HomeMy WebLinkAboutAmbulance Service Area Agrmts - Part 1Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of May 28, 2008
Please see directions for completing this document on the next page.
DATE: May 7, 2008
FROM: Colette Whelan Health Department 541 322 7409
TITLE OF AGENDA ITEM:
Consideration and Signature of Document # DC -2008-269 — the Ambulance Service Area (ASA)
Franchise Rights consistent with Boundary Descriptions to the following ASA ambulance companies:
Bend, Redmond, Sisters/Camp Sherman, Black Butte, Crooked River Ranch, La Pine, Sunriver, and
Harney District; and a request for a 60 day extension of the Franchise Agreement for this year.
PUBLIC HEARING ON THIS DATE? Yes.
BACKGROUND AND POLICY IMPLICATIONS:
The purpose of the Deschutes CC 8.30 was to establish ambulance service areas and assign ambulance
service providers in Deschutes County in order to provide effective emergency ambulance services in
accordance with the Ambulance Service Area. To ensure that the goal continues to be met there has
been boundary changes proposed and approved. In 2005 there were three boundary changes and this
year we have one proposed boundary change. The boundary change this year is between the cities of
Sisters and Bend. (Please see attachment that outlines this boundary change.)
The franchisees are asked to reapply for their Ambulance Service Area (ASA) every five years. (See
attachment with each ASA agency's Point of Contact (POC)). The ASA Plan has been in effect since
1998 in Deschutes County with Ordinance 98-064, Chapter 8.30. At that time, eight Ambulance
Service Areas (ASA) were established. They are as follows; Bend, Sunriver, Black Butte Ranch,
Crooked River Ranch, Harney District, La Pine, Redmond, and Sisters. The goal of the ASA Plan was
and continues to be to provide efficient and effective emergency ambulance services within Deschutes
County,
FISCAL IMPLICATIONS:
NONE
RECOMMENDATION & ACTION REQUESTED:
Approval and Signature of Document # DC -2008-269 — the Ambulance Service Area (ASA) Franchise
Rights consistent with Boundary Descriptions to the following ASA ambulance companies: Bend,
Redmond, Sisters/Camp Sherman, Black Butte, Crooked River Ranch, La Pine, Sunriver, and Harne v
District; and a request for a 60 day extension of the Franchise Agreement for this year.
ATTENDANCE: Dan Peddycord, Tom Wright, Colette Whelan
DISTRIBUTION OF DOCUMENTS:
All copies to: Jill Fox, Health Department, 2577 NE Courtney Drive, Bend, Oregon 97701, 322-7478
for distribution.
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Date:
Please complete all sections above the Official Review line.
May 7, 2008
Contact Person:
Colette Whelan
Department:
HEALTH
Phone #:
322 7409
Contractor/Supplier/Consultant Name: [Tom Wright, EMS (Emergency Medical
Service) Coordinator, Bend Fire Dept., 322-6300.
Goods and/or Services: Consideration and Signature of Document # DC -2008-269 —
the Ambulance Service Area (ASA) Franchise Rights consistent with Boundary
Descriptions to the following ASA ambulance companies: Bend, Redmond,
Sisters/Camp Sherman, Black Butte, Crooked River Ranch, La Pine, Sunriver, and
Harney District; and a request for a 60 day extension of the Franchise Agreement for
this year.
Background & History:
The purpose of the Deschutes CC 8.30 was to establish ambulance service areas and
assign ambulance service providers in Deschutes County in order to provide effective
emergency ambulance services in accordance with the Ambulance Service Area. To
ensure that the goal continues to be met there has been boundary changes proposed
and approved. In 2005 there were three boundary changes and this year we have one
proposed boundary change. The boundary change this year is between the cities of
Sisters and Bend. (Please see attachment that outlines this boundary change.)
The franchisees are asked to reapply for their Ambulance Service Area (ASA) every five
years. (See attachment with each ASA agency's Point of Contact (POC)). The ASA
Plan has been in effect since 1998 in Deschutes County with Ordinance 98-064,
Chapter 8.30. At that time, eight Ambulance Service Areas (ASA) were established.
They are as follows; Bend, Sunriver, Black Butte Ranch, Crooked River Ranch, Harney
District, La Pine, Redmond, and Sisters. The goal of the ASA Plan was and continues
to be to provide efficient and effective emergency ambulance services within Deschutes
County.
Agreement Starting Date:
July 1, 2008
Annual Value or Total Payment:
NAI
❑ Insurance Certificate Received (check box)
Insurance Expiration Date:
Check all that apply:
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
® Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
N/A1
Ending Date:
June 30, 2013
5/16/2008
Funding Source: (Included in current budget? ❑ Yes ® No
If No, has budget amendment been submitted? ❑ Yes ® No
Departmental Contact:
Title:
Colette Whelan, RN
Disaster Preparedness Coordinator
Phone #:
Department Director Approval:
Signature
322 7409
Date
Distribution of Document: Jill Fox, Health Department, 2577 NE Courtney Drive,
Bend, Oregon 97701, 322-7478.
Official Review:
County Signature Required (check one): E BOCC E Department Director (if <$25K)
❑ Administrator (if >$25K but <$150K; if >$150K, BOCC Order No. )
Legal Review Date
Document Number
5/16/2008
2008 Proposed Sisters/Bend Boundary Change
Beginning at the NW corner of section 31, T16S, R11E; thence easterly on the section
line 0.5 miles to the southwestern boundary of Deschutes County Tax Lot
1611000008100; thence east along the said Tax Lot southern boundary approximately 0.2
miles where the said tax boundary turns in a northeastern direction; thence following the
said tax boundary line to the intersection of the said tax lot boundary with the eastern
boundary of Deschutes County Tax Lot 1611000001419; thence along the eastern
boundary of the said tax lot to the intersection of the said tax lot with Deschutes County
Tax Lot 1611000001418; thence along the eastern boundary of said tax lot to the
intersection of Deschutes County Tax lot 1611000001401; thence along the eastern
boundary of said tax lot to the intersection of Deschutes County Tax lot 1611000007900;
thence south along the western boundary of said tax lot to the SW corner of the said tax
lot; thence east along the southern boundary of the said tax lot to the SE corner of the said
tax lot; thence north to the NW corner of Deschutes County Tax Lot 1611000005600;
thence east to the SE corner Deschutes County Tax lot 1611200000500; thence north to
the NW corner of Deschutes County Tax Lot 1611000005600; thence east to the western
section line of Section 21, T16S, R11E; thence north along said section line to the NW
corner of said section; thence east along the section line to the SE corner of the SW 1/4 of
Section 16, T16S, R11E; thence north to the NE corner of SE 1/4 of the SW '/ of said
section; thence west to the NW corner of the SE 1/4 of the SW 1/4 of said section; thence
north to the NE corner of the SW 1/4 of the NW 1/4 of said section; thence west to the SW
corner of the NW '/4 of the NW 1/4 of said section; thence north to the NW corner of said
section; thence east to the NE corner of said section; thence north along the section line to
the intersection with the centerline of US Highway 20; thence along the centerline of
Highway 20 in a southeastern direction to the SE corner of Section 10, T16S, R11E;
thence north along the section line to the NW corner of said section; thence east along the
section line to the NE corner of Section 11, T16S, R11E; thence northerly upon the
section line to the NW corner of section 1, T16S, R11E;
Contact information for franchise applicants
1) Tom Wright,
Bend Fire Department,
1212 SW Simpson Ave.,
Bend,
Oregon
97702.
2) Timothy Peck,
Harney District Hospital/EMS,
557 W.Washington St.
Bums,
OR 97720
3) Capt. Justin Waalkes,
Black Butte Ranch RFPD,
PMB 8190, POB 8000,
Black Butte Ranch,
OR. 97759
4) Benjamin 0' Keefe,
57475 Abbot Dr/PO Box 2108,
Sunriver,
OR 97707
5) Daniel Daugherty,
La Pine Rural Fire Protection District,
PO Box 10,
La Pine,
Or 97739
6) Fire Chief Larry Langley,
6971 SW Shad Road,
Crooked River Ranch,
OR 97760.
7) Doug Kelly,
Redmond Fire and Rescue,
341 NW Dogwood Avenue,
Redmond,
OR 97756
8) Ken Enoch,
Sisters -Camp Sherman RFPD
PO Box 1509,
Sisters, OR 97759
DESCHUTES COUNTY
FRANCHISE APPLICATION TO PROVIDE ASA SERVICE
Agency:
Bend Fire Department
Mailing Address:
Contact Name(s):
Tom Wright
Bend Fire Department
1212 SW Simpson Ave. Bend, Oregon 97702
Phone #
541-322-6387
Fax#:
541-322-6321
e-mail Address:
twright@ci.bend.or.us
1. Which ASA do you desire to serve? (Ex: Redwood ASA, S/R ASA)
Bend ASA #1
2. What is the location from which ambulance services will be provided?
Station 301
1212 SW Simpson
Bend Or 97702
Station 302
19850 4th St
Bend Or 97701
Station 303
61080 Country Club
Bend Or 97702
Station 304
62420 Hamby
Bend Or 97701
Station 305
63377 Jamison
Bend Or 97701
3. What are the levels of service to be provided? Check all that apply.)
BLS ILS ALS
4. Will you subcontract for any services to be provided? If so, attach a copy of that subcontract.
Yes o Comments:
5. What is your ambulance service license number as issued by the Oregon Health Division?
0901
6. List the ambulances to be used in providing emergency services:
Year:
Make:
Model: OHD License Number:
2008
INTERNATIONAL
TYPE III
E245852
2008
INTERNATIONAL
TYPE III
E245853
2008
INTERNATIONAL
TYPE III
E245854
2008
INTERNATIONAL
TYPE III
E245855
2008
INTERNATIONAL
TYPE III
E245856
2008
INTERNATIONAL
TYPE III
E245857
1999
FREIGHTLINER
TYPE 11
E211678
DC Franchise Application to Provide ASA Service
Page 1 of 5 Pages
Attach copies of all ambulance licenses issued by the Oregon Health Division.
7. Write a statement, or provide documentation, that all equipment and supplies in each
ambulance conforms to Health Division standards.
Each ambulance carries an inventory of required equipment and supplies. This list is
checked on the first Monday of each month.
8. List personnel to be used in providing emergency services, including paid & unpaid
personnel. (An attachment is acceptable.)
EMPLOYEE NAME
EMT LEVEL
CERTIFICATION NUMBER
ADAMS, JAMES
PARAMEDIC
131085
AKINS, WILL
PARAMEDIC
125564
ALEXANDER, KATHY
PARAMEDIC
121834
BAGLEY-TIAS, KARLA
PARAMEDIC
117645
BALES, RYAN
PARAMEDIC
131871
BAXTER, MIKE
PARAMEDIC
118727
BEATTY, AARON
PARAMEDIC
125322
BLAKE, JEFF
PARAMEDIC
117704
BOOS, WILLIAM B.
PARAMEDIC
123390
BOYD, BRIAN
PARAMEDIC
126179
CALIGURE, MIKE
PARAMEDIC
109640
CLARK, KRISTOPHER
PARAMEDIC
U5082
CONNELLY, PATRICIA
PARAMEDIC
125567
CRAVENS, ROB
PARAMEDIC
112115
DERLACKI, DAN
BASIC
126184
DIEKER, KEVIN
PARAMEDIC
129479
DOYLE, STEPHEN
PARAMEDIC
129292
DUFOUR, JEFF
BASIC
115043
DYER, LANCE
BASIC
110330
EDWARDS, TOM
PARAMEDIC
110627
FINDLING, KARL J.
PARAMEDIC
112225
FLANAGAN, JAMIE
PARAMEDIC
124901
GARCIA, JAIME F.
PARAMEDIC
128866
GILPATRICK, ALYSHA
PARAMEDIC
129833
GRAHAM, MATT
PARAMEDIC
131950
GOSS, CHUCK
PARAMEDIC
113479
GREEN, DOUG
PARAMEDIC
125572
GUY, CHRIS
PARAMEDIC
130641
GUY, JEREMY
PARAMEDIC
128898
HARRISON, ROB
PARAMEDIC
132717
HENDRICKSON, AMES
INTERMEDIATE
128869
HOOD, ANDY
PARAMEDIC
116210
HOSSICK, PETAR
PARAMEDIC
122534
HOWE, DAVE
BASIC
106632
HUDMAN, RYAN
PARAMEDIC
127616
HUNTER, CYNTHIA
PARAMEDIC
131051
IRELAND, MICHAEL
PARAMEDIC
126095
JENSON, JEFF
PARAMEDIC
123579
JOHANNSEN, TJ
INTERMEDIATE
110796
KANEDA, STEVE
PARAMEDIC
124394
KENFIELD, JERIMIAH
PARAMEDIC
132687
KETTERING, CINDY
INTERMEDIATE
120515
DC Franchise Application to Provide ASA Service
Page 2 of 5 Pages
KING, MIKE
PARAMEDIC
117713
KOELLERMEIER, DOUG
PARAMEDIC
109218
LADD, BRANDON
PARAMEDIC
126191
LARSON, RHETT
PARAMEDIC
126368
LEE SOON, DALLAS
PARAMEDIC
127144
LEVINE, DARREL
PARAMEDIC
121668
LEYES, DANIEL
PARAMEDIC
118350
LOVE, JOHN
PARAMEDIC
123581
LOVISCO, SUSIE
BASIC
131576
MACKENZIE, DAVID
BASIC
116302
MADDEN, BOB
BASIC
111820
MAIDL, CASEY J.
PARAMEDIC
130647
MARSHALL, GARY
BASIC
114288
MAYER, ROBERT
PARAMEDIC
128089
MCDONALD, DAVID
BASIC
132310
MILES, DREW
PARAMEDIC
120620
NORRIS, DREW
PARAMEDIC
132670
O'MALLEY, STEVE
PARAMEDIC
114945
PEDERSEN, NEIL
PARAMEDIC
124054
PETERS, KATE
PARAMEDIC
131825
PROSSER, PRESTON
PARAMEDIC
124820
REARDON, TIM
PARAMEDIC
132128
RILEY, TODD
PARAMEDIC
129484
ROOT, DARREN
PARAMEDIC
129570
RUSSELL, DAVID
PARAMEDIC
125466
SEATON, BILLY
PARAMEDIC
127436
SEATON, SCOTT
PARAMEDIC
124568
SEGAL, DON
PARAMEDIC
114470
SHULER, SARA
BASIC
132634
SLAUGHTER, ANNE
PARAMEDIC
128885
SOLOMON, KURT
PARAMEDIC
122541
SOUTH, JEREMY
PARAMEDIC
125701
SPRINGS, HAROLD
PARAMEDIC
112260
STEVENS, TROY
PARAMEDIC
121694
STOTT, LUKE
PARAMEDIC
130440
STRUHS, JUSTIN
PARAMEDIC
124824
SWAGGERTY, PAUL
BASIC
123196
TARIN, ART
INTERMEDIATE
126275
TAYLOR, MARK
PARAMEDIC
114125
TELFER, DAVID
PARAMEDIC
130954
THOMPSON, BRANDON
BASIC
132783
THOMPSON, MITCH 1
PARAMEDIC
131831
THURSTON, JIM
PARAMEDIC
130831
VAHDAT, EDDIE
PARAMEDIC
124573
VOSSLER, STEVE
PARAMEDIC
127089
WAGGONER, TREVOR
BASIC
132635
WHITE, GARTH
PARAMEDIC
128534
WRIGHT, TOM
PARAMEDIC
116738
WYMAN, SCOTT
PARAMEDIC
121804
9. Write a statement of agency's experience in providing ambulance services
DC
The City of Bend Fire Dept. has been proving ambulance service since September 6, 1973.
The Fire Dept. was awarded the advanced life support provider of the year award by
Oregon State Emergency Medical Technician's Association in 1984. The Department has
continued to improve the ambulance service by improving the quality and quantity of
equipment, ambulances, and EMT's. Annual records of service are available upon request.
In 2007 the Bend Fire Department implemented a dedicated medic unit with two
paramedics on board. This dedicated ambulance responds to only EMS calls and it is in
addition to the other fire/EMS ambulances.
10. Write a statement of ability to comply with the rules and regulations of the ASA Plan and
any applicable County ordinances.
The Bend Fire Department has a full time EMS Coordinator who works a dedicated 40
hour work week. This allows better compliance not only with the terms of the ASA plan,
but with all of the ministerial duties that are required from the Oregon Department of
Health as well with other agencies.
The work of the EMS coordinator is overseen by the Deputy Chief of Operations. The
EMS Coordinator also shares the services of two full time Administrative Office
Specialists to assist in the compliance with the ASA plan and the county ordinances
11. Write a description of any prepaid ambulance plan, including the number of years of
operation, funding and term.
Please see the attached brochure which describes the FireMed program that is offered by
the City of Bend Fire Department.
The Firemed program has been offered to the citizens of the Bend ASA since August 1,
1992 The Firemed Membership Program generated $210,000 in the 2006-2007 fiscal year
12. In the case of an application to transfer or assume an already assigned franchise, please
provide the following.
A. Summarize how the proposed change will improve response time, and the quality of
level of services to the ASA. (Include an assessment of how the proposed change will
impact the existing first response system.)
NA
B. Provide evidence that the call volume in the ASA is sufficient to financially or otherwise
justify the changes in service.
NA
DC Franchise Application to Provide ASA Service
Page 4 of 5 Pages
C. Submit copies of your adopted Fiscal Year 2002-03 Budget, and an audit for Fiscal Year
2001-02.
D. Submit proof of public liability insurance.
DC Franchise Application to Provide ASA Service
Page 5 of 5 Pages
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746,797-
Fire/EMS Operations Fund
l0
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Agent
Lumbermens Insurance Agency
PO Box 940
Bend, OR 97709
This certificate is issued as a matter of information only and confers no rights upon
the certificate holder other than those provided in the coverage document This
certificate does not amend, extend or alter the coverage afforded by the coverage
documents listed herein.
Companies Affording Coverage
Named Member or Participant
City of Bend /City of Bend Fire Dept.
PO Box 1458
Bend, OR 97709
COMPANY A - City County Insurance Services (CIS)
COMPANY B - National Union Fire Insurance Company of Pitts, PA
COMPANY C - RSUI indemnity
;;;qq��g"b:.
,✓.3 'a`�K','5�4'��wu
.. aT
e"t w� "�'Ezu' 6,'4p�}iy.,x.
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Not withstanding any
requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the
coverage documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents.
CO
LTR
Type of Coverage
Certificate #
Effective
Date
Expiration
Date
Limits
A
X
X
X
X
General Liability
Commercial General Liability
Public Officials Liability
Employment Practices
Occurrence
07LBEN
7/1/2007
7/1/2008
General Aggregate
$30,000,000
Each Occurrence
$10,000,000
A
_Auto
X
X
X
Liability
Scheduled Autos
Hired Autos
Non -Owned Autos
07LBEN
7/1/2007
7/1/2008
General Aggregate
None
Each Occurrence
$10,000,000
A
X
X
X
Auto Physical Damage
Scheduled Autos
Hired Autos
Non -Owned Autos
07APD
/1/2007
0 V
7/1/2008
A
A
B
C
C
J Property
7 Boiler and Machinery
Excess Crime
Excess Earthquake
Excess Flood
A
J Workers' Compensation
Description:
State of Oregon, OMAP, COIC, and it's Directors, Officers, Representatives, Agents and
Employees are named as Additional Members in regardss to work and operations connected
with the BPA - Transporting Medicad Patients
Certificate Holder
Central Oregon Intargovernmentz
Council
2363 SW Glacier
Redmond, OR 97756
CANCELLATION: Should any of the coverage documents herein be cancelled before the
xpirationdatethereof, CIS willprovide30dayswrittennoticetothecertificateholdernamed
erein, but failure to mail such notice shall impose no obligation or liability of any kind upon CIS, its
agents or representatives, or the issuer of this certificate.
', +�
By: //.Ga./�T `—
41......
Date: 7/20/2007
MANAGEMENT'S DISCUSSION AND ANALYSIS
Fiscal Year Ended June 30, 2007
This Management's Discussion and Analysis (MD&A) is presented to facilitate financial analysis and provide an
overview of the financial activities of the City of Bend (the City) for the fiscal year ended June 30, 2007.
Information in the MD&A is based on currently known facts, decisions and conditions. Please read it in
conjunction with the transmittal letter, the basic financial statements and the accompanying notes to those
financial statements.
FINANCIAL HIGHLIGHTS
• The City's assets totaled $849.5 million at June 30, 2007 consisting of $757.7 million in capital assets,
$64.5 million in unrestricted cash and investments and $27.3 million in deposits and other assets.
Total assets increased by $313.9 million due mainly to investments in capital assets.
• The City's liabilities totaled $109.6 million at June 30, 2007 consisting of $82.5 million in Tong -term debt
and $27.1 million in accounts payable and other liabilities. Total liabilities increased by $2.9 million
from the prior year.
• The assets of the City exceeded its liabilities by $739.9 million at the close of fiscal year 2006-07.
Unrestricted net assets totaled $45.9 million with the remainder of the City's net assets invested in
capital assets net of related debt ($687.6 million) and restricted for debt service ($6.4 million).
• For its governmental activities, the City generated $21.8 million in charges for services and received
$27.2 million in grants and contributions. Direct expenses for governmental activities were $63.6
million for the year, of which $49.0 million was funded by charges for services and grants and
contributions and the remaining $14.6 million funded by general revenues.
• The City received general revenues of $31.1 million for the year consisting of $24.1 million in taxes,
$6.2 million in franchise fees and $0.8 million in other revenues.
• Unreserved fund balance in the General Fund was $8.7 million at June 30, 2007, a decrease of $0.3
million from June 30, 2006.
• For its business -type activities, the City generated $21.0 million in charges for services and received
$20.1 million in grants and contributions to fund direct expenses of $23.6 million.
OVERVIEW OF THE FINANCIAL STATEMENTS
The City's Comprehensive Annual Financial Report (CAFR) is organized as follows:
1. Introductory Section
II. Financial Section
a. Basic Financial Statements - government -wide and fund financial statements, including notes
to basic financial statements.
b. Required Supplementary information - budget and actual schedules for the general fund and
major special revenue funds.
c. Other Supplementary Information - budget and actual schedules for other major funds and
nonmajor funds and includes internal service fund financials.
d. Other Financial Schedules - schedules of property tax and Tong -term debt transactions.
3
The Management Discussion and Analysis, as listed on the table of contents, are not a required part of the basic
financial statements but are supplementary information required by the Governmental Accounting Standards
Board. We have applied certain limited procedures, which consisted principally of inquiries of management
regarding the methods of measurement and presentation of the required supplementary information. However,
we did not audit the information and express no opinion on it.
The Required Supplementary information (budgetary comparison information for major funds), as listed on the
table of contents, is not a required part of the basic financial statements but is supplementary information requirec
by accounting principles generally accepted in the United States of America. This budgetary comparisor
information for the major funds has been subjected to the auditing procedures applied in the audit of the basic
financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial
statements taken as a whole.
Our audit was conducted for the purpose of forming opinions on the financial statements that collectively comprise
the City of Bend's basic financial statements. The introductory section, supplementary information and statistics'
tables are presented for purposes of additional analysis and are not a required part of the basic financial
statements. The Schedule of Expenditures of Federal Awards, as listed in the table of contents, is presented for
purposes of additional analysis as required by U.S. Office of Management and Budget Circular A-133, Audits of
States, Local Governments, and Non -Profit Organizations, and is not a required part of the basic financia
statements. The supplementary information and Schedule of Expenditures of Federal Awards, as listed in the
table of contents, has been subjected to the auditing procedures applied in the audit of the basic financia
statements and, in our opinion, are fairly stated in all material respects in relation to the basic financial statements
taken as a whole. The introductory section and statistical tables have not been subjected to the auditinc
procedures applied in the audit of the basic financial statements and, accordingly, we express no opinion or
them.
Pc
PAULY, ROGERS AND CO., P.C.
-2-
La PINE RURAL FIRE
PROTECTION DISTRICT
AMBULANCE SERVICE AREA
(ASA) FRANCHISE
APPLICATION
DESCHUTES COUNTY
FRANCHISE APPLICATION TO PROVIDE ASA SERVICE
Agency:
La Pine Rural Fire Protection District
Mailing Address:
Contact Name(s):
Daniel Daugherty
PO Box 10
La Pine, Oregon 97739
Phone #
(541) 536-2935
Fax #:
(541) 536-3801
e-mail Address:
BCDaughertv(alapinefire. com
1. Which ASA do you desire to serve? (Ex: Redwood ASA, S/R ASA)
La Pine Rural Fire Protection District (ASA #5)
2. What is the location from which ambulance services will be provided?
La Pine Station 101: 51550 Huntington Road , La Pine, Oregon 97739
La Pine Station 102: 55785 South Century Drive, Bend, Oregon 97707
La Pine Station 103: 15990 Burgess Road, La Pine, Oregon 97739
3. What are the levels of service to be provided? (Check all that apply.)
x
BLS x ILS X ALS
4. Will you subcontract for any services to be provided? If so, attach a copy of that subcontract
Yes No Comments:
La Pine RFPD does not sub -contract. We do however
have mutual aid agreements.
5. What is your ambulance service license number as issued by the Oregon Health Division?
# 0917
6. List the ambulances to be used in providing emergency services:
Year:
Make:
Model: OHD License Number:
2006
Ford
F-450
E238971
2006
Ford
F-450
E238972
2006
Ford
F-450
E238973
Attach copies of all ambulance licenses issued by the Oregon Health Division.
DC Franchise Application to Provide ASA Service
Page 1 of 3 Pages
7. Write a statement, or provide documentation, that all equipment and supplies in each
ambulance conforms to Health Division standards.
Each ambulance carries an inventory of supplies and equipment as stipulated by the Oregon Department of
Human Services, Public Health Division. Each ambulance is regularly restocked after each alarm and are
inventoried weekly.
8. List personnel to be used in providing emergency services, including paid & unpaid
personnel. (An attachment is acceptable.)
Name:
See Attached Roster
EMT Level:
Certificate Number:
9. Write a statement of agency's experience in providing ambulance services.
The La Pine Rural Fire Protection District has been providing advanced life support ambulance service since
July 1, 1987. The fire district has received praise for services provided by St. Charles Medical Center,
Airlife, and many of our patients and their families. The District continues to improve services through a
dedicated quality improvement and assurance process and providing the most up-to-date equipment,
supplies, protocols, and training of our personnel. Annual service records are available upon request.
La Pine Rural Fire Protection District also holds assignment to Klamath County Ambulance Service Area
Number 13.
10. Write a statement of ability to comply with the rules and regulations of the ASA Plan and
any applicable County ordinances.
The La Pine Rural Fire Protection District has always put compliance with Federal, State and local rules,
regulations and statutes at the forefront of our business and operational practices. The Fire Chief and
Assistance Chief insure the compliance with the mandates placed on the Fire District.
The Fire District has been providing ambulance service to the proposed ASA for 19 years. During this time
La Pine RFPD has complied with all the "Rules and Regulations of the ASA plan" and applicable State and
County ordinances.
DC Franchise Application to Provide ASA Service Page 2 of 3 Pages
11. Write a description of any prepaid ambulance plan, including the number of years of
operation, funding and term.
The La Pine Fire Protection District participates in the "FireMed Ambulance Membership Program". The
District has been active in this program since 1989. FireMed provides medically necessary emergency
ambulance care and transportation within the La Pine RFPD ASA, St. Charles Medical Center, and portion
of Air life service area. Non -emergent, unscheduled ambulance service to St. Charles Medical Center is
covered only when medical necessary and with the prior written Certification ofMedical Necessity Statement
from an authorizing physician. Cost is $45.00 per year per family. The program is managed for La Pine
RFPD by Cascade Health Services, Inc. d.b.a. St. Charles Medical Center / Air Life of Oregon.
12. In the case of an application to transfer or assume an already assigned franchise, please
provide the following.
A. Summarize how the proposed change will improve response time, and the quality of
level of services to the ASA. (Include an assessment of how the proposed change will
impact the existing first response system.)
NA
B. Provide evidence that the call volume in the ASA is sufficient to financially or
otherwise justify the changes in service.
NA
13. Submit copies of your adopted Fiscal Year 2002-03 Budget, and an audit for Fiscal Year
2001-02.
14. Submit proof of public liability insurance.
DC Franchise Application to Provide ASA Service Page 3 of 3 Pages
Emergency Medical Personnel Roster
La Pine Rural Fire Protection District (0917)
4-17-08
Name
Address
Phone
(541)
EMT
Cert#
Exp.
Stat.
Averitt,
Jill J.
PO Box 2562
La Pine, OR 97739
536-1595
Driver
Vol.
Bonito,
Beau L.
3374 NE Sandalwood Dr.
Bend, OR. 97701
317-1379
P
129396
6/09
Pd
Daugherty
Daniel D.
63267 Lava Crest Street
Bend, OR. 97701
385-9206
P
117590
6/09
Pd
Eckert
Crystal L.
2620 SW Yew Ave
Redmond, 97756
541-604-
0566
B
133919
6/09
Vol.
Franklin
Fred R.
PO Box 2225
La Pine, OR. 97739
536-7792
P
124799
6/09
Pd
Griffin
Dustin R.
PO Box 3666
Sunriver, OR. 97707
598-7366
P
125412
6/09
Pd
Gustafson
James, B.
PO Box 331
La Pine OR. 97739
536-2212
Driver
Pd
Helmricks
David A.
PO Box 10
La Pine OR. 97739
536-2935
B
132582
6/09
Vol.
Jenkins
Carey M.
PO Box 1527
La Pine, or. 97739
536- 8363
Driver
Vol.
Jernigan
Taylor D.
481 NW 54th Place
Newport OR 97365 1
265-8614
B
132585
6/09
Vol.
Johns
Justin A.
21255 E. Hwy 20 Apt.21
Bend, OR 97701
633- 6234
P
130763
6/09
Pd.
Jones
Christopher A.
PO Box 1553
La Pine, OR. 97739
433-2825
P
128105
6/09
Pd
Lohner
Kyle
PO Box 1113
La Pine, Or. 97739
480-7858
P
128961
6/09
Pd.
Maness
Steven
19699 Mountaineer Wy.
Bend, or. 97701
771- 1469
Driver
Vol.
McCall
Kimberly A.
PO Box 391
La Pine OR. 97739
536-7625
B
134242
3/09
Vol.
Larson
Michael L.
56206 Eider Rd
Bend, OR. 97707
408-0693
P
124558
6/09
Pd
Leehman
Kevin
4211 SW Highland Ave.
Redmond, or. 97756
408- 0919
P
132172
6/09
Pd
Mooers
Michael A.
62745 Powell Butte Hwy
Bend, OR. 97701
385-6773
P
122466
6/09
Pd
Palmer
James J.
16353 Black Tail Lane
Bend OR. 97707
536-1982
P
123344
6/09
Pd
Parmenter,
James C.
16191 Green Forest Rd
La Pine, OR 97739
536-2967
Driver
Vol.
Pautz
PO Box 2141
536-5857
P
124564
6/09
Pd
Mark A.
La Pine OR. 97739
Rigney
PO Box 2543
536-3328
P
125586
6/09
Pd.
Andy M.
La Pine OR. 97739
Ryan
19973 Doubletree Ct.
385- 7878
Driver
Vol.
Matt M.
Bend, or. 97701
Stevenson
61132 SW Halley St.
536-9680
P
130768
6/09
Pd
Paul M.
Bend, Or. 97702
Treat
POBox 7351
208-816-
B
134477
6/09
Vol.
Phillip S.
Sunriver, Or. 97707
6343
Young
PO Box 4764
536-2959
P
124574
6/09
Pd
Gary M.
Sunriver OR. 97707
Matthew M. Eschelbach, D.O
Physician Advisor
Mark Pautz
EMS Coordinator / Captain
By Assigning License Number 0917 To:
La Pine Rural Fire Protection District
By Elizabeth Morgan, Pre -Hospital Standards Representative
**POST IN A CONSPICUOUS PLACE IN AMBULANCE SERVICE BUSINESS OFFICE**
SPECIAL DISTRICTS
ASSOCIATION OF OREGON
Special Districts Association of Oregon
Liability Declarations
Certificate Number 23P52647-972
Named Participant:
La Pine R.F.P.D.
P.O. Box 10
51550 Huntington Road
La Pine, OR 97739
Coverage Period: 1/1/2008 through 1/1/2009
Agent of Record:
Wilson-Heirgood Associates
P.O. Box 1421
2930 Chad Drive
Eugene, OR 97440
Coverage is provided for only those coverages indicated below for which a contribution is shown.
Coverage
Per Occurrence
Limit
Annual
Aggregate
Deductible / SIR
Contribution
Public Entity Liability Coverage
including:
$500,000
None
N/A
$5,801.00
Increased Limits of Liability
$4,500,000
None
N/A
$1,431.00
Total Limit of Liability
$5,000,000
None
N/A
N/A
Tort Liability - Coverage A
Included
Included
None
Included
Federal Acts Liability - Coverage B
Included
Included
None
Included
Other Jurisdictions - Coverage C
Included
Included
None
Included
Employee Benefits Liability
Included
Included
None
Included
Wrongful Acts/Public Officials
Included
Included
None
Included
Employment Practices
Included**
$5,000,000
See Below**
Included
Emergency Operations Pollution
Included
Included
None
Included
Potable Water Treatment Pollution
Included
Included
None
Included
Auto Liability
Included
Included
None
$4,421.00
Non-Owned/Hired Auto Liability
Included
Included
None
$125.00
Additional Coverages
Unless otherwise indicated in Section II of the SDAO Liability Coverage Document, the following Additional
Coverages will not be in addition to the Total Limit of Liability identified above.
Ethics Complaint Defense
$2,500
$5,000
None Included
BOLI Defense Costs
$50,000
$50,000
None Included
OSHA Defense Costs
$5,000
$5,000
None Included
Pollution Coverage - (minimum)
$100,000
$100,000
None Included
Applicators Pollution Coverage
$50,000
$50,000
None
Included
Injunctive Relief Defense
$25,000
$25,000
None
Included
Uninsured/Underinsured Motorist
$500,000
None
None
Included
Auto Physical Damage
Per Schedule
Per Schedule
Per Schedule
$11,840.00
Hired Auto Physical Damage
$50,000
None
$100 Comp/$500 Coll
$75.00
$25,000,000 maximum per occurrence limit for all SDAO Trust Participants involved in the same occurrence.
$5,000,000 maximum per occurrence and annual aggregate limit for all Employment Practices related claims.
$10,000 employment practices deductible for terminations when SDAO is not contacted for free legal advice in advance.
$10,000 controlled burn deductible if BPSST guidelines are not followed.
Forms applicable to participant:
SDAO Liability Coverage Documen
Auto Physical Damage Coverage Document
This certificate is made and is mutually accepted by the Pool and Named Participant subject to all provisions,
stipulations, and agreements which are made a part of the SDAO Liability Coverage Document. This certificate
represents only a brief summary of coverages. Other conditions and exclusions apply as described in the SDAO
Liability Coverage Document.
Countersigned by:
Special Districts Association of Oregon
Thursday, November 29, 2007
RESOURCES
La Pine Rural Fire Protection District General Fund
go
CL
O CON
LL J
*Includes Unappropriated Balance Budgeted Last Year
Budget for Next Year 07/08
Adopted By
Governing Body
75,000
50,000
25,000
20,000
30,000
520,000
85,000 -
5,000
O
0
500
106,152
O
1 917,652
1,428,743
2,346,395
Approved By
Budget Committee
X'
75,000
50,000
25,000
20,000
30,000
520,000
85,000
5,000
0
0
O
O
106,152
0
917,652
1,428,743
2,346,395
Proposed By
Budget Officer
,�
t
75,000
50,000
25,000
20,000 t
30,000
520,000
70,000
5,000
Oer
500
N
(p (p
O
O
902,652
1,428, 743
iL
#.
2,331,395
RESOURCE DESCRIPTION
Beginning Fund Balance:
1. Available cash on hand* (cash basis) or
2. Net working capital (accrual basis)
3. Previously levied taxes estimated to be received
4. Interest
5. OTHER RESOURCES
6 Fire Suppression Fees L
N
7
O
N
L
N
a)
0
N_
8 EMS Service Fees
9 FireMed Memberships
10 Address Sign Sales
11 Clothing Sales
12 Ash Can Sales
13 State & Federal Grants
14 Deserve Fund Transfer
10
CO
N.
CO
O)
0
N
N
N
N
C')
N
ST
N
LO
N
CO
N
N.
N
CO
N
29. Total resources, except taxes to be levied
30. Taxes necessary to balance
131. Taxes collected in year levied
32. TOTAL RESOURCES
Historical Data
Adopted Budget
This Year
FY 06/07
£
Y
115,000 _ 1
70,000 1
0
O
O
15,000 1
75,000
470,000
70,000
0
O
L6
1,000
500
O
O
O
II
CO
1,880,954
s
2,712,454
Actual
First Preceding
Year 05106
d
CO
al
a (n
39,894 J
O
1,246
492,494
83,101
4,515
N
0
CO
M
M:.
n
1,782,984
r
N
N
O
N
Second Preceding I
Year 04/05
.{„
65,372
0))
Ch
848
2,264
co
CO
N
CO
(0
co
4,590
(*)
N
150
59,437 1
650,684
°,-;,-k
''
1,689,412
(o
O
O 0
N
`>.
r
N
M
V
(O
N
CO
Q)°
N
M
'C
in
O
N
O
Q)
((
N
(NV
hi
((`1
N
N
N
N
N
M
M
cc )
*Includes Unappropriated Balance Budgeted Last Year
SUMMARY
La Pine Rural Fire Protection District General Fund
t --
co
0
CD
N.
CO
CT)
0
•4 -
Budget For Next Year 07/08
(7;
co
0
(0
Lf)
0)
L.C)
t•-•
(0
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CD
o3
CO
L.0
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• •
(43
co
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co
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co
00
0
0
0
L.0
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0
0
0
0
0
04
0
0
EN
coi
co
co
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0
(0
co
c‘i
0
0
0
LCi
04
0
0
LO
0
0
1.6
co
co
(‘i
0
10
ca)
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co
cNi
0
0
0
CN
0
0
LO
0
0
L6
10
c)
(7)
co
(‘i
0
EXPENDITURE DESCRIPTION
PERSONAL SERVICES
Historical Data
cu
*-E
cu
>
0
(c)
0
(1)
-J
0
uJ
a.
—j
0
a
CD
MATERIALS AND SERVICES
G)
(c)
co
11)
0_
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10 Maintenance
11 Miscellaneous
(NI
14 TOTAL MATERIALS AND SERVICES
CAPITAL OUTLAY
15 Facilities
C/)
CiF1
0.
cj•C
CO
a)
cc
LU
CO
0)
21 TOTAL CAPITAL OUTLAY
TRANSFERRED TO OTHER FUNDS
26 TOTAL TRANSFERS AND CONTINGENCIES
TOTAL EXPENDITURES
CN1
28 UNAPPROPRIATED ENDING FUND BALANCE
—J
0
CO
CO
1-•
s--
.zr
(0
s--
(V
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(0
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c.6
co
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c0
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co
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c)
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(NJ
0;
t --
CO
0
N
(0 0) 0 A- CNJ
0
0
(NJ
t•-•
co
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co
LO
0
0
CN
cD
cD
(0
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CO
(4,
'4-
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0
0
0
0
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oo
10
10
co
.4 -
LO
.4 -
0
0
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co-)
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10
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0
0
0
10
0
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t-- oD
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CNJ
LaPine Rural Fire Protection District
Budget for FY
2007-08
Adopted by
Governing Body
77,5311
0
o
M
1r:.
—
—
42,010
0
I -
O
1
' M
:
M
00
0
—,
0C
O
h
0
0
1 604,3311
0
0
V'1
O
ON
1r1
00
to
O
01
1r:
Approved by
Budget Committee
77,531
O
O
114,935
CO
,--i
.1t
..
cn
h
f*1
VD
O
O
0
595,344
90,400
O
VD
..--.r-'
O
V
Proposed by
Budget Officer
.-r
cn
In
l--
O
O
to
01
.-r
1/40
-.I(n
41,9841
n
C
N
VD
0
0
0-
M
1r1
ON
1r1
90,400
O
t".":
'0
—
\D
—
O
n
t
'O
..-1,_,
,.-.
v
b
Vel
Z
.--�
O
0
M
,--
,--i
r.
DESCRIPTION
Fire Chief
Division Chief - Prevention
Division Chief - Operations
Battalion Chiefs
Office Manager
Mechanic
Administrative Assistant
Lieutenants/FireMedics
Prevention Specialist
Temporary Wildland Firefighters
Clerk (Half -Time)
Employee Maintenance
Overtime
TOTAL EXPENDITURES
TOTAL
U Q
p<
Q.r
xPt.
Adopted Budget
This Year
Year 2006-07
1%j
0
0
167,220
-
41,984
h
M
—
M
0
10
0.
1
40,2401
0
0 N
Vl .--:,
.--4 •-r
.� 00
1
•zr0
O
(y
01/4,00
00
00.
M
00
r.
CO00
00
M
00
00
.—
*ACTUAL
o 0
k 2
00
00
O
r.
oo
N
N
00
.
,—'
cr
10n
o
ct
0
ch
N
s.
‘.0
t-
ON
O
CZ,
—
M
0
627,924.21
82,651.88
1,814,140.01
CD
v
00
,_,
ACTUAL
Second Preceding
Year 2004-05
cr
ON
0N
O
ON
1n
r+
v1
.�N-1
In
10
ON
0
.--"
In
c
N
0
r-
cn
1 37,750.311
M
co
'
'.0
N
N
.--
N
ON
0
0
O 'D
to
C
1 102,628.01
—
(n
r
...
r-'
(n
N
LaPine Rural Fire Protection District
M & S Services
FY 2007-08
Budget for FY
2007-08
Adopted by
Governing Body
00
co
0 0
ri
—
40,0001
v'i
M
0
tel
N
o
N
N
62,088
0
1 35,040
1 220,7331
220,733
Approved by
Budget Committee
00
v'^
O—
0
O
.+
—
55,000
45,600
S09`SZ
�
0
v')
'
00
O
N
"D
4,000
4-4 O
M
�t
259,603
0
4.D
O+
N
b
u p
& m
a ii,
0
0
44.1
O4
0.
0
--+
v
0
0
4.0
v')
00
4.0
N
4,500]
00
O
4,0001
0
M
O
�
\D
ten
N
,
O
Y7
ken
N
DESCRIPTION
Eel)
0
a
Auditor
Volunteer Reimbursements
Volunteer Maintenance
Maintenance & Service Contracts
Board Expenses
r
y
Civil Service Commission
Contract Services
on
H
A
Z
w
w
H
o
TOTAL
HISTORICAL
DATA
Adopted Budget
This Year
Year 2006-07
�o�°Q
\D
—
N
.--4
O
'r
33,240
N
M
46
o
.--i
vD
V7
32,700
259,788
259,788
ACTUAL
First Preceding
Year 2005-06
2,458.25
0
O
V7
N
0
0
'.O
t
\D
N
—4
-
0
O
-
ON
vi
�1
M
M
O\
0
't
Len
N
M
in
4,857.651
VD
t
't
M
O
O\ 0\
O
.-.
O
0
�
.--i
ACTUAL
Second Preceding
Year 2004-05
M
O
h[-
N
N
O
10
M
O
N
00
M
60
^4
.-.
�t
VD
N
00
1/40
00
N
O
C...
00
N
O�
00
N
N
71-
0
ON
O\
M
M
M
0
r
0
04:,
'r
0
0
ON
�
LaPine Rural Fire Protection District
Budget for FY
2007-08
Adopted by
Governing Body
CD 0
N
.-.
,--
0
M
0
O
00
36,9001
0
O
VD
60,400
Approved by
Budget Committee
O
N
--•
.
O
tel
M
O
O
O
ON
en
63,450
O
N
VD
Proposed by
Budget Officer
0
N
—
.-,
0
M
VD
0
O
C:;'m
0
CP,
M
63,450
63,450
DESCRIPTION
Office Supplies
Firefighting Supplies
Prevention Supplies
EMS Supplies
Gn
A
We
13.4
W
a
-04F
0
F
F
F
H
0
Q Q
cn
Adopted Budget
This Year
Year 2006-07
0
—
0
12,450
o
M
O
VI
Vp
O
VI
VD
ACTUAL
First Preceding
Year 2005-06
M
00
.
en M
In
O\
..
.-4
M
N
t
_
r51,837.57
ACTUAL
Second Preceding
Year 2004-05
8,954.21
01
.-1
Men
M
O1
vD
VI
lz
28,459.77
O)
N
00
N
00
ON
N
00
N
00
LaPine Rural Fire Protection District
Budget for FY
2007/08
Adopted by
Governing Body
O
kr)O
N
CO
Q\
b
O
N
103,638
CO
vD
O
Approved by
Budget Committee
77,500
0o
M
Cc:,
VD
O
O
N
Cr,
103,638
00
cn
O
Proposed by
Budget Officer
O
On
NvO
N
00
c
.-.
0
0
01
00
VD
M
O0
—
00
cn
M
—
DESCRIPTION
Vehicle Maintenance
Equipment Maintenance
Facilities Maintenance
TOTAL EXPENDITURES
TOTAL
HISTORICAL DATA
Adopted Budget
This Year
Year 2006/07
00
Le)(N
VD VD
14,880
00I
—
000
trl
000
WI
ON
ACTUAL
First Preceding
Year 2005/06
O
tn
V6
•c.
O:
N
vp
N
b
Ci
O\
tt
O�
.--i
M
N
O
\O
N
.-.
85,048.48
00
oo
,7
O
00
ACTUAL
Second Preceding
Year 2004/05
NNS
rn
vO
000
VD
r
SI'001`1 t
N
C
64,928.75
DETAILED EXPENDITURES
LaPine Rural Fire Protection District
y
O
U
cn
00
O
rN
Budget for FY
2007-08
Adopted by
Governin Bod
18,000
000`01
0
0
Irl
N
...
00
‘.0
N
0
00
0
0tr)0
in
M
0
c--
\
0Irl0
vl
N
0
ir)
0
in
Approved by
Budget Committee
18,000
26,000
00
0in
0
0
N
,-•
0
in
l
0
in
00
0
0CD
0
r
M
0
h
co
O
O
ON
00
O
.--4
0
00
O
.r
Proposed by
Bud et Officer
18,000
26,000
0
N
o
850
0
34,500
co
00
4,0001
O
'
0
co
I
O
..r
DESCRIPTION
Training Expenses
Uniforms
2
0
U
N
W
Notices & Publications
Due & Subscriptions
Licenses & Certifications
Equipment Operations - Grants
Insurance
Administrative Expenses
Relations
TOTAL EXPENDITURES
r.a
F
O
E*
0
c4 H
O '
Ga.-.
Adopted Budget
This Year
Year 2006-07
25,700
kn
M
V1
M
0
M
M-4
0
O
k
[ �
3,400
0
34,500
O
in
'0
4,000
128,500
0
O
00
N
ACTUAL
'a N
g o
a 2
00
r-
en
00
O
0:
C-
N
'0
v:,
M
M
1,014.25
4,130.89
0
co
h
0
0
0000
vD
0\
N
N.
M
l
'
,---
N
N
d
.-.
r
01
.r
0\
0\
.-.
r
01
el
01
ON
ACTUAL
Second Preceding
Year 2004-05
N
00
N
I"-
6
v)
h
.-+
CO
[
el
,-.
r
',O
0
l^
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ch
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h
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in
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h
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O
ch
i.0
N
0
ac
N
oo
N
l
.
,--
kfi
N
r+
72,094.48
00
cn
b
Cr,
O
N
S
DETAILED EXPENDITURES
LaPine Rural Fire Protection District
Budget for FY
2007-08
Adopted by
Governing Body
O
O
N
-
O
O
O
N
-
\O
O
N
k
vO
O
Approved by
Budget Committee
O
N
,
o
O
O
N
VO
O
N
VO
O
;ng. p
w C7
O
N
-
O
O
N
-
O
O
N
O
DESCRIPTION
Facilities Projects
Apparatus Projects
Equipment Projects
Unanticipated Grant Expenses
TOTAL EXPENDITURES
TOTAL
HISTORICAL
DATA
Adopted Budget
This Year
Year 2006-07
0
O
N
0
N
47,000
0
O\
0
01
ACTUAL
First Preceding
Year 2005-06
O
C.:
cel
\O
.—,
Or
kr)
[:
O•--_
CO
N
ON
O
O.,
N
M
01
N
M
rACTUAL
Second Preceding
Year 2004-05
s.
c
tIr,
4
O N
\OS
I 147,373.25
58,212.75
267,201.18
00
-
N
Revenue Bonds or
General Obligation Bonds
BONDE, •EBT
RESOURCES AND REQUIREMENTS
La Pine Rural Fire Protection District Debt Service Fund
L0
CD
b
CO
0
CD
N--
c0
CO
CD
CO
LCD
LCD
a
L6
Lo
0
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0
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0
0
Co
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0
0
0
0
c6
N
c6
0
0
Co
0
0
0
0
0
DESCRIPTION OF
RESOURCES AND REQUIREMENTS
Resources
Transferred from Other Funds
9. Taxes Collected in Year Levied
w
0
0
w
-J
0
0▪ )
7 0
cri CD
)-
'00
a) 0
O.
CO
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0
LCD
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0
0
CO
A-
March 1st, 2008
E
-0
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CO
September 1st, 2007
March 1st, 2008
LCD
CD
r-•
Total Interes
co
a)
E
cu
0_
CO
.c)
E
cL
a)
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LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
ANNUAL FINANCIAL REPORT
YEAR ENDED JUNE 30, 2007
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
DISTRICT OFFICIALS
JUNE 30, 2007
DIRECTORS
Jerry McCue, President
52520 Primrose Ln.
La Pine, Oregon 97739
Deborah Hopman, Secretary
14338 Brown Trout Way
La Pine, Oregon 97739
Lynn Alsbury, Director
52252 Polar Drive
La Pine, Oregon 97739
Henry Kelley, Director
52805 Wayside Loop
La Pine Oregon 97739
Douglas Cox, Director
51710 Brooks Lane
La Pine, Oregon 97739
REGISTERED AGENT
Jim Gustafson, Fire Chief
51550 Huntington Road
P.O. Box 10
La Pine, Oregon 97739
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
TABLE OF CONTENTS
YEAR ENDED JUNE 30, 2007
Page
DISTRICT OFFICIALS
INDEPENDENT AUDITORS' REPORT 1
MANAGEMENT'S DISCUSSION AND ANALYSIS 3
BASIC FINANCIAL STATEMENTS
Government -Wide Financial Statements
Statement of Net Assets 8
Statement of Activities 9
Governmental Fund Financial Statements
Balance Sheet — Governmental Funds 10
Statement of Revenues, Expenditures and Changes in Fund Balances —
Governmental Funds 11
Reconciliation of the Governmental Funds Balance Sheet to the Statement of Net Assets 12
Reconciliation of the Statement of Revenues, Expenditures and Changes in Fund Balances
Of Governmental Funds to the Statement of Activities 13
Notes to Financial Statements 14
REQUIRED SUPPLEMENTARY INFORMATION
Statement of Revenues, Expenditures and Changes in Fund Balance — Budget and Actual —
General Fund 26
Special Revenue Fund 27
OTHER SUPPLEMENTARY INFORMATION
Statement of Revenues, Expenditures and Changes in Fund Balance — Budget and Actual —
General Fund — Detailed Schedule 28
Statement of Revenues, Expenditures and Changes in Fund Balance — Budget and Actual —
Building, Equipment, Apparatus — Capital Projects Fund 30
Statement of Revenues, Expenditures and Changes in Fund Balance — Budget and Actual —
2004 Bond Equipment Fund — Capital Projects Fund 31
Statement of Revenues, Expenditures and Changes in Fund Balance — Budget and Actual -
Debt Service Fund 32
Schedule of Expenditures and Appropriations —All Funds 33
Schedule of Property Tax Transactions Fund 34
AUDIT COMMENTS AND DISCLOSURES REQUIRED BY STATE REGULATIONS 35
john P. Harrigan. CPA
Wesley B. Price III, CPA
Candace S. Fronk, CPA
975 SW Colorado
Suite 200
Bend, OR 97702
Tel (541) 382-4791
Fax (541) 388-1124
www,bendcpa.com
email@bendcpa.com
A1111;i11.11:RIOE fIh & II, w'
CE RTIFIEU PULIC ACCUNTANTS S CONSULTANTS
INDEPENDENT AUDITORS' REPORT
Board of Directors
La Pine Rural Fire Protection District
La Pine, Oregon
We have audited the accompanying financial statements of the governmental activities
and each major fund of La Pine Rural Fire Protection District, La Pine, Oregon (the
District), as of and for the year ended June 30, 2007, which collectively comprise the
District's basic financial statements as listed in the table of contents. These financial
statements are the responsibility of La Pine Rural Fire Protection District's management.
Our responsibility is to express opinions on these financial statements based on our
audit. The prior year summarized comparative information has been derived from the
District's 2006 financial statements that were audited by us; in our report dated November
20, 2006, we expressed an unqualified opinion.
We conducted our audit in accordance with auditing standards generally accepted in the
United States of America. Those standards require that we plan and perform the audit to
obtain reasonable assurance about whether the basic financial statements are free of
material misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation. We
believe that our audit provides a reasonable basis for our opinions.
In our opinion, the basic financial statements referred to above present fairly, in all
material respects, the financial position of the governmental activities and each major
fund of La Pine Fire Protection District, as of June 30, 2007, and the respective changes
in financial position thereof for the year then ended in conformity with generally accepted
accounting principles in the United States of America.
The management's discussion and analysis, pages 3-7, and budgetary comparison
information, pages 26-27 are nota required part of the basic financial statements but are
supplementary information required by the Governmental Accounting Standards Board.
We have applied certain limited procedures, which consisted principally of inquiries of
management regarding the methods of measurement and presentation of the required
supplementary information. However, we did not audit the information and express no
opinion on it.
Board of Directors
La Pine Rural Fire Protection District
Page 2
Our audit was made for the purpose of forming opinions on the financial statements that
collectively comprise the District's basic financial statements. The other supplementary
information listed in the table of contents is presented for purposes of additional analysis
and is not a required part of the basic financial statements of the District. Such
information and the required budgetary comparisons have been subjected to the auditing
procedures applied in the audit of the basic financial statements and, in our opinion, are
fairly presented in all material respects in relation to the financial statements that
collectively comprise the District's basic financial statements.
HARRIGAN PRICE FRONK & CO. LLP
Certified Public Accountants & Consultants
By: Akth ef
Candace S. Fronk — partner
October 8, 2007
HAIIIIKIN nit [MK &I;II.IIr
MANAGEMENT'S DISCUSSION AND ANALYSIS
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
MANAGEMENT'S DISCUSSION AND ANALYSIS
JUNE 30, 2007
The management of La Pine Rural Fire Protection District (the District), presents this narrative of the
financial activities of the District for the fiscal year ended June 30, 2007. The MD&A is based on currently
known facts, decisions and conditions that existed at the date of the independent auditor's report.
FINANCIAL HIGHLIGHTS
In the government -wide financial statements, the assets of the District exceeded its liabilities at June 30,
2007, by $2,735,481. Of this amount, $634,342 represents unrestricted net assets which will be used to
meet the District's ongoing obligations to citizens and creditors.
• The District's total net assets increased by $184,393, primarily due to increases in property taxes and
the sale of apparatus.
• As of June 30, 2007, the District's governmental funds reported combined ending fund balances of
$620,277, a decrease of $831,454 from June 30, 2006 due to the expenditure of bond proceeds
carried over from the prior year.
• At June 30, 2007, undesignated fund balance for the general fund was $344,366, or about one
month's expenditures in that fund.
• The District's total debt decreased by $120,000, nearly 10% during the current fiscal year. This
decrease was due to scheduled principal and interest payments on the District's outstanding general
obligation bond.
Overview of the Financial Statements
This discussion and analysis is intended to serve as an introduction to the District's basic financial
statements. The District's basic financial statements are comprised of three components: 1) government -
wide financial statements, 2) fund financial statements and 3) notes to the financial statements. This report
also contains other supplementary information in addition to the basic financial statements themselves.
Government -wide Financial Statements
The govemment-wide financial statements are designed to provide readers with a broad overview of the
District's finances, in a manner similar to a private -sector business, and include the Statement of Net Assets
and the Statement of Activities.
The Statement of Net Assets presents information on all of the District's assets and liabilities, with the
difference between the two reported as net assets. Over time, increases or decreases in net assets may
serve as a useful indicator of whether the financial position of the District is improving or deteriorating.
The Statement of Activities presents information showing how the District's net assets changed during the
most recent fiscal year. All changes in net assets are reported as soon as the underlying event giving rise to
the change occurs, regardless of the timing of related cash flows. Thus, revenues and expenses are
reported in this statement for some items that will only result in cash flows in future fiscal periods (e.g.,
uncollected taxes and earned but unused vacation leave).
-3-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
MANAGEMENT'S DISCUSSION AND ANALYSIS
JUNE 30, 2007
In the government -wide financial statements, the District's activities are shown in one category:
governmental activities. The governmental activities of the District include general government and public
safety, and are principally supported by property taxes.
The government -wide financial statements can be found on pages 8 and 9 of this report.
Fund Financial Statements
The fund financial statements provide more detailed information about the District's funds, focusing on its
most significant or "major" funds. A fund is a grouping of related accounts that is used to maintain control
over resources that have been segregated for specific activities or objectives. The District, like other state
and local governments, uses fund accounting to ensure and demonstrate compliance with finance -related
legal requirements. The District's funds are all classified as governmental funds.
Governmental funds. Governmental funds are used to account for essentially the same functions reported
as governmental activities in the government -wide financial statements. However, unlike the government -
wide financial statements, governmental fund financial statements focus on near-term inflows and outflows of
spendable resources, as well as on balances of spendable resources available at the end of the fiscal year.
Such information may be useful in evaluating a government's near-term financing requirements. Because
the focus of governmental funds is narrower than that of the government -wide financial statements, it is
useful to compare the information presented for governmental funds with similar information presented for
governmental activities in the government -wide financial statements. By doing so, readers may better
understand the long-term impact of the government's near-term financing decisions. Both the governmental
fund Balance Sheet and Statement of Revenues, Expenditures and Changes in Fund Balances are
reconciled to the government -wide Statement of Net Assets and Statement of Activities.
The District maintains four individual governmental funds. Information is presented separately in the
governmental fund Balance Sheet and Statement of Revenues, Expenditures and Changes in Fund
Balances for the General Fund, the Mike Meszaros Memorial Special Revenue Fund, the Building,
Equipment and Appratus Reserve Fund, the 2004 Bond Equipment Fund and the Debt Service Fund. The
District treats all its funds as major funds. The 2004 Bond Equipment Fund was closed during the year after
expenditure of remaining bond proceeds and a residual equity transfer to the Debt Service Fund.
Additionally, the District adopts an annual appropriated budget for all of its funds. A budgetary comparison
statement has been provided for the General Fund and Mike Meszaros Memorial Special Revenue Fund as
required supplementary information and for the other funds as other supplementary information.
The basic governmental fund financial statements can be found on pages 10 and 11 of this report.
Notes to the basic financial statements. The notes provide additional information that is essential to a full
understanding of the data provided in the government -wide and fund financial statements. Certain required
supplementary information concerning the District's progress in funding its obligation to provide pens on
benefits to its employees, past employees and volunteer firefighters has also been included in the notes. The
notes to the basic financial statements begin on page 14 of this report.
-4-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
MANAGEMENT'S DISCUSSION AND ANALYSIS
JUNE 30, 2007
Other information. In addition to the basic financial statements and accompanying notes, this report also
presents other supplementary information as required by the Minimum Standards for Audits of Oregon
Corporations beginning on page 28.
Government -wide Financial Analysis
As noted earlier, net assets may serve over time as a useful indicator of a government's financial position. In
the case of the District, assets exceeded liabilities by $2,735,481 at June 30, 2007.
The largest portion of the District's net assets (76%) reflects its investment in capital assets (e.g. land,
buildings, fire apparatus and equipment); Tess accumulated depreciation and any related debt used to
acquire those assets that is still outstanding. The District uses these capital assets to provide services to
citizens; consequently, these assets are not available for future spending. The remaining assets consist
mainly of amounts used to meet the District's ongoing obligations to its citizens and unspent bond proceeds
which will be used for capital asset acquisitions in the coming year.
A comparison of the summarized government -wide statements to the prior year is as follows:
Summary Statement of Net Assets
June 30, June 30,
2007 2006
Change
Assets
Cash and investments $ 565,076 $ 1,468,135 $ (903,059)
Current assets 218,436 207,674 10,762
Other assets 23,742 29,772 (6,030)
Capital assets, net 3,208,366 2,322,494 885,872
Total assets 4,015,620 4,028,075 (12,455)
Liabilities
Current liabilities 136,831 211,569 (74,738)
Bond premiums 8,308 10,418 (2,110)
Noncurrent liabilities 1,135,000 1,255,000 (120,000)
Total liabilities 1,280,139 1,476,987 (196,848)
Net Assets
Invested in capital assets, net of related debt 2,073,366 1,067,494 1,005,872
Restricted for debt repayment 25,772 13,155 12,617
Restricted for capital assets 923,552 (923,552)
Unrestricted 636,343 546,887 89,456
Total net assets $ 2,735,481 $ 2,551,088 $ 184,393
-5-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
MANAGEMENT'S DISCUSSION AND ANALYSIS
JUNE 30, 2007
Summary Statement of Activities
Year ended June 30,
2007 2006
Change
Program revenues
Charges for services $ 587,473 $ 581,097 $ 6,376
Grants and contributions 10,893 71,743 (60,850)
General revenues
Property taxes levied for general purposes 1,982,873 1,839,303 143,570
Property taxes levied for debt service 177,030 154,371 22,659
Earnings on investments 57,518 84,595 (27,077)
Gain on disposal of capital assets 63,000 63,000
Miscellaneous 1,838 547 1,291
Total revenues
Expenses
Fire and safety services
2,880,625 2,731,656 148,969
2,696,232 2,642,938 53,294
Change in net assets 184,393 88,718 95,675
Net assets, beginning of year 2,551,088 2,462,370 88,718
Net assets, end of year $ 2,735,481 $ 2,551,088 $ 184,393
Governmental activities increased the District's net assets by $184,393 this current fiscal year. The key
contributors to this increase were the increase in property taxes and the sale of apparatus.
Budgetary Highlights
The differences between the General Fund original budget and the final amended budget were a transfer
from contingency to personal services for $18,000 and to materials and services for $12,000. Overall, the
General Fund revenues were $58,212 more than budgeted and expenditures were $189,659 Tess than
budgeted. The expenditures exceeded the appropriations for debt service in the General Fund by $1,793.
Capital Assets and Debt Administration
Capital Assets. As of June 30, 2007, the District had invested $3,208,366 in capital assets as reflected in
the following table. The District added capital assets of building improvements, vehicle and equipment of
approximately $1,151,139 during the fiscal year ending June 30, 2007. The depreciation expense on capital
assets was $265,267 for the year.
-6-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
MANAGEMENT'S DISCUSSION AND ANALYSIS
JUNE 30, 2007
Capital Assets at June 30, 2007
Land $ 79,572
Buildings and improvements 1,219,365
Equipment 952,140
Vehicles 3,177,462
5,428,539
Less accumulated depreciation 2,220,173
$ 3,208,366
Debt Outstanding. The debt outstanding at year-end consisted solely of the 2004 General Obligation Bond
with a balance of $1,135,000. The terms of the bond includes varying principal payments over ten years and
interest at rates varying between two and four percent. The debt retired in fiscal year 2007 totaled $120,000.
Economic Factors and Next Year's Budget. During the year ending June 30, 2008, the District will have
under gone a reorganization and reduction in work force. The reorganization and reduction in work force is
due to the District's failure to renew its local Option Levy and this experiencing a loss of over $550,000 in tax
supported funds. The District will eliminate three and a half positions and cit the overall Material and
Services funds, Capital Outlay funds and any Reserve Fund Transfers. This allows the District to maintain a
balanced budget for fiscal year 2007/2008 of $2,346,395.
The District plans to sell surplus apparatus during the year ending June 30, 2008, including two fire engines
and two ambulances; the ambulances are carried over from the fiscal year 2006/2007 planned budget and
have been with a consignment dealer since May 2007.
The District's 2004 General Obligation Equipment and Apparatus Bond has been utilized in full as of fiscal
year 2006/2007. The District will make two scheduled interest and one scheduled principal repayment
during the year ending June 30, 2008.
Financial Contact. This financial report is designed to provide a general overview of the District's finances
for all those with an interest in the District's finances. Questions concerning any of the information provided
in this report or requests for financial information should be addressed to Fire Chief, La Pine Rural Fire
Protection District, P.O. Box 10, La Pine, Oregon 97739, (541) 536-2935.
-7-
BASIC FINANCIAL STATEMENTS.
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF NET ASSETS
JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR JUNE 30, 2006)
Governmental
Activities
2007 2006
ASSETS
Cash and cash equivalents $ 565,076 $ 1,468,135•
Property taxes receivable 84,670 65,180
Accounts receivable, net 115,192 125,510
Prepaid expenses 18,574 16,984
Bond issuance costs, net 23,742 29,772:
Land and improvements 79,572 79,572
Depreciable capital assets
Buildings 1,219,365 1,179,646
Fire trucks and vehicles 3,177,462 2,375,422
Fire fighting equipment and office equipment 952,140 891,447
Accumulated depreciation (2,220,173) (2,203,593)
Total assets
4,015,620 4, 028, 075,
LIABILITIES
Accounts payable 45,916 57,268
Accrued payroll liabilities 48,643 116,683
Accrued interest 13,798 14,998
Bond premiums, net 8,308 10,418
Accrued compensated absences 28,474 22,620
Bonds payable
Due within one year 130,000 120,000
Due iri more than one year 1,005,000 1,135,000
Total liabilities
NET ASSETS
1,280,139 1,476,987
Invested in capital assets, net of related debt 2,073,366 1,067,494
Restricted for debt repayment 27,773 13,155
Restricted for capital asset acquisitions 923,552
Unrestricted 634,342 546,887
Total net assets $ 2,735,481 $ 2,551,088
See accompanying notes to financial statements
-8-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF ACTIVITIES
YEAR ENDED JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR THE YEAR ENDED JUNE 30, 2006)
Governmental
Activities
2007 2006
Expenses
Fire and safety services $ 2,696,232 $ 2,642,938
Program revenues
Charges for services 587,473 581,097
Operating grants and contributions 893 1,585
Capital grants and contributions 10,000 70,158
Total program revenues
Net program expenses
598,366 652,840
2,097,866 1,990,098
General revenues
Property taxes levied for general purposes 1,982,873 1,839,303
Property taxes levied for debt service 177,030 154,371
Earnings on investments 57,518 84,595
Miscellaneous 1,838 1,247
Gain/(loss) on disposal of capital assets 63,000 (700)
Total general revenues 2,282,259 2,078,816
Change in net assets 184,393 88,718
Net assets, beginning of year 2,551,088 2,462,370
Net assets, end of year $ 2,735,481 $ 2,551,088
See accompanying notes to financial statements
-9-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
BALANCE SHEET - GOVERNMENTAL FUNDS
JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR JUNE 30, 2006)
Assets
Cash and investments
Property taxes receivable
Accounts receivable, net
Prepaid expenditures
Total assets
Liabilities
Accounts payable
Accrued payroll liabilities
Deferred revenue
Total liabilities
Fund balances
Reserved for capital projects
Reserved for debt service
Unreserved - designated
Unreserved - undesignated
Total fund balances
Total liabilities
and fund balances
General
Fund
$ 290,330
78,008
115,192
18,574
$ 502,104
Special
Revenue
$ 16,495
Building
Equipment
Apparatus
Debt
Service
$ 231,643 $ 26,608
6,662
Totals
2007 2006
$ 565,076 $ 1,468,135
84,670 65,180
115,192 125,510
18,574 16,984
$ 16,495 $ 231,643 $ 33,270 $ 783,512 $ 1,675,809
$ 45,916 $
48,643
63,179
$ $
5,497
157,738 5,497
344,366
344,366
$ 502,104
27,773
16,495 231,643
16,495 231,643 27,773
$ 16,495 $ 231,643 $ 33,270
See accompanying notes to financial statements
-10-
$ 45,916 $ 57,268
48,643 116,683
68V6 50,127
163,235 224,078
923,552
27,773 13,155
248,138 303,528
344,366 211,496
620,277 1,451,731
$ 783,512 $ 1,675,809
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCES -
GOVERNMENTAL FUNDS
YEAR ENDED JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR THE YEAR ENDED JUNE 30, 2006)
Building 2004
General Special Equipment Bond Debt Totals
Fund Revenue Apparatus Equipment Service 2007 2006
Revenues
Property taxes, current year $ 1,964,324 $ $ $ $ 177,030 $ 2,141,354 $ 1,997,297
Ambulance service fees, net 480,955 480,955 492,494
Fire Med membership dues 83,798 83,798 83,101
State and federal grants 10,000 10,000 70,158
Earnings on investments 39,031 532 9,792 7,580 583 57,518 64,595
Fire suppression fees 17,394 17,394
Donations 510 893 1,403 1,604
Gain on sale of assets 63,000 63,000
Miscellaneous 6,653 6,653 6,729
Total revenues 2,665,665 1,425 9,792 7,580 177,613 2,862,075 2,735,978
Expenditures
Current
Personal services 1,839,705 1,839,705 1,814,728
Materials and services 482,437 1,571 30,948 2,940 517,896 482,457
Capital outlay 54,302 170,646 926,191 1,151,139 153,294
Debt service
Principal 120,000 120,000 215,843
Interest 19,793 44,996 64,789 69,142
Total expenditures 2,396,237 1,571 201,594 929,131 164,996 3,693,529 2 735 464
Excess (deficiency) of revenues
over expenditures 269,428 (146) (191,802) (921,551) 12,617 (831,454) 514
Other financing sources (uses)
Operating transfers In 136,558 136,558
Operating transfers out (136,558) (136,558)
Total other financing sources (uses) (136,558) 136,558
Net change In fund balances 132,870 (146) (55,244) (921,551) 12,617 (831,454) 514
Fund balances- Beginning of year 211,496 16,641 286,887 923,552 13,155 1,451,731 1,451,217
Residual equity transfer (2,001) 2,001
Fund balances - End of year $ 344,366 $ 16,495 $ 231,643 $ $ 27,773 $ 620,277 $ 1,451,731
See accompanying notes to financial statements
-11-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
RECONCILIATION OF GOVERNMENTAL FUNDS
BALANCE SHEET TO THE STATEMENT OF NET ASSETS
JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR JUNE 30, 2006)
2007 2006
Total fund balances $ 620,277 $ 1,451,731
Amounts reported in the statement of net assets are different because:
Some liabilities are not due and payable in the current period and
therefore are not reported in the funds. These consist of:
Accrued vacation (28,474) (22,620)
Accrued interest (13,798) (14,998)
General obligation bonds (1,135,000) (1,255,000)
Capital assets are not financial resources and are not reported in the funds:
Capital assets at cost 5,428,539 4,526,087
Accumulated depreciation (2,220,173) (2,203,593)
Bond issuance premiums and costs are capitalized for reporting in the
government -wide statements:
Bond issuance costs, net of amortization 23,742 29,772
Bond premiums, net of amortization (8,308) (10,418)
Certain property taxes will be collected after year-end and are not available soon
enough to pay for the current period's expenditures and therefore are deferred
in the funds. 68,676 50,127
Total net assets $ 2,735,481 $ 2,551,088
See accompanying notes to financial statements
-12-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
RECONCILIATION OF THE STATEMENT OF REVENUES, EXPENDITURES
AND CHANGES IN FUND BALANCES OF GOVERNMENTAL FUNDS
TO THE STATEMENT OF ACTIVITIES
YEAR ENDED JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR THE YEAR ENDED JUNE 30, 2006)
2007
2006
Net change in fund balances $ (831,454) $ 514
Amounts reported in the statement of activities are different because:
Changes in accrued vacation are not considered a use of current financial resources. (5,854)
Property taxes may not be collected for several months after year-end. They are
not considered "available" and are deferred in the governmental funds. 18,549
Interest accrued in the statement of activities does not require the use of current
financial resources and, therefore, is not reported as an expenditure in the
governmental funds.
Governmental funds report capital outlays as expenditures. In the statement of
activities the cost of those assets is allocated over their estimated useful lives
as depreciation expense:
Capital outlay
Depreciation
Gain on disposal of assets
The issuance of Tong -term debt provides current financial resources to governmental
funds, while the repayment of principal consumes current financial resources in the
governmental funds. Neither transaction has any effect on net assets. Also,
governmental funds report the effect of issuance costs, premiums and discounts
when debt is first issued, whereas these amounts are deferred and amortized in the
statement of activities:
Debt principal payments
Amortization of bond premium
Amortization of bond issuance costs
Change in net assets
See accompanying notes to financial statements
-13-
1,200
1,151,139
(265,267)
(22,620)
(3,624)
959
153,294
(250,668)
(700)
120,000 215,843
2,110 2,304
(6,030) (6,584)
$ 184,393 $ 88,718
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 1 — NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The District
The La Pine Rural Fire Protection District (the District), is a political subdivision of the State of Oregon.
The policies governing the operations of the District are established by an independently elected Board of
Directors and the District is legally separate from all other entities. It has the power to levy taxes, is
responsible for its debts and is entitled to any surpluses. The daily operations of the District are directed
by the Fire Chief.
Financial Reporting Entity
The District's financial statements include the accounts of all District operations. The criteria for including
organizations as component units within the District's reporting entity, as set forth in Section 2100 of
Government Accounting Standards Board's (GASB's), Codification of Governmental Accounting and
Financial Reporting Standards, include whether:
• The organization is legally separate (can sue and be sued in their own name).
• The District holds the corporate powers of the organization.
• The District appoints a voting majority of the organization's board.
• The District is able to impose its will on the organization.
• The organization has the potential to impose a financial benefit/burden on the District.
• There is fiscal dependency by the organization on the District.
Based on the aforementioned criteria, the District has no component units and is not a component unit of
any other entity.
Government -wide Fund Financial Statements
The government -wide financial statements (i.e., the statement of net assets and the statement of
activities) report information on all of the activities of the District. The primary focus of the District is to
provide fire and safety services. Significant interfund activity has been removed from these statements.
The statement of activities demonstrates the degree to which the expenses of the District are offset by
program revenues. Program revenues include: 1) charges to users or applicants who purchase, use or
directly benefit from goods, services or privileges and 2) grants and contributions that are restricted for
operational or capital requirements. Taxes and other items not properly included among program
revenues are reported instead as general revenues. When both restricted and unrestricted resources are
available it is the District's policy to use restricted resources first, then unrestricted resources as they are
needed.
Major individual governmental funds are reported as separate columns in the fund financial statements.
The District has designated all of its funds as major funds.
-14-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 1 — NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES —
CONTINUED
Measurement Focus, Basis of Accounting and Financial Statement Presentation
The government -wide financial statements are reported using the economic resources measurement
focus and the accrual basis of accounting. Revenues are recorded when eamed and expenses are
recorded when a liability is incurred, regardless of the timing of related cash flows. Property taxes are
recognized as revenues in the year for which they are levied. Grants and similar items are recognized as
revenue as soon as all the eligibility requirements imposed by the provider have been met. Ambulance
service revenues are recorded net of contractual allowances and with an allowance recorded for
estimated uncollectible accounts.
The governmental fund financial statements are reported using a current resources measurement focus
and the modified accrual basis of accounting. Under this method, revenues, when material, are
recognized when susceptible to accrual (measurable and available to finance expenditures of the current
period). Available means collectible within the current period or soon enough thereafter to be used to pay
liabilities of the current period. Expenditures are recorded at the time liabilities are incurred. Principal
and interest on general Tong -term debt are recorded as fund liabilities when due.
The basis of accounting described above is in accordance with generally accepted accounting principles
in the United States of America as promulgated for state and local government units.
The District has the following major governmental funds:
• General Fund — This is the Districts primary operating fund. It accounts for all the financial
resources of the general government, except those required to be accounted for in another fund.
• Special Revenue Fund (Mike Meszaros Memorial) — This fund accounts for the receipt of
donations and disbursements made for the education and training of firefighters within the District.
• Building, Equipment and Apparatus Fund — This fund is used to accumulate money to be used for
future capital expenditures.
• 2004 Bond Equipment Fund — This fund is used to expend proceeds from the 2004 Bond
issuance for the purchase of capital assets. The fund was closed as of June 30, 2007 and the
balance was transferred to the Debt Service Fund with a residual equity transfer to the related
debt service fund.
Debt Service Fund — This fund reports the collection of property taxes to pay principal and interest
on the 2004 bond issue.
Cash and Investments
Investments in the statement of net assets are carried at cost, which approximates fair value.
-15-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 1 — NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES —
CONTINUED
Accounts Receivable
At June 30, 2007, the District's accounts receivable consisted of Emergency Medical Services (EMS) fees
and grant receipts. The District's management estimated $95,000 of uncollectible accounts based upon
prior collection experience per type of payee.
Capital Assets
Capital assets, which include land, buildings, improvements, vehicles, furniture, fixtures and equipment
are reported in the government -wide financial statements. Capital assets are defined by the District as
assets with an initial, individual cost of $2,000 or greater and an estimated useful life in excess of one
year. Such assets are recorded at historical cost or estimated historical cost if purchased or constructed.
Donated capital assets are recorded at estimated fair market value at the date of donation.
The costs of normal maintenance and repairs that do not add to the value of the asset or materially
extend assets lives are not capitalized.
Major outlays for capital assets and improvements are capitalized as projects are constructed. The
capital assets of the District are depreciated using the straight-line method over the following estimated
lives of five to twenty years for equipment and twenty to forty years for buildings and improvements.
Property Taxes
Property taxes are levied on all taxable property as of January 1. Property taxes become a lien on July 1.
Collection dates are November 15, February 15 and May 15. Discounts are allowed if the full amount due
is received by November 15. Taxes unpaid and outstanding on May 16 are considered delinquent.
Uncollected taxes are deemed to be substantially collectible or recoverable through liens; therefore, no
allowance for uncollectible taxes has been established.
Compensated Absences
Unpaid compensated absences are recognized as an expense when earned with a corresponding liability
in the government -wide financial statements. Compensated absences are considered a Tong -term liability
and include related taxes and benefits.
Long-term Debt
In the government -wide financial statements, long-term debt is reported as a liability in the statement of
net assets. In the fund financial statements, payment of the 2004 General Obligation Bond payment is
recorded in the Debt Service Fund. Bond premiums, as well as issuance costs, are deferred and
-16-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 1 — NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES —
CONTINUED
Long-term Debt — Continued
amortized over the life of the bonds using the effective interest method. Bond premiums and issuance
costs are shown net of applicable amortization.
Net Assets and Fund Balances
Net assets represent the difference between assets and liabilities. Net assets invested in capital assets,
net of related debt consists of capital assets, net of accumulated depreciation, reduced by the
outstanding balances of any borrowing used for the acquisition of those assets. Net assets are reported
as restricted when there are limitations imposed on their use either through enabling legislation or through
external restrictions imposed by creditors, grantors, laws or regulations of other governments.
Fund balances in the fund financial statements: Governmental funds report reservations of fund balance
for amounts that are not available for appropriation or are legally restricted by outside parties for use for a
specific purpose. Designations of fund balance represent tentative management plans.
Estimates
The preparation of financial statements in conformity with generally accepted accounting principles in the
United States of America requires management to make estimates and assumptions that affect the
reported amounts of assets and liabilities and revenues and expenditures/expenses during the reporting
period. Actual results could differ from those estimates.
Appropriation and Budgetary Controls
The District is subject to provisions of the Oregon Revised Statutes, which set forth local budget
procedures. A budget is prepared for each fund on the modified accrual basis of accounting.
Expenditure budgets are appropriated by the following categories within each fund: personal services;
materials and services; capital outlay; debt service; transfers; and contingency. Budgeted expenditures at
the appropriation level may not be legally overspent.
The Board of Directors may, however, approve additional appropriations for reimbursable grant
expenditures, which could not be reasonably estimated at the time the budget was adopted. Additionally,
budgets may be modified during the fiscal year by the use of appropriation transfers between legal
categories. Such transfers require the approval of the Board.
A supplemental budget may be approved if an occurrence or need exists which had not been ascertained
at the time the budget was adopted. Budget amounts shown in the financial statements include the
original budget as modified for supplemental budgets and budget transfers, where applicable.
-17-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 1 — NATURE OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES —
CONTINUED
Appropriation and Budgetary Controls — Continued
In accordance with state law, all encumbrances and appropriations terminate on June 30. Goods and
services delivered during the ensuing year must be charged against the ensuing year's appropriations.
Consequently, encumbrances are not reported in the financial statements.
Transfers of appropriations from one fund to another or from one appropriation level to another must be
authorized by official resolution or ordinance of the governing body. The resolution or ordinance must
state the need for the transfer, the purpose for the authorized expenditures and the amount of the
appropriation transferred.
Transfers of general operating contingency appropriations, which in aggregate during a fiscal year exceed
10% of the total appropriations of the fund, may only be made after adoption of a supplemental budget
prepared for that purpose.
When the estimated expenditures contained in a supplemental budget for a fiscal year result in an
amount of estimated total expenditures by the municipal corporation for that fiscal year that differs by not
more than 10% of any individual fund contained in the regular budget for that fiscal year, the governing
body of the municipal corporation may adopt the supplemental budget at a regular meeting of the
governing body.
When the estimated expenditures contained in a supplemental budget for a fiscal year result in an
amount of estimated total expenditures by the municipal corporation for that fiscal year that differs by
more than 10% of any individual fund contained in the regular budget for that fiscal year, the
supplemental budget, or a summary thereof, shall be published. The goveming body shall then hold a
public hearing on the supplemental bildget prior to adopting the supplemental budget.
The District's expenditures exceeded the appropriation for debt service in the General Fund by $1,793.
NOTE 2 — CASH AND INVESTMENTS
Oregon Revised Statutes 294.035 authorizes the District to invest in time certificates of deposit, general
obligations of the U.S. Government and its agencies, certain bonded obligations of Oregon municipalities,
bank repurchase agreements, bankers' acceptances and the State Treasurer's Investment Pool, among
others.
The District maintains a cash and investment pool that is available for use by all funds. Each fund's
portion of this pool is displayed as "cash and investments."
-18-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 2 — CASH AND INVESTMENTS — CONTINUED
Cash and investments as of June 30, 2007, consisted of the following:
Cash ori hand $ 200
Demand deposits with financial institution 64,605
State Treasurer's Investment Pool 500,271
Total $ 565,076
Deposits
The insurance and collateral requirements for deposits are established by banking regulations and
Oregon law. Federal Deposit Insurance Corporation (FDIC) insurance of $100,000 applies to total
deposits at each financial institution. Where balances exceed $100,000, ORS 295.025 requires the
depositor to obtain certificates of participation in the amount of excess deposit from its pool manager.
Depository banks must pledge securities with a value of at least 25% of the certificate and the securities
are held by a custodian for the benefit of the State of Oregon. The pool manager ensures that the vaiue
of the securities pledged is at least 25% of the certificate. Any balances in excess of the FDIC insurance
plus 25% of the certificates are considered exposed to custodial credit risk. Custodial credit risk for
deposits is the risk that, in the event of bank failure, the District will be unable to recover deposits or
collateral certificates in the hands of an outside party. On one day during the year, the demand deposits
were in excess of the amount of collateral pledged by the banks and the Federal Deposit Insurance
Corporation by $14,257. At June 30, demand deposits per bank statements of $106,533 were adequately
insured and collateralized.
Investments
The only investments held by the District at June 30, 2007, were amounts deposited with the State of
Oregon Local Government Investment Pool (LGIP). The District's investment in the LGIP is carried at
cost, which approximates fair value. The State of Oregon's investment policies used in administering the
LGIP are governed by statue and the Oregon Investment Council (Council). The State Treasury's
investments in short-term securities are limited by the portfolio rules established by the Oregon Short-
term Fund Board and the Council. In accordance with Oregon statues, the investment funds are
invested, and the investments of those funds managed, as a prudent investor would do, exercising
reasonable care, skill and caution.
Interest Rate Risk. Interest rate risk is the risk that changes in interest rates will adversely affect the fair
value of an investment. Generally, the longer the maturity of an investment the greater the risk that its fair
value will decline if interest rates rise. In order to manage the interest rate risk of its investments, the
District invests only the LGIP. The LGIP has rules that require at least 50% of its investments to mature
within 93 days, not more than 25% may mature in over a year, and all other investments must mature in
no more than three years.
-19-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 2 — CASH AND INVESTMENTS — CONTINUED
Investments — Continued
Credit Risk. Credit risk is the risk that an issuer or other counterparty to an investment will not fulfill its
obligation. Investments in the LGIP are not required to be rated.
Custodial Credit Risk — Investments. Custodial credit risk is the risk that, in the event of a failure of the
counterparty to a transaction, the District will not be able to recover the value of an investment or
collateral securities in the possession of an outside party. The LGIP's portfolio rules provide that
broker/dealers meet certain qualifications and that investments are delivered to and held by a third -party
custodian which holds the securities in the State of Oregon's name.
NOTE 3 — ACCOUNTS RECEIVABLE
Accounts receivable arise from charges for ambulance and related services. The District bills Medicare,
insurance companies and customers at the time services are provided. After all reasonable collection
procedures have been exhausted, the District writes -off uncollectible amounts. Receivables on the
statement of net assets are shown net of management's estimate of uncollectible accounts of $95,000.
Accounts receivable at June 30, 2007, consisted of:
Emergency services
Other receivables
Total receivables
Allowance for uncollectible accounts
Accounts receivable, net
-20-
$ 172,834
37,358
210,192
(95,000)
$ 115,192
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 4 — CAPITAL ASSETS
Capital assets not being depreciated
Land and improvements
Capital assets being depredated
Buildings and improvements
Fire trucks and vehicles
Fire fighting and office equipment
Total capital assets being depreciated
Accumulated depreciation for
Buildings and improvements
Fire trucks and vehicles
Fire fighting and office equipment
Total accumulated depreciation
Total capital assets being
depreciated, net
Capital assets, net
NOTE 5 — SHORT-TERM BORROWING
Balance
July 1, 2006
Balance
Additions Deletions June 30, 2007
$ 79,572 $
1,179,646
2,375,422
891,447
39,719
1,050,727
60,693
4,446,515 1,151,139
(351,033)
(1,195,775)
(656,785)
(31,217)
(147,021)
(87.029)
(2,203,593) (265,267)
2,242,922
885,872
$ 79,572
1,219,365
(248,687) 3,177,462
952,140
(248,687) 5,348,967
(382,250)
248,687 (1,094,109)
(743,814)
248,687 (2,220,173)
$ 2,322,494 $ 885,872 $
3,128,794
- $ 3,208,366
During the year the District borrowed and repaid $450,000 in anticipation of tax receipts.
NOTE 6 — LONG-TERM DEBT
The District's 2004 General Obligation Bond requires principal payments annually of varying amounts.
Interest is due semi-annually with rates ranging from 2% to 4%. It is secured by the taxing authority of the
District and matures March 2014.
-21-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 6 — LONG-TERM DEBT — CONTINUED
The following is a summary of Tong -term debt transactions for the year ended June 30, 2007:
Principal
Outstanding Outstanding
Beginning Issued Redeemed Ending
2004 General Obligation Bond $ 1,255,000 $ $ 120,000 $ 1,135,000
Interest
Outstanding Outstanding
Beginning Matured Redeemed Ending
2004 General Obligation Bond $ $ 44,996 $ 44,996 $
Future debt service requirements for general long-term debt are as follows:
Year ending June 30,
2004 General
Obligation Bonds
Principal Interest
2008 $ 130,000 $ 41,395
2009 140,000 37,495
2010 150,000 32,945
2011 160,000 27,695
2012 170,000 21,775
2013-2014 385,000 23,400
$ 1,135,000 $ 184,705
Total interest expense for both -short-term and long-term debt. was $64,789 for the year ended June 30,
2007.
NOTE 7 — PENSION PLAN
Plan Description
The District is a participating employer in the Oregon Public Employees Retirement System ("PERS"), an
agent multiple -employer public employee retirement system established under Oregon Revised Statutes
238.600 that acts as a common investment and administrative agent for public employers in the State of
Oregon. PERS is a defined benefit pension plan that provides retirement and disability benefits, annual
cost -of -living adjustments and death benefits to members and their beneficiaries. Benefits are
established by state statute.
-22-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 7 — PENSION PLAN — CONTINUED
Plan Description — Continued
In the 2003 legislative session, the Oregon Legislative Assembly created a successor plan for PERS.
The Oregon Public Service Retirement Plan ("OPSRP") is effective for all new employees hired on or
after August 29, 2003, and applies to any inactive PERS members who return to employment following a
six month or greater break in service. The new plan consists of a defined benefit program (the "Pension
Program") and a defined contribution portion (the Individual Account Program or "IAP"). The Pension
Program portion of OPSRP provides a life pension funded by employer contributions. Benefits are
calculated by a formula for members who attain normal retirement age. The formula takes into account
final average salary and years of service and a factor that varies based on type of service (general versus
police or fire).
Beginning January 1, 2004, all PERS member contributions go into the IAP portion of OPSRP. PERS
members retain their existing PERS accounts, but any future member contributions are deposited into the
member's IAP, not the member's PERS account. Those employees who had established a PERS
membership prior to creation of OPSRP will be members of both the PERS and OPSRP system as long
as they remain in covered employment.
Both PERS and OPSRP are administered by the Oregon Public Employees Retirement Board
("OPERB"). The comprehensive annual financial report of the funds administered by the OPERB may be
obtained by writing to Oregon Public Employees Retirement System, P.O. Box 23700, Tigard, OR 97281-
3700, by calling (503) 598-7377, or by accessing the PERS web site at www.gers.state.or.us.
Funding Policy
Employer contributions are required by state statute and made at actuarially determined rates as adopted
by the OPERB. Covered employees are required by state statute to contribute 6.0% of their annual salary
to the system, but the employer is allowed to pay any or all of the employees' contribution in addition to
the required employers' contribution. The District has elected to contribute the 6.0% "pick-up" or $72,730
for the year ended June 30, 2007.
In addition to the 6.0% "pickup," the District contributed 17.97% of covered payroll for employees hired
prior to August 2003 and 11.65% of covered payroll for those hired after that date to PERS for the fiscal
year ended June 30, 2007. This contribution rate was determined as part of the December 31, 2001,
actuarial evaluation and was recalculated to reflect the impact of recently passed legislation (House Bills
2001, 2003 and 2004). The next actuarial valuation is scheduled to be conducted as of December 31,
2007, and was not available at the time these financial statements were completed. This valuation
establishes rates as of July 1, 2009.
Annual Pension Cost
All participating employers are required by law to submit the contributions as adopted by OPERB. For the
fiscal year ended June 30, 2007, the District's annual pension expenditures/expense exclusive of the 6%
"pick-up" was $204,032. The District's contributions were equal to the annual required contributions and
the annual pension cost as a result of the pension obligation bond amortization. The District's annu a1
-23-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 7 — PENSION PLAN — CONTINUED
Annual Pension Cost — Continued
pension cost and pension assets for the year ended June 30, 2007, were as follows:
The District's pension liability and the annual required contribution rate were determined using the entry
age cost method. The unfunded actuarial liability ("UAL") created by this method, including gains and
losses, is amortized as a level percentage of salary over a period commencing on the valuation date
(2003, 2005 and 2007) and ending on December 31, 2027, using closed amortization. Beginning in
2007, each valuation's UAL will be amortized over 20 years, again using closed amortization. The
actuarial assumptions include an investment return of 8.0% per year, projected salary increase of 3.75%,
health cost inflation graded from 9.0% in 2007 to 5% in 2013 and a consumer price inflation component of
2.75%.
The OPERB utilizes a technique called asset smoothing to determine the actuarial value of assets. The
actuarial value of assets are reported at fair market value, Tess a reserve equal to a pro -rata portion of the
investment gains (losses) over the four-year period ending on the valuation date. Investment gains
(losses), effective from January 1, 2000, are recognized at the rate of 25% per year. The actuarial value
of assets is limited to a 10% corridor above and below the fair market value.
The Oregon Legislative Assembly created a second level or "Tier" of OPERS benefits that modified
service and disability retirement allowances payable to persons who established PERS membership on or
after January 1, 1996, ("Tier Two" members). Future interest credits are assumed at 8.0% for Tier One
and there is no guaranty of future interest credits for Tier Two members.
The following table presents three-year trend information for the District's employee pension plan:
Annual Percentage
Fiscal Year Pension of APC
Ending June Cost (APC) Contribution Contributed
2007 $ 276,762 $ 276,762 100%
2006 238,639 238,639 100%
2005 184,469 184,469 100%
-24-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
NOTES TO FINANCIAL STATEMENTS
JUNE 30, 2007
NOTE 7 — PENSION PLAN — CONTINUED
Annual Pension Cost — Continued
Schedule of Funding Progress
Actuarial
Accrued Unfunded UAAL as a
Actuarial Liability (Overfunded) Percentage
Actuarial Value of (AAL) AAL Funded Covered of Covered
Valuation Assets Entry Age (UAAL) Ratio Payroll Payroll
Date (a) (b) (b -a) (alb) (c) (b -a/c)
12/31/03 $ 1,777,761 $ 1,761,778 $ (15,983) 101% $ 1,034,902 (2)%
12/31/04 $ 2,368,775 $ 2,585,498 $ 216,723 92% $ 1,156,058 19%
12/31/05 $ 2,991,466 $ 2,336,410 $ (655,056) 128% $ 954,414 (69)%
NOTE 8 — RISK MANAGEMENT
The District is exposed to various risks of loss related to torts; theft of, damage to and destruction of
assets; errors and omissions and natural disasters for which the District purchases and carries
commercial insurance, subject to customary deductibles and total coverage limits recommended by the
District's insurance agent.
Insurance coverage for the year ended June 30, 2007, was the same or greater than iri prior years.
No losses were incurred during the year ended June 30, 2007, which were greater than the District's
coverage.
NOTE 9 — FUND TRANSFERS
The District transferred $136,558 from its General Fund to the Building, Equipment, Apparatus Fund to
accumulate funds for future capital purchases.
-25-
REQUIRED SUPPLEMENTARY INFORMATION
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - GENERAL FUND
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Revenues
Property taxes $ 1,950,954 $ 1,950,954 $ 1,964,324 $ 13,370
Ambulance service fees, net 470,000 470,000 480,955 10,955
Fire Med membership dues 70,000 70,000 83,798 13,798
Earnings on investments 10,000 10,000 39,031 29,031
Fire Suppression Fees 15,000 15,000 17,394 2,394
Miscellaneous 81,500 81,500 70,163 (11,337)
Total revenues 2,597,454 2,597,454 2,655,665 58,211
Expenditures
Personal services 1,883,878 1,901,878 1,839,705 (62,173)
Materials and services 549,618 561,618 449,581 (112,037)
Capital outlay 94,400 94,400 77,158 (17,242)
Debt service 18,000 18,000 19,793 1,793
Contingency 30,000
Total expenditures
Excess of revenues over (under)
expenditures
Other financing uses
Operating transfers out
2,575,896 2,575,896 2,386,237 (189,659)
21,558 21,558 269,428 247,870
(136,558) (136,558) _ (136,558)
Excess of revenues over (under)
over expenditures and other
financing uses (115,000) (115,000) 132,870 247,870
Fund balance - Beginning of year
Fund balance - End of year
115,000 115,000 211,496 96,496
$ $ $ 344,366 $ 344,366
See accompanying notes to financial statements
-26-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - SPECIAL REVENUE FUND
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Revenues
Donations $ 1,000 $ 1,000 $ 893 $ (107)
Earnings on investments 240 240 532 292
Total revenues 1,240 1,240 1,425 185
Expenditures
Materials and services 1,571
Excess of revenues over (under)
expenditures
Fund balance - Beginning of year
Fund balance - End of year
1,571 1,571
(331) (331) (146) 185
14,473 14,473 16,641 2,168
$ 14,142 $ 14,142 $ 16,495 $ 2,353
See accompanying notes to financial statements
-27-
OTHER SUPPLEMENTARY INFORMATION
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - GENERAL FUND - DETAILED SCHEDULE
YEAR ENDED JUNE 30, 2007
Revenues
Property taxes, current year
Property taxes, prior year
EMS fees
Fire Med membership dues
Address sign sales
Clothing sales
Ash can sales
Fire suppression fees
Miscellaneous
Earnings on investments
Total revenues
Expenditures
Personal services
Payroll
Employee maintenance
Overtime
Total personal services
Material and services
Services
Supplies
Maintenance
Miscellaneous
Capital outlay
Facilities
Apparatus
Equipment
Total capital outlay
Original
Budget
$ 1,880,954
70,000
470,000
70,000
5,000
1,000
500
15,000
75,000
10,000
2,597,454
1,110,676
681,162
92,040
1,883,878
259,788
66,750
94,580
128,500
549,618
21,000
26,400
47,000
94,400
Adjusted
Budget
$ 1,880,954
70,000
470,000
70,000
5,000
1,000
500
15,000
75,000
10,000
Variance
Actual Over (Under)
$ 1,901,206 $ 20,252
63,118 (6,882)
480,955 10,955
83,798 13,798
3,732 (1,268)
169 (831)
315 (185)
17,394 2,394
65,947 (9,053)
39,031 29,031
2,597,454 2,655,665 58,211
1,128,676
681,162
92,040
1,077,299
655,459
106,947
1,901,878 1,839,705
259,788
66,750
94,580
140,500
561,618
21,000
26,400
47,000
94,400
163,210
63,681
103,543
119,147
449,581
8,734
27,300
41,124
77,158
See accompanying notes to financial statements
-28-
(51,377)
(25,703)
14,907
(62,173)
(96,578)
(3,069)
8,963
(21,353)
(112,037)
(12,266)
900
(5,876)
(17,242)
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - GENERAL FUND - DETAILED SCHEDULE - CONTINUED
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Expenditures - Continued
Debt service
Interest on tax anticipation note $ 18,000 $ 18,000 $ 19,793 $ 1,793
Contingency 30,000
Total expenditures 2,575,896 2,575,896 2,386,237 (189,659
Excess of revenues over (under)
expenditures 21,558 21,558 269,428 247,870
Other financing uses
Operating transfers out (136,558) (136,558) (136,558)
Excess of revenues over (under)
expenditures and other financing
uses (115,000) (115,000) 132,870 247,870
Fund balance - Beginning of year 115,000 115,000 211,496 96,496
Fund balance - End of year $ $ - $ 344,366 $ 344,366
See accompanying notes to financial statements
-29-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - BUILDING, EQUIPMENT, APPARATUS -
CAPITAL PROJECTS FUND
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Revenues
Earnings on investments $ 3,500 $ 3,500 $ 9,792 $ 6,292
Expenditures
Capital Outlay
Excess of revenues over (under)
expenditures
Other financing sources
Operating transfer in
213,500 213,500 201,594 (11,906)
(210,000) (210,000) (191,802) 18,198
136,558 136,558 136,558
Excess of revenues and other
financing sources over (under)
expenditures (73,442) (73,442) (55,244) 18,198
Fund balance - Beginning of year
270,124 270,124 286,887 16,763
Fund balance - End of year $ 196,682 $ 196,682 $ 231,643 $ 34,961
See accompanying notes to financial statements
-30-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN FUND BALANCE -
BUDGET AND ACTUAL - 2004 BOND EQUIPMENT FUND -
CAPITAL PROJECTS FUND
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Revenues
Earnings on investments $ 10,000 $ 10,000 $ 7,580 $ (2.420)
Expenditures
Capital outlay 843,067 929,872 929,131 (741)
Total expenditures 843,067 929,872 929,131 1,741)
Excess of revenues over (under)
expenditures (833,067) (919,872) (921,551) (1,679)
Fund balance - Beginning of year 833,067 919,872 923,552 3,680
Residual equity transfer (2,001) (2,001)
Fund balance - End of year $ $ $ $
See accompanying notes to financial statements
-31-
LA PINE RURAL FIRE PROTECTION DISTRICT
Deschutes County, Oregon
STATEMENT OF REVENUES, EXPENDITURES AND
CHANGES IN FUND BALANCE - BUDGET AND ACTUAL
DEBT SERVICE FUND
YEAR ENDED JUNE 30, 2007
Original Adjusted Variance
Budget Budget Actual Over (Under)
Revenues
Property taxes $ 175,196 $ 175,196 $ 177,030 $ 1,834
Earnings 500 500 583 83
Total revenues
175,696 175,696 $ 177,613 1,917
Debt Service
Principal 153,198 153,198 120,000 (33,198)
Interest 44,996 44,996 44,996
Total debt service 198,194 198,194 164,996 (33,198)
Excess of revenues over (under)
expenditures (22,498) (22,498) 12,617 35,115
Fund balance - Beginning of year 22,498 22,498 13,155 (9,343)
Residual equity transfer 2,001 2,001
Fund balance - End of year $ $ $ 27,773 $ 27,773
See accompanying notes to financial statements
-32-
LA PINE RURAL FIRE PROTECTION DISTRICT
DESCHUTES COUNTY, OREGON
SCHEDULE OF EXPENDITURES AND APPROPRIATIONS
ALL FUNDS
YEAR ENDED JUNE 30, 2007
Actual
Under (Over)
Actual Appropriations Appropriation
General Fund
Personal services $ 1,839,705 $ 1,901,878 $ 62,173
Materials and services 449,581 561,618 112,037
Capital outlay 77,158 94,400 17,242
Debt service 19,793 18,000 (1,793)
Transfers 136,558 136,558
$ 2,522,795 $ 2,712,454 $ 189,659
Special Revenue Fund
Materials and services $ 1,571 $ 1,571 $
Building, Equipment, Apparatus Fund
Capital outlay $ 201,594 $ 213,500 $ 11,906
2004 Bond Equipment Fund
Capital outlay
$ 929,131 $ 929,872 $ 741
Debt Service Fund
Debt service $ 164,996 $ 198,194 $ 33,198
See accompanying notes to financial statements
-33-
LA PINE RURAL FIRE PROTECTION DISTRICT
DESCHUTES COUNTY, OREGON
SCHEDULE OF PROPERTY TAX TRANSACTIONS
YEAR ENDED JUNE 30, 2007
Tax Year
GENERAL FUND
Beginning Taxes
Balance Receivable
and Interest June 30,
2006-07 Levy Adjustments (Discount) Collections 2007
Deschutes & Klamath Counties
2006-07 Deschutes $ 1,397,661 $ (3,867) $ (33,853) $ 1,320,587 $ 39,354
2006-07 Local option Deschutes 580,958 (1,608) (14,070) 548,922 16,358
2006-07 Klamath 34,003 (25) (823) 31,697 1,458
2005-06 Deschutes 27,293 (215) 859 19,714 8,223
2005-06 Local option Deschutes 11,345 (89) 356 8,194 3,418
2005-06 Klamath 1,297 (18) 34 678 635
Prior years 20,829 19,474 2,094 33,833 8,564
$ 2,073,386 $ 13,652 $ (45,403) 1,963,625 $ 78,010
Less taxes accrued at June 30, 2006
Plus taxes accrued at June 30, 2007
(14,130)
14,829
Modified accrual basis revenue $ 1,964,324
DEBT SERVICE FUND
Deschutes & Klamath Counties
2006-07 $ 182,912 $ (506) $ (4,431) $ 172,825 $ 5,150
Prior 4,416 884 175 3,962 1,513
$ 187,328 $ 378 $ (4,256) 176,787 $ 6,663
Less taxes accrued at June 30, 2006 (923)
Plus taxes accrued at June 30, 2007 1,166
Modified accrual basis revenue $ 177,030
See accompanying notes to financial statements
-34-
AUDIT COMMENTS AND DISCLOSURES REQUIRED
BY STATE REGULATIONS
AUDIT COMMENTS AND DISCLOSURES
REQUIRED BY STATE REGULATIONS
Internal Control
We have audited the basic financial statements of the La Pine Rural Fire Protection District (the District),
as of and for the year ended June 30, 2007, and have issued our independent auditors' report thereon
dated October 8, 2007. We conducted our audit in accordance with generally accepted auditing
standards in the United States of America. In planning and performing our audit, we considered the
District's internal control over financial reporting in order to determine our auditing procedures for the
purpose of expressing our opinion on the basic financial statements and not to provide assurance on the
internal control over financial reporting.
A significant deficiency is a control deficiency, or combination of control deficiencies, that adversely affects
your entity's ability to initiate, authorize, record, process or report financial data reliably in accordance with
generally accepted accounting principles in the United States of America such that there is more than a
remote likelihood that a misstatement of your financial statements that is more than inconsequential will
not be prevented or detected by your internal control. We noted no matters involving internal control over
financial reporting that we consider to be a significant deficiency.
A material weakness is a significant deficiency, or combination of significant deficiencies, that results in
more than a remote likelihood that a material misstatement of the financial statements will not be
prevented or detected by your internal control. We believe that the following deficiency constitutes a
material weakness:
The staff has limited expertise in the preparation of financial statements and required disclosures for
governmental entities in accordance with GAAP (generally accepted accounting principles) in the
United States of America. Management currently relies on the auditor to determine proper GAAP
treatment and presentation of financial information for external reporting. The auditor, however, may
not be considered to be a part of the District's internal control under the guidelines of SAS 112. We
recommend that the District consider its options for improving or outsourcing its expertise in GAAP
reporting. There are a wide variety of materials available from the Government Finance Officers
Association (gfoa.org) and the American Institute of Certified Public Accountants (aicpa.org).
Accounting Records
We found the condition of the accounting records adequate for audit purposes.
Collateral
Cash was adequately secured during the year except one day when the cash on deposit exceeded
collateral pledged by the banks and the Federal Deposit Insurance Corporation by $14,257.
Indebtedness
The District's short-term and Tong -term debt was found to be within legal limitations on the amount of debt
which may be incurred, liquidation of debts were within the prescribed period of time and indebtedness
was in compliance with provisions of bond indentures and other agreements, including restrictions on the
use of monies available to retire indebtedness.
-35-
� NAIIIIIGAN MID [BIINIS x l:o.lu'
AUDIT COMMENTS AND DISCLOSURES
REQUIRED BY STATE REGULATIONS
Budgeting
We reviewed the District's procedures for preparation, adoption and execution of its budget for the year
ended June 30, 2007, and the procedures for preparation and adoption of their budget for the year
beginning July 1, 2007. All procedures were found to be in compliance with statutory requirements with
the exception of expenditures for debt service in the General Fund which exceeded the appropriation by
$1,793.
Insurance Coverage and Fidelity Bonds
Insurance coverage and fidelity bonds were reviewed and found to be in compliance with statutory
requirements.
Programs Funded From Outside Sources Requirements
The District had no programs which required review or comment.
Public Contracts and Purchasing
Procedures for public contracts and purchasing were reviewed and found to be in compliance with
statutory requirements.
Investments
The District was in compliance with the legal requirements of ORS 294 pertaining to the investment of
public funds.
Financial Reporting Requirements
The District was not required to file financial reports with governmental agencies.
Highway Funds
The District does not receive any highway funds.
This report is intended solely for the information and use of management, the board of directors and the
Oregon Secretary of State and is not intended to be and should not be used by anyone other than these
specified parties.
HARRIGAN PRICE FRONK & CO. LLP
Certified Public Acc
ants & Consultants
By: a4/ 49j 7404
andace S. Fronk - a partner
October 8, 2007
-36-
1 1111:1 FIIIi1(1& CU. I l l'
DESCHUTES COUNTY
FRANCHISE APPLICATION TO PROVIDE ASA SERVICE
Agency:
Crooked River Ranch Fire & Rescue
Mailing Address:
Contact Name(s):
Alysha Gilpatrick, Fire Chief Larry Langley
6971 SW Shad Road, Crooked River Ranch, OR 97760
Phone #
541-923-6776
Fax #:
541-923-5247
e-mail Address:
Lysh_27@hotmail.com
1. Which ASA do you desire to serve? (Ex: Redwood ASA, S/R ASA)
Crooked River Ranch ASA
Approx. 1 square mile. ALL of those portions of Crooked River Ranch lying within Deschutes County
2. What is the location from which ambulance services will be provided?
6971 SW Shad Road
3. What are the levels of service to be provided? (Check all that apply.)
x
BLS x ILS x ALS
4. Will you subcontract for any services to be provided? If so, attach a copy of that subcontract.
Yes x No Comments:
5. What is your ambulance service license number as issued by the Oregon Health Division?
1613
6. List the ambulances to be used in providing emergency services:
Year:
Make:
Model:
OHD License Number:
1997
Freightliner
Type I
E218928
1994
Ford
Type III
E191173
Attach copies of all ambulance licenses issued by the Oregon Health Division.
DC Franchise Application to Provide ASA Service
Page 1 of 4 Pages
7. Write a statement, or provide documentation, that all equipment and supplies in each
ambulance conforms to Health Division standards.
Each ambulance carries an inventory of the required equipment and supplies. These units are cheched after
each activity and a complete inventory review is performend on the last day of the month.
8. List personnel to be used in providing emergency services, including paid & unpaid
personnel. (An attachment is acceptable.)
Name:
Fast, Tom
Gilpatrick, Alysha
Hall, Jeremy
Johannsen, Karl
Johannsen, TJ
Langley, Larry
Langley, Samantha
Martin, Jack
McLaren , Tim
Senko, Dennis
Stafford, Eric
Wilson, Mark
EMT Level:
Paramedic
Paramedic
Basic
Paramedic
Intermediate
Basic
Basic
Paramedic
Basic
Basic
Basic
Certificate Number:
127555
129833
129145
110795
110796
123580
132631
128903
128540
130960
131549
132788
9. Write a statement of agency's experience in providing ambulance services.
Crooked River Ranch Fire and Rescue has been providing ambulance services to the Ranch since 1978. The
Fire District employs a Fire Chief, Assistant Chief, Administrative Assistant, four paramedics, and twenty
volunteer firefighters of which eight are EMT Basics. There are two ALS ambulances in the district. The
district has continued to improve the ambulance service by increasing personnel and quality of equipment.
DC Franchise Application to Provide ASA Service
Page 2 of 4 Pages
10. Write a statement of ability to comply with the rules and regulations of the ASA Plan and
any applicable County ordinances.
Crooked River Ranch Fire & Rescue has a captain assigned to supervise the district's EMS program and is
directly responsible to the Fire Chief. The duties of the position include certification compliance, ambulance
licensing, EMS records maintenance, ordering of supplies and equipment, and training. It is the district's
goal to always be in compliance with Federal, State, and Local rules, regulations and statutes.
11. Write a description of any prepaid ambulance plan, including the number of years of
operation, funding and term.
Crooked River Ranch Fire & Rescue participates in the FireMed Program and provides this service to our
customers. The cost is $45.00 per year and with a membership any cost incurred above that which is paid by
insurance is written off for the patient.
12. In the case of an application to transfer or assume an already assigned franchise, please
provide the following.
A. Summarize how the proposed change will improve response time, and the quality of
level of services to the ASA. (Include an assessment of how the proposed change will
impact the existing first response system.)
N/A
DC Franchise Application to Provide ASA Service
Page 3 of 4 Pages
B. Provide evidence that the call volume in the ASA is sufficient to financially or
otherwise justify the changes in service.
N/A
13. Submit copies of your adopted Fiscal Year 2002-03 Budget, and an audit for Fiscal Year
2001-02.
14. Submit proof of public liability insurance.
DC Franchise Application to Provide ASA Service Page 4 of 4 Page
OREGON DEPARTMENT OF HUMAN SERVICES
EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEM
TL1.tiMPER:
`" I'JYrreightliner
AMBULANCE LICENSE — POST IN VEHICLE
Crooked River Ranch RFPD
6730 SW Shad Road
Crooked River Ranch OR 977609250
MUST BE POSTED IN A CONSPICUOUS PLACE - NOT TRANSFERRABLE
AUDIT NO.
3379
45.00
PAYMENT RECEIVED'
EXPIRATION
DATE
MO. DAY: YR.
06/30/2008
OREGON DEPARTMENT T.OF HUMAN SERVICES
EMERGENCY MEDICAL SERVICES & TRAUMA SYSTEM
AMBULANCE LICENSE—POST-IN VEHICLE
Crooked River Ranch RFPD
6730 SW Shad Road
Crooked River Ranch OR , 977609250
MUST BE POSTED IN A CONSPICUOUS PLACE - NOT TRANSFERRABLE
MALT NO.
3373; ...
45.00
PAYMENT RECEIVED.
EXPIRATION
DATE
MO. DAY :;YR.
06/30/2008
8:10 AM
04/21/08
Cash Basis
Crooked River Ranch RRFPD
Profit & Loss Budget vs. Actual EMS Fund
July 2006 through June 2007
Ordinary Income/Expense
Income
EMS Income Funds
Ambulance Income
Fire Med
Total EMS Income Funds
Total Income
Expense
Capital Outlay
Jul '06 - J... Budget $ Over B... % of Bud...
73,003.18 61,000.00 12,003.18 119.7%
11,655.00 9,500.00 2,155.00 122.7%
84,658.18 70,500.00 14,158.18 120.1%
84,658.18 70,500.00 14,158.18 120.1%
Capital -EMS 7,378.25 12,000.00 -4,621.75 61.5%
Subsidy from Another Fu... 21,000.00 21,000.00 0.00 100.0%
Total Capital Outlay 28,378.25 33,000.00 -4,621.75 86.0%
Materials and Services
EMS
Ambulance License 165.00 900.00 -735.00 18.3%
Communications 1,322.94 900.00 422.94 147.0%
Fees & Dues 440.42
Fuel 1,660.93 4,300.00 -2,639.07 38.6%
Immunizations 620.50 700.00 -79.50 88.6%
Maintenance 436.09 2,500.00 -2,063.91 17.4%
Medical Director 1,200.00 1,200.00 0.00 100.0%
Student Program 8,000.00 8,000.00 0.00 100.0%
Supplies 14,956.62 8,000.00 6,956.62 187.0%
Travel & Training' 4,485.11 5,000.00 -514.89 89.7%
EMS - Other 0.00 0.00 0.00 0.0%
Total EMS 33,287.61 31,500.00 1,787.61 105.7%
Professional Services
EMS Billing 4,451.60 9,000.00 -4,548.40 49.5%
Total Professional Servic... 4,451.60 9,000.00 -4,548.40 49.5%
Total Materials and Services 37,739.21 40,500.00 -2,760.79 93.2%
Personnel Services
Asst. Chief / EMS 0.00 0.00 0.00 0.0%
Employee Benefits 0.00 0.00 0.00 0.0%
EMT Position(s) 0.00 0.00 0.00 0.0%
Payroll Taxes 0.00 0.00 0.00 0.0%
Total Personnel Services 0.00 0.00 0.00 0.0%
Transfers & Contingency
Contingency 0.00 0.00 0.00 0.0%
Total Transfers & Continge... 0.00 0.00 0.00 0.0%
Total Expense 66,117.46 73,500.00 -7,382.54 90.0%
Net Ordinary Income 18,540.72 -3,000.00 21,540.72 -618.0%
Net Income 18,540.72 -3,000.00 21,540.72 -618.0%
Page 1
Crooked River Ranch RFPD
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RESOURCE DESCRIPTION
Historical Data
Beginning Fund Balance:
Available cash on hand* (cash basis) or
Net working capital (accrual basis)
Previously levied taxes estimated to be received
OTHER RESOURCES
Ambulance Income
Fire Med Income
8
Subsidy from General Fund
Re -finance of Amb. Purchase (A-571)
Total resources, except taxes to be levied
Taxes estimated to be received
Unappropriated ending fund balance
TOTAL RESOURCES
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*Includes Unappropriated Balance Budgeted Last Year
REQUIREMENTS SUMMARY
BY FUND, ORGANIZATIONAL UNIT OR PROGRAM
EMS Enterprise Fund
Crooked River Ranch RFPD
Historical Data
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EXPENDITURE DESCRIPTION
Adopted Budge
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TOTAL EXPENDITURES
UNAPPROPRIATED ENDING FUND BALANCE
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CROOKED RIVER RANCH RURAL FIRE PROTECTION DISTRICT VI -503
JEFFERSON COUNTY, OREGON
PROPRIETARY FUND - STATEMENT OF NET ASSETS - MODIFIED CASH BASIS
EMS ENTERPRISE FUND
JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR JUNE 30, 2006)
Business -type Activities
EMS Fund
2007 2006
ASSETS
Cash $ 61,026 40,970
Capital assets 217,840 210,462
Accumulated depreciation (173,508) (163,667)
TOTAL ASSETS
NET ASSETS
Invested in capital assets, net of related debt
Unrestricted
TOTAL NET ASSETS
See notes to financial statements
-16-
105,358 87,765
44,332 46,795
61,026 40,970
$ 105,358 $ 87,765
1
CROOKED RIVER RANCH RURAL FIRE PROTECTION DISTRICT VI -503
JEFFERSON COUNTY, OREGON
PROPRIETARY FUND, - STATEMENT OF REVENUES, EXPENDITURES AND CHANGES IN NET ASSETS
MODIFIED CASH BASIS - EMS ENTERPRISE FUND
YEAR ENDED JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR THE YEAR ENDED JUNE 30, 2006)
Business -type Activities
EMS Fund
2007 2006
Operating revenues received
Service revenue $ 84,658 $ 86,650
Operating expenses paid
Personal services
Materials and services 36,224
Transfer to General Fund 21,000
Depreciation 9,841
14,930
33,416
10,096
67,065 58,442
Operating income (loss) 17,593 28,208
NET ASSETS - Beginning of year 87,765 59,557
NET ASSETS - End of year $ 105,358 $ 87,765
See notes to financial statements
-17-
CROOKED RIVER RANCH RURAL FIRE PROTECTION DISTRICT VI -503
JEFFERSON COUNTY, OREGON
STATEMENT OF CASH FLOWS
MODIFIED CASH BASIS - EMS ENTERPRISE FUND
YEAR ENDED JUNE 30, 2007
(WITH COMPARATIVE TOTALS FOR THE YEAR ENDED JUNE 30, 2006)
Business -type Activities
EMS Fund
2007 2006
CASH FLOWS FROM OPERATING ACTIVITIES
Receipts from customers $ 84,658 $ 86,650
Payments to suppliers (36,224) (33,416)
Transfer to General Fund for personnel (21,000)
Payments to employees (14,930)
NET CASH PROVIDED BY OPERATING ACTIVITIES 27,434 38,304
CASH FLOWS FROM CAPITAL AND RELATED FINANCING ACTIVITIES
Acquisition of equipment (7,378) (8,000)
NET INCREASE IN CASH 20,056 30,304
CASH - Beginning of year 40,970 10,666
CASH - End of year $ 61,026 $ 40,970
Reconciliation of operating income to net cash provided
by operating activities:
Operating income $ 17,593 $ 28,208
Adjustments to reconcile operating income to net cash provided
by operating activities:
Depreciation 9,841 10,096
Net cash provided by operating activities $ 27,434 $ 38,304
See notes to financial statements
-18-
SPECIAL DISTRICTS
ASSOCIATION OF OREGON
Special Districts Association of Oregon
Liability Declarations
Certificate Number 23P52514-907
Named Participant:
Crooked River Ranch R.F.P.D.
6730 S.W. Shad Road
Terrebonne, OR 97760
Coverage Period: 1/1/2008 through 1/1/2009
Agent of Record:
Wilson-Heirgood Associates
P.O. Box 1421
2930 Chad Drive
Eugene, OR 97440
Coverage is provided for only those coverages indicated below for which a contribution is shown.
Coverage
Per Occurrence
Limit
Annual
Aggregate
Deductible / SIR
Contribution
Public Entity Liability Coverage
including:
$500,000
None
N/A
$6,771.00
Increased Limits of Liability
$4,500,000
None
N/A
$318.00
Total Limit of Liability
$5,000,000
None
N/A
N/A
Tort Liability - Coverage A
Included
Included
None
Included
Federal Acts Liability - Coverage B
Included
Included
None
Included
Other Jurisdictions - Coverage C
Included
Included
None
Included
Employee Benefits Liability
Included
Included
None
Included
Wrongful Acts/Public Officials
Included
Included
None
Included
Employment Practices
Included"
$5,000,000
See Below'r*
Included
Emergency Operations Pollution
Included
Included
None
included
Potable Water Treatment Pollution
Included
Included
None
Included
Auto Liability
Included
Included
None
$2,138.00
Non-Owned/Hired Auto Liability
Included
Included
None
$125.00
Additional Coverages
Unless otherwise indicated in Section II of the SDAO Liability Coverage Document, the following Additional
Coverages will not be in addition to the Total Limit of Liability identified above.
Ethics Complaint Defense
$2,500
$5,000
None
Included
BOLI Defense Costs
$50,000
$50,000
None
Included
OSHA Defense Costs
$5,000
$5,000
None
Included
Pollution Coverage - (minimum)
$100,000
$100,000
Applicators Pollution Coverage
$50,000
$50,000
None
None
Included
Included
Injunctive Relief Defense
$25,000
$25,000
None
Included
Uninsured/Underinsured Motorist
$500,000
None
None
Auto Physical Damage
Per Schedule
Per Schedule
Per Schedule
Included'
$3,853.00
Hired Auto Physical Damage
No Coverage
No Coverage
No Coverage
No Coverage
$25,000,000 maximum per occurrence limit for all SDAO Trust Participants involved in the same occurrence.
$5,000,000 maximum per occurrence and annual aggregate limit for all Employment Practices related claims.
$10,000 employment practices deductible for terminations when SDAO is not contacted for free legal advice in advance.
$10,000 controlled burn deductible if BPSST guidelines are not followed.
Forms applicable to participant:
SDAO Liability Coverage Documen
Auto Physical Damage Coverage Document
This certificate is made and is mutually accepted by the Pool and Named Participant subject to all provisions,
stipulations, and agreements which are made a part of the SDAO Liability Coverage Document. This certificate
represents only a brief summary of coverages. Other conditions and exclusions apply as described in the SDAO
Liability Coverage Document.
Countersigned by:
Special Districts Association of Oregon
Thursday, November 29, 2007
SPECIAL DISTRICTS
ASSOCIATION OF OREGON
Special Districts Association of Oregon
Property Coverage Declarations
Certificate Number: 23P52514-907
Named Participant:
Crooked River Ranch R.F.P.D.
6730 S.W. Shad Road
Terrebonne, OR 97760
Coverage Period: 1/1/2008 through 1/1/2009
Agent of Record:
Wilson-Heirgood Associates
P.O. Box 1421
2930 Chad Drive
Eugene, OR 97440
Limits of Liability (Per Occurrence):
$494,000
$65,000
$287,115
$5,000
$851,115
$300,000,000
Buildings, Increased Cost of Construction and Demolition
Business Personal Property, Tenant's Improvements and Betterments, Stock and Property of Others
Portable Equipment, Mobile Equipment, and Other Inland Marine Scheduled Items
Electronic Data Processing Equipment and Media
Total Limit of Liability
Total Limit of Liaility (Per Occurrence) for all Trust Participant's combined
Sublimits (Per Occurrence):
Regardless of the Total Limits of Liability shown above the Trust will not pay more than the sub -limits below (or such
higher limits specifically declared and reported to, and accepted by, the Trust) per occurrence for the Property
or Cause of Loss described below:
$1,000,000 Newly Acquired or Newly Constructed Real Property
$1,000,000 Business Interruption
$500,000 Extra Expense - Including Electronic Data Processing (EDP) Extra Expense
$500,000 Newly Acquired Personal Property
$5,000,000 Debris Removal - or 25% of loss, whichever is less
$5,000,000 Demolition and Increased Cost of Construction
$100,000 Rented or Leased Equipment - 30 day maximum unless scheduled
$250,000 Each for:
Accounts Receivable
Valuable Papers and Records
Personal Property in Transit
Fine Arts
Off Premises Service Interruption
Personal Property in the Care, Custody, or Control
$25,000 Pollutant Clean Up
$15,000 each for:
Personal Property at Unscheduled Locations
Personal Property of Employees or Volunteers - in the aggregate
Loss Adjustment Expenses
$10,000 Computer Virus
$5,000 Money and Securities
SPECIAL DISTRICTS
ASSOCIATION OF OREGON
Special Districts Association of Oregon
Property Coverage Declarations
Additional Sublimits (Per Occurrence):
Sublimits shown below, if any, are in addition to the sublimits shown on page 1.
Locations Covered: Per statement of values in file.
Report of Values: Annual statement of values must be submitted.
Perils Covered: Risks of Direct Physical Loss subject to the terms, conditions and exclusions of the current
SDAO Master Property Coverage Document.
Deductibles: $500.00 Per occurrence (unless specifically scheduled otherwise) except:
$250.00 Per occurrence on portable equipment, mobile equipment and other inland
marine scheduled items (unless specifically scheduled otherwise).
Contribution: $1,939.00
Forms Applicable: SDAO Master Property Coverage Document
This certificate is made and is mutually accepted by the Pool and Named Participant subject to all
provisions, stipulations, and agreements which are made a part of the SDAO Master Property Document.
This certificate represents only a brief summary of coverages.
Countersigned by:
l
Authorized Representative
Special Districts Association of Oregon
Thursday, November 29, 2007
SPECIAL DISTRICTS
ASSOQATION OP OREGON
Special Districts Association of Oregon
Equipment Breakdown Supplemental Coverage Declaration
Certificate Number: 23P52514-907
Named Participant:
Crooked River Ranch R.F.P.D.
6730 S.W. Shad Road
Terrebonne, OR 97760
Coverage Period: 1/1/2008 through 1/1/2009
Agent of Record:
Wilson-Heirgood Associates
P.O. Box 1421
2930 Chad Drive
Eugene, OR 97440
The following Supplemental Coverage is added to the SDAO Property Coverage Document for the Coverage Period indicated
above. This Supplemental Coverage is subject to all of the limits of liability, terms and conditions (not in conflict herewith) of
the SDAO Property Coverage Document and Supplemental Equipment Breakdown Coverage.
Covered
Equipment:
Equipment that generates, transmits or utilizes energy, including electronic communications and
data processing equipment or equipment which, during normal usage operates under vacuum or
pressure, other than the weight of its contents.
Limits: $50,000,000 Property damage limit per accident
Included Water Damage
Included Computer Equipment and Media
Sub Limits: $2,500,000 Demolition and Increased Cost of Construction
$5,000,000 Newly Acquired Property (90 days) or Property in the Course of
Construction
$500,000 Extra Expense
$1,000,000 Business Income - Actual Loss Sustained - excludes ordinary payroll.
(excludes PUD's and any district generating or distributing electricity)
$2,500,000 Ordinance or Law (Increased Cost of Construction)
$1,000,000 Contingent Business Income
$10,000,000 Expediting Expense
$1,000,000 Hazardous Substance
$500,000 Perishable Goods
$250,000 Amonia Contamination
$1,000,000 Data Restoration
$10,000 Portable Generators
$500,000 Service Interruption with 24 hour waiting period
Deductibles: $1,000 Property Damage Deductible except as follows:
Locations:
Indirect Coverages 24 Hours waiting period
Extra Expense $1,000
Transformers $2/kva, $5,000 minimum
Internal Combustion Engines $30 per kw rating minimum $10,000
Turbines and Generators $30 per kw rating minimum $10,000
Substations (All other equipment) $5,000
Pumps/Motors >=500 hp, $10,000
499 to 250 hp, $2,500
< 250 hp, $1,000
Per Master SDAO Property Coverage Document Current Statement of Values
Contribution: $250.00
This Declaration represents only a brief summary of coverages. Please refer to the Master Policy terms for
detailed coverages, exclusions, and conditions that may apply.
Countersigned by:
Authorized Representative
Special Districts Association of Oregon
Thursday, November 29, 2007