FSS, Inc. Assessment of Emergency Services for

Transcription

1 FSS, Inc. Assessment of Emergency Services for City of Lake Dallas Hickory Creek Shady Shores By Corinth (Lake Cities) Fire Department Argyle (Denton Co Fire Dist. 1) Fire Department

2 Criteria for the Assessment Key Components from the Cities Leadership Applied in the Analysis Contracted service for fire and EMS emergencies are adequate for risks in the community to: Meet needs at affordable costs Provide accountability to citizens for increasing costs Provide sustainable services to citizens

3 Criteria for the Assessment National Standards and Regulations OSHA Respiratory Protection Standard 29 CFR Two-in Two-out Federal/state law (legally binding) NFPA 1500 Standard on FD Safety and Health Specifies minimum safety and health requirements Basis for numerous other NFPA standards NFPA 1710 Standard for Deployment of Fire and EMS Depts. Establishes minimum response times, staffing and operations

4 Criteria for the Assessment Pages 4 28 highlight core components of each NFPA code a reference for city decision makers. You are not bound by the codes unless you adopt them. You can use codes as guides. Points for special consideration are identified. Each department s services that meet or exceed the codes are stated where applicable.

5 NFPA 1500: Standard on Fire Department Occupational Health and Safety Program Chapter 4 FD Administration Shall prepare and maintain written policies and standard operating procedures document organization structure, membership, roles and responsibilities, expected functions and training requirements, including: Types of standard evolutions expected to be performed for different types of situations Minimum number of members required to perform each function or evolution Number and types of apparatus and number of personnel to be dispatched to different types of incidents Procedures to be employed to initiate and manage operations at emergency incident Both departments have identified roles and responsibilities and provide weekly, annual and special training for personnel Training outlines and records verify preparedness to perform Each department has procedures for managing operations at emergency incidents which also are the basis for personnel training. Number and type of apparatus and personnel dispatched for different types of incidents are set up in a box system each department has with the Denton Co. Sheriff s Dispatch Center for 1 st to 4 th alarms, fire or major incident.

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7 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Other key terms: Automatic Aid A plan developed between two or more fire departments for immediate joint response on first alarms Mutual Aid A written intergovernmental agreement between agencies and/or jurisdictions that they will assist one another on request by furnishing personnel, equipment, and/or expertise in a specific manner.

8 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments Automatic Aid Agreements: All departments in the county have signed a mutual aid agreement to respond and to assist other departments as dispatched by Denton County Sheriff s office. Departments are paid by Denton County for their responses to unincorporated areas. Responses are based on a Box System built around capabilities of departments in reference to location, availability, and expertise needed. Changing the fire and emergency service provider would not change the level of response but would change the department that is in first response and could change mutual aid between Corinth and current mutual aid assignments to be agreements with Argyle for the area.

9 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Other key terms: Company A group of members: Note: Under the direct supervision of an officer Trained and equipped to perform assigned tasks Usually organized and identified as engine companies, ladder companies, rescue companies, squad companies, or multifunctional companies Operating with one piece of fire apparatus except where multiple apparatus are assigned, dispatched and arrive together, continuously operating together, managed in a single company Arriving at the incident scene on fire apparatus Corinth schedules are 24 on and 48 off DCFD1 schedules are 48 on and 96 off

10 Company Assignments Corinth DCFD1 One Company in Lake Dallas 1 Engine, 1 Ambulance Captain 6 FF / Paramedic One Company in Corinth 1 Engine, 1 Ambulance Captain 6 FF /Paramedic One Company in Lake Dallas 1 Engine, 1 Ambulance Captain 6 FF / Paramedic Hickory Creek (To be built at City Hall) 1 Ambulance 2 FF / Paramedic

11 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Other key terms: Emergency Medical Care The treatment of patients using first aid, cardiopulmonary resuscitation, basic life support, advanced life support and other medical procedures prior to the arrival at a hospital or other health care facility Advanced Life Support (ALS) Emergency medical treatment beyond basic life support that provides for advanced airway management including intubation, advanced cardiac monitoring, defibrillation, establishment and maintenance of intravenous access, and drug therapy Basic Life Support (BLS) A specific level of pre-hospital care provided by trained responders, focused on rapidly evaluating a patient s condition; maintaining a patient s airway, breathing and circulation; controlling external bleeding and circulation; controlling external bleeding; preventing shock; and preventing further injury or disability by immobilizing potential spinal or other bone fractures.

12 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Time (measured in seconds) Denton County Sheriff s Dispatch is the PSAP (Public Safety Answering Point) for all fire departments in the county. They control: Alarm Answering time Alarm Handling time Alarm Processing time Alarm Transfer time

13 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Time (measured in seconds) Fire Department is responsible for: Initiating Action / Intervention Time from the time the unit gets the call until arrival on the scene to initiating emergency mitigation Total Response Time from receipt of the alarm (PSAP) to when the first emergency response unit is initiating action or intervening to control the incident Travel Time from the time the unit is en route to the emergency incident until it arrives at the incident Turnout Time from the time the emergency response unit receives the alarm until they begin travel to the incident.

14 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Organizational Statement Fire Department shall establish the following objectives: Alarm handling time in accordance with seconds for turnout time for fire and special operations 60 seconds for turnout time EMS response 240 seconds or less travel time for arrival of first responding engine company 480 seconds or less travel time for deployment of initial full alarm assignment at a fire suppression incident 480 seconds or less for travel time / arrival of ALS unit where provided by fire department first responder with AED or BLS unit arrived in 240 seconds or less travel time

15 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments Average Fire Response Times Corinth / Lake Cities DCFD #1 / Argyle 360 seconds (6 minutes) 480 seconds (8 minutes) FF 360 Seconds (6 minutes) EMS

16 Corinth City of Lake Dallas Corinth Hickory Creek Corinth Shady Shores DCFD#1 Current Area Longest Response Distance 1.93 miles 3.31 miles 3.12 miles 5.1 miles Average Response Distance 1.22 miles 1.26 miles 1.49 miles 1.57 miles Longest Response Time 946 seconds 1117 seconds 889seconds 1062 seconds Average Response Time

17 Lake Cities Current Data for the Area Responsibilities and Response: LCFD covers approx. 30 sq. miles and 35,000 population Lake, rehab hospital, nursing home, 10 public schools, community college, 7 apartment complexes, commuter rail, interstate highway, residential and commercial 3,162 incidents (2014) Average response time 6:00 minutes with 90% of all calls responded to in 9:45 minutes Standards say 4 minute (240 second) response time in 90% of calls. LCFD = 18% Standards say effective force in 8 minutes (480 seconds). LCFD = approx. 15 min.

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19 DCFD1 Current Response The Argyle Fire District is responsible for providing fire, rescue, and emergency medical services for the citizens of Argyle, Bartonville, Copper Canyon, Corral City, Lantana, and Northlake. Their area also includes the Denton County area surrounding these cities. The District covers approximately 55 square miles with a population served of approximately 25,000 people. The district averages 1400 incidents a year.

20 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Organizational Statement The fire department shall provide the AHJ with a written report annually The annual report shall define the geographic areas and/or circumstances in which the requirements of this standard are not being met The annual report shall explain the predictable consequences of these deficiencies and address the steps that are necessary to achieve compliance. (Note: define Fire Suppressions Services, Emergency Medical Services, Special Operations, Airport Rescue and Fire-Fighting Services, Wildland Fire Suppression Services and Intercommunity Organization. One key point: state, Procedures and training of personnel for all fire departments in mutual aid, automatic aid, and fire protection agreement plans shall be comprehensive to produce an effective fire force to ensure uniform operations.)

21 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services On-duty personnel assigned to fire suppression shall be organized into company units and shall have appropriate apparatus and equipment assigned to each company The fire department shall identify minimum company staffing levels as necessary to meet the deployment criteria required in to ensure that a sufficient number of members are assigned, on duty and able to safely and effectively respond with each company. (Plans for filling in for people who call in or plan time off duty overtime vs staffing shifts from other duties for example).

22 Corinth / Lake Cities Fire Department Staffing Full Department Position Fire Chief (1) Cost $161,872 $164,582 $167,011 Deputy Chief (3) Cost $401,435 $408,066 $414,391 Administrative Assistant (1) Cost $62,602 63,626 $64,542 Overtime Man-days Cost $121,617 $123,084 $124,499 Captain Apparatus Operator Firefighter / Paramedic Firefighter / EMT Annual Total Quantity & Cost Quantity Total Cost Avg. Cost Quantity Total Cost Avg. Cost Quantity Total Cost Avg. Cost Quantity Total Cost Avg. Cost Quantity Total Cost Avg. Cost 6 $715,332 $119,222 6 $619,756 $103, ,130,322 $88,763 3 $300,421 $100, $4,513,357 $102,576 6 $729,970 $121,662 6 $630,524 $105, $2,208,361 $92,015 3 $308,408 $102, $4,636,621 $105,378 9 $1,060,290 #117,810 9 $937,751 $104, $2,777,421 $92,581 3 $315,694 $105, $5,861,599 $104,671

23 DCFD#1 / Argyle Fire Department Staffing Position Captain Quantity Cost Average 3 $168,000 $56,000 3 $173,040 $56,780 3 $178,232 $59,411 Firefighter / Paramedic Quantity Cost Average 24 $1,152,000 $48, $1,186,560 $49, $1,222,157 $50,923 Fire Driver / Engineer Quantity Cost Average 3 $150,000 $50,000 3 $154,500 $51,500 3 $156,135 $53,045 Annual Total Quantity & Cost Quantity Cost 30 $1,470, $1,514, $1,556,524

24 Annual Staffing for Area to be Protected Position Argyle Annual Total Quantity & Cost Quantity Cost Avg. Cost 30 $1,470,000 $49, $1,514,100 $50, $1,556,524 $51,884 Corinth Annual Total Quantity & Cost Quantity Total Cost Avg. Cost 44 $4,513,357 $102, $4,636,621 $105, $5,861,599 $104,671

25 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services All fire departments with ALS services shall have a named medical director with the responsibility to oversee and to ensure quality medical care in accordance with state laws or regulations. Oversight and Medical Director Involvement Corinth Medical Director Dr. Olmsted rides out monthly with EMS, and checks EMS reports. DCFD#1 Dr. Northiemer tests each paramedic one on one annually. He gives them scenarios and they explain what they would do for the patient. Each medic averages one hour during the testing. Every EMS call is evaluated by Lt. Miller he checks the reports to assure medics are following protocols as outline by our Medical Director.

26 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services Fire departments providing ALS services shall provide a mechanism for immediate communications with EMS supervision and medical oversight. Protocols Corinth Protocols were last updated in 2014 and new cardiac science guidelines came out in These new guideline changes effect BLS and Advanced Cardiac Care. DCFD#1 Protocols were updated in February 2016.

27 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator EMS Staffing Lake Cities lists itself as providing Advanced Life Support utilizing full ACLS therapies from all Fire/EMS apparatus including Deputy Chiefs. Fire engines also maintain standing order kits. This can result in decreased response times and better service to citizens. Argyle Fire Districts Organizational Structure states that they are capable of deploying both BLS and ACLS level care. Caution: Does Lake Cities also provide BLS level care or only ACLS level care? Problems can result from billing Medi-Care and Medi-Cade for ACLS and not BLS when appropriate. Fraud could be committed without really realizing it. Billing is an issue that is easily resolved with 3 party vendors.

28 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator OSHA Standards for Emergency Personnel The Occupational Safety and Health Administration (OSHA) is currently writing standards for emergency personnel. These standards will revolutionize both fire and EMS, but will also effect anyone who responds to emergencies. This could be City Staff, utilities personnel, police, fire and EMS, etc. These changes will be costly to implement and should be considered in the planning of these changes.

29 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator Management of Quality of EMS Services Lake Cities reported that 100% of all EMS are Quality Improvement (QI) reviewed. The QI of 100% is amazing, however, we do not know the results of this QI. What has been found? What percentage of runs require corrective action? The prevalence of a high number of complaints, corrective actions, or law suits indicate the effectiveness of training programs and supervision by the command staff. A minimum number of runs made simplifies a 100% QI capability. (Estimate of runs.) If the geographic area served changes, will EMS services be able to sustain this rating? DCFD#1 shows Quality Improvement with regards to training medics, however, there is no indication of ongoing quality improvement of actual incidents.

30 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator Pharmaceutical Capabilities Protocols listed for both departments include all the required formularies for treating emergency patients. However, the volumes indicated show what is issued to each ambulance, but does not show what is stocked at the station. Keeping supplies limited saves money with the rotation of expired drugs and is effective in keeping the medications out of the heat. Overall, both department seem equal in this regard.

31 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator Specialized Training By Each Department Lake Cities has ability to respond to hazardous materials events. Lake Cities shows minimal training in mass shootings, mass-casualty, and trench and excavation incidents. These events are managed through mutual response plans or agreements for all cities in the geographic area. Argyle Fire District lists its abilities to respond to many different incidents, including hazardous materials events, mass shootings, mass casualty, and trench and excavation incidents. Argyle Fire District was recognized in 2016 by the American Heart Association with a Mission: Lifeline EMS Bronze Achievement Award for demonstrating continued success in using the Mission: Lifeline EMS program to apply the most up-to-date evidence and treatment guidelines to improve patient care and outcomes in the community it serves.

32 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services - Other EMS considerations offered by the evaluator EMS Response Recommendations Fire response in conjunction with EMS is imperative on the following type runs: cardiac arrest, shootings, stabbings, and major vehicle accidents, including people pinned. In cases where an engine is closer and can begin care if an ambulance is in outlying areas, an engine should be dispatched. If a call turns into a cardiac arrest, an engine should be dispatched. High quality CPR criteria require rotation of compressors every two minutes. A firefighter, EMT, or paramedic riding an engine can be utilized as this third person while en route to the hospital. However this may require putting an engine out-of-service, as 4 people are required to effectively respond as an engine company.

33 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services 5.5 Airport Rescue and Fire-Fighting (ARFF) Services. 6 Systems 6.1 Safety and Health System A fire-fighter occupational safety and health program shall be provided in accordance with NFPA Incident management system shall be provided in accordance with NFPA 1561 to form the basic structure of all emergency operations of the fire department, regardless of the scale of the department or the emergency. 6.3 Training system to ensure are trained to execute all responsibilities 6.4 Communication system to reliably facilitate prompt delivery of public fire suppression, EMS and special operations. Denton Airport ARFF are first responders through the Box System for aircraft fires at Hidden Valley Airport (private) in Shady Shores.

34 NFPA 1710: Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments NFPA Fire Department Services The key point is to clearly set out the specific services the fire department is authorized and expected to perform. Most fire departments are responsible to a governing body. The governing body has the right and should assert its authority to set the specific services and limits of the services the fire department will provide. It also has the responsibility to furnish the necessary resources for delivery of the designated services. The fire department should provide its governing body with a specific description of each service, with options or alternatives and an accurate analysis of the costs and resources needed for each service. It also gives the governing body an accounting of the costs of services and allows it to select those services it can afford to provide. Likewise, the governing body should identify services it cannot afford to provide and cannot authorize the fire department to deliver, or it should assign those services to another agency. The AHJ s risk assessment process includes adopted building codes, required fire/life safety related engineering controls, accepted service delivery performance objectives, complexity of facilities and occupancy hazards (low, medium, and high) within the jurisdiction.

35 ISO Rating ISO Information Keep in mind 50% of the ISO rating is for its fire department, 40% for its water supply and 10% for its dispatching capabilities. The smaller the number the better the rating. Each zone of the area covered is rated separately, thus the / rating. Lake Cities is rated a Class 4/9 with the Insurance Services Offices. Argyle Fire District is rated a Class 3/8 with the Insurance Services Office. If you change to Argyle the Chief will request a fast track to get ratings updated to what they would be with their department.

36 Service Quality Assessment Summary Operation Plans Staffing Patterns Training / Ability Responder Ability Equal Similar / Adequate Excellent in Both Departments Excellent at entry and sustained with quality training

37 Service Quality Assessment Summary Responder Cost Equipment Cost and Maintenance EMS Service Quality Response Time Corinth is almost twice as high per person on average than Argyle. Only Corinth charges for administrative cost = $747,845 annual average from DCFD #1 administrative costs are covered by fire districts taxes. Same manufacturer with area service center. Different costs relate primarily to specifications for different capacities of apparatus. Neither department compares cost with other manufacturers. Excellent in Both Departments. Similar Protocols. Corinth updated in 2014 Argyle updated in 2016 State updates in 2015 Similar Medical Supervision. Protocols and meds are decided by supervising physician. Both have average response times longer than the NFPA standard (240 Seconds). Corinth average 360 seconds. Argyle s FF response. averages 480 seconds and EMS 180 seconds. Analysis of causes and options for reducing are needed.

38 Cost Analysis Information Corinth salaries between 2014 and 2019 range from 61.09% wages / 28.73% benefits in % wages / 35.30% benefits in 2019 DCFD 1# / Argyle salaries quoted between 2017 and 2019 will include: Wages Social Security Health and Life Insurance 401K partial match

39 Total Cost Comparisons Corinth Averages 40% of Total Budget DCFD#1 / Argyle Direct Fees for Services Corinth s Total Net* Annual Cost $4,742,948 $4,830,037 $4,926,293 Contract Total Annual Cost City of Lake Dallas Hickory Creek Shady Shores $1,956,862 $1,029,165 $ 613,633 $ 314,064 $1, $1,029,165 $ 613,633 $ 314,064 $1,956,862 $1,029,165 $ 613,633 $ 314,064 $ 1,941,738 $ 950,996 $ 705,064 $ 285,678 $ 1,985,838 $ 974,369 $ 718,735 $ 292,734 $ 2,028,262 $ 996,854 $ 731,886 $ 299,522 5 year fixed rate option from Corinth *Net = Total costs EMS, Denton Co Mutual Aid and equipment replacement fees collected.

40 Actual Projected DCFD Contract Costs Contracting Departments' Total Personnel Cost Per Year 3% increase per year $1,424,000 $1,509,440 $1,554,723 City of Lake Dallas $754,720 $800,003 $824,003 Hickory Creek $441,440 $467,926 $481,964 Sandy Shores $227,840 $241,511 $248,756 Equipment & Apparatus Bought Through City of Lake Dallas in 2017 * $1,045,313 with annual payments of $159,238 x 10 yrs City of Lake Dallas $84,396 $84,396 $84,396 Hickory Creek $49,364 $49,364 $49,364 Sandy Shores $25,478 $25,478 $25,478 Fire Station to be Built by Hickory Creek secured Loan in 2017 $1,500,000 with $250,000 annual payments City of Lake Dallas $50,000 $50,000 $50,000 Hickory Creek $150,000 $150,000 $150,000 Sandy Shores $50,000 $50,000 $50,000 $1,833,238 $1,918,678 $1,963,961

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42 Weigh Your Choices Stay with Corinth with $44,186 cost increase from ($4,535,144 total, $1,912,686 for 3 cities) and no new assets owned by financing cities. (You pay same average cost each year for 5 years while total budget estimated to increase - 12% annually) $5,837,556 three-year cost Change to DCFD #1 with $10,000 ($1,945,852 /Corinth; $1,941,738/DCFD1) lower costs the first year then 3% annual increase. (Effective September 30, 2017) $5,955,838 three-year cost Note: The options are NOT in priority order and have equal merit in providing essential, quality emergency services.

43 If You Stay with Corinth / Lake Cities FD Visit letters of agreement and explore how an advisory board might be set up to give all cities input in decisions impacting costs they will be expected to pay New Stations New Apparatus QI results and response numbers and time reported monthly to explore what is needed to reduce response time and maintain QI Consider bids for apparatus from more than one manufacturer Consider developing a Citizens Corp for the department to build citizen involvement, understanding and support. Be aware of the costs and timeline for new station and high school firefighter training

44 Station 3 Projected Building Costs Design 12% of Construction - $750,000 Total Estimated Cost =$7.5 million 16,714 Sq. Ft Site Development $500,000 Construction $350 Sq. Ft - $5.85 million 16,174 Sq. Ft Furniture/Equipment $400,000 Spatial Study Updated Estimated= $8,271,880 21,936 Sq. Ft Assumes $350 Sq. Ft Construction Cost Total Estimate with $5 million cost limitation 10,500 Sq. Ft

45 If You Choose to Change to DCFD #1 Determine what happens to funds paid to Corinth for apparatus replacement Revise agreements to address new expectations / provisions / involvement in future planning Update any needed changes in the Box System that designates first and other responders ISO updated under new department (one year) QI results and response numbers and time reported monthly to explore what is needed to reduce response time and maintain QI Consider developing a Citizens Corp for the department to build citizen involvement, understanding and support. Get bids from several manufactures and check with customers about satisfaction and performance of apparatus like you are buying Identify and budget costs for Apparatus maintenance, insurance and fuel Furniture and appliances for new station Potential for a fire pumper to be added to the new station in the future

46 Questions Respectfully Submitted By David and Lynn White 540 Graham Rd College Station, TX 77845

47 Information Sources Interview with Corinth Fire Department Administrative team and tour of their headquarters (August 2, 2015) Interview with Denton County Fire District 1 Administrative team and tour of their headquarters and station associated with it (August 3, 2015) Self-Guided driving tour of the three cities to assess potential risks (Aug 1 afternoon, August 2 morning) Guided driving tour of three cities by John Smith to clarify questions, see the location of Lake Dallas FD (blocked access by road construction) Extensive web search of maps of the cities to clarify boundaries and distances for response from Corinth and Lake Dallas Stations and potential response distances and challenges for responses from Lake Dallas and new Hickory Creek Stations, and relationship of the cities to other departments served by DCFD1 Review and summary of key codes from NFPA 1500, NFPA 1710 and OSHA Respiratory Protection Standard 29 CFR to identify standards for evaluating the two departments. Summary from Sherrie Wilson, President, EMR Resources, Evaluation of Lake Cities and Argyle Fire District Paramedic/EMT Protocols

48 Information Sources Review of documents provided as requested by the fire departments: Corinth / Lake Cities Analysis of Fire Protection Options Data submitted using FSS, Inc. Spreadsheet Survey, August 16, 2016 and Salary updates August 22, 2016 Interlocal Agreements Between the City of Corinth, Texas and each of the three cities for Fire Services Notice of a City Council Workshop Session of the City of Corinth, December 10, 2015, Item 2. Receive a Presentation, hold a discussion and give staff direction regarding the Lake Cities Fire Department (Includes Bass report and Overview for operating costs with new station, and two options for a 4 or 5 year contract with Lake Dallas, Shady Shores and Hickory Creek. Summary of City of Corinth / Lake Cities Fire Department revenues for and through June, Organization and Environment Study, City of Corinth, TX, Lake Cities Fire Department, May 2015, by Steve Bass Fire Water Sources maps and explanation 2015 Lake Cities Fire Department Organizational Chart Fire Apparatus and Stations photos and descriptions Maps showing routes used for longest response runs in each of the 4 cities Lakes Cities Fire Department Alarm Assignments / Box Cards City of Corinth Incident Type Report (Summary), Alarm Date Between 01/01/2014 and 12/31/2014 Fire Department Salary data explanations on benefits provided and chart of base wages and benefits excluding overtime, City of Corinth Approved Budgets, Chart of Updated Lake Cities Services Agreement Allocation Percentages Statement from Curtis Birt, Fire Chief regarding licensed ambulances, ALS level equipment and training and medical director supervision. Description of LCFD Training List of Equipment for Paramedic use EMS Pre-Hospital Protocols, Edition

49 Information Sources Review of documents provided as requested by the fire departments: Denton County Fire District 1 / Argyle Letter from Mac Hohenberger, Fire Chief to Fire Advisory Board, Summary of costs to provide Fire/EMS services to their towns Analysis of Fire Protection Options Data submitted using FSS, Inc. Spreadsheet Survey, August 31, 2016 Argyle Fire District Operations Manual, Rules and Regulations, Fire Department Organization answer to questions about Fire Department Salary data - explanations of benefits provided and projected increases of 3% per year Statement from Mac Hohenberger, Fire Chief regarding: Emergency Medical Services Analysis 6 Month Pilot Program partnered with Denton Regional Medical Center on Pre Hospital Blood Draws fro Stroke Patients Argyle Fire District New Hire / New EMT-Basic Evaluation Program Argyle Fire District New Hire / Paramedic Evaluation Program Argyle Fire District Protocols, Dr. Justin Northeim, Medical Director MEDIC 513 form for documenting each medical response resources (equipment, responders, supplies) Certificate from American Heart Association, Mission: Lifeline EMS- Bronze Award