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Fort Walton Beach Council agenda — 03-27-2007 regular agenda — reading text
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850) 488- 8641
RECOGNITION-ACKNOWLEDGEMENT PETITION
PART I -REQUEST FOR RECOGNITION
INSTRUCTIONS:
Part I is to be completed by the union which is requesting recognition by the public employer. This form is
to be served on the employer
representative indicated in item 5 below. Ifmore space is required for any item,
attach additional sheets, numbering items accordingly.
The petitioner hereby requests recognition by the public employer as the exclusive bargaining agent for the
employees in the classifications listed in item 6 below:
1. NAME OF PETITIONER: Fbrt Walton Beach Firefighters Association
Address: P . 0. Box 1 241
Fort Walton Beach, FL 32549- 1241
Zip Code
2. PETITIONER REPRESENTATIVE: Shannon R. Stone
Title: President Phone No. 850- 259- 9344
Address: 6604 Redfield St
Navarre, FL 32566
Zip Code
3. PERC REGISTRATION NUMBER OF PETITIONER: OR- 86- 208
Expiration of current registration: Auqust 5, 2007
PERCForm 3
Page 1 of 5 ( Rev. 6/ 02)
4. NAME OF EMPLOYER: City of Fort Wal ton Beach
Address: p. o. Box 4009
Fort Walton Beach, FL 32549
Zip Code
5. EMPLOYER REPRESENTATIVE: Joyce Shanahan
Phone No. 850- 833- 9504
Title: City Manager
Address: P. o. Box 4009
Fort Walton Beach, FL 32549
Zip Code
List
6. DESCRIPTION OF UNIT CLAIMED to be appropriate for the purpose of collective bargaining. (
individually all job classifications proposed for inclusion.)
INCLUDED:
Battalion Chiefs
EXCLUDED:
Fire Chief
Deputy Chief
Fire Marshal
Administrative Assistant
Three ( 3)
7. APPROXIMATE NUMBER OF EMPLOYEES in the unit claimed to be appropriate:
PERC Fonn 3
Page 20f5 ( Rev. 6/ 02)
8. ( a) Is this request supported by more than 50% of the employees in the proposed bargaining unit?
X YES NO
b) If answer to ( a) is YES, describe the method by which the public employer may verify the majority status claimed by
the organization.
Signed letter of support from the Battalion Chiefs stating their Support.
9. tAILED OR DELIVERED TO public employer:
DATE THIS REQlJEST WAS IV- r/ lt\~ l3j don7
Q.~
nature of Petitioner Representative
PART II -RECOGNITION-ACKNOWLEDGEMENT AND NOTICE TO EMPLOYEES
INSTRUCTIONS:
If the public employer recognizes the petitioner/organization as the collective bargaining agent for the
employees in the proposed unit, Part II is to be completed and submitted to the organization, attaching copies of the
job descriptions, if any, for all classifications of employees to be included in the unit. The public employer should
simultaneously serve copies of the executed form without job descriptions upon those employee organizations listed
in 14, below.
10. Does the org~ ization have the support of a maj ority of the employees in the proposed unit?
YES NO
11. TOTAL NUMBER OF EMPLOYEES IN THE UNIT proposed in item 6: Three ( 3)
12. DESCRIPTION OF THE METHOD BY WHICH THE MAJORITY STATUS OF THE EMPLOYEE ORGANIZATION HAS
BEEN VERIFIED:
Signatures of support by three ( 3) Battalion Chiefs.
PERC Form 3
Page 3 of 5 ( Rev. 6/ 02)
13. DATE OF EXPIRATION OF THE CURRENT COLLECTIVE BARGAINING AGREEMENT covering any employee
within the proposed unit, if any: N/ A
4. ORGANIZATIONS OTHER THAN PETITIONER which claim to represent any of the employees in the unit set forth in
item 6, above, if known. ( If none, so state) None
15. ( a) HAS A REPRESENTATION ELECTION BEEN CONDUCTED within the preceding twelve ( 12) months among
any of the employees in the proposed unit?
YES
x NO
b) If answer to ( a) is Yes, give the date of the last election:
However signatures of all employees for support of recognition have been secured.
16. NOTICE TO EMPLOYEES:
If approved by the Public Employees Relations Commission, this petition will result in the organization being
certified as the exclusive bargaining agent for all employees in the unit described above. No election will be
conducted. Any person who objects to approval of the petition must file written notice with the Public Employees
Relations Commission, stating the basis for such objection, within twenty ( 20) days after initial posting of this
notice.
17. ( a) LIST OF LOCATIONS WHERE COPIES OF THIS FORM HAVE BEEN POSTED BY THE EMPLOYER:
City of Fort Walton Beach HumanrResources Office
City Fire Stations on Hollywood Blvd. and Lewis Turner Blvd.
b) Date of initial posting: March 28, 2007
PERCForm 3
18. ( a) The public employer recognizes the employee organization named in item 1 as the collective bargaining
representative of the employees in the unit described in item 6.
b) Attached hereto is documentary evidence of such recognition ( e. g. fonnal resolution or official minutes reflecting
the act of recognition).
c) The public employer has mailed copies of this executed fonn and attachments to the organizations listed in item 14.
19. DATE OF EXECUTION OF PART II:
Signature of Employer Representative
PART III -PETITION
INSTRUCTIONS:
Upon receipt of Part II from the public employer, the employee organization shall execute Part III and file the original and
one ( 1) copy of the fully executed Petition and of the job descriptions for all classifications of employees to be included in the
unit with the Commission.
20. NAME AND TITLE OF PERSON EXECUTING PART III, if different from Petitioner Representative in
item 2 above:
NAME:
Title: Phone No.
Address:
Zip Code
I have read the above form and all attachments. The statements contained therein are true to the best of my
knowledge and belief.
21. DATE OF EXECUTION OF PART III:
Signature of Petitioner Representative
FALSE STATEMENTS MAY RESULT IN FINE AND IMPRISONMENT
PURSUANT TO CHAPTER 837, FLORIDA STATUTES
FORT WALTON BEACH
PROFESSIONAL FIREFIGHTERS
ASSOCIATION
I.
A. F. F. LOCAL 2601
P. O. Box 1241 gfot'ida. ( P'tofE.! J.iona.
J.! f
FORT WALTON BEACH, FL 32549- 1241 F IREFIGRTERS
y
December 18, 2006
State of Florida Public Employees Relations Commission
4050 Esplanade Way
Tallahassee, Florida 32399- 0950
To Whom It May Concern:
Per the instructions of the Representation- Certification Petition, below are signatures of
the employees who are requesting to participate in the supervisors bargaining unit. By
employees signing this letter, they are supporting the inclusion of battalion chiefs into a
supervisors bargaining unit.
If you have any questions or concerns, please feel free to contact me.
Respectfully,
Q..~
Shannon R.Stone
President, IAFF Local 2601
Fort Walton Beach Professional Firefighters, ( 850) 259- 9344
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Robert Bullard, Battalion Chief
Fort Walton Beach Fire Department
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Gene'"Large, Battalion hief
Fort Walton Beach Fire Department
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DavId Messerschmidt, Battal10n Chief , ~:/"' NO.RN TO AND Sl.13S~ RDfiO nfWtJ; i'.,.'(~ iV\ '
Fort Walton Beach Fire Department DAY O~.",
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s DianaS. Emery &
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