David Moore/Fire/9,425/FEMA TrainingDavid Moore
FireDepartment - 2018 CQ�)
Appropriation #43-570.03; P.O.#101201Contract Not To Exceed $9,425.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and David Moore (the "Vendor"), as City Contract dated October 4, 2017, shall amend
the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of
Work attached hereto and incorporated herein as Exhibit "A". The terms and conditions of the Agreement shall not
otherwise be affected by this Additional Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA
by and through its Board of Public
Works and Safety
By:
James Brainard, Presiding Officer
Mary AnnBu Ke, Member
Date: I
Lori S. Wats!��,
r
Date: 3 f _
i%•Cmn 0*43—AG..hSwwaD.M120M... I Nfi— ASA6.. I201,2017 3 93MI
DAVID MOORE
By:
Authorized Signature
Printed Name
Title
FID/TIN:
Last Four of SSN J Sole Proprietor:
Date: 14'C'C2wt
31 July 2017
To: Captain Steven Frye
From: David Moore, Ryan Rowley, Edward Moore, Jeff Cheshire
Reference: Quote for Carmel Fire Department FEMA Assistance to Firefighters Grant
Good afternoon Captain Frye
Below you will find a quote from a group of dedicated firefighters and instructors that can fulfill nearly
all the requirements for the courses offered. The only course we can't instruct right now is the Fire
Officer IV, however it is anticipated that by the start of the Fire Officer IV course we will have enough
instructors and proctors to instruct that course also.
The schedule will be set prior to the start of class. With the rotation of shift personnel, the schedule
may include a practical evaluation being completed prior to completion of instruction. However,
material for the practical evaluation will be covered prior to the practical evaluation
We propose the below Lead Instructor, Lead Evaluator & Adjunct Evaluator & test proctor. Most of the
courses will require a lead evaluator and adjunct evaluator due to the number of 1PR's and in-depth
evaluation of those JPR's. Particularly with Instructor It/III with which the state has advised of a
guaranteed audit. Hours invoiced will only be for hours of instruction/evaluation, understanding that
some of the evaluations will happen outside of the classroom. Our rate is 525.00 hour.
David Moore 3379-8907 317-339-5758 dmmoore27@yahoo.com
Jeff Cheshire 9171-3620 317-450-1620 jcheshire@speedwayin.gov
Ryan Rowley 5634-3201 317-987-8074 ryanrowley99@gmail.com
Edward (Ted) C. Moore III 2467-5319 317-538-8833 firejunk@sbcglobal.net
As with all proposals we can't foresee the future, with the possibility of the above being moved to a
different shift either by choice or betterment of their department we may substitute an
instructor/evaluator or change the positions of the individuals listed above. However, if there are any
changes to the instructors or evaluators we will notify you of those changes and those individuals will be
qualified to teach the course, prior to the start of the course.
We thank you for time and consideration in this matter.
Please feel free to contact myself
David M. Moore
317-339-5758
Dmmoore27@yahoo.com
Date Course Lead Instructor/Hours Lead Evaluator/Hours Adjunct Proctor/Hours Test Proctor/Hours
2017-
1,
017
1 _.
2018
01/08-01/12 Fire Officer III David Moore/32 Ryan Rowley/8
$1,275.00
01/22-01/26 Fire Officer IV Unable to instruct at this time
02/05-02/09 ISO Ryan Rowley/36 Edward Moore/8 Jeff Cheshire/8
$1,375.00
02/19-02/23 Fire Officer II Jeff Cheshire/36 Edward Moore/8 David Moore/8
03/05-03/09 Instructor II/III Ryan Rowley/36
$1,375.00
03/19-03/23 FOST Jeff Cheshire/32
$1,275.00
David Moore/8 Edward Moore/8
Ryan Rowley/8 Edward Moore/8
Jeff Cheshire/3
David Moore/3
Ryan Rowley/3
Jeff Cheshire/3
David Moore/3
ENIJHIEPi�`
2 b�
��
04/09-04/13 Instructor 1 David Moore/36 Jeff Cheshire/8 Ryan Rowley/8
$1.375.00
04/30-05/04 Fire Officer I Ryan Rowley/36 David Moore/8 Jeff Cheshire/8
$1,375.00
05/14-05/18 ISO David Moore/36 Jeff Cheshire/8 Edward Moore/8
$1.375.00
Edward Moore/3
Edward Moore/3
Ryan Rowley/3
EX Hl B[ �
34((
2016 FEMA AFG Funded Course Schedule
2017
09/11-09/15 Fire Officer Strategy and Tactics
0925-09/29 Instructor I
10/23-10/27 Fire Officer I
11/06-11/10 Incident Safety Officer
12/11-12/15 Fire Officer II
2018
01/08-01/12 Fire Officer III
01/22-01/26 Fire Officer IV
02/05-02/09 Incident Safety Officer
02/19-02/23 Fire Officer II
03/05-03/09
Instructor 11/111
03/19-03/23
Fire Officer Strategy and Tactics
04/09-04/13
Instructor 1
04/30-05/04
Fire Officer 1
05/14-05/18
Incident Safety Officer
Fire Officer 1
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 1 The Company Officer 1
Chapter 2 Organizational Structure
Chapter 3 Leadership and Supervision
Chapter 4 Human resources Management
Learning Activities
Day 2
Chapter 5 Communications
Chapter 6 Administrative Funcions
Chapter 7 Health and Safety Issue
Learning Activities
Day 3
Chapter 8 Company -Level Training
Chapter 9 Community Relations and
Chapter 10 Preincident Survey
Learning Activities
JPR's
Company -Level Fire Inspections
Day 4
Chapter 11 Delivery of Emergency Services 1
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
With this course there is combination of Learning Activities and JPR's that will be done
simultaneously. This course also has 4 JPR's that will need to be completed outside the
classroom with data from the students home department.
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted*
E�� �� b
Fire Officer II
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 12 The Company Officer II
Chapter 13 Human Resources Management II
Learning Activities
JPR's
Day 2
Chapter 14 Administrative Responsibilities
Chapter 15 Origin and Cause Determination
Learning Activities
JPR's
Day 3
Chapter 16 Delivery of Emergency Services II
Chapter 17 Safety Investigations and Analysis
Learning Activities
JPR's
Day 4
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted*
EXH'i F
Fire Officer III
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 2
Communications
Chapter 3
Personal and Professional Development
Chapter 4
Working in the Community
Chapter 5
Intergovernmental Relations
Learning Activities
JPR's
Day 2
Chapter 6 Human Resources
Chapter 7 Legal Issue
Chapter 8 Strategic Planning
Chapter 9 Emergency Management
Learning Activities
JPR's
Day 3
Chapter 10 Code Enforcement and Public Education
Chapter 11 Budget and Finance Issues
Learning Activities
JPR's
Day 4
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted*
Incident Safety Officer
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 1 Identify Safety Issues
Chapter 2 Risk Management
Chapter 3 Accident Review
Chapter 4 NFIRS
Learning Activities
JPR's
Day 2
Chapter 5 OSHA
Chapter 6 Investigative Report (HSO)
Chapter 7 Risk Management (HSO)
Chapter 8 Duties of HSO
Learning Activities
JPR's
Day 3
Chapter 9 HSO Maintenance
Chapter 10 Safety Areas of Concern
Chapter 11 Systems Based Changes
Learning Activities
JPR's
Day 4
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted'
Instructor II/III
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 10 Lesson Plan
Chapter 11 Training Evalutation
Chapter 12 Test Item Construction
Learning Activities
JPR's
Day 2
Chapter 13 Supervisory and Administrative Duties
Chapter 14 Instructor and classroom evaluations
Chapter 15 Course and Curriculum Development
Learning Activities
JPR's
Day 3
Chapter 16 Training Program Evaluation
Chapter 17 Training Program Administration
Learning Activities
JPR's
Day 4
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted*
Instructor 1
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Introduction
Chapter 1 The Instructor as a Professional
Chapter 2 Principles of Learning
Chapter 3 Instructional Planning
Learning Activities
Day 2
Chapter 4 Instructional Materials and Equipment
Chapter 5 Learning Environment
Learning Activities
Day 3
Chapter 6 Classroom Instruction
Chapter 7 Skills Based Training Beyond the Classroom
Learning Activities
JPR's
Day 4
Chapter 8 Testing and evaluation
Chapter 9 Records, Reports and Scheduling
JPR's
Day 5
Morning Finish JPR's/Study Session
Afternoon Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted*
IO�ri�
FOST (Fire Officer Strategy and Tactics)
Carmel Fire Department 2017/2018
Student Syllabus
Day 1
Chapter 1 Orientation and NIMS
Chapter 2 Fire Behavior
Chapter 3 Building Construction
Day 2
Chapter 9 Water Supply
Chapter 4 Communications and the SizeUp Process
Chapter 5 Risk Management
Simulations
Day 3
Chapter 6 Rescue
Chapter 7 Ventilation
Chapter 8 Confinement, Extinguishment and Exposure Protection Considerations
Simulations/JPR's
Day 4
JPR's
Day 5
Morning- Completion of JPR's, Study session
Afternoon- Written test (Online)
*Syllabus may be adjusted as class progresses, however all material will be covered in
the time allotted'
�1 r
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101201
ONE CIVIC SQUARE 35-6000972- �THIS NUMBER MUST APPEAR ONINVOICES, AIP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.VENDOR NO. DESCRIPTION 1
— — --- - — _
12/20/2017 1 371893 AFG Classes - 2018 Classes
DAVID MOORE Fire Department
VENDOR 2735 N RILEY HIGHWAY SHIP 2 Civic Square
TO Carmel, IN 46032-
SHELBYVILLE, IN 46176 -
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
22002 _
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1120 Fund: 101 General Fund
Account: 43-570.03
1 Each Fire Officer 1 $1,375.00 $1,375.00
1 Each Fire Officer II $1,375.00 $1,375.00
1 Each Fire Officer III $1,275.00 $1,275.00
1 Each FOST $1,275.00 $1,275.00
1 Each Instructor 1 $1,375.00 $1,375.00
1 Each Instructor 11/111 $1,375.00 $1,375.00
1 Each ISO $1,375.00 $1,375.00
Sub Total $9,425.00
OF
I!I
I
Send Invoice To:
Fire Department
2 Civic Square
Carmel, IN 46032- i A 194-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $9,425.00
SHIPPING INSTRUCTIONS AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY ----------------- -- --------------- --
Denise Snyder James Crider
TITLE Budget & Accreditation Manager Administration
CONTROL NO. 101201 CLERK -TREASURER