HomeMy WebLinkAboutAgreement - State of California - Temp. Transfer of Vehicular Equipment-Type VI Fire Engine - Signed 2021-05-03State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
1 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
AGREEMENT FOR TEMPORARY TRANSFER OF
VEHICULAR EQUIPMENT-TYPE VI FIRE ENGINE
THIS AGREEMENT, entered into this 5/3/2021, by and between the STATE OF
CALIFORNIA acting by and between its duly appointed, qualified Director of the
Governor’s Office of Emergency Services (Cal OES), hereinafter called the "STATE," and
the Gilroy Fire Department, acting by and through its duly appointed, qualified and
acting officers, hereinafter called "TRANSFEREE",
W I T N E S S E T H:
IT IS HEREBY MUTUALLY AGREED between the parties hereto as follows:
1. The STATE hereby transfers possession to TRANSFEREE and TRANSFEREE hereby
accepts possession from STATE of the fire engine and equipment listed on the
attached Exhibit "A" which is by this reference made a part hereof, for the period
commencing 5/3/2021 through 5/3/2031 for the following all-hazard events,
emergency incidents, civil defense, and disaster purposes, namely:
Mutual aid, multiple alarm events and emergency incidents, emergency incidents
threatening properties vital to national defense or important military installations,
parades and displays, training of regular, volunteer and auxiliary firefighters and
temporary standby for assignee's regular fire engine and the regular fire engines
of other fire departments while out of service for repairs.
a. Vehicle Description: 2020 HME/Ahrens-Fox Type 6 Wildland Fire Engine
Vehicle Designation: 2614
Vehicle License Number: 1616877
Vehicle Identification Number: 1FD0W5HT5LED22999
Value of Vehicle: $215,599.00
Value of Hose and Appliances: $41,826.00
b. Equipment inventories (Exhibit "A") may by mutual concurrence of the STATE
and TRANSFEREE be changed during the term of this agreement, utilizing
property accountability procedures established or approved by the STATE.
A. Transfer of Possession
The following outlines the steps required to complete the transfer of the fire engine
from the STATE to the TRANSFEREE:
a. The STATE shall send two copies of the Assignment of Equipment Form and
Agreement for Temporary Transfer to the TRANSFEREE for signatures.
b. The TRANSFEREE shall obtain the necessary signatures from the Fire Chief.
c. The TRANSFEREE shall send the completed Assignment of Equipment Form
and Agreement for Temporary Transfer forms back to the STATE.
d. The STATE shall then contact the TRANSFEREE to schedule a date for the
transfer to take place.
e. The TRANSFEREE shall travel to the Cal OES Fire and Rescue Fleet Services
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
2 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
Division, located at:
3791 Bradview Drive
Sacramento, California 95827
f. TRANSFEREE shall be responsible for all travel expenses (to and from)
including, vehicle, fuel, food, and lodging.
g. The STATE shall provide the TRANSFEREE with a comprehensive training
session specific to the operation and maintenance of the fire engine.
h. TRANSFEREE shall notify the STATE and the appropriate CAL OES Fire and
Rescue Region Assistance Chief(s), Operational Area and Region Dispatch
centers of the fire engine assignment and entering the fire engine
information into the resource ordering system of record.
The following outlines the steps required to complete the return of the fire engine
from the TRANSFEREE to the STATE:
a. This section does not apply to the return of the fire engine from the
TRANSFEREE to the STATE when a new or replacement fire engine is assigned
by the STATE to the TRANSFEREE.
b. The TRANSFEREE shall notify the STATE of the intent to return the fire engine
to the STATE.
c. The STATE shall coordinate a pre-inspection to be performed on the fire
engine to determine the condition of the fire engine and equipment
inventory of equipment. This pre-inspection shall be performed by the Cal
OES Fire and Region Division Assistance Chief.
d. The TRANSFEREE shall return the fire engine to the Cal OES Fire and Rescue
Fleet Services Division, located at:
3791 Bradview Drive
Sacramento, California 95827
e. TRANSFEREE shall be responsible for all travel expenses (to and from)
including, vehicle, fuel, food, and lodging.
f. The STATE shall preform a final inspection on the fire engine and the
equipment inventory.
B. Housing, Maintenance, Repair and Replacement
During the term of this transfer, TRANSFEREE agrees to adequately house in an
enclosed secure structure, staff, operate, maintain and repair (consistent with
section 2 b.) said fire engine and equipment (hereinafter collectively referred to
as the ”fire engine" except where it is desired to refer to equipment alone, in which
case the term "equipment" will be used) at its sole cost and expense, save as
otherwise expressly provided in this agreement. Fire engine shall be housed on
property of the TRANSFEREE in a manner to provide reasonable protection against
inclement weather, sabotage, theft or malicious damage. Fire engine shall be
maintained in accordance with manufacturer’s recommendations, and in such
condition that it is available for immediate emergency use. Maintenance shall
include care of hose, batteries, tires, appliances, lubrication and fuel, general
cleaning and polishing, minor body repairs and periodic testing. Repairs shall
include, without being limited to, motor tune-ups, pump repairs, transmission,
differential and all running gears, brake and exhaust systems, cooling devices
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
3 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
including radiator, pump packing, equipment assigned to apparatus and so forth.
a. Repairs up to and including $100.00 for each individual item of repair shall
be the responsibility of TRANSFEREE.
b. Repairs exceeding $100.00 for each individual item of repair shall be the
responsibility of STATE; however, a $100.00 deductible shall apply, unless in
the judgment of the STATE the repairs results from misuse or negligence on
the part of TRANSFEREE in the maintenance or use of the fire engine, in
which event the cost of each such item of repair above $100.00 shall also
be the responsibility of TRANSFEREE. In no event shall TRANSFEREE arrange
for repairs costing above $100.00 for any item of repair, whether it deems
the same to be the responsibility of STATE or TRANSFEREE, without first
obtaining authorization in writing from STATE.
c. Notwithstanding the foregoing, replacement of hose, batteries and tires
shall be the responsibility of STATE, save to the extent STATE deems damage
thereto to be the result of negligence or misuse on the part of TRANSFEREE,
in which event TRANSFEREE will bear such portion of the replacement cost
thereof as the STATE deems equitable. Procurement of tires, hose and
batteries is subject to State fiscal policies and procedures, and written
approval must be obtained by STATE prior to procurement.
d. Maintenance and repairs must be requested and authorized pursuant to
Cal OES, Fire and Rescue Division Operations Bulletin # 18, which is here by
incorporated into this agreement by reference.
e. Repair or replacement of the fire engine transferred hereunder which is
consumed, lost, stolen, damaged or destroyed during mutual aid
operations when STATE has dispatched or directed the dispatch of said
apparatus through Regional or Operational Area Fire and Rescue
Coordinators, or when STATE has reassigned said apparatus pursuant to the
provisions of paragraph 10 of this agreement, shall be the responsibility of
STATE However, in the event that any such loss or damage is due to the
negligence of TRANSFEREE, under such circumstances, TRANSFEREE shall be
liable therefore to the extent that the STATE deems equitable. TRANSFEREE
agrees that it will assume responsibility in full for the repair or replacement
of equipment which has been consumed, lost, stolen, damaged or
destroyed in operations other than referred to in this paragraph.
3. Inspection of Apparatus
TRANSFEREE agrees that representatives of STATE and other authorized State
personnel may inspect the fire engine at any time, with or without advance notice.
4. Staffing
Reasonable and continual training shall be carried on so that trained personnel
shall at all times be available to staff and operate said fire engine. The TRANSFEREE
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
4 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
shall provide personnel to staff the transferred fire engine per FIRESCOPE ICS
standards with the expectation of staffing with three trained fire personnel for out
of operational area assignments.
Per the California Fire Assistance Agreement, personnel under this Agreement are
expected to be available for a minimum of seven (7) days (elapsed time)
excluding travel, before needing replacement, regardless of the number of
assignments from original dispatch. When local government personnel, staffing
the fire engine, are committed to extended assignments there may be a need to
replace or rotate personnel. Personnel rotation will follow the direction outlined in
the California Fire Assistance Agreement when assigned to an incide nt within
California. Crew rotation for incidents outside of California shall be consistent with
the appropriate forest’s agencies policy and coordinated by STATE.
5. Personal Protective Equipment (PPE) and Specialized Equipment
In addition to providing the standard complement of firefighting PPE, it shall be the
TRANSFEREE’S responsibility to provide its personnel with all other PPE that may be
required by NFPA 1901, other NFPA Standards, and 8 CA ADC § 3401 et seq. This
shall include, but not be limited to, one Traffic Vest (ANSI / ISEA 207) for each
seating position. In addition, we recommend chainsaw chaps be provided.
6. Training
Personnel assigned shall meet wildland fire and ICS standards established in the
California Incident Command Certification System (CICCS) (January 2014 version)
or NWCG 310-1 (October 2020 version). Personnel staffing STATE Type VI Fire
Engines shall include the following qualifications: Company Officer (Engine
Boss/ENGB), Apparatus Operator (engineer), and Firefighter (FFT1 or FFT2).
TRANSFEREE agrees to participate in an off-road train-the-trainer course and to
adopt an off-road training program for their respective agencies.
7. Dispatching
All movement of the fire engine shall be handled through the official dispatching
channels of TRANSFEREE. TRANSFEREE dispatchers will recognize and act on all
official requests for movement of the fire engine in conformance with the Fire and
Rescue Annex (California Fire and Rescue Mutual Aid System) to the State
Emergency Plan and its subsequent revisions. STATE reserves the right to dispatch,
direct the dispatch of, or temporarily reassign the said apparatus and equipment
whenever, in the opinion of the Director of the Governor’s Office of Emergency
Services, their representatives, or Operational Area and Regional Fire
and Rescue Coordinators, such equipment and apparatus is essential to the
protection of life and property in another jurisdiction or in the best interest of the
STATE.
8. Mutual Aid Response
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
5 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
Procedures for mutual aid response shall be in accordance with California Fire
Service and Rescue Emergency Mutual Aid Plan.
9. Reimbursable Response
Reimbursement for mutual aid may be provided pursuant to a governor’s disaster
proclamation or when conditions warrant invoking the California Fire Assistance
Agreement, the State of Nevada Cooperative Agreement, the Emergency
Management Assistance Compact, or the Interstate Compact as appropriate.
There is no other existing provision for mutual aid reimbursement.
10. Temporary Use
TRANSFEREE shall be permitted to use the fire engine for temporary cover of fire
stations when emergency conditions warrant, or when regular fire engine is out of
service for repairs. In either case, the TRANSFEREE shall immediately notify the
Operational Area Dispatch Center. The TRANSFEREE further agrees that Cover-in
or Standby of the fire engine exceeding 90 days is at the discretion of the STATE.
11. Temporary Transfer
a. A transfer of the fire engine or any portion thereof by TRANSFEREE for any
period not exceeding seven consecutive days within a given Operational
Area may be made with the consent of the Operational Area Fire and
Rescue Coordinator and the STATE, providing that at the time such fire
engine is received, such Temporary Transferee furnish TRANSFEREE and
STATE a letter to the effect that Temporary Transferee assumes all
obligations and criteria of TRANSFEREE with respect to such fire engine
under this agreement during the period of transfer, including insurance
coverage in accordance with Paragraph 13 or 14, as appropriate, and a
copy of this Agreement is provided to the Temporary Transferee. Any
transfer by TRANSFEREE for a period of more than seven consecutive days
shall be subject to authorization by the STATE and execution of an
“Agreement for the Temporary Transfer of Vehicular Equipment”, with the
agency requesting the transfer.
b. Whenever fire engine is transferred in accordance with the provisions of
paragraph 11.a, regular TRANSFEREE shall be relieved of its obligations
under this agreement during such period of transfer.
c. Complete a written Temporary Cal OES Fire Engine Transfer Record, Exhibit
“B”. The TRANSFEREE will retain one copy, the Temporary Transferee will
retain one copy, and one copy will be forwarded to the STATE.
12. Reports and Records
TRANSFEREE shall maintain daily and monthly reports on the details of fire engine
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
6 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
Use on OES F-101 Form. A Smoke Opacity Test, Pump Test, and Hose Test, and
Ladder Test shall be completed annually. Written results of all tests and reports
shall be forwarded to the STATE, by the end of the calendar year. A recent copy
of the tests and reports shall be maintained in the vehicle logbook.
13. Report of Accidents
TRANSFEREE shall immediately notify STATE following any and all accidents
involving this fire engine. It shall be the responsibility of TRANSFEREE to fill out State
Form 270, "Report of Automobile Accident," and file the report with the STATE. A
copy of this report shall be retained by the TRANSFEREE and the original and four
copies forwarded to the STATE.
14. Insurance Protection (Non- State Agencies)
a. TRANSFEREE agrees forthwith to furnish evidence of insurance protecting
the legal liability of the TRANSFEREE and the STATE for liability and/or
property damage with a combined single limit of 1,000,000.00 per
occurrence, by means of a Certificate of Insurance naming State of
California as Additional Insured. Said certificate shall contain an
agreement by the insurance company that it will not cancel said policy
without 15 days prior written notice to the STATE and that the STATE is not
liable for the payment of any premiums or assessments thereon. Said
certificate must include the description of the fire engine including VIN,
state license number and fire engine number.
b. In the event the TRANSFEREE is self-insured, TRANSFEREE in lieu of a certificate
of insurance shall furnish the STATE a written statement of such fact. In such
event TRANSFEREE agrees to hold the STATE harmless from any personal
injury or property damage claims arising out of its maintenance, use or
operation of the fire engine under the terms of this agreement.
c. Physical damage insurance, including collision coverage and
comprehensive coverage, shall be obtained. The STATE will be named as
a loss payee. The description of the vehicle and the necessary amount of
insurance required is outlined in attached Exhibit "C" which is by this
reference made a part hereof.
15. Insurance Protection (State Agencies)
Any insurance necessary for coverage of the fire engine shall be the sole
responsibility of the department having custody of the vehicle. TRANSFEREE agrees
to report apparatus as being under its control to the Insurance Officer,
Department of General Services.
16. Termination of Agreement
a. Either party may terminate this agreement upon 14 days written notice to
other party, or TRANSFEREE may relinquish or STATE may repossess any
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
7 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
portion of the fire engine upon like notice to the other party, except that
STATE may repossess any portion thereof without written notice whenever it
deems the same is not being maintained in accordance with this
agreement.
b. Upon the termination of this agreement, TRANSFEREE agrees to return said
fire engine in the same condition as received, reasonable wear and tear
excepted.
c. As inventory changes occur, or items of equipment are replaced, deleted
or added by the STATE or replaced by TRANSFEREE, it is mutually agreed
that no amendment to this agreement need be made at the time of the
change; provided however, at the termination of this agreement a
complete reconciliation of all equipment will be made. TRANSFEREE further
agrees that all replacements for fire engine or equipment will be made with
identical or substantially like items as approved by the STATE.
d. Nothing in this agreement shall be construed to create a new property
interest or right of action for the TRANSFEREE.
17. Unauthorized Use of STATE Fire Engine and Equipment
Use of this fire engine other than as specified in paragraph 1 will be considered a
breach of this agreement.
18. Use of Radio Equipment
a. STATE will furnish at STATE's sole cost, radio equipment installed in the fire
engine to be operated on the current approved State radio load.
b. STATE agrees to maintain said radio equipment without cost to TRANSFEREE.
c. The TRANSFEREE agrees to operate said radio equipment in accordance
with the Rules and Regulations of the Federal Communications
Commission.
d. Ownership of said equipment is in the STATE, and all applications to the
Federal Communications Commission seeking authority to add, modify or
replace radio equipment covered by this agreement shall be made by and
in the name of the State of California. To activate this agreement and in
compliance with the control requirements of the Communications Act of
1934, as amended, the STATE hereby deputizes the Chief of the agency of
said TRANSFEREE, and such volunteers, regularly employed and salaried
assistants as shall be designated by the Chief of the agency as his agents
to operate said radio equipment as specified in paragraph ''c" above.
e. STATE assumes no liability hereunder for claims or losses accruing or resulting
to any person, firm or corporation furnishing or supplying work, services or
material or services in connection with the performance of this agreement
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
8 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
or for any claims and losses accruing or resulting to any person, firm or
corporation injured or damaged by performance of either party
hereunder.
19. Notices
All notices herein provided to be given, or which may be given by either party to
the other shall be deemed to have been fully given when made in writing and
deposited in the U.S. mail, registered and postage prepaid and addressed as
follows: To the TRANSFEREE at Gilroy Fire Department at 7070 Chestnut Street,
Gilroy, CA 95020 and to the STATE at Governor’s Office of Emergency Services,
Fire and Rescue Division, 3650 Schriever Avenue, Mather, CA 95655. The address
to which notices shall or may be mailed as aforesaid to either party may be
changed by written notice given by such party to the other, as hereinabove
provided; but nothing herein contained shall preclude the giving of any such
notice by personal service.
20. Alterations and Variations
It is mutually understood and agreed that no alteration or variation of the terms of
this agreement shall be valid unless made in writing and signed by the parties
hereto, and that no oral understanding or agreements not incorporated herein,
and no alterations or variations of the terms hereof unless made in writing between
the parties hereto shall be binding on any of the parties hereto.
21. Waivers
The STATE may in its sole discretion and for such good cause as it determines waive
in writing in whole or in part any requirement of this agreement that fire engine
and/or equipment shall be maintained in operating condition, or repaired, or
replaced, providing that any such waiver shall be applicable only to the specific
fire engine or equipment to which it refers. No failure to enforce any provision of
this Agreement shall be construed as a waiver of the provision. Any waiver, in
order to be effective, must be in writing and shall only be effective for the instance
specified in the writing.
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
9 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
IN WITNESS WHEREOF the parties hereto have executed this agreement upon the date
first above written.
TRANSFEREE: STATE OF CALIFORNIA:
Gilroy Fire Department Mark S. Ghilarducci _
Director
Governor’s Office of Emergency Services
Approved as to Form:
By:
Andy Faber, City Attorney By:
Brian S. Marshall
State Fire and Rescue Chief
By:
Jimmy Forbis, City Administrator
By:
LeeAnn McPhillips, Interim City Clerk
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
A-1 10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Fire Engine
EXHIBIT “A”
EQUIPMENT INVENTORY: Type VI Fire Engine
QUAN DESCRIPTION OES
NUMBER
SERIAL
NUMBER
FIRE HOSE
3 1 ½” NH X 50’, Structural Hose
1 1 ½” NH X 35’, Structural Hose
1 1 ½” NH X 35’, Wildland Hose
1 3” NH X 15’ Soft Suction Hose
8 3” NH X 50 Structural Hose
3 1 ½” NH X 100’, Wildland Hose
3 1” NPSH X 100’, Wildland Hose
3 5/8” GHT X 100’, Wildland Hose
HOSE REEL FIRE HOSE
2 ¾” NPSHX 50’, Hose Reel
SUCTION HOSE
2 3” NH X 9’, Suction Hose
1 1 ½” NH X 8, Suction Hose
NOZZLES
1 1 ½” NH Nozzle Structural, 30-125 GPM, Pistol Grip
1 1 ½” NH Nozzle, Structural, 30-125 GPM, Break-Apart
2 1 ½” NH Nozzle, Wildland, 20-60 GPM
1 1” NPSH Foam Nozzle, Pistol Grip
1 ¾” GHT Nozzle, Wildland
4 1” NPSH Nozzle, Wildland, 10-23 GPM
1 1 ½” NH Nozzle, Wildland w/ Foam Nozzle Attached
ADAPTERS AND FITTINGS
1 2 ½” NH Double Male
1 2 ½” NH Double Female
1 2 ½” NH-F X 1 ½” NH-M Reducer
1 1 ½” NH Double Male
2 1 ½” NH Double Female
1 1” NPSH Double Male
1 1” NPSH Double Female
1 1 ½” NH-F X 1” NH-M Reducer
2 1 ½” NH-F X 1” NPSH-M Reducer
3 1” NPSH-F X ¾” GHT-M Reducer
1 1 ½” NH-F X 2 ½” NH-M Increaser
1 ¾” GHT-F X 1” NSPH-M Increaser
1 1” NPSF-F X 1 ½” NH-M Increaser
1 3” NH-F X 2 ½” NH-F Adapter
1 1 ½” NPSH-F X 1 ½” NH-M Adapter
1 1 ½” NH-F X 1 ½” NPSH-M Adapter
1 1” NH-F X 1” NPSH-M Reducer
1 1 ½” NH-F X 1 ½” NH-M In-Line Shut-Off
1 1” NPSH-F X 1” NPSH-M In-Line Shut-Off
5 ¾” GHT-F X ¾” GHT-M In-Line Shut-Off
HOSE APPLIANCES
1 2 ½” NH-F X 1 ½” NH-F X 1 ½” NH-F Gated Wye
2 1 ½” NH-F X 1 ½” NH-M X 1 ½” NH-M Gated Wye
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
A-2
10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Fire Engine
1 1” NPSH-F X 1” NPSH-M X 1” NPSH-M Gated Wye
1 ¾” GHT-F X ¾” GHT-M X ¾” GHT-M Gated Wye
3 1 ½” NH-F X 1 ½” NH-M X 1” NPSH-M Tee
3 1” NPSH-F X 1” NPSH-M X 1” NPSH-M Tee
1 3” NH Suction Hose Strainer
1 1 ½” NH Strainer/Foot Valve
1 1 ½” NH Floating Strainer
LADDERS
1 Little Giant Ladder, 20’
HAND TOOLS
1 Pick-Head Axe, 6 LB, 36” Handle
1 Flat-Head Axe, 6 LB, 36” Handle
1 Pike Pole, 6’
1 Rubbish Hook, 6’
2 Forest Fire Shovel
1 McLeod
1 Pulaski
1 Fire Rake
1 Council Combination Tool
2 Hay Hooks
1 Pipe Wrench, 24”
1 Bolt Cutters, 24”
1 Fence Pliers
HOSE ACCESSORIES
2 Forestry Spanner Wrench, Combination
1 Dead-Blow Hammer, 2 LB
1 Hydrant Wrench
2 Spanner Wrench
1 Foam Can Wrench
1 Hose Roller
2 Wildland Hose Clamp
PORTABLE PUMP
1 Portable Pump, 119 GPM, 64 PSI
2 2” NPT-F X 1 ½” NH-M Adapter
1 Fuel Can, 2 ½ Gallon, Regular Fuel
BACKPACK PUMP
1 Backpack Pump, 5 Gallon
DRIP TORCH
1 Drip Torch
TRUCK EQUIPMENT
2 Chock Blocks
1 Triangle Warning Reflectors
1 Electronic Road Flare Kit
1 Traffic Cones, Collapsible Kit,
1 Jack, 8-Ton
1 Tow Chain, 25’ X 3/8”, 6,660 LB Working Load
CHAIN SAW
1 Chain Saw, 24” Bar, Standard Chain
1 Spark Plug, Spare
1 Air Filter, Spare
1 Bar, 24”, Spare
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
A-3
10/2020
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Fire Engine
1 Bar Oil, 1 Gallon
1 Chain Saw Tool Kit
FIRE EXTINGUISHERS
1 30 LB BC Fire Extinguisher
1 5 LB ABC Fire Extinguisher
EXTRICATION EQUIPMENT
1 Spreader, eDRAULIC
1 Cutter, eDRAULIC
1 Ram, eDRAULIC
Rechargeable Battery
1 Battery Charger, Multi-Bank
MEDICAL EQUIPMENT
1 Trauma Kit
1 Burn Kit
ROPE
1 Utility Rope, ½” X 100’
1 Rope Bag
G.P.S.
1 Garmin
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
f Vehicul
EXHIBIT “B”
RADIO INVENTORY: Type VI Fire Engine
QUAN DESCRIPTION OES NUMBER SERIAL
NUMBER
MOBILE RADIOS
1 Mobile Radio, Bendix-King, KNG M-150
PORTABLE RADIOS
1 Portable Radio, Bendix-King, KNG P-150
1 Speaker Microphone
1 Battery Holder
1 Carrying Case, Leather
B-1 10/2020
Agreement for Temporary Transfer o ar Equipment-Type VI Fire Engine
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
EXHIBIT “C”
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Fire Engine
TEMPORARY CAL OES FIRE ENGINE TRANSFER RECORD
NO.
A R T I C L E
OES
DECAL
QUANTITY
1.
500 GPM Type IV Fire Engine, complete with
equipment per attached Exhibit "A" of Agreement
for Temporary Transfer of Vehicular Equipment.
OES -
1
2. License No: 1616877
3. VIN No: 1FD0W5HT5LED22999
4. Engine Number: 2614
5.
Proof of Insurance:
6.
Inventory Completed:
7.
8.
9.
10.
11.
REASON FOR TEMPORARY TRANSFER:
SIGNATURES:
Date
PERMANENT TRANSFEREE
Date
TEMPORARY TRANSFEREE
C-1 10/2020
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
D-1
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
10/2020
EXHIBIT “D”
INSURANCE REQUIREMENTS
Part of the agreement through which the STATE makes a temporary transfer of vehicular
equipment is the agreement on the part of the TRANSFEREE to furnish certain evidence
of insurance. Your organization, as a transferee of equipment, will want to be mindful of
these requirements and assure they are complied with.
Liability Insurance
A certificate of insurance shall be furnished to the STATE providing minimum limits of
insurance as follows:
BODILY INJURY and PROPERTY DAMAGE LIABILITY $1,000,000.00 PER OCCURANCE
A certificate of insurance will have the following provisions included:
1. The State of California shall be named Loss Payee and Additional Insured.
2. The insurance company shall agree that in the event of cancellation, 15 days
prior written notice will be given to the STATE.
3. The STATE shall not be responsible for premium or assessments.
4. Certificate of Insurance must include the description of the fire engine including
identification number, State license number and Cal OES unit number.
Physical Damage Insurance
The transfer agreements place certain responsibilities upon your organization for the
safekeeping of the vehicle and equipment. The STATE will look to your organization for
reimbursement for repair or replacement cost in the event the vehicle or equipment is
damaged by misuse or negligence or by other causes, except normal wear and tear,
acts of God and conditions over which your organization has no control.
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
D-2
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
10/2020
Description of Fire Engine
VEHICLE VALUE
2020 FORD (HME) $215,599.00
License Number: 1616877
VIN Number: 1FD0W5HT5LED22999
Engine Number: 2614
EQUIPMENT
Hose and Appliance $41,826.00
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
State of California
GOVERNOR’S OFFICE OF EMERGENCY SERVICES
Fire and Rescue Division
E-1
Agreement for Temporary Transfer of Vehicular Equipment-Type VI Engine
10/2020
EXHIBIT “E”
Original text of letter addressed to the California Fire Service outlining the specifications
to be considered for a Type VI fire engine assignment:
As a result of the Governor’s Blue-Ribbon Commission of the 2003 Fire Siege, the
Governor’s Office of Emergency Services, Fire and Rescue Division has purchased
seventy-nine Type VI fire engines.
Cal OES, Fire and Rescue Division is notifying agencies that are interested in becoming a
transferee of the new Type VI fire engines. These fire engines will be assigned within the
Cal OES Regions. Agencies desiring to house and staff these fire engines must meet the
following criteria for consideration of transfer. All these items must be addressed in your
fire engine request.
Training:
· Personnel responding with the fire engine shall meet wildland fire and ICS training
standards established in the California Incident Command Certification System
(CICCS) or NWCG 310-1 (Current version) for the following positions;
1 Engine Boss or Company Officer
1 Apparatus Operator (Engineer)
1 Firefighter (Type 1 or 2 Firefighter)
· The department has or will adopt a 4X4 Driver Training Program
Cal OES, Fire and Rescue Division Type VI TRANSFEREE will be expected to meet and
accept the following work assignments & staffing:
· Backfire, Burnout, Holding, and Mop-Up
· Progressive Hose Lays, Hose Lays supplemented with portable pumps
· Construct Hand lines
· Mobile Pumping
· Operate in Off-Road Environment
· Meet the expected 7-Day minimum assignment period in compliance with the
California Fire Assistance Agreement.
· Meet FIRESCOPE compliant 3-person staffing
· The ability to staff 3-person staffing for out of Operational Area dispatches
· The transfer agreement that transfers the fire engine requires that a fire
department staff the fire engine for immediate need with 3 fully trained
personnel.
· The department should assess if it has the staffing capability to send the engine
out (minimum 3 fire fighters) for 7-14 days (excluding travel time)
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81
Certificate Of Completion
Envelope Id: 6D8C52DDB2F14FECA93EC2FC026F7D81 Status: Completed
Subject: Please DocuSign: 2614 - Gilroy agreement
Source Envelope:
Document Pages: 18 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Initials: 0 Santino Barksdale
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Santino.Barksdale@CalOES.ca.gov
IP Address: 12.198.223.202
Record Tracking
Status: Original
5/13/2021 8:38:41 AM
Holder: Santino Barksdale
Santino.Barksdale@CalOES.ca.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: California Governor's Office of Emergency
Services
Location: DocuSign
Signer Events Signature Timestamp
Andy Faber
andy.faber@berliner.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 73.63.189.152
Sent: 5/13/2021 8:45:17 AM
Viewed: 5/17/2021 9:48:55 AM
Signed: 5/17/2021 9:49:08 AM
Electronic Record and Signature Disclosure:
Accepted: 5/17/2021 9:48:55 AM
ID: ba582190-cdc9-477a-bffd-b816d44d818c
Jimmy Forbis
jimmy.forbis@cityofgilroy.org
City Administrator
City of Gilroy
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 66.189.161.134
Sent: 5/17/2021 9:49:10 AM
Viewed: 5/17/2021 9:50:43 AM
Signed: 5/17/2021 9:51:09 AM
Electronic Record and Signature Disclosure:
Accepted: 5/17/2021 9:50:43 AM
ID: a4685b27-0281-4f16-a200-57f6496641c1
LeeAnn McPhillips
leeann.mcphillips@cityofgilroy.org
Administrative Services & Human Resources
Director/Risk Manager
City of Gilroy
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 66.189.161.134
Sent: 5/17/2021 9:51:11 AM
Viewed: 5/17/2021 3:35:31 PM
Signed: 5/17/2021 3:35:54 PM
Electronic Record and Signature Disclosure:
Accepted: 5/17/2021 3:35:31 PM
ID: cb584248-c12a-4dfe-9035-103fff97f9b7
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/13/2021 8:45:17 AM
Certified Delivered Security Checked 5/17/2021 3:35:31 PM
Signing Complete Security Checked 5/17/2021 3:35:54 PM
Completed Security Checked 5/17/2021 3:35:54 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Carahsoft OBO California Governor's Office of Emergency Services (we, us
or Company) may be required by law to provide to you certain written notices or disclosures.
Described below are the terms and conditions for providing to you such notices and disclosures
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All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 3/23/2020 10:41:55 AM
Parties agreed to: Andy Faber, Jimmy Forbis, LeeAnn McPhillips
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
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To request delivery from us of paper copies of the notices and disclosures previously provided
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all notices, disclosures, authorizations, acknowledgements, and other documents that are
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Governor's Office of Emergency Services during the course of your relationship with
Carahsoft OBO California Governor's Office of Emergency Services.
MARK S. GHILARDUCCI
DIRECTOR
April 21, 2021
Jim Wyatt, Fire Chief
7070 Chestnut Street
Gilroy, CA 95020
Dear Chief Jim Wyatt
You will find enclosed two copies of Assignment of Equipment Form, and Agreement for
Temporary Transfer of Vehicular Equipment covering the transfer of Cal OES Fire Engine
Number: 2614 to the Gilroy Fire Department. The agreement is effective 5/3/2021.
Please have the authorized official sign both copies of the above-mentioned documents
and return one original set to our office. Cal OES cannot transfer the fire engine to your
agency until this signed agreement is returned.
Cal OES must also be furnished with a Certificate of Insurance, or a letter certifying self-
insurance in the amounts required, in accordance with Paragraph 11 of the Agreement
for Temporary Transfer of Vehicular Equipment.
If you have any questions regarding this transfer, please feel free to contact our office.
Sincerely,
BRIAN S. MARSHALL
State Fire and Rescue Chief
BSM/Sb
Enclosures
Cc: Eric Moore, Region II Fire and Rescue Coordinator
Tony Bowden, Operational Area Coordinator
Vern Brothers, Cal OES Fire and Rescue Deputy Chief, North or South Operations
Dave Franklin, Cal OES Fire and Rescue Assistant Chief
Mark Courson, Cal OES fire and Rescue Assistant Chief
3650 SCHRIEVER AVENUE MATHER, CA 95655
FIRE AND RESCUE DIVISION
PHONE: (916) 845-8711 FAX : (916) 845-8396
GAVIN EWSOM
GOVERNOR
DocuSign Envelope ID: 6D8C52DD-B2F1-4FEC-A93E-C2FC026F7D81