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HomeMy WebLinkAboutMINUTES - 03062007 - C.30 Contra TO: BOARD OF SUPERVISORS f� _ ��= gin . Costa FROM: William Walker, MD, Health Services Director �I,. - �.�r,�,h =�;,;x DATE: March 6, 2007 County SUBJECT: APPOINTMENT TO THE EMERGENCY MEDICAL CARE COMMITTEE SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following people to the Emergency Medical Care Committee for a two-year term with an expiration date of September 30, 2008: C 1-Ambulance Providers (Contra Costa B 6-Contra Costa Fire Chiefs' Association Contract) -Alternate Debra Meier Nancy Daniel 4015 Estate Drive 1076 Carol Lane #122 Vacaville CA 95688 Lafayette CA 94549 B 8-Emergency Nurses Association— East Bay Chapter Marcy Kalogiannis 2057 Camel Lane #23 Walnut Creek CA 94596 CONTINUED ON ATTACHMENT:--YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE 1-'APPROVE OTHER SIGNATURE(S): r ACTION OF BOR ON o 3 �o(v O� APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ,,eems� Il ATTESTED V�/ O�.a/ 0 JOHN CULLEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Art Lathrop (925) 646-4690 CC: EMS w Health Services Dept Contracts B . DEPUTY C-50 - �TO: BOARD OF SUPERVISORS = -- � ,-_�.; Contra FROM: William Walker, MD, Health Services Director S :>: ;;h-G -`$ Costa DATE: March 6 2007 County SUBJECT: RE-APPOINTMENT TO THE EMERGENCY MEDICAL CARE COMMITTEE SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: RE-APPOINT the following individual to the Emergency Medical Care Committee for a two- year term with an expiration date of September 30, 2008: C 2-Air Medical Transportation Provide) C 2-Air Medical Transportation Provider Scott Wallace 513 Silverado Circle Cordelia CA 94534 CONTINUED ON ATTACHMENT:--YES SIGNATURE: 4 A�fD RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON n Iob,lb:j- APPROVE AS RECOMMENDED _OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN. ABSENT: ABSTAIN: ATTESTED JOHN CULLEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person: Art Lathrop (925) 646-4690 CC: EMS Health Services Dept Contracts BY: DEPUTY 11/30/2006 08:30 925-258-4527 MOFD ST 41e �_ rylat4 5PAGE_.01 CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS,OR COMMITTEES APPLICATION FORM Name of Advisory Body applying for Application Form must be typed or hand printed Name of Applicant: bAolle-1 Home Address: A �-' City: d_Al A K _ State:-e- zip: 47 Z/s— Home Phone: a��� ���� Work Phone: 2a r Signature: ! / ► 6 Date: Personal Expe(moc4W and Interests EducationBackgmund: OccupatiorAmployer. M a 2 A 6A - o P-i nl.t7A FAF.� b1 S7-,0-/fir 33 OeI M DA 0P-1njAA1 QJ4 _ !bfQF-Cr �fb�: (�ETEy� fSDWI'k-1 t--12 lE Community Activities: Pv a ,� � . G,f cr /�e,.L' �5S ,�j�%r 13l i2c_r-l-�77 0 GE'P7; ojSy"0 6"P-- Special Interests: Ydj_()- �.�L---p— 4v&-(e- Eb OCr�}�lpP 1 2WGL- Information: 1. File completed application with Clerk of the Board.651 Pine Street,Room 106,Martinez,CA 94553, 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. if you wish you may attach your resum6. Contra Costa Emergency Medical Care Committee p `"'�.�, Contra Costa Contract Ambulance Provider Representative 6Z Alt? I am recommending the following.individuals for appointment by the ontra ._Ops Costa Board of Supervisors as the representative to the Contra Cos a° . Emergency Medical Care Committee as either a member or alternate member: RECEIVED FROM THE MORAGA ORI`DA FIRE DISTRICT Membercommendation Lc l Name: l L S oo-i i+'-� A A� -1flM t;- a c.J Address: /vbA u44\—/ 0/�-1 mbA CION a1 Phone #: l qzs ) asy-�Ls l l e-mail: IS e M Dt:D .0/2 G& Employer: Ynoa^5A - o044_, l Fi flc I��S i�llirU l Alternat Recommendation Name: ! v 11`�G �r )i�- Address: 3 O&I ram aboZA CA Phone #: (qzs ) asp - 41&? 4 e-mail: N DAtj/EZ_ C M_ D C;76 , 0/?- - Employer: MN A<)A - 0&/&b4 P� p i,STQ_16,T_ You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite 126, Martinez, CA 94553, or you may email the information to jlatteri@hsd.cccounty.us. You will be notified once the Board of Supervisors makes the Contra Costa Contract Ambulance Provider appointments. T ✓1Ud� ; Moraga-Orinda Fire Protection District ; Geo A felly& 01/16/2007 09:11 9255524231 SRVFPD SC SECTY PAGE 01 3 CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS,OR COMMITTEES APPLICATION FORM Name of Advisory Body applying for r S `� ► Application )Form must be typed or hand printed Name of Applicant: 6 4E. Home Aq s: 6 r City: State: ZI d Home Pb.o e: lc Work Phone: vZ �- (060- Signature: Date: Personal Experiences,Shills,and Interests Education/Background: Occupation/Employer: 6. r s (.wv-d I'Vl 3 le— .)h�"SaK V 1� � X111' � aK )�O/. Community Activities: Special Interests: Information: 1. File completed application with Clerk of the Board. 651 Pine Street.Room 106,Martinez, CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resum6. L4 LKovalef@hsd.cccount To: "Maiero, Steve"<SMaie@cccfpd.org> us cc: "Debbie Meier"<deier srvfire.ca.g ov>, Y ma JLatteri@hsd.cccounty.uus ` > 11/28/2006 12:09 PM Subject: RE: EMCC Rep/alternate Steve -! We'll go ahead and submit Debbie Meier's name for approval, and will process an alternate when you let us know. Thanks for your help! Lauren Lauren Kovaleff, Assistant Director Contra Costa County EMS 1340 Arnold Dr. , Suite 126 Martinez, CA 94553 (925) 646-4402 fax: (925) 313-8381 Please note new email address: lkovalef@hsd.cccounty.us "Maiero, Steve " <SMaie@cccfpd.org To: <LKovalef@hsd.cccounty.us> > cc: "Debbie Meier" <dmeier@srvfire.ca.gov> Subject: RE: EMCC Rep/alternate 11/28/2006 06:57 AM Lauren, My apologies for the delay in this response. As you may know, Jim Fajardo has retired and we are in transition of officers. I can tell you that Debbie Meier has been approved by the County Fire Chiefs to continue as our representative to the EMCC. I do not at this time have a name for an alternate. Our next meeting is in January. Hopefully, with the new officers, we can address the alternate. Steve -----Original Message----- From: LKovalef@hsd.cccounty.us (mailto:LKovalef@hsd.cccounty.us] Sent: Mon 11/27/2006 7 :03 PM To: Maiero, Steve Cc. Subject: EMCC Rep/alternate 01/21/2007 04:04 PM John Muir Hospital - Emergency Services 925952227784'^ 1/3 CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, OR COMMITTEES A PLICATION FORM Name of Advisory Body applying for NIUU WVYIYYI I�` Application Form must be typed or hand printed Name of Applicant: MAM WO 1 fit. S Home Address:'�071 WWI Vn City: MytWA P"'>V. State: (' ZIP: Home Phone: �'L�J �� � f -Work Phone: 642)- 01;5q -9W C1 C 11 ,, r Signature: V lQOAN'L AIA Date: 1221 d Personal Experiences,Skills,and Interests Education/Background: �ZN Elzl_ iYAJAY a i d TIC, w m"Lf !' 2bW - Jt)V'413 +bPO 'M Occupation/Employer: �aul Ind C �, ti�l�Q'v'U.t C►l�re C:� Community Activities: J i Special Interests: Information: "i Rj'*"YQ 1. File completed application with Clerk of the Board.6 1 Pine Street,Room 106,Martinez,CA 44553. 2. Members of some advisory bodies may be required tfile annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez for in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or durinj the day, usually once or twice a month. 6. Some boards assign members to subcommittees or wdrk groups requiring additional time. 7. If you wish you may attach your resume. Contra Costa Emergency MedicalCare Committee East Bay.Chapter of the Emergency;Nurses"Association Representative RECEIVED: FROM:MATTHEW, POWERS; .RN. - am:recommending the following individualsefor appointment by the-Contra Costa Board of.Supervisors a's the representative to the Contra Costa Emergency.Medical Care Committee.as either-a-'member':or;.alternate-member., Member Recommendation.. , Name1��0(X f ai ,S a� aIhh�. . . Address: =. .. 0 : 5�1 , e-rriail � C: ; ��� A- Inv Em• lo. er: ..��Q .1.�U1''... Atte t Recorrmmendation; . Nam e: 0` : Address: • Z ` '. Z - Phone #: ' `7O N : e=mail: QZ.7 I.":` G, . .�. . . . . Employer: I :1M Ce/{L:., • ,.GU You may either mail this form to the EMS;-Agency at 1;340'.Arnold.DriV0, Suite 126; Martinez; CA. 94553, or you.may email;the information t6",..-. jlatte"ri@hsd:cccounty.us. :You will be",n`otifed-once the Board':of,S-upervisors makes.the East Bay.Chapter of-the EmergencyNurses Association appointments.:.: pEC' 2. 9 2006 CONTRA COSTA COUNTY ADVISWJItY BOARDS, COMMISSIONS, OR COMMITTEES APPLICATION FORM RECENEU Name of Advisory Body applying for 1�����' Application Form must be typed or hand printed CLERK BOARD OF SUPERVISORS Name of Applicant: v C6 WA, / 1. e, Home Address: 3 61 /v(?/Z o r/'k' City: ( ,0A,a i2/ i/� r State: �'� zIP: %��✓�y Home Phone: -19 2 — LGL/ -3 200 Work Phone: 925 - 7 F8 Signature: ��� r� Date: /!�l Personal Experiences,Shills,and Interests Education/Background: t 0/1 r //I C7/,j C 0NW C.2 C ,-r /. vc�'� Occupation/Employer: �L!I N�% e C,44 5.9 Community Activities: e/V ee-7'1-l/V /N eve2 1e l! ¢io1vj//9//C. 's /'�' 6✓cn1 f��'S Special Interests: Information: 1. File completed application with Clerk of the Board. 651 Pine Street, Room 106, Martinez, CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day, usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resum6. C •-- E s Cc . VIA Contra Costa Emergency Medical Care Committee Contra Costa Air Medical Transport Provider Representative I am recommending the following individuals for appointment by the Contra Costa Board of Supervisors as the representative to the Contra Costa Emeraencv Medical Care Committee as either a member or alternate member. �7�Membe�co�mendation Name: 5 Address: / 7 ::�© rL" (; I-ey h '0 C c o e? CSF Phone #: VS_ 7 �j —7�7 O / e-mail: �-�� (�' CCi fe{,.�• �' may, Employer: Cr-TL Sl� �C o�IP�et me ��mendation Name: I_ Address: (S4 I—C Phone #: 05 e e-mail: sc/ is. n Employer: 64� 57—qX You may either mail this form to the EMS Agency at 1340 Arnold Drive, Suite 126, Martinez, CA 94553, or you may email the information to jiatteri@hsd.cccounty.us. You will be notified once the Board of Supervisors s the Contra Costa Air Medical Transport Provider appointments. `' ; 6/P' CALSTAR