Pinal Rural Fire Rescue, Inc.

1. Pinal Rural Fire Rescue, Inc. “Where Action Meets Excellence”

2. For the Record • Exhibit A through G • Will refer in presentation by exhibit

3. Overview • Who and roles • Why • What • Where • When • Additional impacts and admin • Community concerns

4. Organizing Staff (WHO) • Organizing Chairman and Board • 10 National Certified (C) • 4 Paramedic • 6 AZCFSE certified Firefighter I/II/EMTs • 1 certified ARFF (Aircraft Rescue Fire Fighter) • 9 Wildland Fire - NWFCG certified • 3 support personnel

5. The historic Threat (Why) • 75 % Medical • 15 % Wildland Fire • 5% Structural • 5% Service Calls

6. Purpose (whY) • To provide state-of-the-industry fire protection and fire-based Emergency Medical Services (EMS) to areas in southeast Pinal County undesignated and underserved by fire districts • To enhance an area that has always had limited resources • To bring industry and national NFPA fire service standards and training to the Copper Corridor region

7. Major Impacts (a/B) (why) • Response times greatly reduced after the formation of PRF&R, particularly paramedic and wildland fire response • The properties and area of the district being formed have historically neverbeen of any interest for existing fire districts to annex into their respective districts • Significant addition of First Response Rescue and Medical apparatus and personnel • Significant addition of Wildland Fire apparatus and certified personnel

8. As Is (what) • Currently a 501(c)(3) nonprofit fire rescue service • Funded by Grants, Subscriptions and Donations • Active 911 service area • 1 station • 7 Vehicles • 10 Certified Personnel

9. Current 911 area (what)

10. Proposed District Area (what)

11. Land Uses (what) • 571 Parcels • Ranch and Agricultural • Mining • Residential • Major Highway - AZ 77 • Proposed Casino

12. Standards and Measures (what) • NFPA – the “standard” • NFIRS – the statistics • ISO – rates fire departments for insurance purposes • CON – authorization to transport the sick and injured by the state • CPSE (Center for Public Safety Excellence) – the national accrediting service as applies to fire departments • We will be one of only a handful of volunteer departments to achieve this level of accreditation • The impact of SB 1387 (2014) on fire districts statewide – this was a sweeping reform of the antiquated fire district laws in AZ

13. NFPA (What) • National Fire Protection Association – The Gold Standard • Generates Peer-Review standards for fire and applicable EMS services • These are the standards to which a fire department would be held in litigation or insurance matters • Can be adopted in full or part by either adoption or reference • As applies to PRF&R - NFPA 1720 - Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations and Special Operations to the Public by Volunteer Fire Departments

14. New FD Law SB 1387 (what) • Organized IAW • Organizing Board AZFD qualification 50% complete. Will complete January 2015 • Resolution transferring assets to new Fire District (E)

15. ALS and BLSWhat does it mean? (what) • Emergency Medical Care Technicians • Basic Life Support - EMT • 120 hours of training • Can provide basic patient assessment • Can administer aspirin for chest pain • Can assist a patient with their own nitro or nebulizer medications • In a cardiac arrest can perform CPR and basic airway skills • In a trauma can control bleeding and splint

16. ALS and BLS what does it mean? (what) • Advanced Life Support – Paramedic • 1200 hours of training • Carries 50 +/- medications to treat medical conditions with offline medical direction (no call to Dr. needed) • Can perform advanced patient assessment, including performing and interpreting a 12-lead EKG • Can manually defibrillate, pace a slow heart rate, or provided synchronized cardioversion for a dangerously fast heart rate condition • Can intubate to secure an advanced airway • Can perform advanced invasive procedures to treat a myriad of life-threatening trauma conditions

17. Advanced Life Support (ALS) • What that means: • 12 Lead EKG • Intravenous (IV) Therapy • Intubation for securing advanced airway in both adults and children • A drug box that meets the minimum requirements of the AZ Dept. of Health Services (DHS) • PRF&R also has: • Drugs carried that are above and beyond the state minimum as authorized by the Medical Director, Dr. Ottman, and as permitted by the AZ DHS permitted drug list • PRF&R also have drugs authorized that are specifically for Hazardous Materials treatment in the event of exposure per R9-25-507. Protocol for an EMT-P (Paramedic) to Practice Knowledge and Skills in a Hazardous Materials Incident • PRF&R is the only EMS service in the region that has this capability

18. 2013 EMS SERVICES PROVIDED • Emergency Medical Services • Only Fire-Based Advanced Life Support EMS program between Golder Ranch Fire District and Globe • 72% of PRF&R responses for 2013 were EMS related • 61% of those required Advanced Life Support (Paramedic) intervention • 2014 is on track to meet or surpass these numbers

19. Medical Affiliations (what) • Dr Ottman, Tucson Medical Center Base Hospital (F) • All EMS personnel are currently certified with the National Registry of Emergency Medical Technicians (NREMT) • This is a PRF&R agency requirement to maintain affiliation as an EMS provider • Requires a higher number of hours for recertification which PRF&R deems a necessity for rural providers with limited exposure to maintain skills

20. SERVICES OFFERED (what) • Wildland Fire Protection and Suppression • Arizona Forestry Wildland Co-Operator • All PRF&R AZ certified Firefighter I/IIs are also Wildland Certified FFT2s • PRF&R has 2 AZ Forestry wildland fire apparatus • PRF&R trains and works with other Wildland Co-Operators in the region

21. SERVICES PROVIDED (what) • All-Hazards Rescue Services • Assists PCSO Search and Rescue with both technical rope rescue and ALS support • 8 Certified Technical Rope Rescue Personnel • All FF I/IIs are also HazMat Operations certified • A Certified HazMat Site-Incident Commander • 4 HazMat TOXMEDICs (Toxicology Paramedics)

22. Industrial Operations (Where) • Redhawk Copper • National Gypsum Mine • San Manuel Airport • HWY 77 Major Hazmat transportation corridor

23. APPARATUS (where) Left to Right: Attack 625 (Type 6 Brush truck) * Rescue 625 (Medium-Duty Rescue and Medical Transport for MCI) * Medic 626 (Medical Transport) * Engine 626 (Type 3 WUI Fire Engine) * Command 625 * Engine 625 (Type 2 Fire Engine) * Medic 625 (Medical Transport)

24. A perspective (A/B) (where)

25. New Station 626 (Where)

26. Fire Station/Community Room (where) • 24’ X 60’ Modular for Fire Station and Community Room • Has 3 Crew Quarters Rooms, a Day Room, and a Community Room that will be free for local groups to use • Will also give PRF&R a permanent location to hold their community projects such as free CPR/AED training

27. “New” PRF&R type 1 Fire Engine • We are in contract to purchase the following fire engine • 1987 E-One Hush 1500 GPM Pumper

28. Casino Impact (Additional Impacts) (a/B) • Based on an exhaustive Gap Analysis and EMS Needs Assessment the proposed casino complex will increase emergency response needs by over 500% • Casinos routinely and aggressively pursue the elderly and retired to frequent their establishments • With these patrons come many with cardiac and stroke health issues and hazards requiring ALS intervention • The region will also face the issues of increased tour bus operations in an already dangerous highway • The existing system that has operated unchanged for decades is not capable of meeting the increased demand

29. Insurance impacts • Proposed area is currently rated “unprotected” for most – only current subscribers, or property owners under a district or municipal department, have insurance rated by ISO (Insurance Service Organization). This is a department specific rating, not individual property rating system • “Unprotected” means very high insurance rates, or no insurance available at all depending on location • Subscriberproperties are rated by proximity to a station • With the new district in place, it will reduce risk, and therefore homeowner insurance rates • Ratings are based on apparatus of the Fire District, water availability, fire station locations, training, and other factors • ISO rating certification will be applied for after formation • CPSE (Center for Public Safety Excellence) Accreditation will also be pursued

30. PRF&R Affiliations • Fire Chiefs Association of Pinal County • AZ Fire Chiefs Association • Arizona Fire District Association • All EMS personnel are currently certified with the National Registry of Emergency Medical Technicians (NREMT) • This is a PRF&R agency requirement to maintain affiliation as a volunteer Firefighter

31. SERVICES TO BE PROVIDED • Certificate of Necessity to Operate an Ambulance (CON) will be applied for next year as overlapping CON • Last application lapsed due to some missing information and reached a statutory time limit. • The CON will be reapplied for after the district formation hearing

32. Planned CON Service area

33. Initial Support • 59 Current Subscribers • 9 in Aravaipa Canyon • 18 residents from the Canyon • NRCD • 22 Other Letters of Support between Mammoth and Dudleyville

34. Community Concerns • Taxes • Current Personnel • Satisfied with Status Quo • Past CON • No voice in District • New station would urbanize the area

35. Fire Response policy Historically • PRF&R has NEVER refused to respond to any emergency in their Area of Operations (AO) because a residence or patient was not a subscriber • PRF&R has NEVER billed, to date, for anyfireresponse in our AO to nonsubscribers • PRF&R DOES bill automotive insurance companies for MVA responses in their area since PRF&R is not currently eligible for FDAT (Fire District Assistance Tax)

36. Timeline if Approved • Start collecting signatures • Continue Station 626 preparations • Establish Mutual Support Agreement • Change status on grant applications • Board complete AZFD training • Up and running as a District in February 2015

37. Closing Thoughts • The need exists • The initial infrastructure is in place • This is about the What not the Who • I am confidant we can bring the Fire Community together for the betterment of the public. • Approve and let the people decide

38. Backup

39. Fire Response policy • If much is to be saved much will be risked – risk a lot to save a lot • If little is to be saved little will be risked – risk a little to save a little • Ifnothing is to be saved nothing will be risked – risk nothing to save nothing

40. Fire Training Facility • PRF&RM’s proposed Fire Training Facility also meets grant parameters as a vocational training facility • Training Facility will be built to NFPA 1402, Guide to Building Fire Service Training Centers, and operated under NFPA 1403, Standard on Live Fire Training Evolutions. • PRF&R has two IFSAC accredited Fire Instructors • Courses held will meet the requirements of AZFSCE for certification for Firefighter I/IIs • Will have 40’ Tower for Ropes and Ladder evolution training • Additional props will be added (railroad car, tour bus body, LPG “Dragon” prop, etc.)

41. Type of future Fire Training Facility

42. Types of Fire Districts/Departments • Rural Fire District only small volunteer None to Some NFPA qualls • Rural Fire and Medical District Paid and Volunteer Full NFPA qualls • Rural Fire and Medical District Paid full NFPA qualls • Private Rural Metro Paid Full NFPA qualls • City Paid Full NFPA qualls

43. Types of Fire Districts/Departments • Rural Fire District - all volunteer - usually do not meet all NFPA requirements • Rural Fire District - Combination paid and volunteer - may or may not meet NFPA requirements • Rural Fire and Medical District Combination paid and volunteer usually meets all NFPA requirements • All Paid/Career - usually meets all NFPA requirements • Private Fire Department - may or may not meet NFPA requirements • City Fire Departments usually meets NFPA requirements

44. Types of fire departments • Rural Department • District, municipal, or private - Volunteer • Do not meet all NFPA requirements due to staffing - may meet some • May have certified EMS personnel or not – usually Basic (EMT) EMS or less, but, could have Advanced (Paramedics) EMS - i.e. PRF&R • Rural/Suburban Department • District or municipal - Combination (paid and volunteer) • May or may not meet NFPA requirements • May have Basic (EMT) EMS or less, could have Advanced (Paramedic) EMS • All Paid/Career • District or municipal - usually meets all or most NFPA requirements • Usually Advanced (Paramedic) EMS • Private Fire Department • For-profit or non-profit • May or may not meet NFPA requirements • May have Basic or Advanced EMS

45. Proposed District area (what)

46. PRF&R Staffing Model • Currently all Volunteer - Meets some NFPA requirements • In addition – PRF&R is fully NIMS/ICS Compliant • national level Incident Command qualification • Have personnel certified through ICS 400 – Advanced Incident Command – this is a Have Certified Incident Command Trainer - can train and certify personnel through ICS 400 • Have certified HazMat Site Incident Commander and HazMat Specialist – this is a key point due to the amount of Hazardous Materials usage in the local mines, and HazMat Intermodal traffic, throughout the Copper Corridor • Advanced (Paramedic) EMS and HazMat Toxicology Paramedics • After District formation will transition to Combination (paid and volunteer) department • Will meet more NFPA requirements due to change in staffing model