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Okaloosa County BOCC — September 16, 2014 — reading text

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Facilities} (Notes Tab on Scenario Page{s}) On‐Site Visits (for each Facility and within the Contract Period) Site Visit Certification Form (Attached to Site Plan Tab on Facility Page) {file name must contain at minimum the SERC number if applicable and SV – if SERC number is not available facility name and SV – additional info allowed but not required.} Site Plan (Attached to Site Plan Tab on Facility Page) {file name must contain at minimum the SERC number if applicable and SP – if SERC number is not available the facility name and SP – additional info allowed but not required.} Sufficient Detail to Identify: Location of Major Building(s) Name and Location of Extremely Hazardous Substance(s) (if extremely hazardous materials are co‐located, noting EHS is acceptable) Name and Location of Street(s) Identify Pertinent Access and Egress Points Note Additional Features Pertinent to Hazardous Materials and Medical Response All data shall be submitted electronically via CAMEOfm version 3.0.1 in a .zip file format. 33 Packet Pg. 336 Attachment J FLORIDA STATE EMERGENCY RESPONSE COMMISSION FOR HAZARDOUS MATERIALS HAZARDS ANALYSIS SITE VISIT CERTIFICATION FORM Facility Name (Please print) Street Address, City & Zip Code (Please print) _________________________ County (Please print) Name of Facility Representative (Please print) Facility Representative Signature Site Visit Date Site Visit Performed by (Please print) Signature Site Visit Date The individuals signing above certify that a hazards analysis site visit was conducted on the above date. Notes:________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________  Check if facility representative was informed about using E-Plan (https://erplan.net/eplan/login.htm) for EPCRA on-line filing 34 Packet Pg. 337 Attachment K STATEMENT OF DETERMINATION Facility Name Physical Address (Street only) City County LEPC District I have determined that this facility is / is not subject to the following section(s) of EPCRA, Title III, for the reporting year(s) indicated (circle all applicable): SECTION 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 302 / 303 Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N 311 / 312 Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N 313 Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N If “No” was indicated on any of the above, please check appropriate box(s) why: Sections Extremely Hazardous Substances (EHSs) are / were present only in amounts less than established 302/303 Threshold Planning Quantities (TPQs). No EHSs are Present. No EHSs were present on-site during the year. Sections Hazardous chemicals/EHSs are/were present only in amounts below established reporting thresholds. 311/ 312 No hazardous chemicals/EHSs are/were present. No hazardous chemicals were present on-site during the year. Section Not within covered SIC Codes. 313 Within covered SIC Codes, but less than ten (10) employees. Within covered SIC Codes, but no Section 313 chemicals were present or were below Section 313 reporting thresholds. Other Closed facility Chemicals removed Chemicals reduced below Date Effective: YES / NO YES / NO threshold/TPQ YES / NO New Facility. Date chemicals brought on site meeting / exceeding TPQ: Further explanation if necessary: ____________________________________________________________________________ ________________________________________________________________________ ____________________________________________________________________________ CERTIFICATION: I understand the requirements of the law(s) circled above. I also understand that ultimate compliance responsibility lies with me and failure to comply, if required, can result in civil and criminal penalties under federal and state laws. Name of owner / operator’s authorized representative (printed): Official Title (printed): Signature: Date signed: 35 Packet Pg. 338 BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: Dino J. Villani SUBJECT: Amendment to Medical Examiner Agreement DEPARTMENT: Public Safety BCC DISTRICT: All STATEMENT OF ISSUE: Request approval of the amendment to the Medical Examiner Agreement, which renews the contract for one (1) additional year from October 1, 2014, through September 30, 2015. BACKGROUND: In compliance with Florida Statutes, Chapter 406, the Board of County Commissioners provides an annual budget and contracts for medical examiner services with the District I Medical Examiner’s Officer. This year’s budget approved by the Board is $474,022.00, which is a decrease of $36,546.00 from the current year’s contract. As outlined in the contract, the District I Medical Examiner’s Office will pay the vendor invoices directly and then submit an invoice with the appropriate documentation to Okaloosa County for reimbursement. The Medical Examiner’s Office provides important services to Okaloosa County citizens and law enforcement agencies. The District I Medical Examiner’s Office has always assured it will serve Okaloosa County in accordance with the provisions of the pertinent statutes and applicable rules and regulations of the Florida Department of Law Enforcement. Staff support to the Medical Examiner’s Office at the Fort Walton Beach morgue is provided by the District I Medical Examiner and is under her direct administration/supervision. OPTIONS: Approve or disapprove. RECOMMENDATIONS: Approve and authorize the Chairman to execute the amendment to the agreement for Medical Examiner Services with Dr. Andrea Minyard, District I Medical Examiner, for medical examiner services to Okaloosa County for Fiscal Year 2014-15. RECOMMENDED BY: Packet Pg. 339 APPROVED BY: Ernie Padgett, County Administrator Packet Pg. 340 Packet Pg. 341 Packet Pg. 342 Packet Pg. 343 BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: September 16, 2014 TO: Honorable Chairman and Members of the Board FROM: Dino J. Villani SUBJECT: EMS Collection Agency Selection and Contract Negotiation DEPARTMENT: Public Safety BCC DISTRICT: All STATEMENT OF ISSUE: Request approval to select PennCredit as the Emergency Medical Services (EMS) collection agency for delinquent accounts and begin contract negotiations. BACKGROUND: The contract for the current EMS collection agency expires on September 30, 2014. Professional Adjustment Corporation has provided collections services for Okaloosa County EMS since October 17, 2000. The County received proposals from 5 companies to provide EMS collection services. The selection committee ranked PennCredit as the first choice, followed by Professional Adjustment Corporation and then LifeQuest Services. PennCredit proposes a fee of 18% for primary collections and 25% for secondary collections. The County will have the ability to access account activity online through PennCredit's client portal. The client portal also allows the County to place accounts on hold for 30 days, submit a payment or adjustment to an account, and to request cancellation of an account. OPTIONS: Approve/Disapprove. RECOMMENDATIONS: Approve the selection of PennCredit as the EMS collection agency and begin contract negotiations. RECOMMENDED BY: APPROVED BY: Ernie Padgett, County Administrator Packet Pg. 344 Packet Pg. 345 Packet Pg. 346 Packet Pg. 347 Packet Pg. 348 Packet Pg. 349 Packet Pg. 350 Packet Pg. 351 Packet Pg. 352 Packet Pg. 353 Packet Pg. 354 Packet Pg. 355 Packet Pg. 356 Packet Pg. 357 Packet Pg. 358 Packet Pg. 359 Packet Pg. 360 Packet Pg. 361 Packet Pg. 362 Packet Pg. 363 Packet Pg. 364 Packet Pg. 365 Packet Pg. 366 Packet Pg. 367 Packet Pg. 368 Packet Pg. 369 Packet Pg. 370 Packet Pg. 371 Packet Pg. 372 Packet Pg. 373 Packet Pg. 374 Packet Pg. 375 Packet Pg. 376 Packet Pg. 377 Packet Pg. 378 Packet Pg. 379 Packet Pg. 380 Packet Pg. 381 Packet Pg. 382 Packet Pg. 383 Packet Pg. 384 Packet Pg. 385 Packet Pg. 386 Packet Pg. 387 Packet Pg. 388 Packet Pg. 389 Packet Pg. 390 Packet Pg. 391 Packet Pg. 392 Packet Pg. 393 Packet Pg. 394 Packet Pg. 395 Packet Pg. 396 Packet Pg. 397 Packet Pg. 398 Packet Pg. 399 Packet Pg. 400 Packet Pg. 401 Packet Pg. 402 Packet Pg. 403 Packet Pg. 404 Packet Pg. 405 Packet Pg. 406 Packet Pg. 407 Packet Pg. 408 Packet Pg. 409 Packet Pg. 410 Packet Pg. 411 Packet Pg. 412 Packet Pg. 413 Packet Pg. 414 Packet Pg. 415 COLLECTION AGENCY SERVICES FOR EMS OKALOOSA COUNTY BOARD OF COMMISSIONERS, FLORIDA RFP # EMS 63-14 PROPOSAL DUE: July 18, 2014 @ 4:00 P.M. Packet Pg. 416 NOTICE TO PROPOSERS COLLECTION AGENCY SERVICES FOR EMERGENCY MEDICAL SERVICES (EMS) OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS The Okaloosa County Board of County Commissioners under the provisions of Section 287.055, Florida Statutes and County policy, request proposals from agencies for Collection Agency Services for EMS. The County desires services of a qualified collection agency with proven performance as outlined in the Scope of Services. Agencies desiring consideration should provide an original and five (5) copies of their Request for Proposal (RFP) with the agency’s areas of expertise identified. Submissions should be portrait orientation, unbound, and 8 ½” x 11” where practical. All originals must be original signatures in

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