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Home My WebLink AboutRFP - P1158 INUSRANCECity OT Financial Services Fort Purchasing Division 215 N. Mason St. 2°" Floor Collins PO Box 580 Fort Collins, CO 80522 970.221.6775 Purchasing 970.221.6707 _ fcgov.com/purchasing ADDENDUM No. 4 Property and Liability Insurance Specifications for City of Fort Collins and Poudre Fire Authority (P1158) SPECIFICATIONS AND CONTRACT DOCUMENTS OPENING DATE: 3:00 P.M. (Our Clock) March 20, 2009 To all prospective bidders under the specifications and contract documents described above, the following changes are hereby made. QUESTIONS AND ANSWERS: 1. Are there separate FEIN's for the Fire Authority and the Fire Protection District? The FEIN for the Poudre Fire Authority is 84-0865055 The FEIN for the Poudre Valley Fire Protection District is 84-0603956 2. Will an inventory of the warehouse at the PFA Training Center be provided? An inventory will be provided and posted to the City of Fort Collins FTP site sometime after March 10, 2009. We will provide notification to all parties when posted. 3. Please provide a copy of the IGA between the FPD and the City for the creation of the Authority. A copy of the IGA is provided on the FTP site 4. Do you have any SOP's or SOG's for the HazMat Team? A copy of the Poudre Fire Authority Hazardous Materials Response Plan and Operational Objectives is available on the FTP site. 5. Is Station #8, which is owned by the Town of Timnath, included for building coverage? Yes, Station 8 is to be included in property coverage and is listed in the earlier provided statement of values (SOV) Regulations, as amended from time to time. C. All time a transferred employee has spent as a Fire Department employee of either the City or the District shall be considered as time employed by the Authority for the purpose of determining any conditions or benefits of employment with the Authority. D. The establishment of the Authority as an independent governmental entity shall not affect in any manner the rights of City or District employees, hired prior to January 1, 1982, insofar as they relate to pension benefits provided by the laws of the State of Colorado. E. The City and the District shall be responsible for their respective unfunded pension liabilities incurred prior to January 1, 1982. F. At the termination of this Agreement, any unfunded pension liabilities incurred by the Authority during the term of this Agreement shall be assumed by the City or the District in proportion to the allocation of Authority personnel to the City and the District. G. If this Agreement is terminated, any employee of the Authority who was an employee of the City or the District on January 1, 1982 shall have the right to employment with the employee's original employer or the entity which has need for additional employees. Said employment shall be subject to the terms and conditions of employment then in effect as stated in City or District personnel rules. 4.3. Authority Fund. The Board shall establish an Authority Fund to account for all financial transactions of the Authority in accordance with generally accepted accounting principles. ARTICLE V BUDGET; MAINTENANCE AND OPERATION COSTS; OTHER COSTS 5.1. Annual Budget. A. The Board shall adopt a preliminary budget for maintenance and operation costs, capital costs, and costs of special services in accordance with the budget schedules of the City and the District, which budget may be amended from time to time based on changes in revenue projections made by the City and the District. The Board shall submit the budget to the respective governing bodies of the parties hereto. The budget shall become the Authority budget only after approval of the appropriations by the respective governing bodies and final approval by the Board. B. The City shall contribute funding for maintenance and operation costs to the Authority based on a "Revenue Allocation Formula" which shall be set annually based upon a percentage of sales and use tax revenues (excluding sales tax revenue which must be spent on specific projects) and a portion of the operating mill levy of the City's property taxes. The dollar amount of the City's contribution, determined through the use of the "Revenue Allocation Formula", shall be based upon the City's revenue projections made during the City's budgetary process. The District shall adopt a mill levy annually pursuant to state law and a portion of said levy shall be dedicated to the Authority for maintenance and operation costs. The Authority shall request funds for capital costs pursuant to the procedures set by the City and District. C. The Board shall present requests for supplemental appropriations to the respective governing bodies of the parties hereto. For the purposes of this Agreement, "supplemental appropriations" shall mean any appropriation made above and beyond the annual appropriation made during the budgetary process. D. The Board shall have the power to reappropriate funds in the fund balance for whatever purpose the Board deems appropriate or necessary without approval of the City or District. Such reappropriations shall be made only at meetings of the Board held after proper notice has been given, according to the bylaws of the Authority. 5.2. Records and Accounts. The Authority shall provide for the keeping of accurate and correct books of account, showing in detail the capital costs, cost of special services, maintenance and operating costs and all financial transactions of the Authority which books of account shall correctly show any receipts and also any costs, expenses or charges paid to or to be paid by each of the parties hereto. Said books and records shall be open to inspection at all times during normal business hours by any representative of either party or by the accountant or other person authorized by either party to inspect said books or records. The Board shall provide for the auditing of all books and accounts and other financial records of the Authority on an annual basis, with such auditing to be conducted by a certified public accountant. The results of said audit shall be presented to the City and the District not later than thirty (30) days after receipt by the Board. 5.3. Payment of Costs. Each of the parties agrees to pay to the Authority monthly, in advance, its allocated share of the total estimated annual costs and expenses. The Board is authorized to approve other arrangements for payments by the City and the District, provided the financial security of the Authority is not impaired. In addition to supplemental appropriation requests, the Board is authorized to request amounts in excess of any regular payment for the costs and expenses of the Authority, provided the total annual allocation does not exceed the estimated share of costs and expenses for either party to this Agreement. The Authority shall make available to each of the agencies a final detailed statement of the final costs and expenses for the fiscal year allocated in the same manner as estimated expenses were allocated, as soon as possible after the close of each fiscal year. 5.4. Sources of Funds. Each party shall provide the funds required to be paid by it to the Authority under this Agreement from any source of funds legally available to such entity for such purpose. ARTICLE VI SERVICES 6.1. Professional. Administrative and Support Services. The parties may provide the necessary professional, administrative and support services to the Authority at no cost on the same basis and to the same extent as such services were historically provided by the parties prior to January 1, 1982, except that the parties may enter into additional agreements for the purpose of securing any necessary professional, administrative and support services. 6.2. Additional Services. The City may agree to provide other additional services to the Authority, provided the Authority complies with the operating procedures of the City. ARTICLE VII OWNERSHIP OF PROPERTY 7.1. Real and Personal Property. The Authority shall continue to hold all right, title and interest in any and all real property and personal property transferred to the Authority by the City or the District or acquired by the Authority since January 1, 1982 for the purpose of providing fire protection services, unless such property is disposed of in compliance with the terms of this Agreement. 7.2. Asset Inventory Schedules. The Authority shall maintain separate asset inventory schedules for any and all property transferred from the City or the District which remains under the ownership of the Authority, as well as any and all property acquired by the Authority since January 1, 1982. ARTICLE VIII TERMINATION 8.1. Disposition of Assets. Upon termination of this Agreement pursuant to paragraph 1.1, above, the assets of the Authority shall be disposed of as follows: A. All assets acquired by the Authority from contributions from the parties shall be returned to the contributing party if said assets are still owned by the Authority. B. If assets contributed to the Authority are not in existence, the contributing party shall have the option of receiving the fair market value of the asset at the time of disposal by the Authority in either cash (if available) or assets of the Authority. C. All remaining assets acquired by the Authority after January 1; 1982, from funds provided by the parties shall be distributed to the parties on the basis of the appraised value of said assets at the time of termination and in the same proportion as the respective contributions of funds by the parties for acquisition of the asset. D. The parties may agree to dispose of any assets of the Authority in any other acceptable manner. E. If the parties cannot agree on the disposition of certain assets of the Authority, said assets shall be subject to an independent appraisal and shall be sold at public auction with the proceeds allocated to the parties in the same proportion as the respective contributions of funds by the parties for acquisition of the asset. ARTICLE IX MISCELLANEOUS PROVISIONS 9.1. Notices. Any notice required hereunder shall be in writing and shall be sufficient if deposited in the United States mail, postage prepaid to: CITY: City Manager City of Fort Collins P.O. Box 580 Fort Collins, Colorado 80522 DISTRICT: Chairman Poudre Valley Fire Protection District 102 Remington Street Fort Collins, Colorado 80524 9.2. Consent. Whenever any provision of this Agreement requires consent or approval of the parties hereto, the same shall not be unreasonably withheld. 9.3. Amendments. This Agreement may be amended in writing, as required, by the parties hereto in furtherance of purposes of this Agreement. 9.4. Severability. In the event any provision of this Agreement is determined to be illegal or invalid for any reason, all other provisions of this Agreement shall remain in full force and effect unless and until otherwise determined. The illegality of any provision of this Agreement shall in no way affect the legality and enforceability of any other provision of the Agreement. 9.5. Successors. This Agreement shall be binding upon and shall inure to the benefit of the successors of the parties. 9.6. Assignment and Delegation. A party shall neither assign any of the rights nor delegate any of the duties created by this Agreement without the written consent of the other party. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be signed on the date hereinabove written. rTTv OF FnaT roil Mlz rni nQAnn ATTEST: City C1 �J APPROVED AS TO FORM: /J. 9L'4� - C'ty Attorney POUDRE VALLEY FIRE PROTECTION DISTRICT gesn of th Board AT��'�l Secretary APPRO ��5 Counsel for'"Distrrict ADDENDUM TO THE INTERGOVERNMENTAL AGREEMENT BETWEEN THE CITY OF FORT COLLINS AND POUDRE VALLEY FIRE PROTECTION DISTRICT THIS ADDENDUM, made and entered into this 27th day of September, 2004, by and between POUDRE VALLEY FIRE PROTECTION DISTRICT (hereinafter called the 'District") and THE CITY OF FORT COLLINS, COLORADO, a municipal corporation duly organized and existing under the law of the State of Colorado (hereinafter called the "City"). WITNESSETH: WHEREAS, the parties hereto on November 3, 1987, entered into an Intergovernmental Agreement (hereinafter called "the Agreement") providing for the continuation of an independent governmental entity known as the POUDRE FIRE AUTHORITY for the purpose of providing fire protection services; and WHEREAS, Article I of the Agreement sets forth the procedure for a governing Board consisting of five members; and WHEREAS, Section 1.3 of Article I of the Agreement provides, in part, that the fifth member of the governing Board (hereinafter, the 'Board") is to be "appointed by the other four members as appointed by the City and the District" ... and that all appointees and terms of appointment shall be at the discretion of the appointing entity; and WHEREAS, the Board Bylaws, Section 2 of Article IV requires that a Chairman and Vice -Chairman shall be elected annually by a majority vote of the Board at the first regular meeting in August of each year; and WHEREAS, at the August 24, 2004 Board meeting, the Board discussed amending the Agreement to allow for the fifth Board member to be appointed annually at the first regular meeting of the Board in August of each year; and WHEREAS, the parties have therefore agreed to hereafter amend portions of Article I of the Agreement to provide for this. NOW, THEREFORE, for and in consideration of the promises by the parties made herein and the benefits to be derived there from, the Intergovernmental Agreement is hereby further modified as follows: 1. The following is hereby added to section 1.3 of Article I of the Agreement, to read as follows: Governing Board. The Authority shall be administered by a governing Board of five (5)'members. The City shall appoint two (two members) and the District shall appoint two (2) members. The fifth member shall be appointed annually at the first regular meeting of the Board in August of each year by majority vote of the four other members as appointed by the City and District. A. All appointees and terms of appointment shall be at the discretion of the appointing entity. B. All vacancies on the Board shall be filled by the appointing entity. 2. The parties hereto approve, ratify and affirm the terms of the Agreement, amended by this Addendum. IN WITNESS WHEREOF, the parties here to have executed this Addendum the day and year first above written. POUDRE VALLEY FIRE PROTECTION DISTRICT Board Vice Chairmhm THE CITY OF FORT COLLINS A Municipal Corporation I �� ATTEST: //&X 4� WZOWs City Clerk letrek 6k14 APXnttvy A FORM: As isrney 6. What is the total value of SCBA equipment owned by PFA? 1.62 million 7. What professional services liability "professions" are you looking to cover Under Professional Liability? 10 Accountants, 1 Psychologist, 24 Engineers and 9 Lawyers 8. Do any of the City's Employed Lawyers or Engineers or other "professionals" do work for anyone other than the City? No, services are limited to City operations only. The Psychologist is employed by Fort Collins Police Services (FCPS) and utilizes his credentials within FCPS only. 9. What are the dimensions of the holding cells used in Fort Collins Police Services? The dimensions are provided on the FTP site. The cells are used for processing/ booking purposes only before transporting to County facilities. 10. Premium worksheets noted on page 244 of the first Specification document tilted: Cost Analysis and Options Worksheets states "Worksheets to Follow". When will these be available? Worksheets are now available on the FTP site. 11. What is the inventoried value of the PFA warehouse contents? Value of property located within the PFA warehouse is $250,000. ATTACHMENTS: • 1D PFA IGA and Addendum I • 2D Fort Collins Police Services Dimensions of Holding Cells • 3D PFA HazMat Response Plan Operational Directive • 4D Work Sheet — Cost WS to include Fiduciary • 5D Work Sheet — Coverage Checklist 2009 Please contact Lance Murray, Project Manager at (970) 221-6807 with any questions regarding this addendum. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED. No Text Fort Collins Police Services dimensions of holding cells Total Holding Cell Area = 3,750 sq. ft. (4) Adult Holding Cells with beds @ 80 sq. ft. each. (2) Adult Holding Cells without beds @ 48 sq. ft. each. (1) Adult Safety Cell = 40 sq. ft. Adult Booking Room = 345 sq. ft. (4) Juvenile Holding Cells with beds @ 80 sq. ft. each. (2) Juvenile Holding Cells without beds @ 48 sq. ft. each. (1) Juvenile Safety Cell = 40 sq. ft. Juvenile Booking Room = 360 sq. ft. Photo/Fingerprinting and Intoxilizer Rooms = 340 sq. ft. 3 Hazardous Materials Response Plan And Operational Directives Table of Contents Introduction......................................................................................................................... 1 Hazardous Materials Team Mission Statement................................................................... I Hazardous Materials Team Goals....................................................................................... 1 Emergency Response Plan.................................................................................................. 2 StrategicSection................................................................................................................. 3 TeamManagement.............................................................................................................. 4 Special Operations Chief Roles and Responsibilities............................................4 HazMat Company Officer Roles and Responsibilities..........................................4 Hazardous Materials Team Member Roles and Responsibilities ..........................5 CertificationLevels............................................................................................................. 6 Awareness Certification.........................................................................................6 Operations Certification......................................................................................... 6 TechnicianCertification........................................................................................ 6 Incident Commander Certification........................................................................ 7 Certification Accountability.................................................................................. 7 Training Curriculum........................................................................................................... 7 RequiredInitial Training....................................................................................... 7 First Responder - Awareness.................................................................... 7 First Responder - Operations.................................................................... 7 Hazardous Materials Technician............................................................... 7 HazMat Sector Supervisor, HazMat Branch Director or Operations Section Chief............................................................. 7 Assistant Safety Officer/Hazardous Materials .......................................... 7 Special Operations EMS Team Member .................................................. 8 Incident Commander................................................................................. 8 Required Annual Refresher Training..................................................................... 8 First Responder - Awareness.................................................................... 8 First Responder - Operations.................................................................... 8 Hazardous Materials Technician............................................................... 8 Incident Commander................................................................................. 8 Medical Surveillance Program............................................................................................9 Physical Examination Components....................................................................... 9 Hazardous Materials Entry Physical......................................................... 9 Bi-Annual Physical...................................................................................9 Hazardous Materials Exit Physical........................................................... 9 Procedure for Accessing Member's Medical Information ..................................... 9 Billingand Cost Recovery................................................................................................ 10 Billing Process and Cost Schedule...................................................................... 10 TaxedProperty........................................................................................ 10 Non -Taxed Property............................................................................... 10 BillingProcedure.................................................................................... 11 Access to Federal Funds, Grants and Monies from the LEPC ............................. 11 Personnel Replacement..................................................................................................... 11 Procedure for Replacing Personnel...................................................................... 11 Procedure for Training Personnel Prior to Assignment to Station 6.................... 11 Procedure for Training Personnel When Initially Assigned to Station 6............. 12 Minimum Time Commitment Expectations of Selected Personnel ..................... 12 TacticalSection................................................................................................................. 13 Incident Management / Incident Command...................................................................... 14 Hazardous Materials Sector Overview................................................................ 14 Hazardous Materials Sector Position Descriptions .............................................. 15 Hazardous Materials Sector Supervisor .................................................. 15 Assistant Safety Officer / HazMat.......................................................... 16 EntryTeam Leader................................................................................. 17 Decontamination Team Leader............................................................... 18 Confinement Team Leader..................................................................... 19 Site Access Control Team Leader........................................................... 20 Reference Officer.................................................................................... 21 HazMat EMS Unit Leader......................................................................22 Incident Management Team................................................................................ 23 Special Operations Response Team..................................................................................23 Capabilities.......................................................................................................... 23 ProgramDescription............................................................................................ 23 IncidentLevels....................................:............................................................................. 24 Mutual Aid / Automatic Aid Agreements......................................................................... 25 TaskSection...................................................................................................................... 26 IncidentResponse................................................................................................27 Establishing Control Zones.....................................:............................................ 27 Hazard and Risk Assessment at the Scene........................................................... 31 MonitoringEquipment......................................................................................... 33 Personal Protective Equipment............................................................................34 Testing Personal Protective Equipment...............................................................35 Decontamination.................................................................................................. 36 Emergency Decontamination............................................................................... 38 SiteEntry and Backup......................................................................................... 39 Spill and Leak Control......................................................................................... 40 SiteAccess........................................................................................................... 41 Termination and Documentation......................................................................... 42 Debriefing............................................................................................... 42 Post Incident Analysis............................................................................ 43 After Action Review............................................................................... 43 Incident Medical Surveillance.............................................................................44 HazMat EMS Unit Functions................................................................. 44 Pre -entry and Post -entry Medical Evaluations.......................................44 Examination Components and Criteria ................................................... 44 Hazardous Materials Specific Rehabilitation Procedures .......................45 Personnel Condition Monitoring............................................................ 45 EMS for Victims Exposed to Hazardous Materials..........................................46 Bibliography..................................................................................................................... 52 Introduction Emergency incidents involving hazardous materials have emerged as a major problem of our complex, technology oriented society. The broad category of hazardous materials that Poudre Fire Authority can be expected to respond to includes liquid and gaseous fuels, radioactive substances, toxic and poisonous materials and thousands of other chemicals and biological materials that increase in number every day. Once some of these materials have escaped into the environment, it is difficult to predict and control the outcome and consequences of a release. With the specialized resources and highly trained personnel that are available to the Poudre Fire Authority, certain steps can be taken to minimize the effect of release on our community and the customers we serve. This document is designed to be used in conjunction with the Poudre Fire Authority Operational Directives and provide detailed information on how we will respond to hazardous materials emergencies. Hazardous Materials Team Mission Statement Provide protection for our personnel, the community and the environmental through planning, training, and response. Hazardous Materials Team Goals ➢ To control the adverse effects of a release of hazardous materials to minimize the impact on life, property and the environment ➢ To provide the necessary specialized tools and equipment to intervene at hazardous materials releases, and to maintain existing equipment in a state of readiness at all times, maintaining a Level II response capability within Poudre Fire Authority's service area ➢ To provide adequate training and support to assure that all team members maintain a Technician certification based on National Fire Protection Association standards ➢ To assist the Training Division in providing the training necessary for all Poudre Fire Authority personnel not assigned to the Hazardous Materials Response Team to maintain a First Responder — Operations certification based on National Fire Protection Association standards ➢ To act as a resource to both internal and external customers in the area of hazardous materials response and chemical hazards 1 HazMat Emergency Response Plan and Operational Directives Emergency Response Plan This document will be used by Poudre Fire Authority to meet the requirements for an Emergency Response Plan as required by 40 CRF 311 Worker Protection and 29 CFR 1910.120 (q) Emergency Response to Hazardous Substances Releases. Following the FBI recommendations regarding Homeland Security, this document will be secured at the Poudre Fire Authority's Administrative Office located at 102 Remington Street, Ft. Collins, Colorado, 80524 and may be available upon request. 2 HazMat Emergency Response Plan and Operational Directives Strategic Section The Strategic Section of this document will describe the Poudre Fire Authority's efforts in providing pre -planning for the response to a hazardous materials emergency. The management of the team will be outlined; the certifications necessary to operate at a hazardous materials emergency will be described and the annual training requirements specified; the medical surveillance program, billing and cost recovery and the procedure for selecting, training and retaining members of the hazardous materials team will be documented. 3 HazMat Emergency Response Plan and Operational Directives Team Management Special Operations Chief Roles and Responsibilities The Special Operations Chief is responsible for all specialty teams assigned to the Special Operations Command. The Hazardous Materials Response Team falls within this sphere of responsibility. The roles and responsibilities of the Special Operations Chief are as follows: ♦ Attend monthly Hazardous Materials Response Team meetings ♦ Provide a liaison between the Hazardous Materials Response Team and the Poudre Fire Authority Operations Team as required ♦ Provide assistance and support in the development of the annual Hazardous Materials Team budget ♦ Deliver prepared program updates to the Poudre Fire Authority Operations Team and Board of Directors ♦ Assist and support the management of the Poudre Fire Authority Hazardous Materials Team - ♦ Assist with the development of, and implementation of regional hazardous materials response plans ♦ Serve as liaison between the Hazardous Materials Team and other Special Operations teams HazMat Company Officer Roles and Responsibilities ♦ Provide strategic and tactical leadership to the members of his or her assigned shift based on the defined Hazardous Materials Team Goals and Objectives and the Hazardous Materials Team Emergency Response Plan and Operational Directives ♦ Assist with the coordination between shifts and the Poudre Fire Authority Fire Prevention Bureau HazMat Unit ♦ Assist the Poudre Fire Authority Training Division with annual hazardous materials training for all members of the department ♦ Attend monthly Hazardous Materials Response Team meetings ♦ Attend local training sessions for the Hazardous Materials Response Team ♦ Provide assistance in the development of the annual Hazardous Materials Team budget ♦ Provide assistance in the development and implementation of regional hazardous materials response plans to assure effective service deliver in the most cost effective manner for our customers ♦ Provide accurate documentation of individual training and experience 4 HazMat Emergency Response Plan and Operational Directives INTERGOVERNMENTAL AGREEMENT THIS AGREEMENT, entered into this 3 rd day of ULvgLkr, 1987, pursuant to Section 29-1-201 et seq., C.R.S., by and between THE CITY OF FORT COLLINS, COLORADO, a municipal corporation, hereinafter referred to as the "City", and THE POUDRE VALLEY FIRE PROTECTION DISTRICT, Larimer County, State of Colorado, hereinafter referred to as the "District". WITNESSETH: WHEREAS, the parties to this Agreement have entered into a previous intergovernmental agreement providing for the formation of an independent governmental entity for the purpose of providing fire protection services within the respective territorial limits of the parties hereto, which entity is known as the POUDRE FIRE AUTHORITY; and WHEREAS, that previous agreement, as amended, has been mutually beneficial in providing a higher degree of protection to persons and property within the respective territorial limits of the parties hereto; and WHEREAS, the parties desire to provide for the continued existence of the POUDRE FIRE AUTHORITY. NOW, THEREFORE, in consideration of the mutual covenants and obligations herein, expressed, it is agreed by and between the parties hereto as follows: ARTICLE I GENERAL PROVISIONS 1.1. Term of the Agreement. This Agreement shall be in effect from January 1, 1988 until terminated by the parties as herein provided. This Agreement may be terminated by either party hereto, provided written notice of termination is given to the other party. The effective date ♦ Provide documentation necessary for billing and cost recover relating to Hazardous Materials incidents Hazardous Materials Team Member Roles and Responsibilities ♦ Maintain competencies as specified in NFPA Standard 472 and the Hazardous Materials Team Training Curriculum ♦ Attend monthly Hazardous Materials Response Team meetings ♦ Attend local training sessions for the Hazardous Materials Team ♦ Under the direction of the Hazardous Materials Company Officer, assist the Training Division with the preparation and delivery of the annual hazardous materials training for all members of the department ♦ Under the direction of the Hazardous Materials Company Officer or Hazardous Materials Sector Supervisor, provide tactical and task level hazardous materials mitigation actions based on the defined Hazardous Materials Team Goals and Objectives and the Hazardous Materials Team Emergency Response Plan and Operational Directives ♦ Provide accurate documentation of individual training and experience 5 HaWat Emergency Response Plan and Operational Directives Certification Levels The Poudre Fire Authority Hazardous Materials Team will follow recognized national standards, Occupational Health and Safety Administration requirements and Environmental Protection Agency requirements when determining certifications for all members. In some cases, Poudre Fire Authority certifications requirements may exceed those listed below but will not ever be less than the listed standards. Awareness Certification Employees of Poudre Fire Authority who have been identified as first responders at the awareness level shall be trained to meet all competencies of NFPA 472, Chapter 2, Competencies for the First Responder at the Awareness Level and shall be certified by PFA on an annual basis. Employees of Poudre Fire Authority that will operate at the awareness level involve those who, in the course of their normal duties, may be the first on the scene of an emergency involving hazardous materials. These employees are expected to recognize the presence of hazardous materials, protect themselves, call for trained personnel and secure the area. Operations Certification Employees of Poudre Fire Authority who have been identified as first responders at the operations level shall be trained to meet all competencies of the awareness level as well as those of NFPA 472, Chapter 3, Competencies for the First Responder at the Operations Level on an annual basis. Employees of Poudre Fire Authority that will operate at the operations level involve those who respond to releases or potential releases of hazardous materials as part of the initial response to the incident for the purpose of protecting nearby persons, the environment, or property from the effects of the release. They shall be trained to respond in a defensive action to control the release from a safe distance and keep it from spreading. Technician Certification Employees of Poudre Fire Authority who have been identified as hazardous materials technicians shall be trained to meet all competencies of the awareness and operations levels as well as those of NFPA 472, Chapter 4, Competencies for the Hazardous Materials Technician on an annual basis. In addition, hazardous materials technicians shall be provided with medical surveillance. Employees of Poudre Fire Authority that will operate as hazardous materials technicians are those persons who respond to releases or potential releases of hazardous materials for the purpose of controlling the release. Hazardous materials technicians are expected to use specialized chemical -protective clothing and specialized control equipment while operating in an offensive manner to control the release. 6 HazMat Emergency Response Plan and Operational Directives Incident Commander Employees of Poudre Fire Authority that operate as Incident Commander are responsible for directing and coordinating a hazardous materials incident using the Poudre Fire Authority Incident Management System. Certification Accountability All department members will document training and experience through the department SunPro records management system. Training Curriculum The following classes are considered to be required basic education to achieve certification by the Poudre Fire Authority at the defined level. Members will document all training and experience. Members may participate in hazardous materials response at their intended level of certification prior to completing the minimum required training as a trainee. The trainee may only perform tasks for which he or she has been adequately trained and must be directly supervised by a certified member at the same level as the trainee is participating. Participation must be approved by the Incident Commander, HazMat Sector Supervisor and the Assistant Safety Officer/HazMat prior to the trainee participating in operations and documented on the HazMat Tactical Plan or the Incident Action Plan. Required Initial Training First Responder - Awareness ♦ State of Colorado First Responder - Awareness or equivalent First Responder — Operations State of Colorado First Responder — Operations or equivalent Hazardous Materials Technician Chemistry of Hazardous Materials — CSTI Module A & B or equivalent Hazardous Materials Technician — CSTI Module C & D or equivalent HazMat Sector Supervisor, HazMat Branch Director or Operations Section Chief (Must be HazMat Technician Qualified) Assistant Safety Officer/Hazardous Materials (Must be HazMat Technician Level) ♦ Incident Safety Officer —National Fire Academy or equivalent 7 HazMat Emergency Response Plan and Operational Directives Special Operations EMS Team Member (Must be familiar with HM Team operations and ODs) ♦ Advanced Life Support for Hazardous Materials — National Fire Academy . ♦ Hazardous Materials Technician — CSTI Module C & D or equivalent Incident Commander ♦ State of Colorado First Responder — Operations or equivalent ♦ 24 hours of Intermediate Incident Command (such as I-300 or equivalent) Required Annual Refresher Training First Responder — Awareness Training of sufficient content and duration to maintain the competencies necessary to operate at the Fire Responder — Awareness level consistent with competencies cited in NFPA 472 Chapter 2 shall be provided annually. First Responder — Operations Training of sufficient content and duration to maintain the competencies necessary to operate at the Fire Responder — Operations level consistent with competencies cited in NFPA 472 Chapter 3 shall be provided annually. Hazardous Materials Technician Training of sufficient content and duration to maintain the competencies necessary to operate at the Hazardous Materials Technician level consistent with competencies cited in NFPA 472 Chapter 4 shall be provided annually. Incident Commander Training of sufficient content and duration to maintain the competencies necessary to operate at the Incident Commander level consistent with competencies cited in NFPA 472 Chapter 5 shall be provided annually to employees who serve as Incident Commanders. It is recommended they also maintain the appropriate certification at the First Responder — Operations or Hazardous Materials Technician level. 8 HazMat Emergency Response Plan and Operational Directives Medical Surveillance Program In accordance with EPA 40 CFR 311 Worker Protection and OSHA 29 CFR 1910.120 (f) Medical Surveillance, Poudre Fire Authority will provide medical surveillance for members of the Hazardous Materials Response Team, and other members as indicated, on assignment to the Hazardous Materials Team; biennially for Hazardous Materials Team Members; at termination of assignment to the Hazardous Materials Team or termination of employment; as soon as possible after the employee has notified the Poudre Fire Authority of signs or symptoms indicating a possible exposure or overexposure to hazardous substances or health hazards, or that the employee has been injured or exposed above the permissible exposure limits or published exposure levels in an emergency situation; at more frequent times, if the examining physician determines that an increased frequency of examination is medically necessary. Physical Examination Components Hazardous Materials Entry Physical ♦ Initial Occupational / Medical History and Physical ♦ OCHI Blood Panel ♦ RBC Cholinesterase Panel ♦ Urine analysis with microscopic examination ♦ Hemoccult x 3 ♦ Pulmonary function x 3 ♦ Audiogram Bi-Annual Physical ♦ Bi-annual interval history and physical ♦ All other components of the Entry Physical Hazardous Materials Exit Physical ♦ All components of the Hazardous Materials Entry physical and others as deemed necessary by the examining physician Procedure for Accessing Member's Medical Information In case of exposure to a hazardous material, each member's department medical records are available at Poudre.Valley Hospital for use by Emergency Department personnel in treating a chemical exposure. The individual member's file will contain the member's annual physical information as well as any exposure reports that have been filed by the member. 9 HazMat Emergency Response Plan and Operational Directives Billing and Cost Recovery The Poudre Fire Authority has the right under Colorado Law, Section 29-22-104, Colorado Revised Statutes, to recover its costs incurred in response to a hazardous materials incident. The fee schedule is divided into two categories: Residents and owners of property that is taxed in the Poudre Fire Authority service area; non-residents and property that are not taxed. Any costs associated with hazardous materials response that are assessed by Poudre Fire Authority, are separate and removed from any other costs or fines that may be imposed on a customer by other Federal, State, and/or Local government entities. Any monies recovered under this statute shall be distributed back to the Hazardous Materials Response Team at 100% of the total amount recovered to be used in operations and training specific to the Hazardous Materials Response Team. Billing Process and Cost Schedule Taxed Property Customers and property that are taxed in Poudre Fire Authority's service area may be billed for hazardous materials response when the release is intentional and or constitutes a criminal act. The costs assessed to a customer may include those incurred by the Poudre Fire Authority to replace disposable, single use or other items of equipment that must be replaced as a result of a hazardous materials response. Additional costs for cleaning and testing of equipment may also be billed. Government and public educational institutions will be in this customer category. Non -Taxed Property Customers and property that is not taxed as part of Poudre Fire Authority's service area may be billed for hazardous materials response. The costs assessed to a customer may include those incurred by the Poudre Fire Authority to replace disposable, single use or other items of equipment that must be replaced as a result of a hazardous materials response. Costs my also include the actual hourly cost, including overtime, for all personnel assigned to the incident and any personnel called back to work after their normal working shift. All other equipment and supplies will be billed at the actual replacement costs. Apparatus costs will be billed at the following hourly rates: Command / Staff Vehicle $35.00 per hour Hazardous Materials Response Unit $65.00 per hour Engine Company $150.00 per hour Trick Company / Squad Company $150.00 per hour Air / Light Unit $65.00 per hour Advanced Life Support Ambulance $35.00 per hour Foam Unit $40.00 per hour Costs subject to change based on determination of actual costs. 10 HazMat Emergency Response Plan and Operational Directives Billing Procedure Immediately after an incident has been terminated, the Hazardous Materials Company Officer that is on duty will prepare a standard hazardous materials billing packet including a list of equipment used, damaged, or purchased for the incident; a list of personnel assigned; and apparatus that was committed to the incident. This material will be forwarded to the Special Operations Chief for final approval and mailing to the responsible customer. Access to Federal Funds, Grants and Monies from the LEPC The Hazardous Materials Team Leader will seek avenues of external funding and grants for training and operations of the Hazardous Materials Team. Sources of funding are varied and this area is still under development. Personnel Replacement Procedure for Replacing Personnel When a shift position opens at Station 6, a procedure for selecting the replacement will include the following steps: An announcement of the available position will be distributed via electronic mail to each station, the training division, administration and fire prevention. 2. Assignment to Station 6 will be at the battalion chiefs discretion based on the following factors: A. shift needs B. team needs C. fire fighter interest D. input from affected officer 3. Upon being assigned to Station 6, the new member will begin the training process with a goal to complete the initial required training within 9-12 months of assignment. In some cases, this will not be possible but should be attempted. Procedure for Training Personnel Prior to Assignment to Station 6 Poudre Fire Authority members who have an interest in being assigned to Station 6 will be encouraged to complete training prior to assignment. Every effort will be made to support the training of members prior to assignment to Station 6 taking into consideration the available funds and departmental training needs as a whole. Compensation in the form of overtime and conference/training will be prioritized based on available funds and Team needs. 11 HazMat Emergency Response Plan and Operational Directives Procedure for Training Personnel When Initially Assigned to Station 6 When a new member is assigned to Station 6, the Operations Team will provide the necessary funding to assure that the minimum training requirements are met in a timely fashion. New members will be strongly encouraged to complete the basic training as soon as possible based upon course availability. Priority for training resources will be given to the training of new members to assure that the mission of the team to provide effective service to our customers is not adversely impacted. Minimum Time Commitment Expectations of Selected Personnel The financial impact of training a new member is significant. The ongoing training costs are also very costly. The Poudre Fire Authority desires to have and maintain a high level of expertise in the area of hazardous materials response and has committed to providing the necessary funding to accomplish this objective. As a member of the hazardous materials team, individuals will be expected to provide a total of five years total commitment to the Hazardous Materials Response Team with a minimum three of the five years being completed while assigned to Station 6. Years of service can occur prior to assignment or after completion of the minimum time assigned to Station 6. In addition, after leaving Station 6, a member will be encouraged to maintain Technician certification and will be supported in maintaining the training requirements by the Poudre Fire Authority. 12 HazMat Emergency Response Plan and Operational Directives Tactical Section The Tactical Section of this document will describe the general procedures used by the Poudre Fire Authority to respond to hazardous materials incidents. The Incident Management System used at hazardous materials incidents will be specified; roles and responsibilities of the Special Operations EMS Unit will be outlined; incident level descriptions will be defined; procedures to liaison with and access capabilities of other Special Operations Command teams will be defined; and mutual and automatic aid agreements will be documented. 13 HazMat Emergency Response Plan and Operational Directives Incident Management / Incident Command The Hazardous Materials Response Team will operate using the recognized and adopted Poudre Fire Authority Incident Management System as required in 29 CFR 1910.120(q)(3) Procedure for Handling Emergency Response. The following quote from Appendix C of 1910.120 illustrates the concept to which the Hazardous Materials Team subscribes. 6. Incident command system (ICS). Paragraph 1910.120(q)(3)(ii) requires the implementation of an ICS. The ICS is an organized approach to effectively control and manage operations at an emergency incident.... For a small incident, the individual in charge of the ICS may perform many tasks of the ICS. There may not be any, or little delegation of tasks to subordinates. For example, in response to a small incident, the individual in charge of the ICS, in addition to normal command activities, may become the safety officer and may designate only one employee (with proper equipment) as a backup to provide assistance if needed. OSHA does recommend, however, that at least two employees be designated as backup personnel since the assistance needed may include rescue. Hazardous Materials Sector Overview The Hazardous Materials Sector may be established on all incidents where the size or complexity of the incident dictates delegation of duties to maintain span of control or to provide for safety. This sector shall have the responsibility to complete the tactical objectives assigned by the Incident Commander. The Hazardous Materials Sector is functional in nature and will be responsible for the mitigation functions throughout the incident area unless the incident encompasses an area that exceeds the area the Sector Supervisor feels is within his or her span of control. In this instance, a Hazardous Materials Branch will be established with subordinate geographical sectors assigned to mitigate the incident. The Hazardous Materials Sectors and/or Branch may include the following positions: ♦ Hazardous Materials Sector Supervisor ♦ Assistant Safety Officer / HazMat ♦ Entry Team Leader ♦ Decontamination Team Leader ♦ Containment Team Leader ♦ Site Access Control Team Leader ♦ Reference Officer ♦ HazMat EMS Unit Leader 14 HazMat Emergency Response Plan and Operational Directives of termination shall be on December 31 of any calendar year, provided said termination shall be no sooner than twenty-four (24) months after service of the written notice of termination. 1.2. Poudre Fire Authority. The existence of the independent governmental entity known as the "POUDRE FIRE AUTHORITY", hereinafter referred to as the "Authority", created by the intergovernmental agreement of the parties dated December 22, 1981, is hereby continued. The Authority is an independent governmental entity separate and distinct from the City and the District. 1.3. Governing Board. The Authority shall be administered by a governing Board of five (5) members. The City shall appoint two (2) members and the District shall appoint two (2) members. The fifth member shall be appointed by the four other members as appointed by the City and District. A. All appointees and terms of appointment shall be at the discretion of the appointing entity. B. All vacancies on the Board shall be filled by the appointing entity. 1.4. Meetings of the Board. A. Regular Meetings. The Board shall provide for regular meetings at a time and place fixed by resolution of the Board. B. Soecial Meetings. The Board may conduct special meetings for the purpose of taking immediate action for emergency measures, as necessary. C. Open Meetings. All meetings shall be open to the public. The Board, by majority vote of members present, may go into Executive Session for the purpose of discussing personnel matters, meeting Hazardous Materials Sector Position Descriptions Hazardous Materials Sector Supervisor Radio Designation — HazMat The Hazardous Materials Sector Supervisor is directly responsible for the tactical level management of hazard mitigation operations and will directly supervise and provide accountability for all personnel assigned to the Hazardous Materials Sector. The Hazardous Materials Sector Supervisor shall be qualified as a Hazardous Materials Technician. The Hazardous Materials Sector Supervisor will assist with the development of the Incident Action Plan by providing technical expertise and information generated by the Reference Officer, and other technical specialists available on scene, to the Incident Commander and/or the Planning Section Chief if activated. The Hazardous Materials Sector Supervisor will document the progress and actions taken to mitigate the incident. The Hazardous Materials Sector Supervisor will assure that documentation is completed as required by the Incident Commander. The Hazardous Materials Sector Supervisor will also be responsible for: ♦ Obtaining a briefing from the Incident Commander ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Entry Team Leader if assigned ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and redirecting activities as required ♦ Coordinating actions of the Hazardous Materials Sector with other Sectors ♦ Monitoring welfare of assigned personnel ♦ Anticipating need for relief personnel and having them available when needed ♦ Requesting additional resources as needed ♦ Releasing resources no longer required ♦ Providing the Incident Commander with essential and timely progress reports ♦ Participating in planning meetings ♦ Review Incident Action Plans ♦ Collect all documentation from the sector leaders Assistant Safety Officer / HazMat 15 HazMat Emergency Response Plan and Operational Directives Radio Designation — HazMat Safety In conjunction with the Incident Safety Officer, the Assistant Safety Officer / HazMat will assess hazardous and unsafe situations specific to the hazardous materials mitigation effort and develop the necessary measures for assuring the safety of personnel operating in the Hazardous Materials Sector. The Assistant Safety Officer / HazMat shall be qualified as a Hazardous Materials Technician. On a minor incident, if an Assistant Safety Officer / HazMat is not appointed by the Incident Commander the duties of the Assistant Safety Officer / HazMat shall be assumed by the Incident Commander. The Assistant Safety Officer / HazMat has emergency authority to stop and/or prevent any unsafe acts or procedures. The Assistant Safety Officer / HazMat will also be responsible for: ♦ Obtaining a,briefing from the Incident Commander, Incident Safety Officer and Hazardous Materials Sector Supervisor ♦ Ensuring that appropriate zones have been established, identified and constantly monitored and that their locations are communicated to all personnel ♦ Minimizing the number of personnel operating in the Hot Zone and assuring that all personnel operating in the Hot Zone are equipped with the proper personal protective equipment and are authorized by the Entry Team Leader to be in the Hot Zone ♦ Providing a briefing to all Hazardous Materials Sector personnel on the site control procedures including entry points, decontamination layout and procedures, emergency evacuation signals and procedures, equipment failure procedures, rescue procedures, signs and symptoms of exposure, working times and any other safety considerations ensuring that an area of safe refuge has been established and that all personnel are advised of its location ♦ Assuring that drinking, smoking, eating and other practices which increase the possibility of hand-to-mouth contaminant transfer are prohibited until appropriate decontamination procedures have been completed and that personnel have been relocated to the designated rehabilitation area ♦ Conducting reconnaissance and physically observing and evaluating conditions ♦ In association with the Incident Safety Officer, conducting investigations of all accidents or injuries ♦ Participating in planning meetings ♦ Reviewing Incident Action Plans Entry Team Leader 16 HazMat Emergency Response Plan and Operational Directives Radio Designation — Entry The Entry Team Leader is responsible for the direct supervision of the personnel assigned to the Entry Team and the safe accomplishment of the assigned tactical objectives. The Entry Team Leader shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. The Entry Team Leader shall be qualified as a Hazardous Materials Technician. The Entry Team Leader will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor, requesting and assembling the required resources necessary to meet the tactical objectives assigned to the Entry Team ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Hazardous Materials Sector Supervisor ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and redirecting activities as required ♦ Coordinating actions of the Entry Team with other components of the Hazardous Materials Sector ♦ Monitoring welfare of assigned personnel ♦ Anticipating need for relief personnel and having them available when needed ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Maintaining crew integrity 17 HazMat Emergency Response Plan and Operational Directives Decontamination Team Leader Radio Designation — Decon The Decontamination Team Leader is responsible for the direct supervision of the personnel assigned to the Decontamination Team and the safe accomplishment of the assigned tactical objectives. The Decontamination Team Leader shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. The Decontamination Team Leader shall be qualified at the First Responder — Operations level. A Decontamination Team Leader will be appointed on any incident that requires the use of any specialized personal protective equipment or when structural firefighting clothing may require on scene decontamination. A Decontamination Team Leader will also be appointed on other incidents as required by the Hazardous Materials Sector Supervisor or Incident Commander. The Decontamination Team Leader will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor determining the appropriate decontamination process with assistance from the Hazardous Materials Sector Supervisor, Assistant Safety Office / HazMat and the Hazardous Materials Reference Officer ♦ Implementing the required decontamination procedures in accordance with the standard PFA decontamination procedure ♦ Requesting and assembling the required resources necessary to meet the tactical objectives assigned to the Decontamination Team ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Hazardous Materials Sector Supervisor ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and redirecting activities as required ♦ Coordinating actions of the Decontamination Team with other components of the Hazardous Materials Sector ♦ Monitoring welfare of assigned personnel ♦ Anticipating the need for relief personnel and having them available when needed ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Maintaining crew integrity 18 HazMat Emergency Response Plan and Operational Directives Confinement Team Leader Radio Designation — Confinement The Confinement Team Leader is responsible for the direct supervision of the personnel assigned to the Confinement Team and the safe accomplishment of the assigned tactical objectives. The Confinement Team Leader shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. The Confinement Team Leader shall be qualified at the First Responder — Operations level. A Confinement Team Leader may be appointed on any incident where a hazardous material requires product confinement outside the Hot Zone. Operations of the Confinement Team will not be conducted within the Hot Zone. Confinement Team operations, procedures and protective clothing shall be coordinated with the Hazardous Materials Sector Supervisor and Hazardous Materials Reference Officer. A Confinement Team Leader will also be appointed on other incidents as required by the Hazardous Materials Sector Supervisor or Incident Commander. The Confinement Team Leader will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor ♦ Implementing the required confinement actions in accordance with the standard PFA confinement procedure ♦ Requesting and assembling the required resources necessary to meet the tactical objectives assigned to the Confinement Team ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Hazardous Materials Sector Supervisor ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and redirecting activities as required ♦ Coordinating actions of the Confinement Team with other components of the Hazardous Materials Sector ♦ Monitoring welfare of assigned personnel ♦ Anticipating the need for relief personnel and having them available when needed ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Maintaining crew integrity 19 HazMat Emergency Response Plan and Operational Directives Site Access Control Team Leader Radio Designation — Site Access The Site Access Control Team Leader is responsible for the direct supervision of the personnel assigned to the Site Access Control Team and the safe accomplishment of the assigned tactical objectives. The Site Access Control Team Leader shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. A Site Access Control Team Leader may be appointed on any incident where access to the Emergency Scene Perimeter requires control of ingress and egress to assure the safety of emergency responders and civilian customers. A Site Access Control Team Leader may also be appointed on other incidents where isolation, protection in place and/or evacuation operations will be employed. A Site Access Control Team Leader will also be appointed on other incidents as required by the Hazardous Materials Sector Supervisor or Incident Commander. The Site Access Control Team Leader will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor ♦ Implementing the required isolation, protection in place and/or evacuation actions in accordance with the standard PFA site access procedure ♦ Requesting and assembling the required resources necessary to meet the tactical objectives assigned to the Site Access Control Team ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Hazardous Materials Sector Supervisor ♦ Monitoring work progress • Evaluating effectiveness of employed tactics and redirecting activities as required • Coordinating actions of the Site Access Control Team with other components of the Hazardous Materials Sector ♦ Monitoring welfare of assigned personnel ♦ Anticipating the need for relief personnel and having them available when needed ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Maintaining crew integrity 20 HazMat Emergency Response Plan and Operational Directives Reference Officer Radio Designation — Reference The Reference Officer is responsible for the completion of the Hazardous Materials Data Sheet. The Reference Officer is also responsible for the direct supervision of any personnel assigned to assist with completion of the Hazardous Materials Data Sheet. The Reference Officer shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. The Reference Officer shall be qualified as a Hazardous Materials Technician. A Reference Officer may be appointed on any incident that requires the use of vapor protective clothing or liquid splash protective clothing prior to any offensive actions being taken to mitigate the incident. A Reference Officer will also be appointed on other incidents as required by the Hazardous Materials Sector Supervisor or Incident Commander. The Reference Officer will work in conjunction with the Planning Section when it is activated. The Reference Officer will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor ♦ Completing the Hazardous Materials Data Sheet and coordinating with available Technical Specialists and the Planning Section utilizing the General Hazardous Materials Behavior Model to provide estimations of likely course and behavior of the involved hazardous material ♦ Evaluating, with the assistance of available Technical Specialists and the Planning Section, the type of event that is likely to occur and recommending actions necessary for isolation, protecting in place and evacuation ♦ Providing information relating to the incident situation and resource status as required in the absence of a Planning Section ♦ Requesting and assembling the required resources necessary to meet the tactical objectives assigned to the Resource Officer ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and developing alternative strategies as required in conjunction with available Technical Specialists and the Planning Section ♦ Monitoring welfare of assigned personnel ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Completing documentation or forms as required by the Hazardous Materials Sector Supervisor or Incident Commander for documentation of the incident 21 HazMat Emergency Response Plan and Operational Directives HazMat EMS Unit Leader Radio Designation — HazMat EMS The HazMat EMS Unit Leader is responsible for the direct supervision of the personnel assigned to the HazMat EMS Unit and the safe accomplishment of the assigned tactical objectives. The HazMat EMS Unit Leader shall report progress in completing assigned objectives at regular intervals to the Hazardous Materials Sector Supervisor. A HazMat EMS Unit Leader may be appointed on any incident that requires the use of vapor protective clothing or liquid splash protective clothing prior to any offensive actions being taken to mitigate the incident. A HazMat EMS Unit Leader will also be appointed on other incidents as required by the Hazardous Materials Sector Supervisor or Incident Commander. The HazMat EMS Unit Leader will also be responsible for: ♦ Obtaining a briefing from the Hazardous Materials Sector Supervisor ♦ Implementing the required medical surveillance actions in accordance with the standard PFA medical surveillance procedure ♦ Providing necessary emergency medical care to exposed responders and customers directly encountered by members of the Hazardous Materials Sector in the Warm and Cold Zones ♦ Providing direction to other EMS responders in caring for exposed customers and responders outside the Hazardous Materials Sector ♦ Requesting and assembling the required resources necessary to meet the tactical objectives assigned to the HazMat EMS Unit ♦ Ensuring operations are conducted safely in conjunction with the Assistant Safety Officer / HazMat and the Hazardous Materials Sector Supervisor ♦ Monitoring work progress ♦ Evaluating effectiveness of employed tactics and redirecting activities as required ♦ Coordinating actions of the HazMat EMS Unit with other components of the Hazardous Materials Sector ♦ Monitoring welfare of assigned personnel ♦ Anticipating the need for relief personnel and having them available when needed ♦ Requesting additional resources as needed from the Hazardous Materials Sector Supervisor ♦ Releasing resources no longer required ♦ Maintaining crew integrity 22 HazMat Emergency Response Plan and Operational Directives Incident Management Team Hazardous materials responses shall be managed using an incident management structure in accordance with the Poudre Fire Authority Emergency Response Plan and Hazardous Materials Operational Directives. Special Operations Response Team Capabilities The Special Operations Response Team was implemented to assure that the needs of teams assigned to the PFA Special Operations are met by providing specialized emergency medical knowledge and skills required for most appropriate level of care to the responders. The Special Operations Response Team is subordinate to the PFA EMS Battalion Chief for administrative matters, but reports to the Incident Commander, or Sector Supervisor or Assistant HazMat Safety Officer when assigned to an operational event. The Special Operations Response Team is capable of providing emergency medical care to victims of hazardous materials exposure, crushing type injuries and rehabilitation of responders at a variety of incident types. This unit has access to knowledge and skills not normally required of standard advanced life support personnel including hazardous materials specific pharmacological agents and protocols. Program Description In cooperation with Poudre Valley Hospital, a group of Paramedics and Registered Nurses have been selected and trained to provide specialized emergency medical skills designed to support the teams of the PFA Special Operations Command. The Special Operations Response Team program description is included as an appendix to this document. As an asset to the Hazardous Materials Response Team, the Special Operations Response Team functions in the role of providing personnel and expertise to staff the HazMat EMS Unit. The members of the Special Operations Response Team are capable and qualified to assume the HazMat EMS Unit Leader roles and responsibilities. 23 HazMat Emergency Response Plan and Operational Directives Incident Levels Hazardous materials incidents are complex and dynamic. The success of Poudre Fire Authority's response to these incidents relies upon identification and classification of incidents based on measurable criteria. To assure that hazardous materials incidents in the service area of Poudre Fire Authority are responded to and documented using the National Fire Incident Reporting System (NFIRS) appropriately, the following incident matrix shall be followed. Incident Description Resources Evacuation PFA Alarm Level Level Required Re Level I An incident or threat of a A local level None, or FIAZ, HAZI, FUELSP, release that can be controlled response with confined to the NGLIC, NGLOMJ, by the first responders or on notification of the occupancy / ODOR duty hazardous materials appropriate Local, location of origin team members. Incident State and Federal does not require evacuation agencies. Required beyond the involved resource may structure or immediate include: Fire outside area. The incident Department, EMS, is confined to a small area Police, PIC, and poses no immediate CHEMTREC, threat to life or property National Response Center Level It An incident involving a Resources required Several blocks, HAZ2, HAZF, DERAIL, greater hazard or larger area beyond the initial roadway TANKER than a Level t response which response closures, several poses a potential threat to life capabilities of the buildings or property. The incident local responders. may require a limited May require a evacuation of the surrounding Mutual Aid or area Regional HazMat response. Required resources may include: All Level I response agencies, HazMat response teams, Public Works, Health Department, Incident Management Teams Level III An incident involving a Resources required Square miles, IIAZ3, FIAZF, DERAIL, severe hazard or a large area beyond those which crossing TANKER which poses an extreme threat are available jurisdictional to life and property regionally and that boundaries will require the expertise of Federal or State agencies. Required resources may include: All Level I and Level II response agencies, mutual aid fire, police and EMS agencies, Environmental Protection Agency, U.S. Coast Guard 24 HazMat Emergency Response Plan and Operational Directives with attorneys representing the Authority to discuss legal matters, and consideration of real property acquisitions by the .Authority. 1.5. Minutes. The Secretary shall cause all minutes of the meetings of the Board to be kept and shall, prior to the next meeting, provide a copy of the minutes to each member of the Board. 1.6. Voting; Ouorum: Required Votes. Each member of the Board shall have one (1) vote. A quorum of the Board shall consist of three (3) members, provided that the City and the District are represented, and no official action on any matter may be taken by the Board unless a quorum is present. The affirmative votes of a majority of the Board members present shall be required for the Board to take any action. 1.7. By-laws. The Board may adopt such by-laws, rules and regulations as necessary for the conduct of its meetings and affairs. ARTICLE II OFFICERS AND EMPLOYEES 2.1. Chairman, Vice Chairman and Secretary. The Board shall elect a Chairman and Vice Chairman from its members, and shall appoint a Secretary who may, but need not, be a member of the Board. Said officers shall perform the duties normal for said offices, including the following: A. The Chairman shall sign all contracts on behalf of the Authority, except contracts or agreements that may be signed by the Administrative Chief or Executive Chief of the Authority, as herein provided, and shall perform such other duties as may be and FBMA Mutual Aid / Automatic Aid Agreements The Poudre Fire Authority maintains mutual and automatic aid agreements for hazardous materials response. - Refer to current mutual aid agreements, maintained at Poudre Fire Authority Administration. 25 HazMat Emergency Response Plan and Operational Directives Task Section The Task Section of this document will provide the Operational Directives required outlining the Poudre Fire Authority's strategy to mitigate HazMat incidents. These Operational Directives provide general direction to the Hazardous Materials Sector Supervisor and Incident Commander in taking action at the scene of hazardous materials emergencies. Pursuant to CFR29 1910.120, operations level personnel shall, (at a minimum), be "trained to respond in a defensive fashion without actually attempting to stop the release" of a hazardous substance. "Hazardous materials technicians are individuals who respond to releases or potential releases for the purpose of stopping the release." Within the context of these definitions from CFR 29 1910.120 operations level personnel may be engaged in rescue operations but shall not be assigned to tasks directed at stopping a release. 26 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE INCIDENT RESPONSE A response from the hazardous materials team is warranted in a variety of situations where specialized protective clothing, monitoring equipment and other technical services may be required. To assure an effective and complete response to these incidents in accordance with the established Incident Level, current dispatch policy and procedures will be followed. OPERATIONAL DIRECTIVE ESTABLISHING CONTROL ZONES It is imperative that control zones be established as early in the incident as possible. First responders should establish control zones if possible. The first responder shall use available detection equipment, DOT Emergency Response Guidebook and their own best judgment in determining the initial isolation zone. When determining initial isolation zones, members should err on the side of greatest protection for customers and responders and allow the hazardous materials team to decrease the size of the initial isolation zone as needed. The purpose of establishing control zones is to: Designate areas of specific function • Allow for a division of labor • Limit levels of contamination • Provide areas of safety for responders and customers The size and shape of control zones are determined by the following factors: • Chemical properties • Natural barriers • Quantity of product involved and amount of product leaking • Size and condition of the container • Physical state of the product • Weather • Recognized standards and information from resources such as the DOT Emergency Response Guidebook, CAMEO, ALOHA, etc. 27 HazMat Emergency Response Plan and Operational Directives For the purposes of defining control zones, the Poudre Fire Authority will be using the following terminology: • Hot Zone The area most affected by the hazardous materials release, area of safe refuge for contaminated customers and responders and the beginning of the contamination reduction corridor. When available, the use of Threshold Limit Values will be used to determine the boundaries of the hot zone. When possible the hot zone will be distinguished by the use of red fire line / hot zone marking tape or other recognizable material. The location of the safe refuge area should be located near the entrance to the contamination reduction corridor and will be monitored to assure that further contamination of customers and responders is not occurring. Contaminated customers and responders shall make use of the safe refuge area while awaiting access to the contamination reduction corridor. General Hot Zone Guidelines Toxicity The hot zone shall be established based on the products monitored readings being greater than the published TLV / TWA or PEL exposure values. Any readings falling within these limits shall be considered to be within the hot zone. Flammability If dealing with a confined space or indoor release, the zone determination level is 10% of the lower explosive limit. If dealing with a open-air release, the zone determination level is 20% of the lower explosive limit. Any readings falling within these limits shall be considered to be within the hot zone. Oxygen Oxygen deficient atmospheres are those with readings of 19.5% oxygen or less and oxygen enriched atmospheres are those with readings of 23.5% oxygen or higher. In evaluating oxygen deficient atmospheres, consider that the available oxygen may be influenced by the contaminants present. Any area containing oxygen enriched or deficient atmosphere shall be considered to be within the hot zone. Radioactivity Any positive reading above the background level will confirm the existence of a radiation hazard and shall be considered to be within the hot zone. 28 HazMat Emergency Response Plan and Operational Directives Warm Zone The warm zone is an area safe from contamination from the ongoing hazardous materials release. When possible, the warm zone will be distinguished by the use of yellow fire line / warm zone marking tape or other recognizable material. Contamination from exposed customers and responders is possible in this area and all personnel entering the warn zone shall wear the appropriate level of personal protective equipment. The warm zone includes the contamination reduction corridor and an area of safety around the hot zone to prevent contamination of customers and responders that are not equipped with personal protective equipment. The warm zone shall also contain access control points for the hot zone. Cold Zone The cold zone is an area outside the warm zone that is within the incident perimeter. The cold zone will be distinguished by the use of green fire line / cold zone marking tape or other recognizable material. The cold zone is the area where command and control functions occur as well as other functions necessary to support the activities occurring in the hot zone and the warm zone. Treatment of decontaminated customers and responders, interagency coordination and incident security can also be expected to occur in the cold zone. Hazardous material zoning is a dynamic process. Members of the hazardous materials team, command and control personnel and others need to be aware of and anticipate the possibility of zone changes based on the incidents progression. 29 HazMat Emergency Response Plan and Operational Directives Hazardous Materials Zoning Diagram Environmental Protection Agency (EPA) Terms Exclusion Zone Contamination Reduction Zone (CRZ) Support Zone Hotline Contamination Control Line Other Common Terms = Hot, Red, or Restricted Zone = Warm, Yellow, or Limited Access Zone = Cold or Green Zone = Contamination Perimeter = Safety Perimeter 30 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE HAZARD AND RISK ASSESSMENT AT THE SCENE The evaluation of hazard information and the assessment of the risk involved to responders is one of the most critical decision making points in the successful management of a hazardous materials incident. A working knowledge of the material(s) involved in the incident must be present to provide an accurate assessment of the risks and hazards involved in taking offensive action. The incident action plan should be developed to provide for the safety of responders and the public. The Poudre Fire Authority first responders shall utilize the procedures outlined in the Poudre Fire Authority Operational Directives in determining the initial hazard and risk profile. In determining the general hazard and risk profile, the hazardous materials team shall use the General Hazardous Materials Behavior Model and the GEDAPER Process as outlined in this section. The General Hazardous Materials Behavior Model as described by Ludwig Benner is as follows: EVENT STRESS BREACH RELEASE ENGULF IMPINGE" HARM Event Categories Thermal Disintegration Detonation Cloud Short Term Thermal Mechanical Runaway Violent Plume Medium Term Radiation Cracking Rupture Chemical Cone Long Term Asphyxiation Attachments Rapid Relief Irradiation Open Up Stream Toxic Spill or Leak Etiological Punctures Irregular Corrosive Deposits Splits or Tears Etiological Mechanical Events Interruption Principles Influence Influence Influence Influence Size Influence Influence Applied Breach Size Quantity of Danger Exposures Severity of Stresses Released Zone Impinged Injury Redirect Chill Contents Change Initiate Provide Rinse Off Impingement Container Controlled Shielding Contamination Limit Stress Position Ignition Shield Levels Begin Increase Stressed Minimize Erect Dikes or Evacuation Distance From Systems Activate Pressure Dams Source Venting Differential Move Stressed Devices Dilute Provide Systems Cap Off Shielding Breach Source: Benner, Ludwig, 1978, Hazardous Materials Emergencies, 2n° Edition, Oakton, VA; Lufred Industries, Inc. 31 HazMat Emergency Response Plan and Operational Directives GEDAPER is a mnemonic device, in which each letter represents some other word or concept. GEDAPER represents seven such words or concepts. They are: Gather information Estimate potential course and harm Determine strategic goals Assess tactical options and resources Plan and implement actions decided upon Evaluate Review Using GEDAPER and the General Hazardous Materials Behavior Model allows the hazardous materials team members in association with Command to develop an incident action plan that provides the safest and most effective means of incident mitigation. In conjunction with the use of the above incident planning methods, a survey of the incident area will be conducted to enhance the process including identifying specific container properties; labels and placards; shipping papers; availability of Material Safety Data Sheets; and other sources of information related to the product(s) involved. Products shall be categorized based upon flammability, health and reactivity as described in the Hazardous Materials Data Sheet. An assessment of the products shall include at least three reference sources and shall be documented on the Hazardous Materials Data Sheet. The Hazardous Materials Reference Officer and / or HazMat Sector Supervisor shall be responsible for providing technical information and assistance in identifying hazard and risk assessment to include product identification confirmation, physical properties and hazardous characteristics as described in the Hazardous Materials Data Sheet. Recommendations will include control zone distances, monitoring methods, personal protective equipment requirements and any other information specific to the hazards associated with the involved chemical(s). The Hazardous Materials Reference Officer and / or the HazMat Sector Supervisor shall be responsible for assuring the information associated with the involved material(s) is included in the incident action plan and subsequent reports associated with the incident. 32 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE MONITORING EQUIPMENT Accurate identification of the product involved in a release and subsequently the hazards involved are critical to the mitigation of an incident. Monitoring techniques are critical to the success of these operations. The following types of monitoring equipment are available to the hazardous materials team. • Radioactive monitoring equipment • Photo ionization detector • Combustible gas detectors • Atmospheric oxygen monitors • Hydrogen sulfide monitors • Carbon monoxide monitors • pH monitoring devices • Color metric tube monitors • Hazardous materials chemical identification kits Site monitoring shall be conducted at all hazardous materials incidents prior to offensive actions being taken. The hazardous materials sector supervisor will determine the appropriate monitoring devices / strategies necessary to establish incident perimeters. When possible, monitoring will be continuously done at the perimeters of the hot and warm zones. Monitoring will also be done in the contamination reduction corridor to provide quality assurance of the decontamination process and to limit the spread of contaminants. Prior to releasing the incident to a spiller or other responsible party, the hazardous materials team will complete a final assessment of the scene, including any decontamination water or supplies, and assure that contamination levels are acceptable for the level of protective clothing to be employed in the recovery operations. 33 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE PERSONAL PROTECTIVE EQUIPMENT In conjunction with the hazardous materials response team's goals and the Poudre Fire Authority's risk profile, all members initiating offensive action, rescue or other activities at hazardous materials incident, shall wear the appropriate personal protective equipment as determined by the Incident Commander or HazMat Sector Supervisor. Personal protective equipment ensembles exist in a large number of configurations and compatibility's. For the purposes of this document, personal protective equipment may include the following components; suit, gloves, boots, over -garment, undergarments and respiratory protection. When worn together in the recommended manner and configuration, these components form a personal protective equipment ensemble. Each recommended component shall be present prior to a member taking offensive or defensive action. All personal protective equipment ensembles used by the hazardous materials response team shall be compliant with NFPA standards. Specific component requirements in Level A protective equipment include three layer gloving in vapor protective clothing and undergarments for personal protection. The gloving system shall include the glove attached to the suit as the bottom layer, covered with a 4H- brand glove, covered with a substance compatible, third layer glove. Undergarments shall include nomex jump suit or station uniform (with sharp objects removed), nomex hood, communications equipment, helmet where applicable and respiratory protection. Appropriate personal protective equipment and protection levels (vapor protective, liquid splash protective with SCBA, liquid splash protective with air purifying respirator, support clothing) shall be determined for each of the zones associated with the incident. These determinations shall be the responsibility of the reference officer and will be made using information about the product involved, the associated hazards, and the compatibility of the available personal protective equipment ensemble. In all situations where the materials involved have flammable properties, as defined in the 1991 Uniform Fire Code, Appendix VI -A, and in other situations as determined by the Reference Officer and / or Assistant Safety Office — HazMat, suits having NFPA approved flame resistance shall be donned prior to beginning of offensive actions. 34 HazMat Emergency Response Plan and Operational Directives imposed by the Board. B. The Vice Chairman shall perform all of the Chairman's duties in the absence of the Chairman. C. The Secretary shall attest to all contracts signed on behalf of the Authority and perform such other duties as may be imposed by the Board. e 2.2. Management The Board shall appoint an Administrative Chief and an Executive Chief to manage the Authority. The Executive Chief shall perform all the Administrative Chief's duties in the absence of the Administrative Chief. The Administrative Chief shall have the power: A. To provide for the planning, design and construction of any buildings, additions or improvements to the facilities owned by the Authority. B. To execute any contract for capital costs, costs of special services, equipment; materials, supplies, maintenance or repair that involves an expenditures by the Authority of less than Twenty Thousand Dollars ($20,000). C. To employee all personnel of the Authority required for the provision of services and maintenance and operation of all facilities. D. To employ all personnel required in connection with the planning, design and construction of any buildings, additions or improvements to the facilities owned by the Authority. E. To expend funds and enter into contracts, whenever required, for the immediate preservation of the public health, safety, and welfare, provided that the amount of funds involved does not OPERATIONAL DIRECTIVE TESTING PERSONAL PROTECTIVE EQUIPMENT Testing of Level A personal protective equipment is required to assure serviceability and readiness. Level A personal protective equipment is tested according to the manufacturers recommended methods. Personal protective equipment that requires testing shall be tested every six months or after each use, whichever is the lesser amount of time. Other personal protective equipment that has no manufacturer recommended testing procedure shall be visually inspected every six months or after each use, whichever is the lesser amount of time. The following testing procedure shall be followed for vapor protective clothing unless the manufacturer specifies another method. This procedure is in accordance with ASTM F23.50.01, "Practice For TestingT.E.C.P.S.". Results of all suit testing shall be documented in the appropriate suit log. Test Procedure Remove all the threaded exhaust valves from the suit by unscrewing the retaining nut and removing the gasket and washer from inside the suit. Place these together in a convenient location for later reinstallation. 2. Place a gasket on the inflation test adapter and insert the adapter into the exterior of the valve opening. From within the suit interior, place the other gasket and washer on the threaded adapter. Tighten the retainer nut hand tight onto the washer. 3. Assure that all other openings have been plugged or closed. 4. Rotate the inflation valve on the test kit to the OPEN position. Turn the inflation blower on and monitor the pressure until it reaches three (3) inches of water column pressure. Turn the inflation valve to the CLOSED position and shut off the blower. Allow the suit to stabilize at this pressure for one minute. 5. Set the timer on the test kit for three minutes. Release air from the suit by partially opening the inflation valve. When the pressure has been reduced to two (2) inches of water column pressure, turn the inflation valve to the CLOSED position and start the timer. 6. Record the suit pressure after three minutes. A suit pressure of less than 1.6 inches of water column pressure constitutes failure of the test. 7. If the suit fails the pressure test, visually inspect the suit and check for leaks with soapy water. If no leaks are found or leaks are found at suit openings, retest the suit starting at Step 2. 8. If the suit fails the initial pressure test and upon retesting continues to not pass, remove the suit from services until repaired and retested. 9. If a suit should need to be returned to the manufacturer for repair, follow the procedure outlined in the Level A personal protective equipment logbook. 35 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE DECONTAMINATION Prior to entry of hazardous materials team personnel into the hot zone, a contamination reduction corridor and appropriate level of decontamination shall be established and staffed. The purpose of the decontamination procedure is to assure that any potentially harmful or dangerous residues on persons or equipment are confined within the hot zone. The specific measures required to conduct decontamination will vary for each incident. This operational directive deals with technical decontamination. In all cases, the primary objective must be to avoid contaminating anyone or anything beyond the hot zone perimeter. The Hazardous Materials Sector Supervisor shall appoint a decontamination team leader. Decontamination team personnel will typically include individuals who are trained to the first responder operations level. These personnel shall be thoroughly briefed and when possible, complete a pre -entry physical exam prior to beginning operations. The Hazardous Materials Sector Supervisor shall approve selection of personal protective equipment for decontamination team personnel. Personal protective equipment will typically be equal to, or one level lower, than the personal protective equipment worn by the entry team. All personnel and equipment exiting the hot zone to the contamination reduction corridor shall be considered contaminated until proven otherwise. When the incident has been completed all materials used in decontamination of personnel and equipment shall be grossly decontaminated and bagged for disposal or further decontamination. Decontamination team personnel shall be responsible for decontaminating themselves prior to exiting the contamination reduction corridor. 36 HazMat Emergency Response Plan and Operational Directives Technical Decontamination Diagram RED ZONE START HERE TOOL DROP & 1 3/4" LINE OTHER FOR EQUIPMENT EMERGENCY DECON REGULAR DECON EMERGENCY DECON SHOWER SUPPLY SHOWER RED __ ________________ ___________________ ZONE YELLOW POOL ZONE ENVIRONMENTAL BARRIER, PLASTIC 20' x 50' vD i SINGLE LAYER ONLY o POOL �p0 POOL ----- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ZONE DOFFING AREA SUIT / DROP 1 3/4" SUPPLY LINE TO ANCHOR DOWN PLASTIC AND SUPPLY WATER AS NEEDED 40111771:IC7: 37 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE EMERGENCY DECONTAMINATION Decontamination of ambulatory customers and responders who have been exposed to a hazardous material may be accomplished prior to the establishment of a technical decontamination procedure. Decontamination procedures may also be employed for victims located outside the boundary of the hot zone who are incapacitated or incapable of providing self -rescue to a safer area and.are in need of immediate life saving interventions. Members shall wear the appropriate level of personal protective equipment prior to making any physical contact with the victim. Emergency decontamination should be attempted with all materials that are not water reactive and shall include two steps. • Removal of clothing • Thorough rinse and directed washing with soap if possible by the victim Contaminated customers and responders should be directed to perform the above steps in an area of safe refuge by a member who is isolated from the possibility of contamination. Clear verbal directions should be used when communicating with these victims. All members participating in emergency decontamination procedures shall consider themselves to be contaminated and shall complete personal decontamination at the level mandated by the Assistant Safety Officer / HazMat. Any customer or responder that requires emergency decontamination shall be considered to have been exposed to a highly toxic material until proven otherwise. This operational directive shall be used by first responders and hazardous materials team members in all situations requiring emergency decontamination. 38 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE SITE ENTRY AND BACKUP Prior to making entry in to a hot zone for the purpose of incident mitigation, the following steps shall be completed: • Appropriate personal protective equipment selected and verified for compatibility • Pre -entry briefing completed • Backup team(s) in place An entry team is any crew that performs mitigation, rescue or any other action within the perimeter of the hot zone. Entry teams shall be comprised of at least two members and shall have at least one rescue team dressed and staged at the edge of the cold zone. A backup team is any crew that exists to support the entry team should they encounter difficulties or require rescue. Backup teams shall be comprised of a least two members. Backup teams may be employed as the relief crew for an entry team at the end of their work cycle, at the discretion of the hazardous materials sector supervisor. If the backup team is deployed for any reason, a new backup team shall be dressed and briefed to deploy as soon as possible. A rescue team is any crew that exists for the sole purpose of rescuing the entry team or incident casualties. They mirror the backup team with the exception that they will not serve as a relief crew nor take actions beyond the purpose of rescue. The following entry briefing shall be conducted prior to any entry being made into the hot zone: • Preliminary site analysis and site safety plan • Product identification • Action plan and objectives for the work cycle • Signs and symptoms of exposure • Atmospheric monitoring procedures, instruments and expected values • Communications review (Radio and hand signals) • Decontamination procedures and location of contamination reduction corridor • Emergency evacuation signals and areas of safe refuge • Pre -entry hydration requirements and medical considerations 39 HazMat Emergency Response Plan and Operational Directives • Estimated work cycle duration • Other site specific information as required OPERATIONAL DIRECTIVE SPILL AND LEAK CONTROL Prior to beginning containment or confinement operations, the incident commander should consider: • What hazardous material(s) are involved? • What are the associated hazards? • What is the risk to emergency response personnel and civilians? • What are the training levels and physical abilities of the personnel that will perform the operation? • Are any special tools, equipment or supplies needed for the operation available? • Is emergency decontamination and appropriate emergency care available in case of an accident during the operation? Confinement techniques are the actions necessary to confine a product release to a limited area. These actions occur remote from the spill or leak site, are defensive in nature and are supervised by the Confinement Team Leader. These operations present several advantages: • Avoid direct exposure of personnel • Can often be performed without special equipment • Can usually be performed by first responders with minimal supervision Confinement techniques are best suited to liquid releases and include the following: • Diversion • Diking • Retention The decision to employ one, or all, of these techniques must be based on the availability of 40 HazMat Emergency Response Plan and Operational Directives time, personnel, equipment and supplies. A risk assessment must also be conducted to include the review of the potential harmful effects of the leaking material downhill and downwind of the spill. Containment techniques are those actions necessary to keep the product inside its container. These techniques require entry into the hot zone to control the leak or spill at its source, are offensive in nature and supervised by the Entry Team Leader. Containment techniques are best suited to solid and gaseous releases and include the following: • Up righting and sealing leaking containers • Closing and tightening caps and lids • Plugging and patching damaged containers • Depressurizing vessels • Covering solid spills • Neutralization and vapor suppression OPERATIONAL DIRECTIVE SITE ACCESS Access to hazardous materials incidents shall be limited to members of responding agencies and spiller representatives. The law enforcement agency having jurisdiction shall be responsible for providing perimeter security. The incident commander shall be responsible for assuring that only qualified members have access to the hot and warm zones. Perimeter access points shall be visibly marked. Staging and other incident facilities will be clearly identified. OPERATIONAL DIRECTIVE 41 HazMat Emergency Response Plan and Operational Directives TERMINATION AND DOCUMENTATION Formal termination of hazardous materials incidents will be conducted when size or complexity indicate such action is advisable. Determination of need for formal termination shall be made by the Incident Commander. Components of the termination and documentation of an incident may include a structured debriefing prior to resources being demobilized, a written post incident analysis and an after action review. Documentation of the incident shall be in accordance with the direction of the Incident Commander or designee. All incident documentation shall be collected and forwarded with the incident billing information to the Special Operations Battalion Chief for secure storage. Debriefing Debriefings shall begin as soon as the "emergency" phase of the operation is complete and before demobilization of assigned resources begins. A debriefing should include first responders, law enforcement personnel, fire department personnel, hazardous materials response team members, sector supervisors, members of the command and general staff and others as deemed necessary by the incident commander. On larger incidents, information from the debriefing may be delivered to agency representatives and key players. These personnel will then return to their personnel and pass on the essential information, including, when applicable, who to contact for further information. Debriefings shall be conducted in an environment, which is free from distractions such as weather, radios, generators and other forms of noise. Components of a debriefing shall include: • The names of all chemicals or materials that were involved in the incident • The exact symptoms of exposure to each substance • The specific decontamination actions that are required beyond the initial incident decontamination actions. Examples: wash hands, take a full shower, dispose of clothing, etc. • Identification of equipment damage and unsafe conditions requiring immediate attention or isolation • Assignment of information gathering responsibilities for the post incident analysis and after action review • A summary of actions performed by each sector, including topics for follow-up • Reinforcement of the positive aspects of the incident response • Contact person for further information or follow-up should it be required Post Incident Analysis 42 HazMat Emergency Response Plan and Operational Directives The post incident analysis will begin with the assignment of one person to collect information pertaining to the incident. This person should be either the Reference Officer or the Plans Section Chief, if assigned. This designated person will distribute information to those with a need to know; guaranteeing that sensitive or unverified information is not released to the wrong organization or in an untimely manner. Information that shall be obtained in conjunction with the post -incident analysis includes: • Shipping papers or Material Safety Data Sheets • Owner / Operator / Responsible Party information • Chemical hazard information from Hazardous Materials Data Sheet and other sources as necessary • Dispatch tapes • Notes from Command and General Staff and Sector Supervisors • Photographs and site maps • Monitoring records and exposure records • Incident reports and ICS / IMS forms • Business cards or notes from agency, organization or company representatives The post incident analysis shall focus on the following areas: • Command and Control • Tactical Operations • Resources • Support Services Once the post incident analysis has been completed, it shall be forwarded to the Hazardous Materials Team Leader and Special Operations Chief for review. Upon completion of the review, the Special Operations Chief shall distribute the post incident analysis to those with a need to know and those with direct responsibility for actions necessary to correct issues identified in the post incident analysis. After Action Review After action reviews shall be conducted in accordance with PFA Operational Directives. OPERATIONAL DIRECTIVE 43 HazMat Emergency Response Plan and Operational Directives INCIDENT MEDICAL SURVEILLANCE On all incidents where the hazardous materials sector is activated, a hazardous materials EMS unit may be established. The incident commander may establish a hazardous materials EMS unit at other times as required. HazMat EMS Unit Functions • Staff the hazardous materials EMS unit with member of the PVH Special Operations Response Team • Perform pre -entry and post -entry physical examinations • Provide emergency care to members of the hazardous materials sector and victims directly encountered by this sector • Provide technical expertise and support to other EMS resources assigned to the incident and Poudre Valley Hospital, to treat and care for victims and others not directly assigned to or encountered by the hazardous materials sector • Serve as the ultimate authority in granting or denying access to hazardous materials team members to the hot zone based on established health criteria • Coordinate with the Reference Officer and/or Plans Section Chief information relating to the acute, delayed and chronic effect of exposure and treatment modalities for the materials involved in the incident • Provide relevant documentation regarding the EMS functions occurring at the incident • Assure pre-hydrations of all members taking offensive mitigation actions of at least one pint of fluids Pre -Entry and Post -Entry Medical Evaluations Medical evaluations shall be performed on all members prior to engaging in offensive actions to mitigate a hazardous materials emergency and upon completion of entry activities. If, in the opinion of the HazMat EMS Unit Leader, a member requires further evaluation or treatment at a medical facility, that member shall be transported without delay and the member shall not refuse transportation or treatment. Examination Components and Criteria Criteria for Pre -Entry or Re -Entry shall meet the guidelines set forth in the PFA Rehabilitation Operational Directive. Hazardous Materials Specific Rehabilitation Procedures 44 HazMat Emergency Response Plan and Operational Directives exceed one percent (1%) of the annual budget of the Authority for the year in which the funds are expended or the contract is made. F. To dispose of by sale any personal property of the Authority with a value of less than Ten Thousand Dollars ($10,000.00). G. To approve payroll payments and other demands for payments by the Authority, provided an individual payment does not exceed Twenty Thousand Dollars ($20,000.00). H. To prepare and submit to the Board an annual operating budget for the next fiscal year in accordance withthe budget schedules of the City and District. I. To adopt general operating guidelines, including operating policies and inspection policies, as deemed appropriate. J. Generally, to supervise the acquisition, construction, management, maintenance and operation of the Authority's facilities and personnel. K. To perform such other duties as directed by the Board and report to the Board at such times and on such matters as the Board may direct. 2.3. Legal Advisor. The Board shall have the power to appoint a legal advisor of the Authority who shall perform such duties as directed by the Board. 2.4. Other Employees. The Board shall have the power to appoint and employ such other persons for the purpose of providing professional, technical or consulting services as may be necessary for the purposes of this Agreement. Members shall receive rehabilitation in accordance with PFA Rehabilitation Operational Directives and PVH rehabilitation procedures. Personnel Condition Monitoring Personnel operating in personal protective equipment are subject to severe physical stresses requiring close monitoring. Any feeling of chest pain, dizziness, shortness of breath, headache or weakness requires immediate withdrawal from the hot zone for decontamination and assessment. Any member noted to have changes in speech, gait or behavior requires immediate withdrawal from the hot zone for decontamination and assessment. 45 HazMat Emergency Response Plan and Operational Directives OPERATIONAL DIRECTIVE EMS FOR VICTIMS EXPOSED TO HAZARDOUS MATERIALS Initiation of treatment procedures for victims exposed to hazardous materials are dependent on protocols established in Operational Directives for Incident Medical Surveillance (page 44) and Decontamination (standard and emergency; pages 36, 38). This directive is primarily for PFA and PVH EMS responders who may be called upon to assess, decontaminate and treat patients outside the normal operating guidelines of the HMRT and PVH Special Operations Response Team. Under normal circumstances, assessment and decontamination would be accomplished prior to EMS providers starting initial treatment. Product Identification and Personal Protection Prior to patient contact, it is imperative that EMS providers make every effort to identify the product(s) involved and determine the personal protection necessary to safely begin assessment, decontamination, and initial treatment of patients. Assessment, Decontamination, and Initial Treatment of Patients Assessment (see EMS Decision Tree For Chemical Incidents) Under normal procedures, EMS providers will make contact with patients after initial stabilization and decontamination occurs. However, EMS providers must be ready to function in the above capacities when the normal process breaks down, such as during large- scale incidents. Above all, EMS providers must operate within the guidelines established by the hazardous materials training that they have received. To do otherwise increases the risk to the EMS provider and potentially other people they come in contact with. A primary goal of the EMS provider is to terminate exposure of the patient and remove them from further danger. Gross decontamination should be done simultaneously with initial patient stabilization. A thorough decontamination should follow to reduce external contamination, contain the contamination that is present, and to prevent further spread of the contaminant. This can be accomplished by the following procedure: Decontaminate from the head down - avoid introducing contaminants in open wounds - decontaminate exposed wounds and eyes before intact skin - cover wounds with waterproof dressing after decontamination 46 HazMat Emergency Response Plan and Operational Directives 2. For external contamination, begin with least aggressive methods - limit mechanical or chemical irritation of skin - wash contaminated area gently under a stream of water, and scrub with a soft brush or surgical sponge - use warm, never hot, water 3. Remove contaminants to the level that they are no longer a threat to patient or response personnel as determined by appropriate monitoring procedure. 4. Isolate patient from environment to prevent spread of remaining contaminants. 5. If possible, contain all runoff from decontamination procedures for proper disposal. 6. Ensure all potentially contaminated patient clothing and belongings have been removed. - Properly label bags that contain clothing or potentially contaminated articles Although it is ideal to decontaminate patients prior to any treatment, the EMS provider will be compelled to start initial treatment procedures prior to full decontamination being completed. In many cases, complete decontamination may not be possible, therefore the EMS provider must be prepared to take precautions to protect themselves, their equipment, the patient and subsequent contacts, from further contamination. The following guidelines will assist the EMS provider in providing appropriate treatment while considering the issues of contamination. • Assign highest priority to ABC's and decontamination • Complete primary and secondary surveys as conditions allow, based on chemical -specific information received • In multiple patient situations, begin proper triage procedures • Treat presenting signs and symptoms as appropriate and when conditions allow • Administer orders of the designated poison control center when conditions allow • Perform invasive procedures only in uncontaminated areas • Reassess patient frequently because many chemicals have latent physiological effects • Delay prophylactic measures until patient is decontaminated 47 HazMat Emergency Response Plan and Operational Directives Patient Transport to Hospital The transportation of patients to the hospital from a hazardous materials incident requires that the transportation vehicle and the patients be properly prepared to help prevent exposures. The following guidelines will be followed: Preparing the Vehicle • Take care to prevent contamination of the ambulance and subsequent patients • Exposed surfaces that contaminated patients will likely come in contact with should be covered with plastic sheeting • Use fiberglass backboards and disposable sheeting • Equipment contacting the patient should be segregated for disposal or decontamination • EMS personnel should wear ppe appropriate for conditions and respirators, if indicated • See page 49 for suggested equipment required for care and transport of contaminated patients Preparing the Patient • Patient should be as clean as reasonably possible before transport • Response personnel should wear appropriate ppe If decontamination cannot be adequately done: Attempt to prevent spread of contaminate At a minimum: ♦ Remove clothing ♦ Wrap in blankets or sheets followed by body bags or plastic or rubber sheets to minimize contamination to equipment and others ♦ Make considerations for chemicals that present a danger of accelerated skin absorption due to heat or moisture (don't use body bags or plastic sheets) - Minimize contamination from shoes 48 HazMat Emergency Response Plan and Operational Directives • Record involved chemicals and any other data, if available, before leaving the scene • Administer oxygen by re -breather mask for patients with respiratory problems unless contraindicated • Irrigate exposed eyes with saline or water and continue irrigation en route to hospital • Personnel should wear respiratory protection during transport • Provide maximum fresh air ventilation that weather permits to the patient and driver's compartment regardless of the presence or absence of odors Transport to Hospital • Re -contact the receiving hospital - update the hospital on treatment provided and any other information received from the designated poison control center, and - obtain instructions on approaching and entering the hospital • Avoid contact with contaminants, provide protection to the vehicle; wear protective clothing as appropriate • Get patient as clean as possible prior to transport • Administer oxygen by mask for any patient with respiratory problems (except as contraindicated) • Before leaving the scene, write down the name of the involved chemicals, if identified and any other data available such as MSDS sheets • Provide fresh air ventilation to patient and driver's compartment • Continue to irrigate eyes that have been exposed with normal saline or water en route to the hospital and be alert for any respiratory distress • Park the ambulance in an area away from the emergency department or go directly to a pre -designated decontamination area • Do not bring patients into the emergency department before ambulance personnel receive permission from the hospital staff • After unloading the patient, check with the hospital to determine where the ambulance can be safely decontaminated and the availability of equipment for this purpose • Decontaminate exposed personnel 49 HazMat Emergency Response Plan and Operational Directives Air Transportation of Chemically Exposed Patients Considerations while transporting patients via helicopter: • Flight crew may experience difficulty breathing or seeing due to incomplete decontamination of patient • Clearly communicate unsafe areas for crew to fly through • Be aware that downdraft from helicopter could affect vapors or fumes at the scene Patient Management During Mass Casualty Conditions Involving Hazardous Materials Considerations in addition to normal mass casualty protocols: • may require mass screening and decontamination centers • may require casualty collection points in order to provide stabilizing care in the field prior to transport • a major chemical incident may accompany other disasters such a tornado, flood, earthquake, etc. This would drastically increase the number of casualties and complexity of medical treatment required • require increased number of personnel, more sophisticated medical equipment, and a better transport system • triage may be complicated by delayed onset of signs and symptoms due to chemical exposures 50 HazMat Emergency Response Plan and Operational Directives M1 EMS Chemical Accident/ Injury Event Patient is moved to safe refuge area out of the Hazardous Environment and Emergency Personnel are Wearing Appropriate PPE Life Potentially Life Saving Prroocedures Yes— Threatening Or \ Required? Unknown No Perform LifaSaving Procedures I Environmental Or Patient' Conditions Prevent Further Decontamination , No Decontaminate By Making Patient As Clean As Possible ( ACAP' ) I Further I Medical Attention Or Surveillance Required No I Report to Superiors For Instructions 2 Simultaneously Grossly Decontaminate (i.e., Remove Clothing ....), Cover Or Wral Contaminated Areas, and initiate stabilization of ABC's Cover or Wrap Patient To Prevent Spread Of Contamination Transport to Medical Facility • Cmtnination redueed to a 6W tea Is no tongs, a throat to patient or responder 51 HazMat Emergency Response Plan and Operational Directives Bibliography Hazardous Materials Training Staff et. al., "Training for Hazardous Materials Team Members", International Association of Firefighters, 1st Edition, 1991 Albrandt, C., Lesser, M., Mirowski, R., Nuckols, G., et. al., "Operational Directives", Poudre Fire Authority, December 1996 Hildebrand, M., Noll, G., Yvorra, J., "Hazardous Materials: Managing The Incident", Fire Protection Publications, 1st Edition, 1988 International Fire Service Training Association, Hazardous Materials for First Responders", Fire Protection Publications, 1st Edition, 3rd Printing, April 1990 United States Government, "Code of Federal Regulations 29, Part 1910.120", Office of the Federal Register, July 1994 United States Government, "Code of Federal Regulations 40, Part 311 ", Office of the Federal Register, July 1994 Technical Committee on Hazardous Materials Response, "Recommended Practice for Responding to Hazardous Materials Incidents; NFPA 471 ", National Fire Protection Association, 1992 Edition Technical Committee on Hazardous Materials Response, "Standard for Professional Competence of Responders to Hazardous Materials Incidents; NFPA 472", National Fire Protection Association, 1992 Edition Technical Committee on Hazardous Materials Response, "Standard for Competencies for EMS Personnel Responding to Hazardous Materials Incidents; NFPA 473", National Fire Protection Association, 1992 Edition Bruegman, R., "Hazardous Materials Response Program", Poudre Fire Authority, 1991 52 HazMat Emergency Response Plan and Operational Directives City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet PROPERTY QUOTE ............... ................................... _ I:::::::::::::l::::::::::::::::::::::::III::::::::::: :..r ..............._..................................... .............................................. ........................................................... e:: .:.:. Curr 5............................................................. ................................................................. 2408/09::: Property Master Blanket Including EDP, Fine Arts, Inland Marine, Mobile Equipment, Vehicles, and Builders Risk) See SOV See Sov Loss Limit - $ $100,000,000 $100,000,000 Deductible - $ per occurrence $50,000 $50,000 Optional Deductible $10,000 Optional Deductible $100,000 Deductible - $ Annual Aggregate $150,000 Flood Included Included Limit (Occ/Aggregate) -Outside flood areas $10.000,000 $10,000,000 Limit (Oce/Aggregate) -Inside flood areas $8,000,000 $10,000,000 Deductible (Each Occurrence) - $ $100,000 $10000 Earth Movement Included Included Limit (Occ/Agg)- $ $10,000,000 $10,000,000 Deductible - $ $100,000 $100.000 Automatic Coverage -Newly Acquired Property Damage and Time Element $5,000,000 $5,000,000 Flood Included $10000 Earth Movement Included $1:000.000 Errors and Omissions Property Damage and Time Element $5,000,000 $5,000,000 Flood Included $1,000,000 Earth Movement Included $1.000.000 Unnamed Property Floater Property Damage and Extra Expense $5,000,000 $5,000,000 I'lood Included $5,000,000 Earth Movement Included $5,000,000 Service Interruption Property Damage and Time Element $5,000,000 $5,000,000 Deductible 24 hour waiting period 24 hour waiting period Transportation (A) Per Conveyance $500,000 $500,000 (B) Per Catastrophe $500,000 $500.000 Accounts Receivable Limit - $ $500,000 $500,000 Valuable Papers Limit - $ $500,000 $500,000 Business Interruption & Extra Expense Blanket Limit - $ Actual Loss Sustained Actual Loss Sustained Outdoor Property $5,000,000 $5,000,000 Personal Effects $5,000 $5,000 Trees, Shrubs, Plants $5,000 $5,000 Ingress/Egress $500,000 $500,000 Deductibles Applied Rtsk Sglutions; Lu:; Page 1 of ✓a;Je d w,vs, L, +r City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet PROPERTY QUOTE ...................................................................... .... .... . �...:. e°t r Curr..n . P .o ram: ....... ..................... ...... .... ................. .. .. ............................... ................9............ ...................... Ingress/Egress 24 hour waiting period 24 hour waiting period Applied Risk >Soluuons, iLc: Page 2 of 9 ARTICLE III POWERS OF THE AUTHORITY 3.1. General Powers The Authority shall exercise, in the manner herein provided, the powers common to the City and the District, as provided by the laws of the State of Colorado, and all incidental, implied, expressed or necessary powers for the accomplishment of the purposes of this Agreement as provided herein. The Authority shall not have the power to levy taxes. 3.2. Specific Powers The Authority is hereby authorized, in its own name, to do all acts necessary for the exercise of the foregoing powers including, but not limited to, the following: A. To make and enter into contracts, including those with the parties hereto, for goods or services. B. To employ all necessary personnel. C. To acquire, construct, manage, maintain or operate any buildings, works, improvements or other facilities. D. To acquire, hold or dispose of property. E. To sue and be sued 'in its own name. F. To incur debts, liabilities, or obligations, provided that no debt, liability or obligation shall constitute a debt, liability or obligation of either the City or the District. G. To apply for, accept, receive and disperse grants, loans and other aid from any governmental entity or political subdivision thereof. City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet PROPERTY QUOTE ........................................... _ ..................... ..__ 1::::::::::::::::::............:::::::::::::: _ ............................. _.............. I.1 .:.:.:.:.:.:.:.... . urr..ntP.o rain:::: ... ......1........... ........ ::....>«:'....:.:....:::::::::::::::::::::: Environmental Impairment Coverage Property Damage Policy Limit Policy Limit Debris Removal, including pollution clean-up Limit - $ 25% 25% Building Ordinance Coverage Limit - $ $5,000,000 $5.000.000 Builder's Risk Per Site $10,000,000 $10,000,000 All Sites $10,000,000 Vehicle Damage, including over the road Limit - $ Policy Limit Policy Limit Deductible $10000 $50,000 EDP Equipment & Media Limit - $ Policy Limit Policy Limit Outdoor Property Limit - $ $5,000,000 $5,000,000 Trees, Shrubs and Plants Per Item $5,000 $5,000 Personal Effects of Officers/Employees Per Employee Policy Limit Policy Limit Per Occurrence Policy Limit Policy Limit Debris Removal Limit - $ 25% of Direct Physical 25% of Direct Physical Loss Loss Service Interruption 24-Hour Waiting Period 24-Hour Waiting Period Subtotal Terrorism (TRIA) State Tax Stamping Fee TOTAL PROPERTY Applied Risk 5glutions; Lu:: Page 3 of 9 io" A k k,N° r,,,., , r ,„„ City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet LIABILITY QUOTE F: n III ........................ ...............:.: ................ rr ..::hro rafri::: > ............ ::::::::...... ..:::::::::: ::::::::::::::::....:::::::::: ,...... Coves es. ::: Zf108✓09 ...:: fie:::::::: hro ram S ecs -::.Qua ....... . General Liability Claims-Made/Occurrence Occurrence Occurrence Estimated Audit Premium Non-Auditable Non-Auditable Occurrence Limit - $ $500,000 $3,000,000 Aggregate Limit $500,000 $6,000,000 Occurrence Retention - $ $500,000 $250,000 $500,000 $1,000,000 Aggregate Retention - $ N/A $1,000,000 Law Enforcement Liability Claims-Made/Occurrence Occurrence Occurrence Occurrence Limit - $ $500,000 Included in GL Annual Aggregate Limit - $ Included in GL Included in GL Occurrence Retention - $ $500,000 See Options Aggregate Retention - $ NA See Options Public Officials E&O Claims-Made/Occurrence Occurrence Occurrence Occurrence Limit - $ $500,000 $3,000,000 Annual Aggregate Limit - $ $500,000 $6,000,000 Occurrence Retention - $ $500,000 See Options Aggregate Retention - $ NA See Options Business Automobile Liability Comprehensive/Collision $50000 See Property Limit - Any One Accident $500,000 $3,000,000 Uninsured Motorist (Optional - Quote separately) $1,000,000 Annual Aggregate Limit - $ Included in GL None Retention - $ $500,000 See Options Aggregate Retention - $ N/A See Options Employment Practices, Employee Benefits, Sexual Abuse & Sexual Harassment Liability Occurrence Employment Practices Employment Practices Employee Benefits Employee Benefits Sexual Abuse & Sexual Sexual Abuse & Sexual Harassment Harassment Claims -Made Employee Benefits Employee Benefits Occurrence Limit - $ $500,000 $500,000 Annual Aggregate Limit - $ Included in P.O. E&O Included in P.O. E&O Occurrence Retention - $ $500,000 See Options Aggregate Retention - $ NA See Options Fiduciary Liablity Not Covered Claims-Made/Occurrence Claims -Made Occurrence Limit - $ 1 MIL to 3 MIL Annual Aggregate Limit - $ 1 MIL to 3 MIL Occurrence Retention - $ See Options Aggregate Retention - $ NA Subtotal Terrorism (TR/A) Surplus Lines Tax TOTAL LIABILITY Page 4 of 9 Applied Risk, Solutions, uc V A l Nan. y I Y.vrlrtr� City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet EXCESS LIABILITY QUOTE ....................................................... I::::::::::::::::::::::::::::::::::::::IFI:::::::::: ........................................................ .............................................................. ...................................................................... ........................................................................................................................................... rr n :Pr'.:.fi.:.;. Cti e t o atn:::::::::::::::::::::::::::::::::::::::::: .................................................................... .................. ..................................................................... ............. Excess Liability General Liability/Auto/ See Liability Quote Occurrence Wrongful Acts (previous page) Claims -Made Employee Benefits Estimated Audit Premium Non-Auditable Non-Auditable Occurrence Limit - $ $2.500.000 General Aggregate $5,500,000 Wrongful Acts Aggregate $5,500,000 Underlying Limits Liability $500,000 Aggregate: $500,000 Auto $500,000 $1,000,000 CSL Aggregate: $500,000 Law Enforcement $500,000 Aggregate: $500,000 Public Officials $500,000 Aggregate: $500.000 Employee Benefits $500,000 A re ate: $500,000 Self -Insured Retention $1.000.000 Subtotal Terrorism (TRIA) Surplus Lines Tax TOTAL EXCESS LIABILITY Applied Risk Solutions; tic: Page 5 of 9 City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet EQUIPMENT BREAKDOWN QUOTE Business Income and Extra Expense Included Policy Limit Expediting Expenses Included Policy Limit Ammonia Contamination Included Policy Limit Water Damage Included Policy Limit Hazardous Substance Included Policy Limit Ordinance or Law / Debris Removal $2,500,000 Policy Limit Data & Media $2,500,000 (BI/EE) $500,000 Brands and Labels Included Policy Limit Errors & Omissions Included Policy Limit Computer Equipment Included Policy Limit Business Interruption & Extra Expense Included Policy Limit Contingent Business Income & Extra Expense $250,000 Policy Limit Contingent Extra Expense Only $250,000 Policy Limit Consequential Loss Included Policy Limit Spoilage Included Policy Limit Utility Interruption Included Policy Limit Extended Period of Restoration 90 days 90 days Deductibles - $ Property Damage $10,000 $10,000 Business Income and Extra Expense 'Combined Combined Contingent Business Income/Extra Expense Combined Combined Ammonia Contamination Combined Combined Spoilage Combined Combined with PD Transformers Utility Interruption (BI/Spoilage/Drainage) 4-Hour Waiting Period 4-Hour Waiting Period TOTAL EQUIPMENT BREAKDOWN Applied Risk Solutions. u: Page 6 of 9 City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet EXCESS WORKERS' COMPENSATION and EMPLOYERS' LIABLITY QUOTE I: II : Currerit:Pru `ram .............. .... $.._._.... C overages .. ... 2. 08f09 P ograin Spe s_. Quote Excess Workers Compensation Workers Compensation Statutory Limits Statutory Limits Employers Liability - Each Occurrence $1,000,000 $1,000,000 - Employee Disease $1,000,000 $1,000,000 SIR -Each Accident $400,000 $400,000 - Each Employee for Disease $400,000 $400,000 - Code 7539 (Electrical) $750,000 $400,000 Rate (Per $100 of Payroll) Subtotal Terrorism (TRIA) TOTAL EXCESS WORKERS' COMPENSATION and EMPLOYERS' LIABLITY Applied Risk5olutions ii Page 7 of 9 City of Fort Collins, Colorado Poudre Fire AuNlority Poudre Valley Fire Protection District Cost Analysis Worksheet PUBLIC DISHONESTY/CRIME QUOTE .......................................................................................................................................... . ... ... . .. I . . ::.:.0:: P' ' : Co a aees Public Employees Dishonesty Coverage $100,000 $1,000,000 Theft, Dishonesty & Destruction Coverage Inside the Premises $300,000 $300,000 Outside the Premises $300,000 $300,000 Forgery or Alteration $1,000,000 $1,000,000 Computer Fraud $1,000,000 $1,000,000 Money Orders & Counterfeit $300,000 $300,000 Deductible - $ Public Employees Dishonesty Coverage $10.000 $10,000 Theft, Dishonesty & Destruction Coverage $10,000 $10,000 Forgery or Alteration $10,000 $10,000 Computer Fraud $10,000 $10,000 Money Orders & Counterfeit $10,000 $10.000 TOTAL PUBLIC_ DISHONESTY/CRIME Applied Risk5oltuions: ue: Page 8 of 9 City of Fort Collins, Colorado Poudre Fire Authority Poudre Valley Fire Protection District Cost Analysis Worksheet INLAND MARINE -FINE ARTS OUOTE .......................................... .................................................. .:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:. .:.:.:.:.:.:.:.:.:. rr n:::Pr :: Cn e t a am:::::::: g............................... :::::::::::::::::::::::::::::::::::::::::::::::::: Covers es 2008/09: Program:Specs ..:. Qnote Inland Marine - Fine Arts At premises of Insured $1,500,577 $1,500,577 At any location worldwide $325,980 $325,980 While in transit, on any one conveyance $325,980 $325,980 Terrorism (certified & non -certified) $1,500,577 $1,500,577 Aggregate limit of liability for all sections combined, including defense costs for any one loss, any one occurrence $1,500,577 $1,500,577 Deductible -$ $1,000 $1,000 TOTAL INLAND MARINE - FINE ARTS Page 9 of 9 City of Fort Collins, Colorado Confidential COVERAGE CI IECKLIST YES OR COVERAGE NO COMMENTS PROPERTY AND AUTOMOBILE PHYSICAL DAMAGE COVERAGE I Statement of values is for rating purposes and will not be used to limit or interpret coverage or limits. 2 Ninety (90) days notice of cancellation, non -renewal, and material change in rates and terms applies - See Sample Endorsement Attachment, 3 Notice of Loss Endorsement applies - See Sample Endorsement Attachment, 4 Automatic Waiver of Subrogation Clause applies - See Sample Endorsement Attachment. 5 Loss (or pro-mta distribution) clause has been removed. 6 Automatic reinstatement clause, ifpolicy does not normally include one. 7 Deductibles apply per occurrence vs. per claim, per location, etc. Percentage deductibles are discouraged. 8 Valuation clauses apply per section VII. 9 Replacement cost -provisions apply without restrictions for replacing property. 10 Guaranteed replacement cost applies as to loss limit without margin clause. II Blanket business income applies, including extra expense. 12 All -Risk vs. named perils applies. 13 A Waiver of Coinsurance or Agreed Amount endorsement applies on all real and personal property, including improvements and betterments, machinery and equipment; and or business interruption, rental income, and income and extra expense values. 14 Blanket limit encompassing all real and personal property, machinery and equipment, EDP equipment and software, fine arts, vehicles, loss of rents, business interruption, and extra expense risk without pro rare distribution clause. 15 Vehicles are included as covered property without restriction of over -the -road exposures (If premium is greater than limiting coverage to parked vehicles, please quote 16 Monthly limitations do not to apply to extra expense coverages (use business interruption and extra expense combined form). 100% of the limit is to apply the first 17 Building Ordinance coverages to include consequential reduction in value, demolition, and increased cost of construction coverages and are to apply on a blanket basis and are to apply outside the blanket or "loss -limit" 18 $5,000,000 Unnamed Location Floater coverage is to apply per location and is to provide coverage for property damage, rental insurance, extra expense, valuable papers, earthquake and Flood coverage, and is to apply where no other insurance coverage is provided by the policy. Limit to apply onside blanket or loss limits. 19 $5,OOO,000 Errors and Omissions coverage_ This provision assumes coverage for any exposures inadvertently omitted on the annual reporting schedule. This should not be confused with or viewed as replacement provision for an "automatic coverage provision". Limit to apply outside blanket or loss limits. 20 Emergency Services commandeered property is covered. 21 $5,000,000 Automatic coverage for newly acquired property, including real and personal property, Fine Arts, machinery, equipment, vehicles, and EDP exposures. (Outside blanket or loss limits.) On values greater than $5,000,000, a 90-day reporting 22 Miscellaneous Property Floater, covering inches and towers to include short circuit, chanties in temperature and humidity, and mechanical breakdown. 23 Automatic extension of coverage for builders risk and installation floater (including coverage for theft and for ensuing loss resulting from faulty workmanship and design). 24 Personal property coverage should include items within the premises and on adjoining land area without specific footage limitations. 25 Coverage property should extend to detached outdoor signs. 46 Debris removal to include: debris of property not insured, from the insured premises; cost of restoration of land, cost of removal, disposal, decontamination and replacement of property insured because of contamination, as well as standard debris removal. Limit to apply outside the blanket or -loss limit" 27 Environmental impairment coverage for all ensuing losses caused by pollution that is a result of covered cause of loss, including pollution cleanup. Limit to apply outside the blanket or"loss limit" 28 Automatic extension for property of others without sub -limits for both real and personal property in the Insured's care, custody and control and, at the option of the Insured, personal property of the Insured's officials and employees. Applied Risk Solutions, LLC 1of7s:TurchangVt I`U009 RFPS P1157 m PI 161T1158 hwawets ifi,atsxa Ad.=aW) cowsa sChmktist_2009.als City of Fort Collins, Colorado Confidential YES OR COVERAGE NO COMMENTS 29 Off -premises utilities failure, including direct damage and consequential loss, without distance limitation. 30 Deletion of vacancy and unoccupancy restrictions if the form contains these restrictions. 31 Mysterious Disappearance coverage applies. 32 backup of Sewers and Drams coverage applies separately tiom flood protection. 33 Water damage extension covering: a. Surface ower(bm not including flood; waves; tidal water or tidal wave; or overflow of streams or other bodies of water); b. Water which backs up through sewers or drains; or a Rain or snowemering building(s) through openings in the roofor walls. d. Water under the ground surface pressing on or flowing or seeping through: 1) Foundations, walls, Floors; 2) Paved surfaces if attached to a building or structure, or other paved surfaces if declared on statement ofvalues; 3) Basements, whether paved or not; or 4) Doors, windows or other openings. 34 The only exclusions applicable should be of a degenerative nature, such as wear and tear, deterioration, loss due to termites, corrosion, war risk, or nuclear damage. 35 Transit clause of $500,000 and $500,000 for any one conveyance and catastrophe, 36 Policy Limit for valuable papers and records any one occurrence, including reconstruction costs. 37 Electronic Data Processing - Coverage should attach without sub -limit restrictions or the exclusions relative to mechanical breakdown, atmospheric or temperature extremes and short circuit. 38 btectronm Data Processing Equipment (EDP) — will be valued at the cost of replacing destroyed equipment with equipment of greater processing ability. However, the new equipment must be able to perform the same function as the destroyed equipment. Company will pay for loss on a replacement cost basis until the upgraded item is actually purchased. When you purchase the upgraded item, Company will pay the difference between the replacement cost and the upgraded value. 39 Definition of EDP Equipment has been broadened to include Communication 40 Distance limitation on off -premises power interruption on EDP deleted. 41 Accounts Receivable coverage included in blanket limit or loss limit. 42 Fine Arts included in the blanket limit with valuation item VB, Valuation. 43 Flood coverage subject to a sub -limit of$10,000,000. 44 Earthquake coverage is subject to a sub -limit of 510.000,000. 45 Interdependency clause as follows: 'This policy covers loss resulting from the interruption of business conducted by the insured, as a result of physical loss and/or damage at any location(s) insured other than the location where damage or destruction has actually occurred. 46 Covered property expanded to include cost ofexcavalion, grading, back filing, or filling; underground pipes, flues, drains; fences outside of buildings, retaining walls; machinery, equipment, foundations. 47 Joint Loss Agreement with Boiler 8 Machinery carier. (See Exhibit V and VI.) 48 Glass should be included in the all risk policy without internal limitation. 49 Territorial clause should include structures anywhere in the Continental U.S., its territories and Canada. 50 Aggregate retention limit applies. 51 Since the above is intended to establish minimum levels of coverage, we will make our award on level of compliance with these items, as well as, additional coverage benefits that you bring to our attention. We will award creativity and how well this is highlighted in your proposal. 52 Business interruption of sales tax revenue of the one story masonry non-combustible shopping mall knows as 'Foothills Mall' situated at 215 E Foothills Parkway, Ft., Collins, Co 80522. Limit requested is 54,000,000. Applied Risk Solutions, LLC 2or7 sUPS PI 157 arPD61TI158 mauxn�etsv ifimuema Addmdu,n 4v1) Cmvn,,chauin zoov.a: Ciq• of Fort Collins, Colorado Confidential YES OR COVERAGE NO COMMENTS LIABILITY COVERAGES I Named Insured Wording per Exhibit IV which includes: a. Lawfully elected, appointed or employed officials b. Present and past board or commission members C. Present and past employees d. Volunteers e. Persons & Organizations under mutual aid f Real estate managers g. Blanket Additional Insured granted by contract h. Covered persons while engaged in Good Samaritan activities. 2 Ninety (90) days notice of cancellation, non -renewal, and material change in rates and terms - See Sample Endorsement Attachment. 3 Notice of Loss Endorsement per- See Sample Endorsement Attachment- 4 Automatic Waiver of Subrogation Clause- See Sample Endorsement Attachment. 5 Disclosure of Hazards Endorsement - See Sample Endorsement Arachment. 6 Cross Liability Endorsement- See Sample Endorsement Attachment. 7 'Pay on behalfof in lieu of"Indemnification" 8 Limits of Liability per our requested design. 9 Occurrence coverage on all liability coverages, including public officials liability. (Employee Benefits Liability now on a claims -made form with a ]/1/]999 retro-active date should be converted to occurrence favailable.) 10 Defence currently applies inside the limits and inside self insured retention (SIR). Please matte outside limits and inside retention. ifavailable. I I One SIR applies claims effecting multiple liability coverages arising out of one or several related events (applying on a "Batch Claim'- basis or -Clash" coverage applies). 12 Aggregate retention requested ifavailable at an affordable price and effective attachment 13 Coverage for Punitive Damages applies where insurable and most favorable venue. 14 Insured's permission to settle is required. IS Non-Audlmble coverages. - 16 The term "claim-' is clearly defined. 17 Extended reporting options for one, two and three years disclosed ifclaims-made. REQUESTED PROVISIONS FOR GENERAL LIABILITY: I Premises liability. 2 Products and completed operations liability. 3 Independent contractor's coverage. 4 Blanket contractual (including and contracts and Department approved law Enforcement for others). 5 Broad form personal injury and advertising liability. 7 Broad form property damage (including completed operations). 8 Incidental medical malpractice, including EMTs and Paramedics. 9 Employees are insureds. 10 Extended bodily injury and Prove damage applies arising out of the use of physical force to protect persons and property in combination with full assault and battery, discrimination and violation of civil rights coverage also covered by form. I I Automatic coverage for newly acquired or formed entities, 90-day reporting period. 12 Owned and Non -owned watercraft. 13 Limited Worldwide liability coverage, including products. 14 Employee benefits liability. - Occurrence coverage form preferred, but currently claims - Applied Risk Solutions, LLC 30f7 5V'urthasir,gViFP20098FPS P1157 to P1161W1158 hwamxelSpzifcuYom Mdmitue 43D Cme,egdlackli#3009AS H. To invest any unexpended funds that are not required for the immediate operation of the Authority, as the Authority determines is advisable, in accordance with the laws of the State of Colorado. I. To administer and enforce the Fire Code adopted by the City and District. J. To carry out and enforce all provisions of this Agreement. ARTICLE IV ORGANIZATIONAL PROCEDURE 4.1. Delegation of Powers. Duties and Responsibilities Each of the parties hereto delegates to the Authority the power, duty and responsibility to maintain, operate, manage and control all of the fire protection facilities, equipment, resources and property of the Authority, including without limitation, all fire stations, land, buildings and firefighting equipment, and to employ the necessary personnel and do any and all other things necessary or desirable to provide continued efficient and economical fire protection services to all- persons and property within the respective territorial limits of the parties hereto, which area shall be considered the jurisdiction of the Authority. 4.2. Personnel. A. The Board shall adopt the necessary rules, regulations and procedures which shall govern personnel matters. B. During the term of this Agreement, all employees transferred from the City and the District under the original intergovernmental agreement and all employees hired by the Authority shall be employees of the Authority subject to the terms and conditions of employment in effect as stated in Authority Personnel Rules and Qy of Fort Collins, Colorado Coufideistial YES OR COVERAGE NO COMMENTS 15 Fellow employee exclusion deleted. 16 All Risks Tenant legal liability 17 Care, custody and control exclusion deleted (Property in the care, custody and control of the Insured is to be an extension of coverage under the policy.) It is preferable for coverage to apply on an excess basis over any other valid or collectable insurance. If unable to delete, narrow exclusion to afford coverage for commandeered property, property taken at time ofinca¢eration, and property stored at impound lot. 18 Deletion of personal injury and advertising exclusion relative to liability assumed by the Insured under any contract or agreement. 19 Pollution extension. a. "Emergency operations' conducted away from premises owned by, or rented to, you or any fire department, hazardous materials unit or first aid, ambulance or rescue squad qualifying as an insured under this b. 'Training operations"; or C. Law enforcement use ofmace, oleoresin capsicum(O.C. or pepper gas) or tear gas. d. Water mnoffftom the cleaning ofequipment used in "emergency e. "Bodily injury' or "property damage' caused by heat, smoke or fumes from a hostile fire: At or from premises you own, rent or occupy, or • At or from any site or location in connection with operations described in a), b), or c) above. A hostile fire means one which becomes uncontrollable or breaks out from where it was intended to be. Damage arising out of operation involving pesticide or herbicide application at or from any site or location on which the Insured or any contractor or subcontractor working directly or indirectly on the Insured's behalf are performing operations if the operations performed meet all standards ofany statute, ordinance, regulation, or license requirements ofany federal, state or local government which apply to those operations. 20 Discrimination coverage, including suits by employees. 21 Personal injury is to include; bodily injury, mental anguish, shock, sickness, disease, disability or death resulting therefrom, false arrest, false imprisonment, wrongful eviction, detention, malicious prosecution, humiliation, invasion of the right ofprivacy, libel, slander, defamation ofel aracter, also piracy and any infringement of copyright or property, assault and battery, and disparagement ofproperty. 22 Moonlighting is covered, if Department approved. 23 Vicarious or wrongful supervision for claims involving sexual action and sexual abuse and defense reimbursement for wrongfully accused employees. 24 Dam 25 Coverage for condemnation, inverse condemnation adverse possession. LAW ENFORCEMENT LIABILITY I False arrest, detention, or imprisonment. 2 Wrongful entry, or invasion of right ofprivacy. 3 Violation of Civil rights. 4 Violation of property rights. 5 Erroneous service of process. 6 Assault and battery. 7 Sexual molestation and sexual harassment. 8 Professional acts resulting in bodily injury and property damage. 9 Errors and omissions for administrative actions (including those made by public officials) and law enforcement activities, including wrongful supervision. 10 Property Damage Liability - damage to public's property. I I Definition ofpropeny damage expanded to include theft. 12 Moonlighting coverage for department approved activities. 13 Good Samaritan coverage for employees and volunteers when offduty. 14 Mutual aid is covered. 15 Commernal Liability is covered. Applied Risk Solutions, LLC 4of7 sPi S7 to P1161TI158 hwvexc ,xcifiauiocs Add .4tiD Corx,agroauii 2009.at, Cipy of Fort Collins, Colorado Confidential YES OR COVERAGE NO COMMENTS PUBLIC OFFICIALS ERRORS & OMISSIONS 1 City covered for acts of Public officials, employees, and volunteers. 2 Coverage applies both collectively and individually. 3 Past Insureds are covered. 4 Failure to maintain insurance is included. 5 On claims -made coverage related claims are considered 6 Coverage for non -monetary claims. 7 Notice ofoccurrence is notice ofaction(claims-made policies). 8 Employee related discrimination, including bodily injury and personal injury. 9 Insured vs. Insured suits covered for employment related discrimination, wrongful termination etc. 10 Wrongful sees include malfeasance. I I Any exclusion for willful violation ofany statute, ordinance, or regulation committed by or with the knowledge of consent of any insured are excluded, only upon final adjudication, and will not be imputed to other insureds. 12 Sevembility clause applies to 11. if I I is not covered. 13 Loss ofincome, wages, commissions or employee benefits —covered (EPL). 14 Contractual liability applies. 15 Employment contracts not subject to breach ofcontmcl exclusion. 16 Policy setting for law enforcement activities are covered. 17 Coverage for condemnation, inverse condemnation, adverse possession. (At a minimum defense coverage needs to apply). 18 Professional Services — Errors & Ommissions. 19 Public Officials coverage includes coverage for administration ofairporl. 20 Coverage need to be afforded for fiduciary actions and administration by the pension board and those connected with money purchase plans. AUTOMOBILE LIABILITY, UNINSURED MOTORISTS AND PERSONAL INJURY PROTECTION I Ninety (90) days notice of cancellation, non -renewal, and material change in ales and terms - - See Sample Endorsement Attachment. 2 Notice of Loss Endorsement included - See Sample Endorsement Attachment. 3 Automatic Waiver of Subrogation Clause included - See Sample Endorsement Attachment. 4 Disclosure of Reauds Endorsement included - See Sample Endorsement Attachment. 5 Cross Liability Endorsement included - See Sample Endorsement Attachment. 6 No aggregate limit applies. 7 Delete the fellow employee exclusion. 8 Liability to apply to any auto. including hired and non -owned autos. 9 Employees are insureds for use of their own vehicles for City business. 10 Lessors are additional insureds, when required by contract. I I Contractual Liability assumed under rental car agreements is covered. 12 Definition of "accident- changed by adding: The term "accident shall include bodily injury or property damage caused by the Insured for the purpose of preventing or eliminating danger or for the purpose of protecting persons or property". 13 Liability for damages to third parties arising out of the operation of commandeered vehicles is covered. Applied Risk Solutions, LLC 5of7 S:WvchssirigVtPN2009 REPS Pt15]a P1161tP1li84weeneelSlxci6®dms Ad4cMwa atSD CmengeC eldot 20usxls Cio- of Fort Collins, Colorado Confidendal YES OR COVERAGE NO COMMEn-Es PUBLIC DISHONESTY/CRIME COVERAGE I Ninety (90) days Notice of Cancellation, nomenewal, and material change in rates and terms - See Sample Endorsement Attachment. 2 Crime coverage options quoted. 3 Faithful Performance of Duty Extension (All Employees) 4 Include Non -Compensated Officers, Directors, Trustees 5 Worldwide Territorial Limits 6 Include Volunteer Workers as Employees 7 Amended Cancellation as to Any Employee -$10,000 g Amended Definition ofEmployee (90 Days) 9 Investigative Costs $1,000,000 with SI0,000 Deductible. 10 Include Statutory Bonded Officials (excess coverage) 11 Welfare and Pension Plans- Governmental Entities EQUIPMENT BREAKDOWN COVERAGE I Ninety (90) days Notice of Cancellation, nomenewal, and material change in rates and terms oer Exhibit IV. 2 Waiver ofs.broatio. net Exhibit IV. 3 Comprehensive coverage covering all objects and locations applies, 4 Recovery on a repair and replacement basis applies. 5 Coinsurance does not apply or has been removed. 6 Automatic coverage for newly acquired locations for direct damage with a $500,000 limit for indirect damage. 7 Buried Equipment extension wording. g Loss Adjustment Endorsement (See Exhibits VI and VD). 9 Connected Reacy for Use Clause waived. 10 Amended Definition of"Accident" to include "sudden and accidental damage" in lieu of 11 Replacement ofpropery at the same site has been removed. 12 90 days Extended Period of Restoration. 13 Limit applies on a combined basis without sublimit and includes: a. Business Interruption ($2,500,000 Dam & Media Presently) b. Emm Expense ($2,500,000 Dam & Media Presently). c. Expediting Expense d. Water Damage e. Ammonia Contamination f Hazardous Substance g. Spoilage and Contamination It. Service Interruption (4-hour waiting period) I. Lightening (Coverage applies if not covered elsewhere) k. Demolition/Increased Costs - both direct loss and Extra Expense ($2,500,000 Presently) 1. Computer Equipment applicable for environmental control m. CFC - Refrigerants n. Contingent Business IncomefExtm Expense (S250,000 presently) 0. Contingent Extra Expense only (S250,000 presently) p. Consequential loss q. Data & media (property damage) L Diagostic equipment Applied Risk Solutions, LLC 6 of 7 S WucAuiny,VRFR009 RFPB P1157 W Pt 161V'1158 hirwmc<l5paifmYau Add =4oD CmxragRT Uvt 20olt xs Ciy of Fort Collins, Colorado Confidential YES OR COVERAGE NO COMMENTS EXCESS WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY 1 Broad Form All States Endorsement Endorsement 3 Communicable Disease Endorsement. 5 Cash Flow Provision providing reliefto insured for catastrophic losses, with sub - retentions, if possible. 6 Any commutation clause needs to be deleted. 7 Late reporting penalties need to be removed, ifapplicable, oral least disclosed if they 8 Definition ofeach accident encompasses all persons injured in a common occurrence. INLAND 51ARINE - FINE ARTS I Ninety (90) days Notice of Cancellation, nomenewal, and material change in rates and terms per Exhibit V. 2 All -Risks ofohvsical loss. except as excluded. 3 Coverage for first class shipments. 4 Right to repurchase property: a. That is recovered for the amount paid to the insured plus an amount representing loss adjustment and recovery expenses. b. That is damaged at fair market values of damaged property. 5 Special subrogation madification clause in favor of professional carrier, packer, exhibitor. or any other bailee. 6 Automatic reinstatement of limits clause without additional 7 Flood and earthouake coverage. FIDUCIARY LIABILITY 1 Plans covered as outlined in application. 2 Please disclose ifomnibus language exists allowing for fiduciary liability coverage for non-scheduled qualified and nonqualified plans under ERISA. 3 If fiduciary liability is limited to qualified plans and they must be scheduled, reinforce this in your proposal and in the analysis checklists. 4 Omnibus Welfare endorsement 5 Include Defense costs inside the SIR and outside the limit. 6 Duty to Defend policy 7 Pav on Behalfofforn. 8 Definition ofelaim is for written notice only (to match Colorado Statute) 9 Multi -year rate guarantee with annual installments option. 10 Claims made, terror data is 5-I 2009. Prior and Pending Litigation 5-1-2009. 11 Amend the Consent to Settle clause to be 70/30 splint (Hammer Clause),ifclause exists. 12 Automatic extension to report claims - 60 days. 13 Optional extended Reporting Period options and the corresponding premium (1,2,3 year and unlimited). For example 25 or 50%of annual premium for one year. W HIPPA Endorsement included. 15 COBRA Endorsement included. 16 Waiver of Recourse for Government Plans. 17 A policy that is non -cancelable once the premium has been paid and a requirement that the insurer provide 90 day's prior written notice of nomenewal. Applied Risk Solutions, LLC 7of7 su'utenasiaatRFruop9 RFPS P1157 to PI 16N'l 158 lnsueuntt\Spttificalions Addendum4riD Cawmpdhccklkt 2009..,1s No Text