IrMs
DPP FF VED BY
C ! Tj Y N A E R
TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: OFFICE OF THE CITY MANAGER
BY: DAN HURLOCK, FIRE CHIEF
DATE: May 10, 2022
SUBJECT: ENGINE ASSIGNMENT FROM THE CALIFORNIA OFFICE OF EMERGENCY
SERVICES (OES)
That the City Council authorize staff to enter into an agreement with the California Office of Emergency Services (OES) that allows a state owned, OES fire engine to be assigned to the Downey Fire Department and staffed by Downey Fire personnel to respond to wildfires and other statewide mutual aid incidents.
I
The Fire Department participates in the state wide, master mutual aid system and responds to multiple wildfire incidents throughout the state every year. Occasionally, if fire season is active, two or three fire engines with crews may respond to incidents simultaneously. The first engine dispatched to an incident usually travels the furthest and is deployed the longest, while the second and third engines usually remain local being deployed to incidents within the Los Angeles and Orange County Regions.
Wildland incidents put more mileage, wear and tear on the fire engines than normal use in Downey. This additional wear and tear generates more maintenance on the fire engines and creates more work for the fire mechanic.
In most cases, OES reimburses the City for the response to the incident, which includes personnel costs and an apparatus fee. OES does not reimburse the City for maintenance, repair or replacement of parts and equipment on the fire engine or the mechanic's labor aftel the fire engine returns from the incident.
By acquiring a fire engine from OES, costs to the City, for responding to mutual aid incidents, will be reduced. During most wildland incidents, the OES engine will be the first fire engine dispatched and will be deployed the longest, reducing the wear and tear on the City owned fire engines. Also, OES pays for all maintenance, repair and replacement of parts and equipment on the OES engine that exceeds $100.
Additionally, the OES engine can be utilized by the City as a reserve fire engine that can be p in service anytime one of our frontline fire engines is out of service or when circumstances necessitate an additional engine being put in service to supplement our current fleet. i
TITLE: ENGINE ASSIGNMENT FROM THE CALIFORNIA OFFICE OF EMERGENCY SERVICES (OES) DATE: MAY 10, 2022
PAGE#2
Fiscal Responsibility
Efficiency & Adaptability
Quality of Life, Safety and Infrastructure
49NUMPMMIlm
The fiscal impact for the OES engine is minimal. OES does not charge a fee to use the fire engine and all maintenance, repair and replacement for parts and equipment are paid for by the State, after the first $100 for each repair.
9 GAVIN NEWSOM MARK S. GHILARDUCCI
GOVERNOR DIRECTOR
Cal OES,
GOVERNOR'S OFF]CF
OF EMERGENCY SERVICES
r.11 =_
I NM.M ..'m -
1111 Brookshire Ave.
Downey, CA 90241
You will find enclosed two copies of Assignment of Equipment Form, and Agreement for Temporary Transfer of Vehicular Equipment covering the assignment of Cal OES Fire Engin& No. 389 to the Downey Fire Department. The Agreement is effective April 25'h, 2022.
Please have the authorized official sign both copies of the above -mentioned documents ant' return one original set to our office.
a -77 —1-2�S cannot assign the apparatus to your agency until this signed Agreement is returned.
111til rultg_-Upil io ana r771 Lilt; Jft&rUUlUUllL lor 17111purary I TMIS er of Vehicular Equipment.
Sincerely,
BRIAN S. MARSHALL
•
cc, Daryl L. Osby, Region I Fire and Rescue Coordinator Eddy Moore, San Luis Obispo Operational Area Coordinator Art Torrez, Cal OES Deputy Chief of Operations
Dave Stone, Cal OES Assistant Chief
John Salvate, Cal OES Assistant Chief
* a
mew# JUMW432 i
State of California
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
AGREEMENTFOR
TEMPORARY ASSIGNMENT OF VEHICULAR EQUIPMENT
THIS AGREEMENT, entered into this 25th day of April, 2022by and between the Governor's Office of Emergency Services, hereinaPer "CAL OES" acting by and between its duly appointed and qualified Director of the Governor's Office of Emergency Services and the Downey Fire D�� _e" bp and dhrouL-Ai its dedwoualified and actitt,�.•�, hereinafter called "ASSIGNEE."
WITNESSETH:
WHEREAS, the State of California has purchased fire apparatus and equipment for the purpose of responding to incidents in furtherance of the California Fire Service and Rescue Emergency Mutual Aid Plan; and
WHEREAS, Cal OES is authorized to assign these fire apparatus and equipment to local ju�lsdict=_- through,_ut t-".- State A�r vvr�tfon h,- Qfnapil fnr CnI nPR ni)rnn-,f-,q and for use by local jurisdictions for the purposes described below;therefore, _VP TO IT 'D IDX7 N Ir
V 1V .ITT TT A Y Y '%7 A I-RLI V" J+--- #`k-
X_11:14%A�"X ILI a %.� X's Md L� X C& a __ _%' .. 1—teto a-, 4�,llov 's.
I AsSIGNMENT. CAL OES hereby transfers possession to ASSIGNEE and ASSIGNE hereby accepts possession from CAL OES of the fire apparatus and equipment listed on t attached Exhibit "A" which is by this reference made a part hereof, for the period commencil April 25", 1-022, for the following all-risk events, emergency incidents, civil defense and disast purposes, namiely:
Mutual aid, multiple alarm events and emergency incidents, emergency incidents threatening properties vital to national defense or important military installations, parades ail-&-mlays, tTaining of-regulan-volunteer and -auxilian, firefighters -and temporary standby for ASSIGNEE's regular apparatus and the regular apparatus of other departments while out of service for repairs.
a. Vehicle Description: 2016 HME Type I Engine
V CIAICIC 1-111CS1 W i_+1ULI 0 n: Vehicle License Nu berm 1523247 Vehicle Identification Number: 44KFT4286HWZ22921
Value of Vehicle: $317,980.00
Value of Hose and Appliances: $13-4.,53 )3 ),00
b. Equipment inventories (Exhibit "A") may by mutual concurrence of the CAJ 1,ES and ASSIGNEE be changed during the term of this Agreement, utilizing prop accountability procedures established or approved by the State. I 1 TERM. The terno. of this Agreement shall be for ten (10) years unless terminated pursuant to the terms of this Agreement.
"'ONSIDERAT TON�
J Consideration for this Agreement is the mutual benefit the parties will enjoy by having a fire apparatus locally available for use as provided in this Agreement. 1 04/2012
AgreemenMarc t for Temporary Assignment of VehicEquipment 0 State of California
• ETT=GET�CY SEXY=
Fire and Rescue Division
4. During the term • this transfer,
ASSIGNEE agrees to adequately house in an enclosed secure structure, staff, operate, maintain referred to as "the Apparatus" except where it is desired to refer to equipment alone, in which case the terin "Equipment" is used) at its sole • and expense, except as otherwise expressly provided in this Agreement. ASSIGNEE also agrees to complete all reports and maintain records consistent with Section 14. Apparatus shall be housed on property of the ASSIGNEE in a manner to provide reasonable protection against inclement weather, sabotage, theft, or malicious damage. Apparatus shall be maintained in such condition that it is available for immediate emergency use, and at the same standard as other emergency apparatus operated by ASSIGNEE. Maintenance shall include care of hose, batteries, tires, appliances, lubrication and fuel, general cleaning and polishing, minor body repairs and periodic testing. Repairs shall include, without being limited to, motor tune-i:uXis, airs, transmission, differential and all running gear, brake and exhaust systems, cooling devices including radiator, pump packing, and equipment assigned to Apparatus.
a. Repairs to the extent of $100.00 for each individual item of repair shall be the responsibility of ASSIGNEE.
b. Repairs to the extent that they exceed $100.00 for each individual item of repair shall be the responsibility • CAL OES on a $ 100.00 deductible basis, unless in the judgment • the CAL OES the need for repair results from misuse or negligence on the part of ASSIGNEE in the maintenance or use of the Apparatus, in which event the cost of each such item of repair above $100.00 shall also • the responsibility • ASSIGNEE. In no event shall ASSIGNEE ?rrange for •. • • $100.00 • any item • repair, whether it is the responsibility of ICAL OES • ASSIGNEE, without first •r written authorization from the Cal • Fire • Rescue Division.
C. Notwithstanding the foregoing, replacement of hose, batteries and tires shall be the responsibility of CAL OES, except to the extent CAL OES determines that the damage • is the result of negligence or misuse • the part • ASSIGNEE, in which event ASSIGNEE will bear such portion of the replacement cost thereof as the CAL OES deems equitable, Procurement of tires, hose and batteries is subject to State fiscal policies and procedures, and written approval must be obtained • the Cal • Fire and Rescue Division prior to procurement.
d. Maintenance and repairs must be requested and authorized pursuant to the most recent version of the Cal OES Fire and Rescue Division Operations Bulletin #18, which is hereby incorporated into this Agreement by reference.
e, Repair or replacement of the Apparatus transferred hereunder which is consumed, lost, stolen, damaged or destroyed during mutual aid operations when CAL OES has dispatched or directed the dispatch of said Apparatus through Regional or Operational Area Fire and Rescue Coordinators, or when CAL OES has reassigned said Apparatus pursuant to the provisions of paragraph I I of this Agreement, shall be the responsibility of CAL OES, providing that any such loss or damage shall be the responsibility of ASSIGNEE, if due to the negligence of ASSIGNEE. ASSIGNEE agrees that it will assume responsibility in full for the repair or replacement of Apparatus that has been consumed, lost, stolen, damaged or destroyed in 2 04/2012
Agreement for Temporary Assignment of Vehicular Equipment
State of Califontia
GOVERNOWS OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
f. ASSIGNEE must request from CAL OES, in writing, permission to make any and all changes to assignpd fire apparatus and equipment, Furthermore, ASSIGNEE will not make modifications, changes, adjusti-lients, or additions, including decals or stickers, to Apparatus without prior written approval from CAL OES.
5. INSPECTION OF APPARATUS, ASSIGNEE agrees that representatives of the Cal OES Fire 6, STAFFING. Reasonable and continual training shall be carried on so that trained personnel shall at all times be available to staff and operate said Apparatus. The ASSIGNEE shall provide personnel to staff the assigned apparatus per FIRESCOPE ICS standards. The Cal OES engine may be assigned to out of area assignments for up to 14 days, plus travel time. When local governinent personnel, staffing Cal OES Apparatus, are committed to extended assignments there may be a need to replace or rotate personnel. Personnel rotation will follow the direction 0-at'lli-lud if-, 'Llic CUILIVIL1.1a U11U. 1%,6bl�lLalwc Arnmu'lliv,11t VVIlull CISSIE�lvu L C-t w V Lu ILL Lull - California. Crew rotation for incidents outside of California shall be consistent with the appropriate forest's agencies policy and coordiiiated by Cal OES.
S. TRAINING. Personnel assigned shall meet wildland fire and ICS standards established in Qualification Syste -in Guide (cur -rent editioril. Personnel assigned to Cal OES Engine's shall meet Rescue System I standards as certified by the California State Fire Marshal, or have . I
compieted an equivalent course that meets or exceeds Rescue System I curricurum.
9. QQII��� All movement of the Apparatus shall be handled through the official dispatching channels of ASSIGNEE. ASSIGNEE dispatchers will recognize and act on all official requests for movement of the Apparatus in conformance with the Fire and Rescue Annex ,�California Fire and Rescue Mutual Aid Sgistem,� to the State Emer,�en Plan and its subse,,tuent revisions. CAL OES reserves the right to dispatch, direct the dispatch f, or temporarily reassign the Apparatus whenever, in the opinion of the Director of Cal OES, his representatives or Operational Area and Regional Fire and Rescue Coordinators, such Apparatus is essential to the protection of life and property in another jurisdiction or in the best interest of the State.
10. MUTUAL AID REsPONSE. Procedures for mutual aid response shall be in accordance with California Fire Service and Rescue Emergency Mutual Aid Plan, 3 04/2012
Agreement for Temporary Assignment ® Vehicular Equipment
State of California
V*,YEN,i*?L'S *FFICE IF ETTIEMENCY SEXYICF�
Fire and Rescue Divisiois
arV_C'T-&';L-d_qCT, tF4FP -,f-1 i-itFCCHICUL, Fr UIC 111MISL L appropriate. There is no other existing provision for mutual aid reimbursement.
12. :EgMEQX,�� ASSIGNEE shall be permitted to use the Apparatus for temporary cover of fire stations when emergency conditions warrant ' or when regular apparatus is out of service for repairs and a closer engine cannot cover the gap. In either case, the ASSIGNEE shall immediately notify the Operational Area Dispatch Center and the Cal OES Fire Duty Chief. The ASSIGNEE further agrees that Cover -in or Standby of said Apparatus exceeding 30 days is at the discretion of the CAL OES.
a. A sub-assigment of the Apparatus or any portion thereof by ASSIGNEE for any ,veriod not exceeding seven consecutive daws
the consent of the Operational Area Fire and Rescue Coordinator and the CAL OES, providing that at the time such Apparatus is received, such Sub -Assignee furnish ASSIGNEE and CAL OES a letter to the effect that he assumes all obligations of ASSIGNEE with respect to such Apparatus under this Agreement during the period of assignment, including insurance coverage in accordance with Section 16 or 17, as appropriate. Any sub -assignment by ASSIGNEE for a period of more than seven consecutive days shall be subject to authorization by the CAL OES and execution of an "Agreement for the Temporary Transfer of Vehicular Equipment," with the agency requesting the transfer.
b. Whenever Apparatus is assigned in accordance with the provisions of this �aragraph, regular ASSIGNEE shall be relieved of its obligations under this Agreement during such period of sub -assignment.
C. Complete a written Temporary Cal OES Apparatus Assignment Record, Exhibi) ASSIGNEE will retain one copy, the Sub -Assignee will retain one copy, and one copy will be forwarded to the Cal OES Fire and Rescue Division.
14. RL_ ASSIGNEE shall maintain daily and monthly reports on the details of Apparatus use on Cal OES F-101 Form. A Smoke Opacity Test, Pump Test, Hose Test, and Ladder Test shall be the responsibility of ASSIGNEE and completed annually.
Written results of all tests and reports shall be forwarded to the Cal OES Fire and Rescue Division by the end of the calendar year. A recent copy of the tests and reports shall be maintained in the vehicle logbook.
15. REPuRT oF Acut)EMS, ASSIGNEE shall immediately notify the Cal OES Fire and Rescue Division following any and all accidents involving the -Apparatus. It shall be the responsibility of ASSIGNEE to fill out State Form 270, "Report of Automobile Accident," and file the report with the Governor's Office of Emergency Services. A copy of this report shall be retained by the ASSIGNEE and the original and four copies for -warded to Cal OES. a. ASSIGNEE agrees forthwith to furnish evidence of insurance protecting the legal I iability of the ASSIGNEE and CAL OES for liability and/or property damage with a combined 4 04/2012
Agreement for Temporary Assignment of Vehicular Equipment
State of Califomia
GOVERNOR'S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
wt'i V ulat trio ZM_ Tia,25 is not tialio to C I
thereon. Said certificate must include the description of the apparatus including VIN, state license number, and Cal OES unit number.
b. In the event the ASSIGNEE is self -insured, ASSIGNEE in lieu of a certificate of insurance shall furnish CAL OES a written staternent of such fact. In such event, ASSIGNEE agrees to hold the CAL OES harmless from any personal injury or property damage claims arising out of its maintenance, use or operation of the Apparatus under the terms of this Agreement.
C, Physical damage insurance, including collision coverage and comprehensive coverage, shall he obtained, The State of California will be named as a loss payee, In the event of a non -total loss, ASSIGNEE is responsible for returning Apparatus to original standard, The UUNU1111LIMI L11 Ltie vell-1-1cle arm LIM; IIVAUN.Naly allitILL11L til 11MUlalAUU Exhibit "C" which is by this reference made a part hereof. _tkity 111sufallQu 11cuubbwy lui t';Vvmdr'r' kit thr,
apparatus shall be the sole responsibility of the department having custody of the vehicle, directs, dispatches, and controls the use of the Apparetas, ASSIGNEE agrees including when it 11 1.
to report Apparatus as being under its control to the Insurance Officer, Department of General Services.
a. Either party may terminate this Agreement upon 14 days written notice to other party, or ASSIGNEE may relinquish or CAL OES may repossess any portion of the Apparatus without written notice whenever it deems the same is not being maintained in accordance with this Agreement,
b. Upon the termination of this Agreement, ASSIGNEE agrees to return said I - I '__ - Ir �_ J ----I
Apparatus in the same condition as received, reasonabie wear anti War, MAN U1 ULM, MILL c o n d ' L 10 In S 0 v- Ce r - W 11 -1 -1 C 11-1 -1 L 11 -1 da -6 1-10 1-1 tL Ir U I U A k; V, P t U U. c . As inventory changes occur, or items of equipment are replaced, deleted or added by the CAL OES or replaced by ASSIGNEE, it is mutually agreed that no amendment to this Ak J wAwwwxl6reed be ma).e
Agreement a complete reconciliation of all equipment will be made. ASSIGNEE further agrees *6,4-41
items as approved by the CAL OES.
d, Nothing in this Agreement shall be construed to create a new property interest or right of action for the ASSIGNEE.
5 04/2012
Agreement for Temporary Assignment of Vehicular Equipment
State of California
Fire and • Division
NAN 1A I RAI qq KZ ILIA Or -all] 017-) FK I kil I W411 SRI RB tIJ I 1516IA7,11 C. The ASSIGNEE agrees to operate said radio equipment in accordance with the Ikules and Regulations of the Federal Communications Commission. d. Ownership • said equipment is in the CAL OES, and all applications to the Federal Communications Commission seeking authority to add, modify, or replace radio equipment covered by this Agreement shall be made by and in the name of the State of California. To activate this Agreement and in compliance with the control requirements of the Communications Act of 1934, as amended, the CAL OES hereby deputizes the Chief of the agency of said ASSIGNEE, and such volunteers, regularly employed and salaried assistants as shall be designated by the Chief of the agency as his agents to operate said radio equipment as specified in Paragraph "c" above.
C. CAL OES assumes no liability hereunder for claims or losses accruing or • to Rerson. firm •: corporation furnish ving, work, services • material •, services in connection with the performance • this • or for • claims and losses accruing or resulting to any person, firin or corporation injured or damaged by performance of either party hereunder.
21. ft� • corresponden -cc and • required • contemplated, or which may be given by either party to the other shall be deemed to have been fully given when made in writing and deposited in the U.S. mail, registered and postage prepaid and addressed as follows: To the ASSIGNEE at r• Fire Department, I I 111 Brookshire Ave., Downey, CA 90241, and to the CAL OES at Governor's Office of Emergency Services, Fire and Rescue Division, 3650 Schriever AMather, CA, 95655. The address to which notices shall • may •" mailed •:
aforesaid to either party shall or may be changed by written notice given by such party to the • as hereinabove provided; but • herein contained shall preclude the giving of any such notice by personal service.
22. ALTERATION, It is mutually understood and agreed that no alteration or variation of the terms of this Agreement shall be valid unless made in writing and signed by the parties hereto, and that no oral understanding or agreements not incorporated herein, and no alterations or variations of the terms hereof unless made in writing between the parties hereto shall be binding • any • the parties hereto.
23. WAIVER. The CAL OES may in its sole discretion and for such good cause as it determines waive in writing in whole or in part any requirement of this Agreement that apparatus and/or exui-,rment
that any such waiver shall be applicable only to the specific apparatus or equipment to which it refers.
24, JURISDICTION AND VENUE This AV-reement, and any dispute arising from the relationship 6 04/2012
Agreement for Temporary Assignment of Vehicular Equipment
State of California
Fire and Rescue Division
119i 11 iiiiiiii ill I Ill! Ill lllilliiii,iii ill! 1 11 1' 11 ml!�
25. WHOLE AGREEMENT. This Agreement constitutes the entire agreement between the parties hereto, with respect to the subject matter hereof No party has been induced to enter into Ois ��ernent by� nor Js any party Telybig qn� any reprpsenftdion or warrkMty outside (hose expressly set forth in this Agreement.
IN WITNESS WHEREOF the parties hereto have executed this Agreement upon the date first above written.
D
By
Bil Pacheco, I'via-vor
hest:
City Clerk
11pproved as toj6rm.-
SHE=
MI-Irs-T513
Mtzr�kh!Larducci
Director,
Goivrnor's Office
DrIun S. �Ivlurshu- 1111, stule
('-"Ilief
Agreement for Temporary Assignment of Vehicular Equipment
State of Calitbmia
EXRERIT
EQUIPMENT INVENTORY: OES 389 +
ENGINE LICENSE
VIN
NUMBER:
389 NUMBER: 1523247
NUMBER:
44K.FT4286HWZ22921
I
Adapter, 6" x 2-1/2", DF Hydrant
I
Reducer, 2-1/2" NH F to 1-1/2" NH M
I
Adapter, 6" x 4", DF Hydrant
I
Reflector Kit, 3-Unit
I
Adapter, 6" x 4-1/2", DF Hydrant
2 Rope, 1/2" x 100', Utility
t
Axe, Pickhead
L
Shovel, Long Handle, Round Point, Fiberglass Handle
2 Block, Chock
I
Siamese, 2-1/2"
2 Cans, Fuel
2 Soft Suction Hose, 3" x 12'
4 Cap, 2-1/2" Discharge
l
Strainer, Class A Foam (in fill tower)
I
Chain, Tow 25', w/Grab Hooks
I
Strainer, 1 1/2" Hard Suction Hose
I
Clamp, Hose (Hebert)
I
Strainer, 6" Hard Suction Hose
2 Clamp, Hose (Wildland
4 Strap, Hose and Ladder
5 Cones, Traffic w/reflective band
3 Tee, Wildland I 'W' NH M/F x I" NPSH
2 Coupling, 2-1/2", DF
2 Wrench, Adjustable Hydrant
2 Coupling, 2-1/2", DM
2 Wrench, F71-1/2", Forestry
2 Cover, Salvage (Canvas)
I
Wrench, Suction Hose Spanner
I
Crank, Hose Reel
4 Wrench, Hose Spanner
I
Cutter, Bolt, 30"
1 Wye, Gated 2-1/2" NSF x 2-1 1/2" NSM
I
Fire Extinguisher, 5#
***************US&R
INVENTORY-***************
I
First Aid Kit
I
Axe, Flathead
I
Floto-Pump, Cal OES# 174186 Sedal# 1439788
1 Backboard, w/4 Straps
I
Backpack, Thermo -Gel
I
Backboard, Head Immobilizer
I
Thermo -Gel - Pick-up Tube
2 Bar, Claw, Wrecking, 3'
1 Thermo -Gel - Eductor, Hose & Nozzle
4 Bar, Pinch Point, Pry, 60"
2 Thermo -Gel - Concentrate, 5 Gal.
3 Belt, Carpenter
I
Generator w/light, 2,000 W, Cal OES# 174185
12 Blade, Hacksaw, Carbide
Serial#1691010
2 Blanket, Disposable
2 Hammer, Sledge, 8 -10 1b.
27 Carabiner, Locking, "13", 11 nun
8 Hose, V x 100', NPSH
I
Chainsaw, w/ carbide chain and toot kit, Cal OES# 174187 1 Hose, 1-1/2" x 3 5% Truck Protection Line
Serial# 179688063
12 Hose, 1-1/2" x 50', NH
2 Chisel, Cold, I" x 7-7/8
10 Hose, 1-1/2" x 100', NH Forestry
2 Chernical Light Kit
24 Hose, 3"" x 50', NH
2 Cribbing & Wedge Kits
2 Hose, Booster I " x 100' NPSH
2 Edge Protectors
I
Hose, Hard Suction I '/�" x 10'
1 Emergency Signaling Device (Whistle)
2 Hose, Hard Suction 6" x 10'
2 Friction Device, (Fig. 8 w/ Brake Bar Rack)
I
Hose, Soft Suction 6" x 12'
2 Hacksaw
I
Increaser, I " NPSH F to 1-1/21, NH M
2 Handsaw, Crosscut, 26".
1 Intercom Set
3 Hammer, Framing, 24 oz
I
Ladder, 10' Attic
4 Hammer, Sledge, 3-4 lb., Short
I
Ladder, 14'Roof
2 Harness, Body, Commercial (Class 2 or better)
I
Ladder, 24' Extension
2 Haul Bag
4 Lantern, Hand, 12 Volt
2 Jack, Hydraulic w/Handle (8 ton)
5 Lights, for Traffic Cones, flashing amber
2 Kemmantle, V? x I 50', Static, NFPA Approved
I
Log Book, w/Credit Card
I
Knife, Utility
t
Mallet, Rubber
3 Level, 6"
2 McCleod / Than Claw
I
Litter & Litter Cover
I
Mount, Ground, Deluge
I
Litter Pre -rig
4 Nozzle, V, Combination
2 Load Release
5 Nozzle, I IA", Combination (2 structund / 3 Wildland) 6 pr
Loop, Prusik
I
Nozzle, Deluge Set w/Stream Straightener and Tips 1-3/8", 1 Marking Kit, Building
1-1/2", 1-3/4", 2"
2 Multipoint Collection Plate
I
Nozzle, Deluge Combo, 500 - 1,250 gpm
3 Nails, (25 lbs. Each: 16d, 8d)
I
Nozzle, 1 1/2", Foam, Air Aspiration
6 Picket, Steel, I" x 4'
1 Nozzle, 2!/z", Fog
3 Pulley, Rescue, Prusik Minding
2 Nozzle, 2 'A", Shutoff w/Tips
I
San Francisco Hydrant Adaptor, 3" NHF to 2 'W' NHM
I
Cal OES Operations/Maintenance Bulletins
I
Shovel, Scoop, "D" Handle, Fiberglass Handle
2 Pike Pole (6' & 8')
1 Shovel, Long Handle, Square Point, Fiberglass Handle
2 Plug, 2-1/2" Suction
3 Square, (Tri or Speed)
I
Pulaski
I
Square, Framing, 24
I
Radio, Bendix-King, Handheld Serial# 1536048
3 Tape Measure, 25'
Cal OES# 174183
2 Tape, Barrier
DGS#
2 Tape, Duct
I
Radio, Kenwood, Mobile Serial# B6900099
I
Took Kit
Cal OES# 174184
1 Trauma Kit
DGS#
I
Webbing Kit, (6 ea: 1 "0% 1 "xl2', I "x 15% 1 "x20')
I
Reducer, 1-1/2" NH F to I" NPSH M
REMARKS:
ACCEPTED BY: TITLE
DEPARTMENT: DATE,
A -I 4/2012
Agreement for Temporary Transfer of Vehicular Equipment
State of California
GOVERNOR'S OFFICE OF EMERGENCY SEP-VICE
Fire and Rescue Division
EXHIEBIT "B"
TEMPORARY CAL {DES APPARATUS ASSIGNMENT RECORD
NO. I A R T I CL F,
CAL OES I QUANTITY
L 1,250 g1mi "tittle Coimibioatiojs Fire, Engine, coniplete Cal OES I with equipment per attached Exhibit "A" of Agreement for 388 er of Veliloular l tit zit.
2, Liccnw No., 1,52324
VIN No: 441 .FT428611WZ22921
4. En tte 389
5, Proof of Insurance:
Invent2tyC o r Pc,
8 9.
10. 110
REASON FOR TEMPORARY TRANSFER: N i lee
"ram XjTTTPT7%Z-
R — A
PERMANENT ASSIGNEE
B-1 4/2012
Agreement for Temporary Transfer of Vehicular Equipment
State of Califomia
Fire a-( dlescue Divisigof.
I Is
I ligne "wilas] OWN -,A KFJ1J "t
Part of the Agreement through which the State makes a temporary transfer of vehicular equipment is the Agreement on the part of the ASSIGNEE to furnish certain evidence of insurance. Your organization, as ar"6 iofi&we
with, If self -insured, in lieu of a certificate of insurance, a written statement of self-insurance shall be furnished on official letterhead and agreeing to hold Cal OES harmless from any personal injury or property damage claims arising out of the maintenance, use or operation of the Apparatus.
Liability Insurane
A certificate of insurance shall be furnished to the State providing minimum limits of insurance as follows:
IMORM, M-1
11r s It �i
The insurance company shall agree that in the event of cancellation, 15 days prior written notice will be given to the State.
FMOTIMP M-
4. Certificate of Insurance must include the description of the Apparatus including identificati number, State license number and Cal OES unit number. i Physical Dania y,clusurance
The transfer agreements place certain responsibilities upon your organization for the safekeeping of the vehicle and equipment. The State will look to your organization for reimbursement for repair or replacement cost in the event the vehicle or equipment is damaged by misuse or negligence or by other causes, except normal wear and tear, acts of God and conditions over which your organization has no control.
!)escription of Apparatus
VEHICLE VALUE
2016 IBM Type I Egging- $317.980.00
License Number: 1523247
VIN Number: 44KFT4286HWZ22921
Engine Number: 389
Hose and Appliances $34.533.00
C-1 4/2012
Agreement for Temporary Transfer of Vehicular Equipment