agenda packet december 4, 2017 - jasper...

BOARD OF COUNTY COMMISSIONERS JASPER COUNTY, GEORGIA

REGULAR MEETING AGENDA DECEMBER 4, 2017

6:00 p.m. Commissioner’s Meeting Room – Ground Floor Ste. 16

MONTICELLO, GEORGIA

I. Call to Order (6:00 p.m.) NAME PRESENT ABSENT LATE ARRIVED

DISTRICT 1 – CARL PENNAMON, CHAIR DISTRICT 2 – BRUCE HENRY, VICE CHAIR DISTRICT 3 – DON JERNIGAN DISTRICT 4 – CRAIG SALMON DISTRICT 5 - DOUG LUKE II. Pledge of Allegiance – III. Invocation – District 2 IV. Approval of Agenda V. Consent Agenda – 1. Approval of Minutes:

Regular Meeting Minutes, November 6, 2017 2. Check Register – Check #’s 051307 - 051686

VI. Public Hearing

Public Hearings are conducted to allow public comments on specific advertised issues such as rezoning, ordinances, policy development and other legislative actions to be considered by the County Commissioners. Following the public hearing, the Board of Commissioners will take action on each item presented below.

VIII. Presentations/Delegations Presentation/Delegations allows scheduled speakers to address the Commission for not more than ten (10) minutes on specific topics or for recognition of citizens, county employees or other events by the Commissioners.

IX. Regular Agenda Old Business:

1. 2018 Comprehensive Plan Update Steering Committee Appointments 2. EMS Billing and Collections Bid Proposals

VII. County Commissioner Items

3. 2018 GDOT LMIG Application Submittal New Business:

1. Jasper County Water and Sewer Authority Board Appointments 2. Ocmulgee Judicial Circuit Adult Treatment Court Collaborative Advisory Board

Appointment 3. Mandatory Firefighters Cancer and Long Term Disability Insurance Coverage Proposals 4. Fire Rescue Self Contained Breathing Apparatus Procurement 5. FY2017 Final Budget Amendments-To Finalize Audit 6. Alcohol License Application/Renewals – Planning and Zoning

X. County Attorney Items XI. County Manager’s Update

1. Roads and Bridges 2. Other County Items

XII. Citizen Comments The Citizens Comments section of the Agenda allows citizens who sign up to address the Commission for not more than three (3) minutes on specific topics. The County Attorney will keep time. Please be courteous of the 3 minute time limit.

XIII. Executive Session

Consultation with County attorney to discuss pending or potential litigation as provided by O.C.G.A. §50-14-2(1); Discussion of the future acquisition of real estate as provided by O.C.G.A.§50-14-3(4); and, Discussion on employment, compensation, or periodic evaluation of county employees as provided in O.C.G.A. § 50-14-3(6) XIV. Adjournment

Consent Agenda – Item 1 Agenda Request – Jasper County BOC Department: Board of Commissioners Date: December 4, 2017 Subject: Approval of Minutes Summary: Minutes have been completed for the Jasper County Board of Commissioners:

Regular Meeting Minutes, November 6, 2017

Background: Cost: $0 Recommended Motion: Approve minutes for:

Regular Meeting Minutes, November 6, 2017

Jasper County Board of Commissioners Meeting Minutes November 6, 2017– Regular Meeting

Jasper County Board of Commissioners

November 6, 2017

Regular Meeting Minutes

6:00 P.M.

Comm. Pennamon called the meeting to order at 6:00 p.m.

Commissioners Present: Chairman, Carl Pennamon, Vice-Chairman, Bruce Henry, Don Jernigan, and Craig Salmon. Doug Luke arrived at 6:12 p.m.

Staff Present: Mike Benton, County Manager, Clerk, Sharon Robinson, Finance Director, Rhonda Blissit, and County Attorney, David Ozburn.

Pledge of Allegiance:

Invocation:

District 1, Carl Pennamon

Agenda Approval:

Comm. Jernigan made motion to approve the agenda as presented, Comm. Henry seconded; passed unanimously.

Consent Agenda:

Minutes:

Comm. Salmon made motion to approve the Minutes of Regular Meeting of October 2, 2017 and Called Meeting of October 23, 2017; Comm. Henry seconded; passed unanimously. Check Register:

Comm. Salmon made motion to approve the check register which included check #’s 050984 - 051306, Comm. Jernigan seconded; passed unanimously.

Public Hearing:

Comm. Salmon made motion to open the Public Hearing regarding the request for installation of Speed Bumps to be placed on Lakeshore Drive located off of State Route 212 at 6:03 p.m.; Comm. Jernigan seconded; passed unanimously.

Ms. Cathy Benson presented her request for installation of speed bumps on Lakeshore Drive. 79 homes, 4 homes cornered on Lakeshore, for total of 83 homes. 85% have voted yes for speed bumps, 10 no’s,

No one spoke against.


Comm. Salmon made motion to close the Public Hearing at 6:08 p.m., Comm. Henry seconded; passed unanimously.

Comm. Jernigan made motion to open the Public Hearing for the Department of Community Affairs (DCA) Capital Improvements Element (CIE) of the Development Impact Fee Compliance Requirement and the Short- Term Work Program Component of the County Comprehensive Plan for FY2017 at 6:11 p.m., Comm. Henry seconded; passed unanimously.

Charles Forsythe noted he does not feel the numbers have validity.

Comm. Salmon made motion to close the Public Hearing at 6:14 p.m., Comm. Henry seconded; passed unanimously.

Commissioner’s Items:

Jernigan: Requested update on Insurance for storm damages and clean-up on roads.

Mr. Benton noted we have not received final on the damage to the courthouse.

Henry: He is glad to see people at the meeting, invited them to come all the time.

Salmon: Recreation dept. sign, like to see it put up quickly. Trees and limbs on Palalto; future acquisition of property off Liberty Church will get with County Manager later on the property and other issues.

Luke: None

Pennamon: He has been contacted in regards to we need to appoint someone to the regional mental health board, he would like staff to advertise for volunteers to serve.

Presentations/Delegations:

Proclamation – Celebrating the Heritage:

Ms. Robinson read the Proclamation declaring the day of December 2, 2017 as Celebrating the Heritage: The Jasper County Training School Educator Legacy Day.

Comm. Jernigan made motion to approve the proclamation for signature, Salmon seconded; passed unanimously.

Proclamation – St. James AME Church celebrating 150 years:

Ms. Robinson read the Proclamation into the minutes commending St. James AME Church for its 150 years of service to Jasper County community.

Comm. Luke made motion to approve the proclamation for signature, Henry seconded; passed unanimously.

Regular Agenda:


Old Business:

Request to purchase ADA Compliant Van with Wheelchair Lift – Senior Center:

Tracy Norton noted the center has never been able to serve Senior Citizens in wheelchairs or on walkers; they are requesting a replacement van. The one they use now has 195K miles.

Comm. Pennamon reminded the board that they had asked staff to look at financing options.

Mr. Benton noted at one time we were talking about using unused contingency balance from FY2017; the unused contingency is $170,787 as we didn’t use much contingency last year.

Comm. Jernigan questioned what Ms. Norton plans to do with the other vans.

Ms. Norton noted the plan was to get wheelchair accessible and apply for 5311 grant funds next year; hopefully the van with 165K miles will hold up.

Mr. Benton noted we can use our current contingency of $150,000 or out of fund balance.

Comm. Henry made motion to approve $52,784.92 out of contingency for a Star Trans Senator II Shuttle Bus 12 passengers with 2 wheelchairs (or 14 Passengers with No Wheelchairs) as specified in attachment purchased by State Contract (to save $6,300) Contract #48400-140-DOT0000426-0001. Salmon seconded; passed unanimously.

Request to Increase Budget for Janitorial Services for Senior Center:

Ms. Norton noted the program that paid for her 2 janitors was cut. She is in need of janitorial services at 2 hours a day/10 hour a week for $75 a week for 52 weeks for an annual amount of $3,900. Comm. Salmon questioned if this will this be a contract. Atty. Ozburn noted it is an independent contractor. Comm. Pennamon noted at last meeting we asked County Attorney Mr. Benton noted that he feels it would be better to charge it to Govt. buildings budget building maintenance line item and watch the line item for the remainder of this year. Comm. Jernigan made motion to authorize Chairman to sign contract for Senior Center Janitorial Services in the amount of $3,900 annually and to post it to Government Buildings budget under the line item building maintenance, Comm. Salmon seconded; passed unanimously. Request to purchase New Shuttle Van for County Extension:

Kasey Reid noted at the October 2nd meeting she presented the specs and information for the Star Trans 15 passenger shuttle bus in the amount of $49,892.92. Ms. Reid gave a recap of the problems with the current van.

Ms. Reid gave a rundown of how often the van is used to transport children.

Comm. Salmon made a motion to purchase the Star Trans 15 passenger shuttle bus as presented at a cost of $49,892.92 to come out of contingency, Comm. Jernigan seconded; passed unanimously.


Comm. Salmon clarified that if 4-H had a need for an ADA Compliant van the Senior Center would be willing to share.

Ms. Norton noted yes, dependent on if it is being used.

Comm. Pennamon noted concern with the lettering on the vans, he would like it to say Jasper County.

Financial Policy Review:

Ms. Blissit noted that the Finance Staff request the Financial policy which addresses the accounting, auditing, financial reporting, debt management, and fund balance be approved.

Comm. Henry noted concern page 7 third paragraph and fund balance not below 45% of general fund budget.

Ms. Blissit noted we are there now.

Comm. Salmon made motion to approve the Financial Policy as presented; Comm. Jernigan seconded; passed

unanimously.

Comm. Henry expressed concern with the 45% may not be catastrophic, may just be a definite need.

New Business:

Comprehensive Plan Steering:

Mr. Benton noted the county needs to appoint a Steering Committee made up of a diverse group representing all of Jasper County. Commissioners agreed to advertise for volunteers to serve on the Steering Committee and appoint them at the December Regular Meeting. Request for speed bumps:

Comm. Salmon noted we need to make sure speed bumps are rated for the correct mile per hour.

Comm. Salmon made motion based upon petition of the citizens of that community, that speed bumps be installed on Lakeshore Drive based upon specs and criteria developed with Public Works and County Manager accordingly, Comm. Jernigan seconded; passed unanimously.

Commissioners agreed to have them be done one at a time for a trial period.

2018 LMIG Application:

Comm. Pennamon noted we have discussed previously to use LMIG for Post Road and Goolsby Road because those are the 2 roads the board decided years ago to complete before we venture off into something else. He feels Goolsby Road is still holding up; the front portion from Hwy. 11 is breaking up and we need to look at another method of paving it.


Comm. Jernigan noted Pintail off Jackson Lake Road is in bad shape; need .10th of mile done, can it be added to the project list. Comm. Luke noted he would like us to start thinking outside box, would like us to consider taking LMIG money and do triple surface contracting. He would like us to get some pricing. Commissioners discussed the possibility of a Called Meeting to select roads. Mr. Benton clarified he needs to get rough quotes, not bids. Linda Brittnall of 130 Doe Lane Road near Bear Creek Marina, noted the need to have some attention shown to her road as well as Stag Run and Bobcat. Approve FY2017 Capital Improvements Element Report and Authorize Submittal:

Mr. Benton noted Jasper County has prepared an annual update to the Capital Improvements Element for FY 2017 in accordance with the Development Impact Fee Compliance Requirements established by the Georgia Department of Community Affairs.

Mr. Benton noted the comprehensive plan steering committee will review everything.

Comm. Jernigan made motion to authorize Annual CIE Improvements for FY2017 be submitted to Northeast Georgia Regional Commission for review and then be submitted to DCA, Salmon seconded; passed unanimously.

Approve FY2018-2022 Short Term Work Program:

Mr. Benton noted a Short Term Work Plan covering the period FY 2018 – 2022 has been prepared in accordance with the Minimum Standards and Procedures for Local Comprehensive Planning established by the Georgia Planning act of 1989.

Comm. Henry made motion to authorize the Short-Term Work Program FY2018-2022 be submitted to Northeast Georgia Regional Commission for review and then be submitted to DCA, Comm. Luke seconded; passed unanimously.

Bank Accounts for Senior Center:

Ms. Blissit noted Finance requests to open 2 new bank accounts used specifically for the Senior Center Capital Project Fund

Ms. Blissit noted Bank Account 1-The Department of Community Affairs requires a non-interest bearing bank account be established to receive the drawdown of funds from the CDBG Award. This bank account will be utilized to pay vendor invoices approved and administered by Allen-Smith. Bank Account 2-Our CDBG administrators, Allen-Smith, recommend to establish a second bank account, which will be utilized as a local funding bank account to pay expenditures not paid by the grant, such as any administration and engineering costs.


Comm. Jernigan made motion to Authorize Chairman to sign the Hamilton State Bank new account agreements, Comm. Salmon seconded; passed unanimously.

Comm. Luke clarified before any draws are made they will come through Finance.

Ms. Blissit noted yes.

4th Quarter FY2017 Financial Review:

Ms. Blissit reviewed the 4th Quartet FY2017 Financial Review. (A copy of this report is attached and made a part of the official minutes).

1st Quarter FY2018 Financial Review:

Ms. Blissit reviewed the 1st Quartet FY2018 Financial Review. (A copy of this report is attached and made a part of the official minutes).

County Attorney Items:

Atty. Ozburn noted he will need an Executive session for potential litigation, employment reviews

County Manager Items:

Mr. Benton noted Blount Construction started on Post Road today,

No Thru truck signs have been installed in conjunction with Sheriff Dept. and Public Works on Jackson Lake Road off Hwy. 16, Jackson Lake Road off Hwy 212, Bethel Church Road, and Clay Road. Will petition GDOT to look at the truck route signage that needs to be replaced or enhanced.

Curbside cart audit lined up to take place in next couple weeks.

Final vote for SPLOST is tomorrow.

Citizen Comments:

Pat Tria – SPLOST

Jan Hart and Charles Hart – Senior Center.

Charles Forsythe – Triple surface treatment

Executive Session:

Comm. Luke made motion to go into Executive Session at 7:52 p.m. to discuss personnel and litigation, Comm. Jernigan seconded; passed unanimously.

Comm. Salmon made motion to come out of Executive Session at 8:20 p.m., Comm. Jernigan seconded; passed unanimously.


Adjourn:

Comm. Salmon made motion to adjourn at 8:20 p.m., Comm. Jernigan seconded; passed unanimously.

___________________________

Carl Pennamon, Chairman

___________________________

Sharon S. Robinson, Clerk

Consent Agenda – Item 2 Agenda Request – Jasper County BOC Department: Board of Commissioners Date: December 4, 2017 Subject: Approval of Check Register Summary: A check register will be generated by the finance department on meeting day for signature and approval to process the checks. Background: Cost: $0 Recommended Motion: Approve processing of check #’s 051307 - 051686

Old Business – Item 1: Agenda Request – Jasper County BOC Department: Board of Commissioners Date: December 4, 2017 Subject: 2018 Comprehensive Plan Update Steering Committee Appointments Summary: Suggested Goal: Appoint a Steering Committee composed of 12 to 14 members. Jasper County Board of Commissioners Elected Officials 1 to 2 Jasper County Board of Commissioners Staff 2 Unincorporated Jasper County Citizen/Business Owner Representatives 2 Monticello City Council Elected Officials 1 to 2 Monticello City Council Staff 1 Incorporated City of Monticello Citizen/Business Owner Representative 2 Shady Dale City Council Elected Official 1 Shady Dale City Council Elected Official/Staff/Citizen/Business Owner 1 Economic Development Practitioner 1 Individuals That Have Requested To Serve: Ken McMichael Mary Patrick Tracy Norton Individuals That Were Recommended and Agreed To Serve If Appointed: Andrew Boyd Bud Cowan Ross Hays Adam McGinnis Gerald Stunkel Opportunity for involvement from the community, interested individuals and all stakeholders will be available throughout the development of the comprehensive plan. Background: The update to Jasper County’s Comprehensive Plan is due to the Department of Community Affairs by October 31, 2018. The Jasper County Board of Commissioners, the Monticello City Council and the Shady Dale City Council have contracted with the Northeast Georgia Regional Commission to assist in the development of the Comprehensive Plan Update. A Joint Steering Committee is being formed that will guide the process and direct the development of the Comprehensive Plan. Cost: None Recommended Motion(s): Board Discretion

Old Business – Item #2: Agenda Request – Jasper County BOC Department: Date: December 4, 2017 Subject: EMS Billing and Collections Bid Proposals Summary: Jasper County is currently handling EMS billing and collection services with a County employee. Background: Outsourcing the billing portion of daily operations includes many points to consider; a larger workforce specializing in billing for many different providers, more resources to complete the billing process from start to finish, removes liability from the county in regards to compliance with Medicare, Medicaid and HIPPA, company provides free training and up to date training for documentation and standards relating to billing, added payment options for patient to submit payments and third party billing companies have a proven track record to increase revenue for services provided. Jasper County Fire Rescue currently handles the Medical Billing in house by a Jasper County employee. Our current collection rate per call for the last budget year was $346.77. Jasper County Fire Rescue received 6 bids from EMS billing companies. These companies included Emergency Billing, EMS Consultants, Colleton Software, Nationwide Billing, Logical Billing Solutions, and Omni EMS Billing. Jasper County Fire Rescue recommends using the State of Georgia free PCR reporting system that encompasses the Mandatory Fire reporting as well. As Jasper County Fire Rescue is a combined department we are currently reporting in 3 locations. Fire reports are done on the free system provided by the state with the EMS report done in the system provided by EMS Consultants and then transferred to the state system. Utilizing one reporting system will allow for one report to be done per incident, access from area hospitals to see PCR on the state system and allow for better tracking of calls and resources. Cost:

1. Emergency Billing 7.0 % Commission of Monies Collected (No other fees and using state software) Average collected per run: $406.00 (examples from surrounding counties)

2. EMS Consultants 5.5 % Commission of Monies Collected (using their software) 6.0% Commission of Monies Collected (using state software) Average collected per run: $345.00

3. Colleton Software 6.5% Commission of Monies Collected (using their software) Average collected per run: $356.00 (average from examples given)

Recommended Motion: Authorize Chairman to enter into a one year agreement with Emergency Billing, Commerce GA. for EMS billing and collection services. *Note: Emergency Billing is the only provider currently using the state software.

Agenda Request – Jasper County BOC Department: Roads and Bridges Date: December 4, 2017 Subject: 2018 GDOT LMIG Application Submittal Summary: 2018 GDOT LMIG Application – Deadline to Apply: January 1, 2018 Application Information Required: Road Name Beginning Location Ending Location Length in Miles Description of Work Project Cost Project Let Date GDOT allows changes to LMIG application Background: GDOT Provides Counties with Funding for Local Roads thru the Local Maintenance Improvement Grant Program. GDOT Requires Jasper County to Provide 30% Matching Funds. 2017 LMIG Project – Post Rd - Full Depth Reclamation 2.3 Miles - $661,886 - $287,776 Per Mile 2016 LMIG Project – Goolsby Rd – Patching, Asphalt Leveling, Double Surface Treatment, Sand Seal 3.0 Miles - $576,301 - $192,100 Per Mile Cost Projections – Dykes Rd – Patching, Asphalt Leveling, Double Surface Treatment, Sand Seal, 1.6 Miles - $282,827 - $176,767 Per Mile Multiple Mile Single Project – Short Road Sections – Cost Increases by Approximately 15%-20% Pintail Dr - Single Short Rd with New Mobilization– Cost Increases by Approximately 35% to 40% Palato, Herds Creek, Wendy Hill, Long Piney - Paving Dirt Roads – Potential Items - Acquiring ROW, Widening Road Cross Section, Horizontal Realignment, Vertical Realignment. Requires survey to determine cost estimate. Cost: 2018 GDOT LMIG for Jasper County $546,259 Jasper County’s Required Local Match $163,877 Total LMIG and 30% Required Match $710,136 Jasper County’s Required Local Match of $163,877.91 to be funded from 2012 SPLOST. Recommended Motion(s): Approve 2018 LMIG Application With Post Rd 2.5 Miles Full Depth Reclamation Beginning North of Bowden Rd Proceeding 2.5 Miles to Smith Brock Rd.

New Business – Item # 1 Agenda Request – Jasper County BOC Department: Board of Commissioners Date: December 4, 2017 Subject: Jasper County Water and Sewer Authority Board Appointments Summary: Jasper County Water and Sewer Authority has 4 vacant Board positions. Staff has advertised the vacancies and the following people have expressed interest: Eileen Ott Joseph Hinton Bobby Sutton The Current Board members; Bill Whitten, Elvis Singleton, Ken McMichael and Mary Alice Carter also need to be re-appointed to the Board. Background: Three vacant JCWSA Board positions are vacant and need to be filled. This Board has 9 positions that serve 5-year terms. Cost: None Recommended Motion: Appoint named applicants and re-appoint named applicants to serve on the JCWSA Board for a five year term.

1

Sharon Robinson

From: Joseph Hinton <[email protected]>Sent: Monday, November 13, 2017 10:10 PMTo: Sharon RobinsonSubject: Jasper county Water & Sewer Authority Board

Mrs Robinson, I saw that there was a need for board members for our local water & sewer authority. I searched but could not find a list of duties or qualification required. I would be interested in serving on this board if I am able. I am a recent graduate of our local Leadership Jasper program. Owner of a few local businesses to include TSM Contractors and Evercore Insurance. I grew up in construction with many years installing sewer and water lines. I am also a disabled vet with multiple tours in Iraq/Afghanistan in a leadership position. I would be happy to help. -- Thank you, Joseph A. Hinton Project Manager TSM Contractors LLC O: (706) 468-9070 C: (706) 818-1980 234 Forsyth ST Monticello GA 31064

New Business – Item # 2 Agenda Request – Jasper County BOC Department: Board of Commissioners Date: December 4, 2017 Subject: Ocmulgee Judicial Circuit Adult Treatment Court Collaborative Advisory Board Appointment Jasper County has been asked by the Department of Behavioral Health and Developmental Disabilities to appoint a citizen to their Ocmulgee Judicial Circuit Adult Treatment Court Collaborative Advisory Board. Staff has advertised for volunteers and received interest from Ms. Norma J. Trammell. Background: The mission of the Ocmulgee Circuit Adult Treatment Court Collaborative is to serve the community by addressing the problems of individuals who have substance abuse, mental health or co-occurring disorders and, as a result, have committed crimes against society. We believe by eliminating a person’s desire to use drugs and alcohol and by stabilizing the symptoms of his or her mental illness, we significantly reduce the likelihood of the person re-offending and are ultimately able to provide safer communities. Cost: $0 Recommended Motion(s): Motion to appoint Norma J. Trammell to the Ocmulgee Judicial Circuit Adult Treatment Court Collaborative Advisory Board

New Business – Item #3 Agenda Request – Jasper County BOC Department: Fire Rescue Date: December 4, 2017 Subject: Mandatory Firefighters Cancer and Long Term Disability Insurance Coverage Proposals Summary: The State of Georgia passed HB 146 that requires organized Fire Departments to purchase and maintain certain insurance coverage for eligible firefighters with an effective date of January 1, 2018. Background: Jasper County Fire Rescue currently has 50 employees that have the status of full time, part time and volunteer which would require coverage starting January 1, 2018. Definition of Eligible Firefighter: An “Eligible Firefighter” is a recruit or a trained individual who is a full-time employee, part-time employee, or volunteer for a legally organized fire department of the participating employer and as such has duties of responding to mitigate a variety of emergency and nonemergency situations where life, property, or the environment is at risk, which may include without limitation fire suppression; fire prevention activities; emergency medical services; hazardous materials response and preparedness; technical rescue operations; search and rescue; disaster management and preparedness; community service activities; response to civil disturbances and terrorism incidents; nonemergency functions including training, preplanning, communications, maintenance, and physical conditioning; and other related emergency and nonemergency duties as may be assigned or required; provided, however, that a firefighter's assignments may vary based on geographic, climatic, and demographic conditions or other factors including training, experience, and ability. A firefighter is an “Eligible Firefighter” as soon as he or she meets the description above, even though coverage under the Firefighter Cancer Policy does not become effective until completion of a waiting period as set forth in O.C.G.A. § 25-3-23. Jasper County Fire Rescue has received 2 proposals to provide this coverage which is outlined below. Cost:

4. ACCG – IRMA The Hartford Annual Premium - $7905

5. VFIS - Chubb Accident and Health Annual Premium - $8765

Annual Premium covers all eligible firefighters. Premium to be funded by FY 2018 Fire Rescue Budget Recommended Motion: Approve ACCG-IRMA to provide insurance coverage for Jasper County Fire Rescue to be compliant with House Bill 146, and Chairman signature on resolution.

10/19/2017

DESCRIPTION OF COVERAGE PROVIDED THROUGH ACCG

All legally organized fire departments in Georgia are required by House Bill 146 (2016-2017) to provide certain cancer benefits to their firefighters effective January 1, 2018. ACCG has developed a solution for Georgia counties that need this coverage, providing financial protection to firefighters and their families inthe event they contract cancer.

INSURER: The Hartford Life and Accident Insurance CompanyCOVERAGES PROVIDED: Lump Sum Cancer & Long Term Disability (Income Replacement)MASTER POLICYHOLDER: ACCG - Interlocal Risk Management AgencyADMINISTRATOR: Association County Commissioners of Georgia

Who is eligible? An “Eligible Firefighter” is a recruit or a trained individual who is a full-time employee, part-time employee, or volunteer for a legally organized fire department as defined by O.C.G.A. § 25-4-2after having served 12 consecutive months for such fire department.

CLASS DESCRIPTIONS: Class 1 - Volunteer Firefighters; Class 2 – Employee Firefighters

Lump Sum Cancer Benefit: Full-time/Part-time Employees and Volunteers Maximum Limit each diagnosis: $6,250 (less severe forms of cancer as noted in HB 146);

$25,000 (severe forms of cancer as noted in HB 146)Lifetime Benefit per Firefighter: $50,000Continuation Rights: Yes (Enroll within 31 days of termination of eligibility)

Long-Term Disability (Income Replacement)Elimination Period: 180 DaysBenefit Duration: 3 Years or until released to work as firefighterReturn to Work Incentive: IncludedIntegration Method: Direct with Family Social Security OffsetPre-Existing Condition Limit: 3 months lookbackSurvivor Income Benefit: 3 times last monthly BenefitContinuation Rights: Yes (Enroll within 31 days of termination of eligibility)

Benefits:Volunteer: $1,500 Monthly BenefitFull-time/Part-time Employee: 60% of pre-disability earnings as firefighter for Participating Employer

Minimum Monthly Benefit: $100Maximum Monthly Benefit: $5,000

The disability benefits will be reduced by any other income benefits other than those purchased solely by the firefighter as noted by House Bill 146 (2016-2017).

This overview is not a part of the policy(ies) and does not provide or explain all provisions of the policy(ies).

Questions about this program? Call Willis Towers Watson representatives Lindsey Albright (404.224.5044) or Meghan Murray (404.302.3898) or Ashley Abercrombie at ACCG (404.589.7828).

This proposal is valid for 30 days after proposal is issued or until the effective date, whichever is later.This overview is not a part of the policy(ies) and does not provide or explain all provisions of the policy(ies).

10/19/2017

ACCG-IRMA Firefighters’ Cancer Benefit ProgramProposal for Coverage

Effective Date: January 1, 2018 Anniversary Date: January 1County Name: Jasper CountyCounty FCC ID Number: 3350Insurer: Hartford Life and Accident Insurance Company

There are two coverage components required by House Bill 146 (2017) effective January 1, 2018:1) Lump Sum Cancer Benefit2) Long-Term Disability (Income Replacement)

The ACCG-IRMA Lump Sum Cancer Benefit and Long-Term Disability (Income Replacement) coveragecomponents are designed to comply with House Bill 146 when purchased together. However, a county ispermitted to purchase only one component if desired.

Estimated annual premiums are based on the Eligible Firefighter census data provided by the county.Premiums for Long-Term Disability (Income Replacement) differ based on whether a firefighter isemployed or is a volunteer. While the premiums below are estimated annual amounts, the county willbe billed on a quarterly basis in an amount that reflects the county’s updates to the census.

Component 1: Lump Sum Cancer Benefit – All FirefightersMaximum Benefit each diagnosis: $6,250 (less severe forms of

cancer)$25,000 (severe forms of cancer)

Lifetime Benefit per firefighter: $50,000Lump Sum Cancer Benefit Only - Estimated Annual Premium for All Firefighters: $5,300

Component 2: Long-Term Disability (Income Replacement)Employed Firefighters

Monthly benefit: 60% of pre-disability firefighterearnings

Maximum monthly benefit per firefighter: $5,000Estimated Annual Premium for Employed Firefighters: $1,465Volunteer Firefighters

Monthly Benefit per firefighter: $1,500Estimated Annual Premium for Volunteer Firefighters: $1,140Long-Term Disability Only (Income Replacement) –Estimated Annual Premium for All Firefighters:

$2,605

Estimated Annual Premium for Components 1 & 2: Lump Sum Cancer Benefit +Long Term Disability (Income Replacement):

$7,905

1

ACCG - INTERLOCAL RISK MANAGEMENT (ACCG-IRMA) FIREFIGHTER CANCER COVERAGE APPLICATION AND PARTICIPATION AGREEMENT

Employers eligible to participate in ACCG-IRMA (hereinafter a “Participating Employer” or “Employer”) shall complete this Application and Participation Agreement in order to purchase firefighter cancer coverage fully insured by The Hartford under the ACCG-IRMA Master Policy for Lump Sum Cancer Benefit or Master Policy for Long-Term Disability (Income Replacement) or under both Policies. Once approved by ACCG-IRMA’s Program Administrator, the Participating Employer will receive a one-page Schedule of Benefits identifying the purchased coverage(s) and a link to the Policy for the purchased coverage(s), so it may make these available to Eligible Firefighters.

Who Does What?

• ACCG-IRMA is the Policyholder of two firefighter cancer coverage policies insured by The Hartford: Lump Sum Cancer Benefit and Long-Term Disability (Income Replacement), (together, the “Firefighter Cancer Policies”). These coverages together are designed to meet the requirements of Georgia House Bill 146 (2016-2017), an Act effective January 1, 2018.

• The Association County Commissioners of Georgia (“ACCG”) is the Program Administrator for ACCG-IRMA. ACCG uses information from the Eligible Firefighter census data provided by the Participating Employer to bill for the Firefighter Cancer Policies, and maintains (either directly or through the broker for the Firefighter Cancer Policies) Participating Employers’ Application and Participation Agreements.

• Participating Employers are responsible for identifying all Eligible Firefighters, submitting complete and accurate census data to ACCG, paying premiums to ACCG-IRMA, communicating with Eligible Firefighters about the coverages it provides, providing the Schedule of Benefits and links to the applicable Policies to Eligible Firefighters, and providing all requested information and documentation to The Hartford when an Eligible Firefighter makes a claim under one or both of the Firefighter Cancer Policies.

• The Hartford evaluates and pays claims under the Firefighter Cancer Policies. All claims for benefits must be submitted to The Hartford. Neither ACCG-IRMA nor ACCG have any role in claim determination or payment.

• The Hartford provides tax services related to payments under the Long-Term Disability (Income Replacement) Policy.

Definition of Eligible Firefighter: An “Eligible Firefighter” is a recruit or a trained individual who is a full-time employee, part-time employee, or volunteer for a legally organized fire department of the Participating Employer and as such has duties of responding to mitigate a variety of emergency and nonemergency situations where life, property, or the environment is at risk, which may include without limitation fire suppression; fire prevention activities; emergency medical services; hazardous materials response and preparedness; technical rescue operations; search and rescue; disaster management and preparedness; community service activities; response to civil disturbances and terrorism incidents; nonemergency functions including training, preplanning, communications, maintenance, and physical conditioning; and other related emergency and nonemergency duties as may be assigned or required; provided, however, that a firefighter's assignments may vary based on geographic, climatic, and demographic conditions or other factors including training, experience, and ability. A firefighter is an “Eligible Firefighter” as soon as he or she meets the description above, even though coverage under the Firefighter Cancer Policy(ies) does not become effective until completion of a waiting period as set forth in O.C.G.A. § 25-3-23.

2

Employer Obligations:

• Employer shall not require any kind of contribution from Eligible Firefighters for the coverage(s) provided under the Firefighter Cancer Policies.

• Employer is solely responsible for identifying all Eligible Firefighters (as defined above) and providing correct and complete information to ACCG.

• Employer shall submit initial Eligible Firefighter census data to ACCG in the form requested, and must update this census data as needed in order to ensure that all Eligible Firefighters are identified.

• The Employer’s cost for coverage under the Firefighter Cancer Policy(ies) will be based on the most recent census data at the time of billing.

• A claim by an Eligible Firefighter may be denied if the Eligible Firefighter was not timely listed in the census data.

• Employer shall provide the Schedule of Benefits and a link to the applicable Policy(ies) to Eligible Firefighters at no charge, and shall provide a copy of the applicable Policy(ies) to an Eligible Firefighter upon request.

• When a firefighter submits a claim to The Hartford, Employer shall provide The Hartford the information requested so that The Hartford may evaluate the claim, and shall affirm that this information is accurate and complete.

If the Employer is purchasing Long-Term Disability (Income Replacement) coverage, the Employer agrees as follows. Employer Authorization for Tax Services: By completing this Application and Participation Agreement, Employer authorizes The Hartford to report, withhold and deposit the taxes described below, and agrees to provide The Hartford with accurate and timely information to provide these tax services. Employer acknowledges that The Hartford, ACCG-IRMA, and ACCG, singularly and collectively, shall have no responsibility for any liability in connection with these tax services that may result from inaccurate, untimely or incomplete information provided by Employer to any of them, including but not limited to fines or penalties.

• The Hartford will withhold and deposit applicable and properly elected additional United States federal income taxes (FIT) and state income tax (SIT) as well as applicable Employee FICA taxes from disability benefits/sick pay. The Hartford will make timely filings with the appropriate United States federal and state agencies. The Hartford will deposit the taxes using The Hartford’s tax identification number and will timely notify the Employer of these payments. This notification is provided on the EOB (Explanation of Benefits).

• The Hartford will prepare Forms W-2 for payees and pay the Employer’s share of FICA taxes, and submit such forms and payments to the appropriate United States federal and state agencies. The Hartford will postmark by January 31st of each year, or such other date required by law, Forms W-2 containing disability benefits/sick pay information to payees and make information return filings in accordance with Federal and State requirements regarding income tax, Social Security, and Medicare tax. The Hartford will issue Forms W-2 using The Hartford’s tax identification number. If the Policy is terminated, The Hartford will continue to provide Forms W-2 and make information return filings for disability benefits/sick pay payments on all claims incurred prior to termination of the Policy.

• The Hartford assumes no responsibility for any other payroll or employment related tax, fee, premium or the like including Federal Unemployment Insurance (FUTA) and State Unemployment Insurance (SUTA), State Disability Insurance, State or Local Occupational Taxes, other jurisdictional taxes such as municipal, city or county taxes, or any Workers' Compensation Tax which may be applicable to the disability benefits The Hartford is paying.

• The Hartford will prepare and deliver to Employer the annual summary reports of benefits paid.

3

Desired Coverage (See Attached Proposal for Estimated Annual Premiums):

Participating Employer is applying for and agreeing to purchase BOTH the Lump Sum Cancer Benefit & Long Term Disability (Income Replacement) coverages unless either of the following options is checked.

____ Lump Sum Cancer Benefit Only* OR

____ Long Term Disability (Income Replacement) Only*

* Alone, this coverage does NOT meet the requirements of HB146.

The coverage elected above automatically renews at each anniversary of the effective date, based on then current premiums established by the Administrator. Coverage may be terminated in accordance with the terms of the Firefighter Cancer Policy(ies) or for Employer’s failure to comply with 1) the terms of this Agreement or 2) the terms for membership in ACCG-IRMA and/or the ACCG-IRMA Accident, Disability, and Supplemental Medical Fund.

On behalf of ____________________________ [Name of Participating Employer], I submit this Application and Participation Agreement and agree to its terms.

Signature: ____________________________ Date: _____________

Print Name: ___________________ Title: ________________________

APPROVED BY ACCG-IRMA PROGRAM ADMINISTRATOR: _________________

EFFECTIVE DATE OF COVERAGE: __________

Association County Commissioners of Georgia-Interlocal Risk Management Agency

1

RESOLUTION AUTHORIZING PARTICIPATION IN THE ACCG - INTERLOCAL RISK MANAGEMENT AGENCY

SUPPLEMENTAL MEDICAL, ACCIDENT, AND DISABILITY FUND

WHEREAS, Article 9, Section 3, Paragraph 1 of the Constitution of Georgia authorizes counties and other political subdivisions to contract with each other for activities which the contracting parties are authorized by law to undertake; and,

WHEREAS, Chapter 85 of Title 36 of the Official Code of Georgia Annotated authorizes counties to execute intergovernmental contracts to form, and become members of, an interlocal risk management agency for the purpose of sharing the risks of accident, disability, supplemental medical, general liability, motor vehicle liability, property damage, or any combination of such risks with those of other counties; and,

WHEREAS, counties within Georgia have found it increasingly difficult to obtain commercial insurance protection, and have found the costs of such protection often exceed the ability of a county to pay; and,

WHEREAS, counties in Georgia need a stable method for managing their risks to avoid the unpredictable and cyclical nature of the commercial insurance market; and,

WHEREAS, many Georgia counties do not have sufficient resources to self-insure their risks on an individual basis; and,

WHEREAS, through the Association County Commissioners of Georgia, Georgia counties have created an intergovernmental risk management agency so that the Georgia counties may insure and/or self-insure their risks; and,

WHEREAS, the County of is an existing member of the Association County Commissioners of Georgia – Interlocal Risk Management Agency (hereafter referred to as ACCG–IRMA), an interlocal risk management agency formed pursuant to Chapter 85 of Title 36 of the Official Code of Georgia Annotated, and previously has entered into an intergovernmental contract for the purpose of joining ACCG-IRMA and participating in the ACCG-IRMA Property and Liability Fund; and,


2

WHEREAS, ACCG-IRMA has also established a Supplemental Medical, Accident, and Disability Fund for the purpose of protecting against certain other liabilities imposed upon Georgia counties by state law; and,

WHEREAS, the governing authority of the County of finds that it is in the best interest of its citizens to participate in the ACCG-IRMA Supplemental Medical, Accident, and Disability Fund,

NOW THEREFORE, BE IT RESOLVED by the governing authority of the County of _______________, Georgia:

SECTION 1

The governing authority of the County of ____________ hereby authorizes the County to become a participant in the ACCG-IRMA Supplemental Medical, Accident, and Disability Fund for the purpose of providing coverage for those risks imposed upon the County by state law and for which the Supplemental Medical, Accident, and Disability Fund has been established. The County’s continuing participation in the ACCG-IRMA Property and Liability Fund is hereby confirmed.

SECTION 2

The ________________________________________________________ of the County (Insert Title of Chief Executive Officer)

of _________________________________is authorized to execute on behalf of the County any and all documents necessary and proper to become a participant in the ACCG-IRMA Supplemental Medical, Accident, and Disability Fund.

SECTION 3

The powers of ACCG-IRMA, unless the intergovernmental contract and ACCG-IRMA bylaws are amended, shall be limited to those authorized by Chapter 85 of Title 36 of the Official Code of Georgia Annotated, and the related Rules and Regulations of the Commissioner of Insurance of the State of Georgia.


3

SECTION 4 The continuing operations of ACCG-IRMA and the obligation of the County to fully participate in such operations shall be effectuated in accordance with the intergovernmental contract and ACCG-IRMA bylaws. SECTION 5 The ________________________________________is designated as the County's

(Insert Title of Designated Person) representative to ACCG-IRMA. The County may change its representative by informing ACCG-IRMA of the change in writing. SECTION 6 This resolution shall be effective upon its passage and approval. Adopted this _____________________________ day of _________________20 ______ . ________________________________________ Chairman or Sole Commissioner County of ______________________________ ATTEST: ______________________________ Clerk of the County of __________________________ (Imprint County Seal)

1

Designed for: Jasper County Board of Commissioners

126 W. Green Street, Suite 17, Monticello GA 31064 Underwritten by: ACE American Insurance Company For: Glatfelter Specialty Benefits

HB 146 Cancer Insurance

Benefits for Georgia

Schedule of Benefits

Chubb Accident & Health is pleased to offer a proposal for cancer insurance underwritten by ACE American Insurance Company. This proposal is valid until the earlier of the proposed effective date or 90 days after the date it is issued. If by that date you have not accepted the terms we have offered in this proposal, it will no longer be valid. If you accept the terms of this proposal, coverage is subject to Chubb’s determination that trade or economic sanctions or regulations do not prohibit us from binding coverage.

The U.S. Foreign Account Tax Compliance Act, commonly known as “FATCA”, became the law in the U.S. in March of 2010 and becomes effective July 1, 2014. Pursuant to FATCA, brokers, producers, agents and/or clients may need to obtain withholding certificates from insurance companies. For information on how to obtain the applicable withholding certificate from Chubb U.S. insurance companies, please go to https://www2.chubb.com/us-en/u-s-foreign-account-tax- compliance-act-fatca.aspx.

Date Issued 10/24/17

Proposed Effective Date January 1, 2018 to January 1, 2019

Eligibility Class 1 All full-time and part-time firefighter employees of the Policyholder as defined in

Code Section 25-4-2 who are in Active Service, as provided on the annual roster, who have served 12 consecutive months as a firefighter and for whom the required premium has been paid

Class 2 All volunteer firefighters of the Policyholder defined in Code Section 25-4-2 who

are in Active Service, as provided on the annual roster, who have served 12 consecutive months as a firefighter and for whom the required premium has been paid.

Exposure Class 1 - # of Full-time and Part-time Firefighters: 20 Class 2 - # of Volunteer Firefighters: 21

Annual Premium $8,765.00

This information is a brief description of the important features of the proposed insurance plan underwritten by ACE American Insurance Company. It is not a contract of insurance. Coverage may not be available in all states or certain terms may be different if required by state law. Chubb NA is the U.S.-based operating division of the Chubb Group of Companies, headed by Chubb Ltd. (NYSE:CB) Insurance products and services are provided by Chubb Insurance underwriting companies and not by the parent company itself.

Plan Benefits & Covered Activities Class 1 Cancer Benefits

Early Stage Cancer Benefit: $6,250 Advanced Cancer Benefit: $25,000 Lifetime Maximum: $50,000

Disability Benefit

Monthly Benefit Amount: Lesser of 60% of Monthly Salary or $5,000, minus Other Income Benefits

Benefit Waiting Period: 6 months from the date the Total Disability

commencement or Cancer Maximum Benefit Period: 36 months

Class 2 Cancer Benefits

Early Stage Cancer Benefit: $6,250 Advanced Cancer Benefit: $25,000 Lifetime Maximum: $50,000

Disability Benefit

Monthly Benefit Amount: $1,500, minus Other Income Benefits Benefit Waiting Period: 6 months from the date the Total Disability

commencement or Cancer Maximum Benefit Period: 36 months

Reduction in Disability Benefits

The amount of the Insured’s Disability Benefits will be reduced by the amount of any Other Income Benefits paid on account of the Insured’s Total Disability.

Terms & Conditions

Who Is Eligible For Insurance?

An individual in one of the eligible classes shown in the Schedule of Benefits is eligible for coverage.

When Does Coverage Go Into Effect?

Insurance for an eligible individual is effective on the latest of the policy effective date or the date he or she becomes eligible.

Coverage for an eligible individual who is not in active service on the date insurance would otherwise be effective will not go into effect until he or she returns to active service.

When Does Coverage Terminate?

An insured individual’s coverage will end on the earliest of the date the policy terminates; the period ends for which premium is paid; or the date he or she is no longer in active service or is no longer eligible. Continuation of Insurance

If after at least one year as a firefighter for the Policyholder, the Insured departs from employment, ceases to be a volunteer, or retires, and if an Insured’s insurance ends because his or her employment ends, he or she ceases to be a volunteer, or he or she retires, the Insured may apply for conversion insurance.

The Insured may choose the type of insurance We have available for persons of his or her age in

the amount applied for, except:

1. he or she may not apply for an amount greater than the coverage in force under the Policy less the amount of any other group Accident insurance for which he or she becomes eligible within 31 days after the date coverage under the Policy ends; and

2. the conversion insurance will only contain the benefits contained in this Policy.

The Insured must apply for conversion insurance within 31 days after his or her coverage under

the Policy ends. The Insured is responsible for all payment of premiums for the conversion policy.

Premiums will be based on the table of rates in force at that time for such policies based on the

Insured’s age and class of risk. The Insured will not be required to provide evidence of insurability.

If the Insured suffers a Covered Loss within the initial 31 days after his or her coverage under the

Policy ends, We will pay benefits under this Policy. After the initial 31 day period, no additional

benefits are payable under this Policy.

Benefits & Features

Cancer Benefits

If an Insured is diagnosed with any of the Covered Illnesses listed below, We will pay the lump

sum shown in the Schedule of Benefits for that illness, subject to the following conditions:

1) the Insured must have served a minimum of twelve (12) consecutive months as a firefighter of the Policyholder; and

2) the Insured must be alive to receive benefits under this Policy.

Covered Illnesses

1. Early Stage Cancer. We will pay the Early Stage Cancer Benefit shown in the Schedule of Benefits, upon acceptable proof of diagnosis that, with respect to the type of Cancer involved: (a) There is carcinoma in situ such that surgery, radiotherapy, or chemotherapy has been

determined to be Medically Necessary; (b) There are malignant tumors which are treated by endoscopic procedures alone; (c) There are malignant melanomas; or (d) There is a tumor of the prostate, provided that it is treated with radial prostatectomy.

2. Advanced Cancer. We will pay the Advanced Cancer Benefit shown in the Schedule of Benefits, upon acceptable proof of diagnosis that, with respect to the type of Cancer involved: (a) Surgery, radiotherapy, or chemotherapy is Medically Necessary; (b) There is metastasis; or (c) The firefighter has terminal cancer, is expected to die within 24 months or less from the

date of diagnosis, and will not benefit from, or has exhausted, curative therapy.

Cancer Benefits are subject to the Lifetime Maximum shown in the Schedule of Benefits. Any

Insured who is simultaneously a member of more than one fire department at the time of diagnosis

may only receive Cancer Benefits from one fire department.

Disability Benefit

We will pay the Disability Benefit shown in the Schedule of Benefits if the Insured is Totally

Disabled as a direct result of, and from no other cause but, a Covered Illness that occurs while

covered under this Policy. Disability Benefits will begin when:

1. the applicable Benefit Waiting Period shown in the Schedule of Benefits for this benefit is satisfied;

2. the Insured is under the Appropriate Care of a Doctor; and 3. the Insured provides satisfactory proof of Total Disability to Us.

We will require continued proof of the Insured’s Total Disability from time to time at least once a

quarter at the Insured’s expense, in order for benefits to continue.

Benefit Payments will end on the first of the following dates:

1. the date the Insured departs from employment as a firefighter or retires; or 2. the date the Insured dies; or 3. the date the Insured is no longer Totally Disabled; or 4. the date the Maximum Benefit Period for this benefit ends; or 5. the date the Insured fails to submit satisfactory proof of continuing Total Disability.

“Total Disability” or “Totally Disabled” means that the Insured, as a direct result of a covered

accident or Covered Illness, is unable to perform the substantial and material duties of his or her

occupation as a firefighter for a period of at least six (6) months. After the initial benefit period,

total disability means the Insured’s inability to perform the duties of his or her occupation as a

firefighter.

Successive Periods of Disability

Once the Insured is Totally Disabled under the Policy, separate periods of Total Disability resulting

from the same or related causes are a continuous period of Total Disability unless the Insured

returns to work as a firefighter for at least 6 months between periods of Total Disability. Only one

Benefit Waiting Period and Maximum Benefit Period apply to any one period of continuous Total

Disability.

A period of Total Disability is not continuous if separate periods of Total Disability result from

unrelated causes, or the Insured’s later Total Disability occurs after the Insured’s coverage under

the Policy ends. This provision will not apply if the Insured is eligible for coverage under a plan

that replaces the Policy.

Not Covered

No payment will be made for any Total Disability for which benefits are payable under any

Workers’ Compensation, occupational disease, unemployment compensation law or similar state

or federal law, including all permanent as well as temporary disability benefits. This includes any

damages, compromises or settlements paid in place of such benefits, whether or not liability is

admitted.

Hazards Line of Duty Coverage

We will pay benefits for a Covered Loss that results from an Insured’s participation in a “Line of

Duty” response to an emergency.

“Line of Duty” means acts done according to the standards set by the Policyholder for such

emergency response circumstances, including traveling en route to, during or returning from fire

calls or other emergencies or disasters and scheduled training sessions.

Exclusions We will not pay benefits for any loss that is caused by, or results from: 1. for Sickness (other than a Covered Illness specifically provided in this Policy), even though

such Sickness may have been complicated by one of the Covered Illnesses. 2. for misuse of medication or the abuse of drugs or intoxicants. 3. for war or any act of war, whether declared or not. 4. for service in the military, naval or air service of any country. 5. for Sickness or disease (other than a Covered Illness specifically provided in this Policy),

bodily or mental infirmity, bacterial or viral infection, or medical or surgical treatment thereof, except for any bacterial infection resulting from an accidental external cut or wound or accidental ingestion of contaminated food.

6. for the voluntary use of illegal drugs; the intentional taking of over the counter medication not in accordance with recommended dosage and warning instructions; the intentional misuse of prescription drugs.

7. for disability for which the Insured Person is entitled to benefits under any Worker's Compensation Act.

This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to, the payment of claims.

The Leading Insurer of Emergency Services

Our History

VFIS drafted the first specialized insurance policy in 1969 to meet the unique needs of

America's emergency service organizations. From the very beginning, VFIS has had a

strong commitment to education, training and consulting as part of our efforts to help the

emergency service community, and we continue to expand these efforts.

Since 1980, we have handled nearly 450,000 claims for emergency service organizations,

and the number grows each day. With that, more than 10,000 emergency service

organizations have experienced little or no change in pricing at their renewal for the past 5

years and over 96 percent of VFIS customers have stayed with us for the past 10 years.

Education and Training

VFIS Education, Training and Consulting services offers a series of on-line educational

programs on its distance learning site; www.vfisu.com.

Always available at the client’s availability, these courses provide an introduction to the issue,

preventative techniques, how to respond when a member advises they have cancer, and

resource guidance for additional information.

Customized training can be developed and offered based upon identified need.

Courses at www.vfisu.com include:

A006 Cancer and the Firefighter – An Awareness

A007 Firefighter Cancer Resources to Assist You

A013 Talking About and Responding to Firefighter Cancer

125 Recommendations Related to Reducing Known Risk of Cancer in Firefighters

http://www.vfisu.com/

http://www.vfisu.com/

About Chubb In January 2016, ACE Limited acquired The Chubb Corporation and adopted the renowned Chubb name globally. Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients.

Chubb N.A. Accident & Health, a U.S.-based marketing division of the Chubb Group of Companies, is headquartered in Philadelphia, Pennsylvania. We are committed to a market- driven philosophy—responding to the special needs of our customers with insurance solutions that provide stability in an ever-changing market. Our superior underwriting expertise and solid financial strength provide the competitive advantage we need to distinguish ourselves in that marketplace. We offer innovative solutions by partnering with other Chubb businesses and teaming with specialty producers to provide a full range of global products and services.

We recognize that serious injuries can have a devastating impact on individuals and the families that survive them. That is why Chubb Accident & Health’s corporate accident and sickness portfolio includes a breadth of products flexible enough to meet the needs of small, mid-size, and large Fortune 1000 companies with multinational employee populations around the world. These programs are available on an occupational, non-occupational, or 24-hour basis and may be packaged and administered as a single program. They can help to provide the critical financial security and resources necessary to deal with catastrophic loss.

For more information about our products and services, please visit www.chubb.com/accident

The Advantages of Doing Business with Chubb Innovation

Our entrepreneurial business philosophy and expert industry knowledge allow us to remain flexible in finding the right solution.

Superior Solutions We are dedicated, solutions-oriented professionals able to provide quick responses and expert handling of customer needs.

Global Protection

The Chubb global network can satisfy the insurance needs of companies operating worldwide.

Financial Strength

Consistently high ratings that reflect our financial strength and our ability to meet our obligations to our customers.

A.M. Best A++ Standard & Poor’s AA Moody Aa3 Fitch AA

http://www.chubb.com/accident

Glossary of Terms

Please note, certain words used in this document have specific meanings.

“Appropriate Care” means the determination of an accurate and medically supported diagnosis

of the Insured’s Total Disability, or ongoing medical treatment and care of the Insured’s Total

Disability by a Physician that conforms to generally-accepted medical standards, including

frequency of treatment and care.

“Benefit Waiting Period” means the period of time the Insured must be continuously Totally Disabled before Disability Benefits may be payable. The Benefit Waiting Period is shown in the Schedule of Benefits.

“Active Service” means a Insured is either 1) if an employee, actively at work performing all

regular duties on a full-time or part-time basis either at his or her employer’s place of business or

someplace the employer requires him or her to be; 2) employed, but on a scheduled holiday,

vacation day, or period of approved paid leave of absence; or 3) if a volunteer, able to engage in

substantially all of the usual activities of a person in good health of like age and sex and not

confined in a Hospital or rehabilitation or rest facility.

“Cancer” means a malignant tumor characterized by the uncontrolled and abnormal growth and

spread of malignant cells and invasion of normal tissue. This includes bladder, blood, brain,

breast, cervical, esophageal, intestinal, kidney, lymphatic, lung, prostate, rectum, respiratory tract,

skin, testicular, and thyroid cancer; leukemia; multiple myeloma; or non-Hodgkin's lymphoma.

A Doctor certified as an Oncologist must confirm the diagnosis of Cancer in writing.

“Covered Loss” or “Covered Losses” means a condition or disability covered under the Policy.

“Doctor” means a licensed health care provider acting within the scope of his or her license and

rendering care or treatment to an Insured that is appropriate for the conditions and locality. It will

not include an Insured or a member of the Insured’s Immediate Family or household.

“Hospital” means an institution that: 1) operates as a Hospital pursuant to law for the care,

treatment, and providing of inpatient services for sick or injured persons; 2) provides 24-hour

nursing service by Registered Nurses on duty or call; 3) has a staff of one or more licensed

Doctors available at all times; 4) provide organized facilities for diagnosis, treatment, and surgery,

either: (i) on its premises; or (ii) in facilities available to it, on a prearranged basis; 5) is not

primarily a nursing care facility, rest home, convalescent home, or similar establishment, or any

separate ward, wing, or section of a Hospital used as such; and 6) is not a place for drug addicts,

alcoholics, or the aged.

We will not deny a claim for services rendered in any one of the following Hospitals solely because

the Hospital lacks major surgical facilities and is primarily of a rehabilitative nature, if such

rehabilitation is specifically for the treatment of a physical disability: 1) the Joint Commission on

the Accreditation of Hospitals; or 2) the American Osteopathic Association; or 3) the Commission

on the Accreditation of Rehabilitative Facilities.

“Insured” means a person in a Class of Eligible Persons for whom the required premium is paid making insurance in effect for that person.

“Medically Necessary” means a treatment, service or supply that is: 1) required to treat a Covered Illness; prescribed or ordered by a Doctor or furnished by a Hospital; 3) performed in the least costly setting required by the Insured’s condition; and 4) consistent with the medical and surgical practices prevailing in the area for treatment of the condition at the time rendered. A service or supply may not be Medically Necessary if a less intensive or more appropriate diagnostic or treatment alternative could have been used. We may consider the cost of the alternative to be the Covered Expense. The fact that a Doctor may prescribe, authorize, or direct a service does not of itself make it Medically Necessary or covered by the Policy.

“Monthly Salary” means the average payments made to the Insured by a fire department for his

or her service as a firefighter. Monthly salary will not include any performance bonus, expense

reimbursement or other extra or additional payments of any kind. Monthly salary will be

determined as the average of such payments over the shorter of:

(1) The 12 months immediately prior to the date Total Disability began; or

(2) The period worked.

“Other Income Benefits” means any other disability benefits actually paid to the Insured, from

any source other than insurance separately purchased by the Insured. Other Income Benefits

include benefits paid under:

(1) any Workers’ Compensation, occupational disease, unemployment compensation law or similar state or federal law, including all permanent as well as temporary disability benefits. This includes any damages, compromises or settlement paid in place of such benefits, whether or not liability is admitted. If paid as a lump sum, We will prorate these benefits over the period for which the sum is given. If no time is stated, the lump sum will be prorated over a five-year period. If no specific allocation of a lump sum is made, then the total sum will be an Other Income Benefit.

(2) any Social Security or retirement benefits the Insured receives or any third party receives (or is assumed to receive) on the Insured’s behalf or for the Insured’s dependents; or, if applicable, that the Insured’s dependents receive (or are assumed to receive) because of the Insured’s entitlement to such benefits.

(3) Any proceeds payable under any group insurance or similar plan, provided the insurance was not separately purchased by the Insured. If there is other insurance that applies to the same claim for disability, and contains the same or similar provision for reduction because of other insurance, We will pay our pro rata share of the total claim.

“Pro rata share” means the proportion of the total benefit that the amount payable under

one policy, without other insurance, bears to the total benefits under all such policies.

“We,” “Our,” “Us” means the insurance company underwriting this insurance or its authorized agent.

Letter of Intent It is our intention to accept the proposal of the Cancer Insurance Policy offered by ACE American Insurance Company, a member insurer of the Chubb Group of Insurance Companies.

Signature: _________________________________________________ Title: ______________________________________________________ Company: __________________________________________________ Date: ______________________________________________________ Effective Date of Coverage: ____________________________________ Full-time & Part-time Firefighters: # of Full-time Firefighters: _________ # of Part-time Firefighters: _________ Volunteer Firefighters: # of Volunteer Firefighters: _________

Agenda Request – Jasper County BOC Department: Fire Rescue Date: December 4, 2017 Subject: Fire Rescue Self Contained Breathing Apparatus Procurement Summary: Jasper County Fire Rescue is in need to replace all SCBAs used by the department due to poor condition, age, expirations and current compliance issues. Background: Jasper County Fire Rescue currently has 39 SCBA’s out of the original 46 bought almost 15 years ago. An inventory was done in February 2017 and was noted 7 air packs were missing, 9 air packs were out of service, 23 SCBA bottles had already expired, 23 SCBA masks were missing and 3 were out of service. Since that time a few other packs have become inoperable. Most of the SCBA’s that we are currently using today are in poor condition and the safety devices on the SCBA’s designed for firefighter safety does not work nor do these SCBAs meet current NFPA standards. (Ex. PASS device – Personal Alarm Safety System) Since these SCBA’s have never been maintained it would be hard to say if more SCBA’s are not safe for use in IDLH environments. (Ex. Flow tested and fit testing once a year) All SCBA bottles are expiring beginning February 2018 and March 2018. Jasper County Fire Rescue is asking to replace all SCBAs (which consists of 1 pack, 1 mask and 2 bottles) to have reliable and compliant SCBAs as well as put us back up to par. Since these current SCBAs are behind 2 NFPA editions standards. (2007 and 2013 with current new standard of 2017) these SCBAs not only provide us with the needed equipment to safely operate in IDLH environments but also are required by Georgia Firefighters Standards and Training to be a compliant Fire Department and are required by ISO for our Fire Engines and Service Trucks. Jasper County Fire Rescue is recommending using the Fire Rescue GPO which a National Cooperative Procurement Organization which offers pricing based on items not quantity. MES (Municipal Emergency Services and Georgia GPO Member 46 Packs, 46 Masks and 92 Bottles: $ 336,366.72 Warranty is 10 year bumper to bumper warranty Cost: Purchase Cost - $336,366.72 BB&T Lease Finance, 84 Months, 2.80% Monthly Payment - $6014 Annual Payment - $72,171 Funding discussion required Recommended Motion: Board Discretion

New Business – Item #5 Agenda Request – Jasper County BOC Department: Finance Date: December 4, 2017 Subject: FY2017 Final Budget Amendments-To Finalize Audit Summary: Finance has prepared final budget amendments for FY2017 for approval. Background: None Cost: None Recommended Motion: Approve FY2017 final budget amendments as presented.

New Business - Item #6: Agenda Request – Jasper County BOC Department: Planning and Zoning Date: December 4, 2017 Subject: Alcohol Renewals Summary: New and Renewals for Alcohol Licenses Hillsboro Station Market-Retail Sale of beer New Application Sac-O –Suds Retail Sales of Beer and Wine-Renewal Tyson’s Country Store Retail Sale of Beer and Wine-Renewal Lakeview Marina Retail Sale of Beer and Wine-Renewal Lakeview Restaurant Pouring of Distilled Spirits, beer and wine-Renewal Convenience Stores, Inc dba Larry’s 4-Way Retail Sales of Beer and Wine-Renewal Turtle Cove POA Pouring of Distilled Spirits, Beer and Wine-Renewal Frank’s Restaurant Pouring License for Distilled Spirits, Beer and Wine-Renewal Background: All of these are renewals except for Hillsboro Station Market. This store was recently purchased from a tax sale and the owner (Rivers) is leasing it out. They are getting electrical work on it now to upgrade to meet current code. Only one business did not apply for a renewal. It is Bear Creek Marina. I believe it is going to be sold and current owner was going to let buyer handle getting the alcohol license. I am doing a background check done on each of the applicants at the sheriff’s department and also getting the 911 calls during the past year from 911 office. Cost: N/A Recommended Motion: Board’s Discretion

agenda packet december 4, 2017 - jasper...

Documents