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Agenda 05/13/2008 Item # 9F EXECUTIVE SUMMARY Agenda Item No. 9F May 13, 2008 Page 1 of 21 APPOINTMENT OF MEMBER(S) TO THE EMERGENCY MEDICAL SERVICES ADIVOSRY COUNCIL OBJECTIVE: To appoint I member to fulfill the remainder of a vacant term and confirm I member representing the Collier County Fire Chiefs Association to the Emergency Medical Services Advisory Council (EMSAC). CONSIDERATIONS: The Emergency Medical Services Advisory Council has I vacancy due to a resignation with the term expiring on August 31,2009, representing the AT-LARGE position. This 14 member council advises the Board of County Commissioners on all aspects of emergency medical services, including the operational budget, level of service and equipment. Membership includes 2 At Large Members, I member from each Commission District, I member representing Naples Community Hospital, 1 member representing Physicians Regional Medical Center, I member representing the Sheriffs Department, I member representing the Health Department, I member representing the City of Naples EMS/Fire Department, I member representing the Collier County Fire Chiefs Association, I member representing Marco Island Police and Emergency Services, and I ex-officio member. T enns are 3 years. A list of the current membership is included in the backup. Mr. Johan Domenie resigned on February 21, 2008. A press release was issued and resumes were received from the following 3 interested citizens: APPLICANT CATEGORY D1ST ELECTOR ADV. COMM. James N. Hamnton At-Large 2 Yes None Fay R. Biles At-Large 1 Yes Water/Wastewater Authority George Henry Danz NO None ATTENDANCE: NlA COMMITTEE RECOMMENDATION: James N. Hampton - term expiring on August 31, 2009 COLLIER COUNTY FIRE CHIEF'S ASSOCIATION RECOMMENDATION: Chief Robert Metzger - request for confirmation with the term expiring August 31, 2011. FISCAL IMPACT: NONE GROWTH MANAGEMENT IMPACT: NONE RECOMMENDATION: That the Board of County Commissioners consider the recommendation for appointment, appoint I member, confirm I member, and direct the County Attorney to prepare a resolution confirming the appointments. Prepared By: Sue Filson, Executive Manager Board of County Commissioners Agenda Date: MAY 13, 2008 Page 1 of ] Agenda Item No. 9F May 13, 2008 Page 2 of 21 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: Item Summary: Meeting Date: 9F Appointment of members to the Emergency Medica! Services Advisory Council. 5/13/200890000 AM Prepared By Sue Filson Executive Manager to the BCe Date Board of County Commissioners Bce Office Approved By John A. Yonkosky Director of the Office of Management Date County Manager's Office Office of Management & Budget 5/2/20088:21 AM Approved By James V. Mudd Board of County Commissioners County Manager Date County Manager's Office 5/5/2008 5:40 PM file://C:\AgendaTest\Export\ 107 -May%20 l3,%202008\09.%20BOARD%200F%20COUNT... 517/2008 BlIreau of Emergenry Sl.'rvlces ,,,n..., 'n'"'.... Agenda Item No. 9F COLLIER COUNTY BUREAU OF EMERGENCY SER~~ ~?g~ EMERGENCY MEDICAL SERVICES DEPARTMENT S5S DaD E. SumlDen CEM Bureau Director Dr. Robert Tober EMS Medical Director Jeff Page Chief EMSIFIRE Rod Rodriguez Chief~ Isles of Capri Fire and Rescue Paul Wilson Chief~ Ocbopee Fire Control Jim vooRinteln Coordinator CEM, FPEM Rick Zyvoloski Coordinator FPEM Judy Scribner Human SetVices Program Manager John C. Veit Logistics Coordinator Joe Frazier IIomeland Security Coordinator Patti Clemens Emergency Manag~ Technician " 2705 S. Horseshoe Drive _ Naples, Florida 34] 04 . 239-252-2537 . FAX 239~775-4454 To: Sue Filson, Executive Manager Board of County Commissioners From: Jeff Page, Chief Emergency Medical Services Date: May 1,2008 Re: EMS Advisory Council Vacancy Please be advised that at the EMS Advisory Council Meeting held yesterday, April 30th, 2008, the members present voted unanimously to have Dr. James Hampton fill the "At Large" vacancy. The other two applicants were Dr. Fay Biles and George Danz, who withdrew his application on April 7th, 2008. Respectfully, Jeff Page Agenda Item No. 9F ;2008 of 21 cl\])m:er Cl\])mlty ffure; Crue;fs' ASSiD)(dmumll Big Corkscrew Island Golden Gate Ochopee City of Marco Island Immokalee Collier E.M City of Naples Isles of Capri Collier EMS East Naples North Naples Florida D.O.F Aprilll, 2008 Sue Filson Board of County Commissioners 3301 East Tamiami Trail Naples, FL. 34112. Ms. Filson: As President of the Collier County Fire Chiefs Association, I am inquiring about the ability to have the Board of County Commissioners authorize approval for Chief Metzger to represent the CCFCA on the EMSAC advisory board. It is my understanding that they may override the residency requirement. If there is a provision for this, we would like the opportunity to request a waiver of residency. Chief Metzger is knowledgeable in the field of Emergency Medicine and my colleagues and I feel that he is the best candidate to represent the CCFCA at this time. If there is any further information you need to process this request, or if you have any additional questions, please do not hesitate to contact me 239-455-1204 or ,hieli{i)bcitr.com. Thank you, Rita M. Greenberg, Chief BCIFR President Collier County Fire Chiefs Association Cc: Board of County Commissioners ,,..-, -,', . .','" '''41.~:8,'J "_"-'~S'':'-~'_, ,"" "',-: : ~ ""''' !: ~ ",,.~i -, ill' .;;, Agenda Item No. 9F 13,2008 5 of 21 c~mer Co-umt..y JFfure Chll~fS' AsS~l!;i!llaii~l!ll Big Corkscrew Island Golden Gate Ochopee City DeMarco Island Immokalee Collier E.M City of Naples Isles of Capri Collier EMS EllS! Naples North Naples FloridllD.O.F March 27, 2008 Sue Filson Board of County Commissioners 3301 East Tamiami Trail Naples, FL. 34112. Ms. Filson: On behalf of the Collier County Fire Chiefs Association, I would like to inform you that Assistant Chief Potteiger (ENFD) has turned in a lett.er of resignation (attached) regarding his position as the CCFCA representative on the EMSAC Committee. The Collier County Fire Chiefs Association has selected Chief Robert Metzger (GGFD) to represent our Association on the EMSAC Committee: rhi s change will take effect April 1, 2008. [f you have any que.tions or need any additional intbrmation, please do not hesitate to ::ontact me. Tha~ou, -i( , L ~n1~'-~' Rita . Greenberg, Chief BCllf President Collier County Fire Chiefs Association CiOiliHer Cmm1ty fire Chiefs' AssiOidaJtiiOiD Big Corkscrew Island Golden Gate Ocbopee City of Marco Wand Immokalee Collier E.M City of Naples Isles of Capri Collier EMS East Naples North Naples Florida D.O.F March 27,2008 Sue Filson Board of County Commissioners 3301 East Tamiami Trail Naples, FL. 34112. Ms. Filson: On behalf of the Collier County Fire Chiefs Association, I would like to inform you that Assistant Chief Potteiger (ENFD) has turned in a letter of resignation (attached) regarding his position as the CCFCA representative on the EMSAC Committee. The Collier County Fire Chiefs Association has selected Chief Robert Metzger (GGFD) to represent our Association on the EMSAC Committee. This change will take effect April 1, 2008. If you have any questions or need any additional information, please do not hesitate to contact me. ,I Thank. vo.u, ~i~" _ ~11 'lL IO"~" / f?l..-YVI . It.-~{ / Rita . Greenberg, ChiefBC President Collier County Fire Chiefs Association ( r~/ /" (") ." ""X / I. _' . ~; l :) I rlti/-r ,-'. , OJi J/:J6??O I . r ~-,'( 1,-1("5 ~f ~ ~ '-" /'. -_.r I I If ,',1 i , ) I) " J-e ~ filson_s Page I of2 Agenda Item No. 9F May 13, 2008 Page 7 of 21 Advisory Board Application From: bobmetzger@ggfire.com Sent: Friday, March 28, 2008 1 :32 PM To: filson_s Subject: New On-line Advisory Board Application Submitted Advisory Board Application Form Collier County Government 3301 E. Tamiami Trail Naples, FL 34112 (239)774-8999 Application was received on: 3/28/20081:32:14 PM. Name: /Robert D. Metzgeq Home Pbone: ~39-253-2134j Home Address: ~895l Kiranicola Ct.! City: !Bonita Spring~ Zip Code: 1341351 Pbone Numbers Fax: ~39-348-7546! Business: ~39-348-75~ e-Mail Address: Ibobmetzger(ti)ggfire.comj Work Place: /Golden Gate Fire Control & Rescue Distric~ How long bave you lived in Collier County: I Have you ever been convicted of any offense against tbe law? ~ Are you a registered voter in Collier County? ~ Board / Committee Applied for: !Emergency Medical Services Advisory Counci~ Category: \Appointee of Collier County Fire Chiefs' Associatio~ Do you currently bold public oft'fice? ~ Do you currently or ever served on a Collier County Board or Committee? ~ Please list your community activities: I Education: /B.S. in Fire Safety and Engineering from U. of Cincinnati. OH Enrolled in MPA Drogram at Florida 3/28/2008 Advisory Board Application laulfCoast Univ~rsity. Page 2 of2 < _ Agenda Item ~o. 9F May 13, 2008 I-'age of 21 Ex erience: I Years in professional fire/rescue service, including 20 years as a state certified paramedic. drninistrator for emer enc medical services bureau in ma' or metro ci . 3/28/2008 filson_s Page I ofl Agenda Item No. 9F May 13, 2008 Page 9 of 21 From: page,j Sent: Thursday, March 27, 2008 4:44 PM To: filson_s Subject: FW: Resignation to EMSAC You should be receiving a letter from Chief Greenberg with a recommendation of who they would like to replace him with. Does that then go to EMSAC for their vote of approval, or does it go directly to the BCC? I can't remember how we did the Health Department's change. From: FlorinJennifer Sent: Thursday, March 27, 2008 12:11 PM To: Chief Jim McEvoy (jmcevoy@naplesgov.com); Chief Michael Murphy (mmurphy@dtyofmarcoisland.com); Bill Rule; Douglas Lee (duglee@hotmail.com); Gail Dolan (gail.dolan@nchmd.org); jallbrit@edison.edu; Jeannie Rennie (grennie@edison.edu); Jeffrey Panozzo (jeff.panozzo@prnc.hrna,org); Jeffrey Panozzo (JPDO@aol.com); John C Valenti; Kathleen Marr (kathleen_marr@doh.state.fl.us); Maria Bemaldo (maria_bernaldo@doh,state,fl.us); Nancy Lascheid (nlascheid@aol.com); Rob Pottieger (rpotteiger@enfd.org); Terry Heath (Flrernan0105@yahoo.com); Tober (rbtobermcl@yahoo.com) Cc: page.,j SUbject: Resignation to EMSAC Good afternoon, Below is an email sent by Assistant Chief Rob Potteiger resigning his appointment to the EMSAC. As some of you know he represents the Collier County Fire Chiefs Association which is why the email is addressed to Chief Greenberg. We will be sure to keep you updated with his replacement. Thank you, Jennifer p;Jnn Administrative Assistant Collier County EMS Department (239) 252-2534 From: Pott [mailto:rpotteiger@enfd.org] Sent: Thursday, March 27, 2008 11:16 AM To: 'Chief Rita M Greenberg' Cc: MBrown@northnaplesfire.com; 'Mike Murphy'; McLaughlinAlan; rodriguez_r; 'Jim McEvoy'; 'Deputy Chief Nolan Sapp'; page.,j Subject: EMSAC Chief Greenberg, due to time constraints in my position at East Naples Fire Control and Rescue District I am no longer able to put the hours needed to fully represent the C.C.F.C.A. on the E.M.S.A.C. organization. Furthermore I feel this position needs to have someone that understands the E.M.S. system. Thank you for your support in my position as you're reprehensive for the last six years. However, as stated above I will no longer be able to continue and must tender my resignation effective this date. I do this so you can find a replacement as soon as possible to continue to represent our best interest on the committee. As always, Asst Chief Rob Potteiger Have a Great Day, Asst Chief Rob Potteiger East Naples Fire Control and Rescue District (239) 774-7111 Fax (239) 774-1782 3/28/2008 Page I of 1 Agenda Item No. 9F May 13, 2008 Page100f21 Rita Greenberg Pott [rpotteiger@enfd.org] Thursday, March 27, 2008 11 :16 AM Rita Greenberg MBrown@northnaplesfire.com; 'Mike Murphy'; Alanmclaughlin@colliergov.net; 'Rod Rodliguez'; 'Jim McEvoy'; 'Deputy Chief Nolan Sapp'; 'page.J' Subject: EMSAC From: Sent: To: Cc: Chief Greenberg, due to time constraints in my position at East Naples Fire Control and Rescue Distlict I am no longer able to put the hours needed to fully represent the C.C.F.CA on the E.M.SAC. organization. Furthermore I feel this position needs to have someone that understands the E.M.S. system. Thank you for your support in my position as you're reprehensive for the last six years. However, as stated above I will no longer be able to continue and must tender my resignation effective this date. I do this so you can find a replacement as soon as possible to continue to represent our best interest on the committee. As always, Asst Chief Rob Potteiger Have a Great Day, Asst Chief Rob Potteiger East Naples Fire Control and Rescue District (239) 774-7111 Fax (239) 774-1782 3/27/2008 Agenda Item No. 9F May 13, 2008 Page 11 of 21 Emergency Medical Services Advisory Council Name Work Phone Appt'd Exp. Date Term Home Phone DateRe-appt 2ndExpDate 2nd Term Mr. Jeffery Scott Allbritten 732-3733 12/13/05 08/31/08 3 Years 1945 Empress Ct. 596-5942 Naples, FL 34110 E-Mail: jallbrit@edison.edu District: 2 Category: Commission District Ms. Victoria DiNardo 285-3692 10/23/07 08/3 1/08 1 Year 9229 Museo Circle, Apt. 103 793-6802 Naples, FL 34114 E-Mail: District: I Category: Commission District Dr. Douglas S, Lee 391-5600 10/24/06 08/31/09 3 Years 2614 Tamiami Trail, #225 262-3644 ( Naples, FL 34103 E-Mail: duglee@hotmai1.com District: 4 Category: At-Large - oJ ;??(,O'6 Mr. Johan Domenie ('ct;.6P 09/12/06 08/31/09 3 Years 749 Bentwater Circle, #201 566-3179 Naples, FL 34108 E-Mail: HOBODOR Y@comcast.net District: 2 Category: At-Large Ms, Nancy C. Lascheid 261-6600 07/25/06 08/31/07 I Year 4005 Gulfshore Blvd., N. #903 262-6608 10/23/07 08/31/10 3 Years Naples, FL 34103 E-Mail: nlascheid@ao1.com District: 4 Category: Commission District >-.' .."", c",.",_.;._ '-""'~~'''''.'''-:.:::C:.:..',.-_',-. Wednesday:" MarchI], 2008 Page 1 of4 Agenda Item No. 9F May 13, 2008 Page 12 of 21 Emergency Medical Services Advisory Council Name Work Phone Appt'd Exp. Date Term Home Phone DateRe-appt 2ndExpDate 2nd Term Mr. John C. Valenti 435-0205 10/24/06 08/31/09 3 Years 1180 Camelot Circle 348-7193 Naples, FL 34119 E-Mail: jcvalentil@aol.com District: 3 Category: Commission District Mr. Charles Terry Heath 657-2111 03/11/08 08/31/11 3 Years 807 West Madison Avenue 657-1544 Immokalee, FL 34142 E-Mail: FiremanOI05@yahoo.com District: 5 Category: Commission District Ms. Gail Dolan 262-3131 01/13/98 08/31/99 2 Years P.O. Box 413029 09/13/05 08/31/08 3 Years Naples, FL 34101 E-Mail: District: Category: Naples Community Hospital Commander Bill Rille 793-9442 10/24/06 08/31/08 2 Years 3301 E. Tamiami Trail Naples, FL 34112 E-Mail: District: Category: Sheriffs Department Ms. Kathleen Marr 774-8200 09/11107 08/31/08 I Year 3301 E. Tamiami Trail Naples, FL 34112 E-Mail: District: Category: Health Department 1 'i.:.: ;:;.'"',, ': "'::.~';:'. '.+;--',"-:!f.o;.;";:",.;;,'c-.:.,"_ -Co, i';"',: ',\<_:,C'"".c~,,':,_" - - "",~".:-,"-..",o-, "'. Wednesdo)!, March 12,2008 Page2of4 Agenda Item No. 9F May 13, 2008 Page 13 of 21 Emergency Medical Services Advisory Council Name Work Phone Appt'd Exp. Date Term Home Phone DateRe-appt 2ndExpDate 2nd Term Fire Chief Jim McEvoy 735 Eighth Street, South Naples, FL 34102 E-Mail: District: Category: City of Naples 434-4610 09/24/02 09/13/05 Dr. Jeff Panozzo 348-4000 10/24/06 6101 Pine Ridge Road Naples, FL 34119 E-Mail: District: Category: Physicians Regional Medical Center ( Dr. Robert Tober P.O. Box 413029 Naples, FL 34101 E-Mail: Distric1: Category: Ex-Officio Member 262-3131 Chief Michael Murphy 389-5040 11/05/02 1280 San Marco Road 09/13/05 Marco Island, FL 34145 E-Mail: District: 1 Category: Marco Island Police and Emergency Services Chief Rob Potteiger reS';Y'~ 213-4900 11/05/02 4798 Davis Boulevard '7"',).'7' 09/13/05 Naples, FL 34104 E-Mail: District: Category: Collier County Fire Rescue/EMS ( ~'.""..,.~.,..'.,,,.-.' -:.:."', ,--.r" - ":' Wed~~sdlry,'Ma;'ch 11, 2008 .<. . . ~'H',' . "... . _ .' .,-. -,-,)'-,'.:'C:r-. ~.". Page3 of 4 08/31/05 08/31/08 3 Years 3 Years 08/31/09 3 Years 08/31/05 08/31/08 3 Years 3 Years 08/31/05 08/31/08 3 Years 3 Years Agenda Item No. 9F May 13, 2008 Page 14 of 21 Emergency Medical Services Advisory Council Name Work Phone Home Phone Appt'd Exp. Date DateRe-appt 2ndExpDate Term 2nd Term This 12 member committee was created by Ord. No. 80-80 to advise the Board of County Commissioners on all aspects of emergency medical services in Collier County, including the operational budget. level of service and equipment This committee also reviews complaints and problems and recommends corrective action. Terms are 3 years. Ore! Amended on 10/10/00 to add a representative from Cleveland Clinic (Ord. 2000-70) Amended by Ore!. No. 2002-39 to increase membership from 12 to 14 to include City of Naples Fire RescuelEMS and Collier County Fire Chiefs Association, and to reduce ex-officio members from 3 to 1 FLSTAT: Staff; Jeff Page, Emergency Medical Services Director: 252-8459 1 ::.:..:"~.,;;."_~.-"".;::,,,,=;.: - ",'cvj,^","'" Wednesday, March 12, 2008 :;;.''-';:'--::V:;",,:,-.-.,.,,',T;:-'.- Page 4 0[4 ''''',~:1!'';;;''J'r.,' ";2" AgendR~Go~VED ~aW~ ~~~OO8 MEMORANDUM H(J<'lf(~ .)~ C;o!:nty COf1unissioners- DATE: March 28,2008 TO: Elections Office FROM: Sue Filson, Executive Manager Board of County Commissione RE: Voter Registration - Advisory Board Appointments The Board of County Commissioners will soon consider the following individuals for appointment to one of the county's advisory committees. Please let me know if those listed below are registered voters in Collier County. Also, please list the commission district in which each applicant resides. EMSAC COMMISSION DISTRICT ~ / George Henry Danz ~R 813 Charlemagne Boulevard 77l(~';;((,1~ Naples, FL 34112 M-f.J(/;.(~ "$-"'8 <I;~ar'''" {fJ t(~V-tJ& '()~Dtir0) Thank you for your help. 1Ci/(c~cf"it> 'f. 7-D'( 0/:;5'1 CI.Pl, w,!! T'~(-,-fer- I James N. Hampton 823 Bentwood Drive Naples, FL 34108 Fay R Biles 1588 Heights Court Marco Island, FL 34145 MEMORANDUM Agenda Item No. 9F May 13, 2008 Page 16 of 21 DATE: March 28, 2008 FROM: JefIPage, EMS Director !!J Sue Filson, Executive Manager Board of County Commission TO: RE: Emergency Medical Services Advisory Council As you know, we currently have a vacancy on the above-referenced advisory committee. A press release was issued requesting citizens interested in serving on this committee to submit an application for consideration. I have attached the applications received for your review as follows: James N. Hampton 823 Bentwood Drive Naples, FL 34108 Fay R. Biles 1588 Heights Court Marco Island, FL 34145 George Henry Danz 813 Charlemagne Boulevard Naples, FL 34112 Please let me know, in writing, the recommendation for appointment of the advisory committee within the 41 day time-frame, and I will prepare an executive summary for the Board's consideration. Please include in your return memo the attendance records of the applicants recommended for reappointment. Please categorize the applicants in areas of expertise. If you have any questions, please call me at 774-8097. Thank you for your attention to this matter. SF Attachments filson_s Page I of2 Agenda Item No. 9F May 13, 2008 Page 17 of 21 Advisory Board Application 9t: From: dochamp@comcast.net Wednesday, March 26, 2008 11:19 AM filson_s Subject: New On-line Advisory Board Application Submitted "- Advisory Board Application Form Collier County Government 3301 E. Tamiami Trail Naples, FL 34112 (239)774-8999 Application was received on: 3/26/2008 11:18:48 AM. Name: ~AMES N. HAMPTON! Home Phone: /239-597-297~ Home Address: 1823 BENTWOOD DRIVEl City: INAPLESI Zip Code: !34l08-820~ Phone Numbers Fax: /239-593-506Q Business: /239-26l-660q . e-Mail Address:ldochamp@comcast.ne~ Work Place: !volunteer- Neighborhood Health Cliniq ( . How long have you lived in Collier County: !more than 151 Have you ever been convicted of any offense against the law? ~ Are you a registered voter in Collier County? ~ Board / Committee Applied for: /EMERGENCY SERVICES ADVISORY COUNCILj Category: !Not indicate~ Do you currently hold public offfice? ~ Do you currently or ever served on a Collier County Board or Committee? ~ . Education: /B.A. Washington University. St. Louis. Mo. Medical Doctor. Tulane University. New Orleans. La. 3/26/2008 Advisory Board Application Page 2 of2 NO.9F .A. Washington University, 81. Louis, Mo. Medical Doctor, Tulane University, New OrleaItllp~a ,2008 oard Certified American Academn of famil Practice Page 18 of 21 . -~ . 3/26/2008 Ell erience: amily Practice, Argos, Indiana 1956-1986 Emergency Medicine Physician, Marco Island, Fl. 1986-1996. Na les Communi Hos itai1996-2000 200&:0":2607;'00 . .... tiJ. Board of County Commililliuners J30J r.as.t n.....1 TraH I\aple.. FL J'lI~ (139) lSZ-8097 Fas: (239) 151-~1 PIll Agenda Item No. 9F May 13, 2008 Page 19 of 21 o >> Collier CoantyBCC . '-. Blome I\.cIdreu: Application for Advisory Committees/Boards FAY .R. B 1 LEiS Ph.P IS; go\? 1:-1 e.J :i1.f-s- CoT IYl~Co /..s I <Met I FI.- F.x No. 3"..... 8L..!i.12-IIu.iIo,," Pb.-: ,<;:" - ~ ""__.: .39..... 3o,PO "l N._: Zip Cod.: .3.."./ ~~ &-'DaJI add....... ( - 'J hllt!!.$iiP a-I. ~ . Place oO;/IIpJaymcnt: re. \-llr ~ Boloi'd or C_mld.. Applied for: ~ S A:-C- C.t.:lOry (ifopplh:.blc); em S Ell..... (".oI'II_.61'l DInrIeI. DewlopH...............Im...,-,.rtoa.Cfe. a_IODII hve YOD lived In Collior C_.Iy: V....._~ ~ Mootb. .<\no YOU. ",;is~recl ,'oler I. Collier County: Ves V No Do you ..n...t1y Ioold pabllc ollleo! Yes V" No L 1f.....h.t1.....om..?....:....w'" fo, ~ 4- ...h:......I-,.t!....I "" f-",r A'<-<.H1rrJ':7 ..&-~.(::.--.e...II,t!r . Hav" you C\ler Mea ~ieted of any ol'fcnlle .plut the La..? Y.. ..__..._No s.-- If)'H,uplaial .,...._. Do,..,. .0- I~. gr k...,.. over Itrved., 00. C"icr (".olnb' _rei or co...llttc' V. V 1\0 1f)'eLp.......tb.n_ldeetIboMtdr. 1';4,,<2.. C.OM.hJ~ 1-:~".11!. 7' LvI.... oC ~ P...l..4..lV: a...- ...,."... --- At- 1.....- -I.. f -14</:< A..;'" C4 ( PIca.. Iiot roa, .....1UI1ty .ctiviti.. (civl. clabo, nolPborIIood .aoelalloas, ere. ..... pooItIoe$ beld: f'~~/.tQ":"," ...~~:~ ~..,~;.~~. ~:::~. ~:~::"':A:: J_ :~~-r;z," ~U.~..) CDI/~'ya. / l.Lo"l. .,.___ ~ N'-JA y;.. _ j;) ..._,. L...- I .. l'l.:. iL 1 4IIl .. -"r'2"I.,.111.".~.""'on _flA"t ~J;- t"_II.L._ __ .,._ "u...,..,.,.dt.;'"1'co /'J/~I-IY'" t".d....tioa: PhD,~/+~lbh &""...,.:::~<,;/ 1Yl.,4. 1J.~'t::h" 1"';""1:I,.<<J-r:;.I..~1- .....,......J)....v'\nH4"'.. ~d ..J.y~~ 4'&l- J.l.P': - -PI'I...~./)'Jc..d... R.perieDoe: \/"'.;::. Pr...~.<u......t- r.... P....t>I..c. A-t:.r....rs ... .f).I4'o'...Jorpn?.....:T ;2-""- ~......_ ~""A::L;.n ill"l,~...,."L'..,." .ll.tJ..L-_ /0'7b "'!I.J...A.,......._,~ (C.~t-LU'YY"~ '':=.LL1/~.A;''',,~:-~ ~,~ -;;'./';.:;;.:";;:':h:~"': 7t;,: 1-. .sc,'en~~ UI,h bc-hoe>.l -6~Lh~.- .~.. 8Jb/~ J..:J'-rJl"e:h, ~n1JJ<"L-. .. .p,"'::':':';,~<> ;:.. -Y.~ ..-.c. Ali,~, r- H. p~ {;JPr' ~..:::.:--:- ^->r. r""" -= ",..",b.d I-.Ic.. .J-I~I."" Q"n"" ~~ I_.j.... .t!-- P~c;.."",-;......J,./~ ~ ~.~ &-.<r~ . 1~..Ji (!h...,rrn_n ~",-" "" n 1~~P5.l" "..bld_ I""r ",,-1-- J......... R.!1'--&- I1-m __...__' ,.../#d"'-'" TWo .. _ItIHjOnNnIffI"!I>w~_~" ('\.. fi..,....~. ' .,....","Ic....,.C"...- '-..I.t-~,JMJ1~"''''''''Tmt,,''''''IfL.HIl2. JI,.,.....""...J'II!C7Oflr.".tk. ,. He.P't"r A~"c... (l.m1Sl-UlMer..",;t", ~.ru1titnnw.'" rt..M:IOfI/f1,.~*,Jft'Yrtltl.__ tl/CMIN C-.. . lOllI-lI~19 14:4& Z:\t2'SZ1li07 .....1 filson_s Page 1 of2 Agenda Item No. 9F May 13, 2008 Page 20 of 21 Advisory Board Application -- !'rom: georgedanz@prodigy.net .t: Monday, March 17, 200811:49 PM ~: filson_s Subject: New On-line Advisory Board Application Submitted Advisory Board Application Form Collier County Government 3301 E, Tamiami Trail Naples, FL 34112 (239)774-8999 Application was received on: 3/171200811:49:15 PM. Name: !George Henry Damj Home Phone: 1239-774-2618/ Home Address: 1813 Charlemagne Blvd.1 City: lNaple~ Zip Code: 134112-71301 Phone Numbers Fax: I Business: I --. e-Mail Address:jgeorgedlUlZ(ii;prodigy.ne~ Work Place: lRetired! How long have you lived in Collier County: II] Have you ever been convicted of any offense against the law? ~ Are you a registered voter in Collier County? ~ Board / Committee Applied for: !Emergency Medical Services Advisor Council (EMSAC)I Category: !Citizen At-Larg~ Do you currently hold public otllice? ~ Do you currently or ever served on a Collier County Board or Committee? ~ .-e Please list our communi activities: e purchased our house in Naples in July 2001. 1 recently retired and we are currently in the process f moving to Naples and transfering our voter registration to Collier County. My current mailing dress is: 4920 NW 14 Avenue Deerfield Beach, FL 33064 954 426-0053 3/18/2008 Advisory Board Application Education: A, Florida International Universi . . . 3/18/2008 Ex erience: irector - Broward County Trauma Management Agency. This agency of county government oordinates, monitors and regulates the trauma services of 2 Level I trauma hospitals, I Level II auma hospital, 16 non-trauma hospitals and 19 pre-hospital emergency medical service providers. ime in position: May 1992 to January 2008. I also served as Chief of Operations for Broward Coun edical Examiner's Office. June 1996 - January 2008. Staff coordinator for Broward Regional mergency Medical Services (EMS) Council. December 1984 to January 2008. Director - Broward ounty Emergency Services Division. December 1984 - May 1992. Member - Florida Trauma System lanning Committee Member - Florida State Emergency Response Commission Chair - Florida Local mer enc Plannin Committee LEPC Chairs/Staff