HomeMy WebLinkAboutContract 45475 (2)t
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41S-.!- 4 {�s Y A Deputy Chief BobbyTatum
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FIRE DEPARTMENT
Action Request Form -Inter-Division
Person -to -Person ✓ Chain -of -Command
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}�1- _j FAR 139 Ho
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rills
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Chief attached is a letter of agreement from TEEX detailing the cost of our required annual live fire drill. We will send 48
to the class barring injuries or sickness. The total cost is $15,600. We will attend the drill the first 3 Tuesdays of April.
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Distribution:oriainal:
CoDies to:
Appropriate Destination
Sender
Signed Original back to Sender
•
RECEIVE) MAR 2 £3 Z014
NAME
FIRE DEPARTMENT
Request for Use of Business Day(s) and Travel Funds
CHECK HERE IF REQUESTING BUSINESS DAYS ONLY U
Stations 25, 35, 44 ( RANK NA
CURRENT ARFF Program DIVISION OPS
ASSIGNMENT
MEETING OR CONFERENCE INFORMATION
MEETING OR CONFERENCE
PURPOSE Annual Live fire drill at TEEX College Station
LOCATION 200 Technology Way
College Station TX. 77842
TRAVEL IN'ORMTION
DEPARTURE DATE 14/1,4/8,4/15 2014 I RETURN DATE j 4/1, //8, 4/15 2014
rid
ode:of Transportation< -`
_
SST ESTIMA-
LODGING
RENTAL CAR
AIR FARE
MILEAGE
PER DIEM
ESTIMATED EXPENSES
r Yes r No
fr Yes
r No
S//t'//V (` Signa ore,:: °ep
CITY
Personal
Vehicle
City Vehicle Air
F. D.012
09.03 13
Other (Specify)
UNDING SO C3RCE "(Please complete this Section)
FEMA PERSONAL I GRANT OTHER
I DIV. OR FUND ACCT I
1GNATURE/DATE
Signature - - attolioti ief%Supervis_i
It.dated-4
r No
r No
Original: Administration/Travel
ARFF Form: 105
FWFD ARFF Qualification Roster
As of February 13, 2014
Alliance Airport Rescue 35
Index E requires 4 *Qualified ARFF Firefighters
A Shift
Lomerson, R.
Perez, Steve
Parham,
Quintana, C
A Shift
Shelby, D.
Moorman, S.
Kranz, G
Dodson, D
Herron B
Vespremi, L
Scrivner.**
B Shift
Robinson, R. D
Holler, B
Floyd, D
C Shift
Mark Stout***
Gibson, J.
Wagemann,
Parr, C.
Meacham Airport Rescue 44
Index B - 4 *Qualified ARFF Firefi ihters
B Shift
C Shift
Rodriguez, B***
R@'gc
Natterer, J I Kelly, D
Black, S* I Cole, S*
Backfill Pool from Station 25
Creed, R Heath, J
Thomason,
Gann, J.
orn
Smith M.
Bonenberger, P.
Battalion Chief Responders
Flenniken** I Woodard C.**
* Instructor ** Chief Responder *** ARFF Manager"' Program Manger
• Only those persons who are certified and specific airport qualified may be
utilized to meet FAA Indexing requirements.
• Personnel with bold type name are assigned the Position, but are pending
Training, Certification or Qualification.
• ARFF Responder Assignment Pay can only be paid when Fire Administration
receives your State Certification Certificate and you remain Qualified on your
Airport.
File in ARFF Book
EMERGENCY SERVICES TRAINING INSTITUTE
TEXASA&M ENGINEERING
Mr Mir
EXTENSION SERVICE
February 28, 2014
200 Technology Way I College Station, TX 7784S-3424
P.O. Box 40006 I College Station, TX 77842-4006
Toll -Free 866.878.8900 TeL 979.845.7641 Fax 979.847.9304
www.teex.org
TEEX Contract# 25-105249
LETTER OF AGREEMENT
The Texas A&M Engineering Extension Service's"Emergerncy Services Training Institute (TEEX/ESTI) shall
provide "ARFF" Training, subject to the following terms, for:
Fort Worth Fire Department
Captain Reggie Johnson
1000 Throckmorton
FT. Worth, TX 76102
Office: 817-871-6966
Email: Reggie.Johnson@fortworthtexas.gov
TRAINING OVERVIEW
Tvne of Training
FAR 139 Hot Drills
FAR 139 Hot Drills
FAR 139 Hot Drills
Class Hrs
8hrs
8 hrs
8 hrs
Training Dates
April 1, 2014
April 8, 2014
April 15,2014
Classes to be held at the TEEX Brayton Fire Field facility, College Station, TX
(All training -is subject to established student minimums and cancellation if minimums are not met.)
COURSE FEES
The fee to conduct the above training will be a Minimum Fixed Fee of $15,600 for up to 48 students with an
additional fee of $325 per student above
"to:i ail non fixed fee base quotes'state sales tax w�ll-be assessed ors : ',consumbtes;used, except fuels: If
Customeris exempt ftom_ TEXAS state stales tax,please,provlde TEEX EST with;a TEXAS; state sales tax
exemption#o?in. if Customer pays sales tax directly td _the Stai:e=of`['E AS, please pi'ovidetEEX-E5T1-* ti. a
TEXAS direct payment permit certificate:TUnless one of:tl�ese two forms is p`rovidedr:TEXAs state salestaieWill be
essesse'a *'t
CLASS CANCELLATION
Customer may.cancel the scheduled class(s) 15 or more calendar days prior to the start date of training
without any penalty. The cancellation must be executed in writing transmitted, to the TEEX/ESTI Program
Manager or designee via letter, fax, or email. If this requirement is not met, Customer shall pay TEEX/ESTI a
fee of $25. per student if the class is less than 40 hours in length, or :a fee equal to 10% of the class fee for
classes 40 hours or longer in length. All charges will be determined based upon the above listed student
minimums for the class. In the event of extenuating circumstances, such as natural disasters, the TEEX/ESTI
Program Manager will evaluate on a case by case and determine whether to waive the charges. TEEX/ESTI may
postpone the training to a date agreed upon by the parties due to an act of God, war,government regulation,
strike, or other circumstance normally outside the control ofa well -managed business
SAFETY
To help ensure the safety of its students, TEEX/ESTI has developed a TEEX/ESTI Student Safety Manual. The
TEEX/ESTI Student Safety Manual can be viewed at www teex.com/firesafety The TEEX/ESTI Student Safety
Manual contains the safety requirements students- andguest instructors will, be required to comply with
during TEEX sponsored training activities, including the use and type of Personal Protective Equipment (PPE).
TEXAS A&M ENGINEERING
s�
11111/
TEEX Contract.# 25-105249
EXTENSION SERVICE
Customer's safety officer shall ensure- all students and student PPE are in compliance with the TEEX Student
Safety Manual prior to the start of training activities.
In accordance with the TEEX/ESTI Student Safety Manual, Customer shall ensure that all PPE used during
hands-on training exercises meets all applicable National Fire Protection Association (NEPA) standards. Prior to
arriving for any TEEX/ESTI sponsored training, Customer's safety office shall inspect all student PPE to ensure
all. applicable NEPA standards are met. TEEX/ESTI may make spot checks of student PPE throughout the
duration of the training activities. TEEX/ESTI shall reject any PPE not meeting the applicable standards and
Customer shall replace it with compliant. PPE before the student will be allowed to participate in any further
hands-on training activities.
Customer acknowledges that the TEEX/ESTI Student Safety Manual is available on www.teex.com/firesafety
for review. Customer also acknowledges that it is Customer'sresponsibility to ensure that each employee is
aware that the manual is available online and understands his/her safety requirement Each employee shall
comply with all safety requirements in the TEEX/ESTI Student Safety Manual
ACCEPTANCE
Please provide the acknowledged Letter of Agreement with navment method indicated along with billing
address if different from the address above. detailed below. no later than. ten working days prior to the
beginning of training. as detailed above.
PAYMENT METHOD: Please select one (check the box)
Direct Invoice TEEX/ESTI shall invoice Customer, for the total cost at the conclusion of the training, with
payment dueno later than 30 days from the date of theinvoice. Please provide billing address if different
than above.
Purchase Order Please provide a copy of the purchase. order detailing -the billing address, number of
students, dateof training, total or estimated $ dollar of training and Letter of Agreement number.
TEEX/ESTI is an agency of.the State of Texas and does not, by signing or accepting Customer's purchase order,
waive any rights, privileges or immunities available under Texas law. TEEX/ESTI hereby objects to any
additional or conflicting terms of the purchase order, and`those terms are subject to and applicable to the
exceptions noted in TEEX form CS-0.8, Addendum to Customers Contract Forth/which is'available upon
request. Any execution of the purchase order is subject to the exceptions, even if execution of the purchase
order is subsequent to the execution of this letter of°agreement.
Credit CardPlease provide exact name (reflected on credit card), creditcard number,.and expiration date.
Please •note.that the credit card will be charged when the total cost is determined. A copy of a receipt will be
provided on each charge made.
I 1 Cash oavment. (Check, Wire, etc,) Bysending your check, please be aware that you are authorizing
TEEX/ESTI to make a one-time electronic debit from your account at the financial institution on your check.
This electronic debit will be for the amount of your check; no additional amount will be added to the amount
and all transactions will remain secure. Please_contact the Financial Servicesdepartment at 979-458-6906 to
learn about other payment options ifyou prefer not having,your check processed as an electronic debit. We
value yo.ur business and appreciate -your selecting TEEX for your training needs.
111
o n: allFnon' fixed fee base quotes, state.salesfaxruill be assessed on ali consu`rrrables'dsed, eiicept fuels, if
Customer is8xem0fromtEXASstate saes tax,:please provide TEEX ESTI with a`TEXAS_state saiec tau
exkiiio ci_100m if Casto0S-i'i pays sales fax directly #v rare State!;bf TEXAS„please provide TEEX=ESTi iikie a
TEXAS d1rect pay+ient permit certificate Unless1 one ofthese ti# forms_i's provided,,.TEXASstate sales tax will b'e
assessed.*#.
TEEX CS=39
Page 2of3
OGC APPROVED December 2012-WJD
•
EXTENSION SERVICE
RELATIONSHIP
(th-g/vc--
This Letter of Agreement does not create a partnership or joint venture. Customer personnel are not
employees of TEEX/ESTI and: TEEX/ESTI .will not provide any compensation, insurance coverage, or other
benefits for Customer's personnel. Customer shall indemnify TEEX/ESTI,.The Texas A&M University System,
and their regents, officers, agents, volunteers, and employees from all liabilities, claims, demands, injuries
(including death), or damages, including court costs and attorneys' fees and expenses, Which may occur to
Customer personnel, other participants, and third persons as a. result of Customer personnel's participation in
activities underthis Letter of Agreement.
TEEX Contract # 25-105249
ESTI Point.of Contact (PQC)
=Sullivan
ESIti raining Manager:�ARFF;
Offrce..1(979} 862s7475
*Ojai: t m "sull van-@teex tamu ec
teal,
Division Address
Texas A&M Engineering Extension Service
Emergency. Services Training Institute
200 Technology Way
College Station, TX 77845
Please. reference this Letter of Agreement on any. correspondence.
Please sign, acknowledge .and return by email, mail, or fax (979) 847-9304. Thee person signing the
acknowledgement warrants that he or she has the authority to bind the customer to the terms and conditions of
this agreement,
Respectfully submitted,
Robert Moore or Designee
Division Director or Associate Division Director
Texas A&M Engineering' Extension Service
Emergency Services Training Institute.
t
ACKNOWLEDGEMENT:.
Reviewed by
ESTI Business Office
all."-----
aget----1
Signature
Cherie s W . baniei,s
Name (Printed)
03.28. 1+
Date
AtteSt@dh
Tn. a r■ is I ca Elflu 1
?,ysr,CiQSecretsiry
TEEX CS-39
Page 3 of 3
OGCAPPROVED. December 2012-WJD