLE REst+jNsi-. Reimbursenient for mutual aid may be providers pursuant to a
0412012
Agreemenl for Temporary Assignment of Vehicular Equipment
Resolution No. 2015-0 11 N.C.S. page 5)
State or Califomia
GOVERNORS OFFICE OF EMERGENCY SERVICES
Fuc and Rescue Ui'gsion
governor's disaster proclamation or when conditions warrant invoking the Culilomia Fire
Assistance Agreement, the State of Nevada Cooperative Agreement. or the Interstate Compact as
appropriate. There is no other existing provision for muted aid reimbursement.
12. TE%IPORARI' USE. ASSIGNEE shall be permitted to use the .Apparatus for temporary
cover of lire stations when emergency conditions warrant, or when reguhu apparatus is out of
service for repairs and it closer engine cane cover die gap. ht either case. the ASSIGNEE shall
ianmedialely notify the Operational Area Dispatch Center and the Cal OES Fire Duty Chief. The
ASSIGNEE further agrees that Cover -in or Standby otsaid Apparatus exceeding 30 days is at
the discretion of the CAL OES.
13. TFMPnRABV TRANSFF.R.
N. A sub-assignnicmof the Appnrntus or my portion lhereol'by ASSIGNEE for anv
period not exceeding seven consecutive days within it given Operational Area may be made with
the consent of the Operational .Area Fire and Rescue Coordinator and the CAL OES, providing
that at the time such Appauatus is received. such Sub -Assignee tarnish ASSIGNEE anti CAL
OES a letter to the effect that he assumes all obligations of ASSIGNEE with respect to such
Apparatus under this Agreement during the period of assignment, including insurance coverage
in accordance with Section 16 or 17, as appropriate. Any sub-assigunient by ASSIGNEE for a
period of moc than seven consecutive days shall be subject to authorization by the UAL OES
and execution of tat "agreement for line Temporary Transfer of Vehicular Equipment." with the
agency requesting the transfer.
b. Whenever Apparatus is assigned in accordance with the provisions of this
paragraph, regular ASSIGNEE shall he relieved of its obligations under this Agreement during
such period of sub -assignment.
C. Complete a written Temporary Cal OES Apparatus Assignment Record, Exhibit
"D 'Hie ASSIGNEE will retain one copy, the Sub -Assignee will retain one copy, and one copy
will be lorw'arded to the Cal CES Fire and Rescue Division.
14. REPORTS AND REcum)s. ASSIGNEE shall maintain daily and nnontily reports on the
details of Apparatus use on Cal OES F -10I Foran. A Smoke Opacity Test- Pump Test- Hose
Test, and Ladder Test shall be the responsibility of ASSIGNEE and completed annually.
Written results of all tests mid reports shall be forwarded to the Cal OES Fire and Rescue
Division by the end of the calendar year. A recent copy of the tests and reports shall be
maintained in the vehicle logbook.
15. REPORT Or• ACCIDENTS. .ASSIGNEE shall immediately notify the Cad OES Fire and
Rescue Division following any and all accidents involving the Apparatus. It shall be the
responsibility of ASSIGNEE to fill out State Fomn 270, "Report of Automobile Accident," mid
file the report with the Governor's Office of Emergency Services. A copy of this report shall be
retained by the ASSIGNEE and the original and four copies Forwarded to Cal OES.
16. ISflniRAFICE PROTFCTII )td (Non- State Agencies)
a. ASSIGNEE agrees forthwith to famish evidence of insurance protecting the legal
liability of the ASSIGNEE and CAL OES for liability tmd!or property damage wills a combined
0412012
Agreement for Temporary :assignment offehirular Equipment
Resolution No. 2015-011 N.C.S. Page 6
State of California
GOVERNORS OFFICE OF ENEERGEINCY SERVICES
Fre and Rescue Division
single limit of $1.000,000.00 per occurrence. by means of a Certificate of Insuratce naming. the
State of California as Additional Insured. Said ceniticate shall contain an Agreement by the
insurance company that it will not cancel said policy without 15 days prior written notice to the
CAL OES and that the CAL OES is not liable for the pavntenl of any premiums or assessments
thereon. Said certificate must include the description of the apparatus including VIN, state
license number. and Cal OES unit number.
b. In the event the ASSIGNEE is self-insured. ASSIGNEE in lieu ofat certificate of
insurance shall burnish CAL OGS it written statement ol'such tact, In such event, ASSIGNEE
agrees to hold the CAL OES harmless from any personal injury or property damage claims
arising out of its maintenance, use or operation of the Apparattrs under the terms of this
Agreement.
c. physicad damage insurance. including collision coverage and comprehensive
coverage, shall be obtained. 71te State of California will be named as a loss payee, In the event
of a non -total loss. ASSIGNEE is responsible for returning Apparatus to original standard. The
description of the vehicle and the necessary amount of insurance required is outlined in attached
Exhibit "C" which is by this refzrence made a part hereof.
17. 1_\9URANCE PROTECTICIN (State Agencies) Any insurance necessary tom coverage of the
apparatus shall be the sole responsibility of the department having custody of the vehicle.
including when it directs, dispatches, and controls Iia use of the Apparatus. ASSIGNEE agrees
Io report .Apparatus as being under its control to the Insurance 011 -icer. Department of Gencral
sendees.
19. TFRMINATION ()F AGREEMENT.
a_ Either party may temninate this Agreement upon 14 days written notice to other
party, or ASSIGNEE may relinquish or CAL OES may repossess any portion of die Apparatus
upon like notice to the other party, except that CAL OES may repossess any portion thereof
without written notice whenever it deans the same is not being maintained in accordance with
this Agreement.
b. Upon the termination of this Agreement, ASSIGNEE agrees to return said
Apparatus in the same condition its received. reasonable wear and tear, acts of God, and
conditions over which it Inas no control excepted.
C. As inventory changes occur, or items of equipment are replaced, deleted or added
by the CAL OES or replaced by ASSIGNER, it is mutually agreed that no amendment to this
Agreement need be made at the time of lite ch.mga_ provided however- at the termination of this
Agreement a complete reconciliation of all equipment will be made. ASSIGNER further agrees
that all replacements for equipment or apparatus will be made with identical or substantially like
items as approved by the CAL ORS.
d. Nothing in this Agreement shall be construed to create a new property interest or
right of action for the ASSIGNER.
19. UNACTHURIZED UsE OF CAL OLS AmLNR.arus AND EOUIPMEN'r Use of this Apparatus
other than as specified in Paragraph 1 will be considered a breach of this Agreement.
04/2012
Agreement for Temporary Assignment of Vehicular Equipment
Resolution No. ?015-01 1 N.C.S. Page 7
State of California
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
20. USE or RADIO EQUIPMENT
a. CAL OES will foolish at CAL OES'S sole cost, radio equipment installed in the
Apparatus to be operated on the following frequencies-: 151.145-170.925 .
b. CAL OES agrees to maintain said equipment without cost to ASSIGNEE.
C. The ASSIGNEE agrees to operate said radio equipment in accordance with the
Rules and Regulations of the Federal Communications Commission.
d. Ownership of said equipment is in the CAL OES, and all applications to the
Federal Communications Commission seeking authority to add, modify, or replace radio
equipment covered by this Agreement shall be made by and in the name of the State of
California. To activate this Agreement and in compliance with the control requirements of the
Communications Act of 1934, as amended, tate CAL CES hereby deputizes die Chief of the
agency of said ASSIGNEE, and such volunteers, regularly employed mid salaried assistants as
shall be designated by the Chief of the agency as his agents to operate said radio equipment as
specified in Paragraph "e" above.
C. CAL OES assumes no liability hereunder for claims or losses accruing or
resulting to any person, fine or corporation firmishing or supplying wort:, services or material or
services in connection with the performance of this Agreement or for any claims and losses
accruing or resulting to any person, firm or corporation injured or damaged by perfomiance of
either patty hereunder.
21. NOTICES. All correspondence and notices required or contemplated, or which may be
given by either party to the other shall be deemed to have been fully given when made in writing
and deposited in die U.S. mail, registered mid postage prepaid and addressed as follows: To the
ASSIGNEE at and to the CAL CIES at Governor's Office
of Emergency Services, Fire and Rescue Division, 3650 Schriever Ave., Mather, CA, 95655.
'Ihe address to which notices shall or may be mailed as aforesaid to either party shall or may be
changed by written notice given by such party to the other, its hereinabove provided: but nothing
herein contained shall preclude the giving orally such notice by personal service.
22. ALTERATION. 11 is mutually understood and agreed dint no alteration or variation of the
terms of this Agreement shall be valid unless made in writing and signed by the parties hereto,
and that no oral understanding or agreements not incorporated herein, and no alterations or
variations of the terns hereof unless made in writing between the parties hereto shall be binding
on any of the parties hereto.
23. WAIVER. The CAL OES may in its sole discretion and for such good cause as it
detemnines waive in writing in whole or in part any requirement of this Agreement that apparatus
and/or equipment shall be maintained in operating condition, or repaired, or replaced, providing
that any such waiver shall be applicable only to the specific apparatus or equipment to which it
refers.
24. JURISDIC'170N,WD VENu E. This Agreement, mid any dispute arisingfrom Uie relationship
between the parties to this Agreement, will be governed by the Imus of ilia State of California.
04/2012
Agreement for Temporary Assignment of Vehicular Equipment
Resolution No. 2015-011 N.C.S. Page 8
State or Califomin
CALIFORNIA EMERGENCY MANAGEMENT AGENCY
Fire and Rescue Division
25. W'ttoi.it Au RI-:EMEDIT. This A_reement constitutes the entire agreement between the
parties hereto. with respect to the subject matter hereof. No party has been induced to enter into
this Agreement by, nor is any party relying on, any representation or warranty outside those
expressly set forth in this Agreement.
IN WITNESS WHEREOF the parties hereto have executed this Agreement upon the date first
above written.
ASSIGNEE.: CAL EMA:
M
d4ark Ghilarducci
Secrecu7,
California Emergency Ala agement ✓lgencv
Bh
.Ctrl• Manager Kim 7agaris, Suite Fire and Rescnc Chid
04/3012
%at ei ani for Tcmpornn Assignment of 1'etiicul: r Equipment
Resolution No. 3015-011 N.C.S. Page 9
State of California
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
EXHIBIT"'A"
EQUIPMENT INVENTORY: OGS 360+
ENGINE LICENSE
VIN
NUMBER NUMBER:
NUMBER
1 Adupta, 6 x 31/"'. DF l lydnva
I
Reducer. 2 -IC" NH F m -IC" M{ M
1 Adipter, 6's 4", DF Hydrwi
I
Rededar Kit. 3-Unil
1 Adapter, 6' x J -IR^, DP Hydr ul
2
Rope, I/2"x 100'. Utility
I Arc, picuind
1
shovel Lung Hurdle, Round Point Fi ocruds s Hindle
died:. Clod:
1
Siusew,'_-1/T'
Cas, Fuel
2
Sall Suction Hesse. 3" x 12'
9 Cap. '_-IR^Disdlarge
1
Strainer, Cie. A Foos lin fill mover)
I Cboin,'ro%y 25',./Gmb IlooU
1
Strainer. I t5' Hard Sndion He.
I Clatp. How (Hebert)
I
Strait¢" 6" Hard social Mase
Clasp, Hese(WiIJIwW
A
Sump, Hose and Lodder
5 Canes,'1'ranic w/rd7ective brand
3
Tec, Wildlad 1 :6" NH NPT x I" I4PSII
Coupline, 2I/2", DF
2
Wrend, Adjnslittle HyMat
Coupling, 2-1/2".DId
2
Wrend,1"11-12" Foresry
Cava, Sulme (Cavan
I
Wrench, Slmfian I lose Spaurr
I Crook, Hose Reel
.1
Wrench, Hose Spenser
1 Curr, doll 30"
1
Wye, Owed 2-1/2" NSP x LI 1/2" NSM
1 Fire Extinguisher, 5,
^•^•'•^••'•••`US@R
INVENTORY; '"^"^'^^'"^'^"
1 ism Aid Kit
1
hie. Flathead
1 Portable Popp. Cal OESB Scrodo
1
Br&board. w/4 Strips
1 Backpack, Therms -Gd
I
Buckboard. !lead lrrubilimr
1 lhmro-Gel -Mid:rep lLbc
2
Bar. Clmv. Wrecking. 3'
1 lhenno-Gel- Educlor, Hose ,4 Neale
1
Bar, Pinch Pen, Pry, 60"
l isna.-Gel-Comenwer.5 oil
3
Bell, Calp.der
I Getteotar %vdiadit, 2,000 W, Cal OESa Scnnly
12
Bodo Huekse., Cwblde
liwnma, Sledge, N-10 It,
2
Worker. Dopossible
N Note. 1"x 100, NPsH
27
Cadtner, Lucking W. 11 ars
I last, 1-1/2" x 15% Pira k 1'ralemian Line
I
Onto.... w/ enrbide drain ad mil La. Cul DESO
12 Hose, 1-1/2"x50', No
Searle
10 Huse, 1-I/2" x 100'. IJI{ Forestry
2
Chisel, Cold, 1"x 7-7I8"
24 Besse, 3"x 50', NII
2
Chemical Lieht Kit
hose. Buusa 1"x 100' NISI{
2
Cribbing & Bedoe Kis
1 Hose. hurl Suction l' -4'x 10'
2
Edec Potedars
1{ase. [{nrd Sndinn 6"x10'
1
Enrrgency Sigsding Dc,sav(Whostle)
1 Hose, Solt StIcam C x 12'
2
Friction Device, (Fig. SW BMtc Bra Rod:)
I Ino'uwer. I"MPSII Flo 1.11 -NII NI
2
Hnd:'mw
1 Inracenl Set
2
Hadsow, Cras nt.26".
1 Ludda, 10' Altic
3
H iriater. Pruning. 21 ox
I Luddet. IA'Roof
J
Baronet. Sledge. 3-1 N., Slorl
I Ludda. 2'14Extcn.ian2
Harm4.Body- Cusn¢rciul(Clus52 or bc0u)
J Lantern. Had. 12 Volt
2
Hal Bug
S Lights, for TrWilc Cenci Ibasdng a rbu
2
Jnd:, Hydraulic w/HmWic IN Ian)
1 Log Baol:r/Credit Card
2
Kerralle, 'F' x 150', Stork, 14FPA Approved
I Muller, sold'.
I
Knife, Utility
M,Ctmd/oust Clow
3
Levd. 6"
1 Mount, Ground Dduse
I
tiller& Litter Cover
{ Noule, l", Corbatlan
I
Litter Pro rig
5 N.Mc, I'Hl Carburation I1 4rodural / 3 wildlnnd)
2
Lond Rclerw
1 N.Mc, Debase So ./Sucre SagJdalcr and 'rips 1.3/N",
6p,
Loop, PruW:
IdC" 1-3/1",2"
1
Marling Rik Boil,ine
1 1Joulc Ddugc Carbo, 500-1.250 gent
2
Mnllipoint Calladian Plate
1 Nouic, i SY', Foa4 Air Aspirmion
3
Nails, (25 lbs_ Each: Iad, Nd)
1 IJuulc, 2 Yi'. Fog
6
Pickct. Sleet. 1 ^ x l'
Nagle, 2 %", ShumW./Tips
3
Palley. Rescue. Mastic Mindiig
1 Cal DFS Opemliens/Mainicnace dulidins
1
Sin Francisco llydrat Adaptor. 3"IUIF to 2':"NIINI
Pike Pole (6',i N')
1
Shovel. Scoop, 'D"Hndle, Fiberglass Hardie
Plug. 2.1/2" Sudinn
I
Shovel, Long Hadi,, Square Pais, Fiberglass Handle
1 Pulu3a
3
Sgiie.(Tri ar Speed)
1 Radio. Bendix King, Hrdlmld Saiula
I
Square, Fornine. Z1"'
Cul DES,
3
Tape Measure.?5'
DGS#
2
Pape, Baia
1 Radio, Kenward Mobile 5edilt,
2
Popp Duct
Cil O13#
I
'I.& Kit
DOSO
I
Tninnu Kit
I Reducer. l -IQ"Nil F to I'NPSHM
1
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RENLARKS:
ACCEY I'ED BY
DEF.ARI NLENT.
TITLE
A -I 42012
.Agreement for Temporary Transfer of Vehicular Equipment
Resolution No. 2015-011 N.C.S. Page 10
State of California
GOVEMOR'S OFFICE OF EMERGENCY SERVICE
Fire and Rescue Division
EXHIBIT "B"
TEMPORARY CAL OES APPARA'rUS ASSIGNMENTRECORD
NO.
A RTI C L E
CAL OES
DECAL
QUANTITY
1.
1,250 gpm Triple Combination Fire Engine, complete
with equipment per attached Exhibit "A" ol'Agreement for
Temporary Transfer of Vehicular Equipment.
Cal OES
1
2
License No:
3.
VIN No:
4.
Engine No:
5.
Proof of Insurance:
6.
Inventory Completed:
7.
8.
9.
10.
IL
REASON FOR'rENIPORAI2Y"1'RANSFEIi: New Assignee
SIGNATURES:
Date
PERNLNNENT ASSIGNEE
Date
TEN--IPORAIZY XSSIGNEE
B-1 42012
Agreement for Temporary Tr:msl'er ul' Vehicuhm Equipment
RCSOIution No. 2015-011 N.C.S. Page I I
State of California
GO\+ MNOR'S OFFICE OF Eb-IERGENCY SERVICE
Fire and liescuc Division
EXHIBIT "C"
INSURANCE REQUIREMENTS
Part of the Agreement through which the State makes a temporary transfer of vehicular equipment is the
Agreement on die part ol" Ore ASSIGNEE to lumish certain evidence of insurance. Your organization, as
an ASSIGNEE of equipment, will want to be mindful of these requirements and assure they are complied
with. If self=insured, in lieu of a certificate of insurance, a written statement of'self-insurance shall be
Famished on official letterhead and agreeing to hold Cal UES harmless from any personal injury or
properly damage claims arising out of die maintenance, use or operation of the Apparatus.
Liability Insurance
A certificate of insurance shall be furnished to the Slate providing minimum Emits of insurance as
follows:
BODILY INJURY and PROPERTY D4",ViGE LIABILITY 51,000,000.00 PER OCCURENCE
A certificate of insurance will have die following provisions included:
1. The Slink of California shall be named Additional Insured.
2. The insurance company shall agree that in the event of cancellation, 15 days prior written
notice will be given to die State.
3. The State shall not be responsible for premium or assessments.
4. Certificate of Insurance must include die description of the Apparatus including identification
number, State license number and Cad OES unit number.
Plivsical Darmwe Insurance
The transfer agrecnumts place certain responsibilities upon your organization for the safekeeping of the
vehicle and equipment. The Stale will look to your organization for reimbursement for repair or
replacement cost in die event the vehicle or equipment is damaged by misuse or negligence or by other
causes, except normal wear and tear, acts of God and conditions over which your organization has no
control.
Description of Annarntus
VEHICLE
License Number:
VIN Number:
Engine Number:
EQUIPMENT
Hose and Appliances
VALUE
C-1 412012
Agreement for Tempurary Transfer of Vehicuhv Equipment
Resolution No. 2015-011 N.C.S. Pale 12