FINANCE COMMITTEE. 5/24/ E. Grand River, Board Chambers, Howell, MI :30 AM AGENDA

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1 FINANCE COMMITTEE 5/24/ E. Grand River, Board Chambers, Howell, MI :30 AM AGENDA 1. CALL MEETING TO ORDER 2. ROLL CALL 3. APPROVAL OF MINUTES A. Minutes of Meeting Dated: May 10, 2017 B. Closed Session Minutes Dated: May 10, TABLED ITEMS FROM PREVIOUS MEETINGS 5. APPROVAL OF AGENDA 6. CALL TO THE PUBLIC 7. RESOLUTIONS FOR CONSIDERATION: 08 District Court RESOLUTION AUTHORIZING A SUPPLEMENTAL APPROPRIATION TO THE 2017 CENTRAL SERVICES APPROVED BUDGET - Central Services / Finance 09 Jail RESOLUTION AUTHORIZING EXTENSION OF CONTRACTS WITH KEEFE COMMISSARY AND INMATE CALLING SOLUTIONS 10 Drain Commissioner RESOLUTION AUTHORIZING THE SPLITTING AND TRANSFER OF APPROXIMATELY 3.64 ACRES OF LAND FROM COUNTY OWNED PARCEL # (HARTLAND TOWNSHIP)FOR THE PRESENT AND FUTURE USE OF THE LIVINGSTON COUNTY SEPTAGE RECEIVING STATION 11 Solid Waste Management RESOLUTION AUTHORIZING AN AGREEMENT WITH EQ DETROIT, INC. DBA U.S. ECOLOGY TO PROVIDE LEACHATE COLLECTION AND DISPOSAL SERVICES Infrastructure &Development/Finance/Board 12 Solid Waste Management RESOLUTION AUTHORIZING AN ANNUAL PURCHASE ORDER WITH BATTERY SOLUTIONS, LLC. TO PROVIDE BATTERY RECYCLING SERVICES Infrastructure &Development/Finance/Board 13 Equalization

2 RESOLUTION TO LEVY 2017 ALLOCATION MILLAGE - Equalization / Finance / Board 22. REPORTS A. Medical Examiner Annual Report - Dr. Markey, Sparrow Pathology B. Emergency Medical Services Annual Report 23. CLAIMS 24. PREAUTHORIZED 25. CALL TO THE PUBLIC 26. ADJOURNMENT

3 MEETING MINUTES LIVINGSTON COUNTY MAY 10, :30 A.M. ADMINISTRATION BUILDING - BOARD CHAMBERS 304 E. Grand River Avenue, Howell, MI FINANCE COMMITTEE COMM. BOB BEZOTTE COMM. DAVID DOMAS COMM. DOUG HELZERMAN COMM. GARY CHILDS COMM. DENNIS DOLAN COMM. BILL GREEN FINANCE CHAIR COMM. CAROL GRIFFITH COMM. KATE LAWRENCE COMM. DON PARKER 1. CALL TO ORDER: Meeting called to order by COMM. BILL GREEN at 7:30 AM. 2. ROLL CALL: Present: Kate Lawrence, William Green, Douglas Helzerman, David Domas, Dennis Dolan, Gary Childs, Robert Bezotte, Carol Griffith Absent: Donald Parker 3. APPROVAL OF MINUTES: A. MINUTES OF MEETING DATED: APRIL 26, 2017 B. CLOSED SESSION MINUTES DATED: APRIL 26, 2017 MOTION TO APPROVE THE MINUTES AS PRESENTED. MOVED BY: LAWRENCE / SECONDED BY: CHILDS ALL IN FAVOR - MOTION PASSED 4. TABLED ITEMS FROM PREVIOUS MEETINGS: None. 5. APPROVAL OF AGENDA: MOTION TO APPROVE THE AGENDA, AS PRESENTED. MOVED BY: GRIFFITH / SECONDED BY: LAWRENCE ALL IN FAVOR - MOTION PASSED 6. CALL TO THE PUBLIC: Rich Malewicz, Chief Information Officer: Acknowledged IT employees, Tim Miles and Renee Bingham for their assistance with the Ingham County malware attack and congratulated the IT department for the recognition by the Michigan State Police.

4 Hon. David Reader: Also acknowledged the IT department employees for their assistance and dedication during the Brighton District Court shut-down. 7. RESOLUTIONS FOR CONSIDERATION: 8. ADMINISTRATION: RESOLUTION AUTHORIZING LIVINGSTON COUNTY S ANNUAL BUDGET PROCESS AND CALENDAR FOR 2018 RECOMMEND MOTION TO THE: BOARD MOVED BY: GRIFFITH / SECONDED BY: BEZOTTE ALL IN FAVOR - MOTION PASSED 9. CIRCUIT COURT: RESOLUTION TO APPROVE A COURT SERVICES BAILIFF UNIT UNDER THE SUPERVISION OF THE LIVINGSTON COUNTY COURTS RECOMMEND MOTION TO THE: BOARD MOVED BY: DOMAS / SECONDED BY: CHILDS ALL IN FAVOR - MOTION PASSED 10. EMERGENCY MEDICAL SERVICES: RESOLUTION AUTHORIZING THE WRITE OFF OF AGED RECEIVABLES EMS / HEALTH & HUMAN SERVICES / FINANCE COMMITTEE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: CHILDS / SECONDED BY: HELZERMAN ALL IN FAVOR - MOTION PASSED 11. PUBLIC HEALTH: RESOLUTION AMENDING RESOLUTION TO AUTHORIZE AGREEMENT FOR DELIVERY OF COMPREHENSIVE HEALTH SERVICES FOR THE PERIOD OF 10/1/16 THROUGH 9/30/17 RECOMMEND MOTION TO THE: BOARD MOVED BY: CHILDS / SECONDED BY: DOLAN ALL IN FAVOR - MOTION PASSED 12. CAR POOL: RESOLUTION AUTHORIZING AGREEMENTS FOR PREVENTATIVE MAINTENANCE & REPAIRS; MAJOR REPAIRS; COLLISION REPAIRS; AND TIRE MAINTENANCE & REPAIRS SERVICES FOR COUNTY OWNED FLEET VEHICLES GENERAL GOVERNMENT /FINANCE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: LAWRENCE / SECONDED BY: GRIFFITH ALL IN FAVOR - MOTION PASSED

5 13. LETS: RESOLUTION AUTHORIZING CAPITAL EXPENDITURE AND SUPPLEMENTAL APPRORIATION FOR THREE REPLACEMENT BUSES LETS / GENERAL GOVERNMENT / FINANCE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: CHILDS / SECONDED BY: BEZOTTE ALL IN FAVOR - MOTION PASSED 14. AIRPORT: RESOLUTION TO CONCUR WITH THE LIVINGSTON COUNTY AERONAUTICAL FACILITIES BOARD TO PROVIDE AUTHORIZATION FOR A SUPPLEMENTAL APPROPRIATION & TO ENTER INTO AN AGREEMENT WITH CORAL PERFOMANCE LIGHTING FOR THE INSTALLATION OF LED LIGHTING FOR THE AIRPORT RAMP, PARKING LOT, AND T-HANGAR AREAS - AIRPORT RECOMMEND MOTION TO THE: BOARD MOVED BY: DOLAN / SECONDED BY: CHILDS ALL IN FAVOR - MOTION PASSED 15. SHERIFF: RESOLUTION TO ESTABLISH A COMMISSARY FUND WITHIN THE GENERAL LEDGER TREASURER, SHERIFF / GENERAL GOVERNMENT / FINANCE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: CHILDS / SECONDED BY: DOLAN ALL IN FAVOR - MOTION PASSED 16. TREASURER: RESOLUTION AUTHORIZING AND CONCURRING WITH AN AMENDMENT TO RESOLUTION # WHICH ESTABLISHED A SHORT TERM LOAN FROM THE DELINQUENT TAX REVOLVING FUNDS TO THE LIVINGSTON NO. 1 DRAINAGE DISTRICT TREASURER / GENERAL GOVERNMENT / FINANCE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: DOMAS / SECONDED BY: HELZERMAN ALL IN FAVOR - MOTION PASSED 17. TREASURER: RESOLUTION AUTHORIZING THE COUNTY TREASURER TO ESTABLISH THE 2016 DELINQUENT TAX FUND TREASURER / GENERAL GOVERNMENT / FINANCE / BOARD RECOMMEND MOTION TO THE: BOARD MOVED BY: / SECONDED BY: CHILDS ALL IN FAVOR - MOTION PASSED

6 18. COUNTY CLERK: RESOLUTION AUTHORIZING THE FEE FOR ELECTION SERVICES RECOMMEND MOTION TO THE: BOARD MOVED BY: LAWRENCE / SECONDED BY: DOLAN ALL IN FAVOR - MOTION PASSED 19. COUNTY CLERK: RESOLUTION AUTHORIZING A SUPPLEMENTAL APPROPRIATION TO THE 2017 APPROVED BUDGET FOR COUNTY CLERK ELECTIONS RECOMMEND MOTION TO THE: BOARD MOVED BY: DOLAN / SECONDED BY: LAWRENCE ALL IN FAVOR - MOTION PASSED 20. CLOSED SESSION: DISCUSS LEGAL WRITTEN OPINION MOTION TO RECESS TO CLOSED SESSION AT 8:03 AM MOVED BY: CHILDS / SECONDED BY: HELZERMAN ROLL CALL VOTE: YES: LAWRENCE, DOMAS, HELZERMAN, BEZOTTE, GRIFFITH, DOLAN, CHILDS, GREEN; NO: NONE; ABSENT: PARKER YES: 8 / NO: 0 / ABSENT: 1 MOTION PASSED MOTION TO RETURN TO OPEN SESSION AT 8:19 AM MOVED BY: LAWRENCE / SECONDED BY: CHILDS ALL IN FAVOR MOTION PASSED 21. RESOLUTION FOR CONSIDERATION: RESOLUTION APPROVING THE TENTATIVE AGREEMENT FOR A THREE (3) YEAR AGREEMENT BETWEEN THE LIVINGSTON COUNTY SHERIFF DEPARTMENT, THE LIVINGSTON COUNTY BOARD OF COMMISSIONERS, AND THE MICHIGAN ASSOCIATION OF POLICE REPRESENTING LIEUTENANTS RECOMMEND MOTION TO THE: BOARD MOVED BY: LAWRENCE / SECONDED BY: BEZOTTE ALL IN FAVOR - MOTION PASSED 22. REPORTS: A. Courts Annual Report: Hon. David Reader began the 2016 Annual report for the Livingston County Courts with a brief overview; John Evans, Circuit Court Administrator, presented the report for Circuit Court and Juvenile Court; Roberta Sacharski, Attorney Registrar reported for Probate Court; Francine Zysk, District Court Administrator, presented the report for District Court; Melissa Sharrer, Friend of the Court presented the report for Friend of the Court.

7 B. Airport Annual Report: Mark Johnson, Airport Director, presented a PowerPoint reviewing the 2016 Annual Report of the Livingston County Airport. 23. CLAIMS: RECOMMEND MOTION TO THE BOARD TO APPROVE THE MISCELLANEOUS CLAIMS DATED: May 10, MOVED BY: LAWRENCE / SECONDED BY: GRIFFITH ALL IN FAVOR - MOTION PASSED 24. PREAUTHORIZED: RECOMMEND MOTION TO THE BOARD TO APPROVE THE COMPUTER PRINTOUT DATED: THRU MOVED BY: CHILDS / SECONDED BY: GRIFFITH ALL IN FAVOR - MOTION PASSED 25. CALL TO THE PUBLIC: Cindy Catanach, Finance Officer: Introduced Amy Cook, Account Assistant the new Accounts Payable employee. Brian Jonckheere, Drain Commissioner: Announced that pizza is available for Commissioners on the 3 rd level of the Historic Courthouse to celebrate the County Clerk s office for being the United Way Campaign s 100% participation winners. 26. ADJOURNMENT: MOTION TO ADJOURN AT 9:15 AM MOVED BY: BEZOTTE / SECONDED BY: CHILDS ALL IN FAVOR - MOTION PASSED NATALIE HUNT RECORDING SECRETARY

8 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTION AUTHORIZING A SUPPLEMENTAL APPROPRIATION TO THE 2017 CENTRAL SERVICES APPROVED BUDGET - Central Services / Finance WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, the District Court has several drawers of case history on microfiche sheets; and the microfiche viewer/printer is broken and cannot be repaired; and District Court gets several requests per month for copies of these case histories; and the cost to replace the viewer/printer and supporting equipment would be $7,845; and the District Court will be using the OnBase Content Management (Imaging) System within the next few years; and the cost of converting the microfiche cases to digital images and providing indexing from said cases has been quoted at not-to-exceed $20,000; and the cost for one shared OnBase license is $780, for a total of $20,780; and over a six (6) year period, using a purchased viewer/printer along with associated costs totals $35,528; converting the microfiche to digital images and using OnBase for storage and retrieval amounts to $17,572; and the District Court is requesting an FY 2017 budget amendment of $13,780; and the proposed amendment ensures compliance with the Uniform Budgeting and Accounting Act, as amended; and this Resolution has been recommended for approval by the Finance Committee. THEREFORE BE IT RESOLVED that the Livingston County Board of Commissioners hereby authorizes an FY 2017 budget amendment in the amount of $13,780. Org Amended Proposed Budget Proposed Budget Amendment Amended Budget ,2013,058 $13,780 $2,026,838 BE IT FURTHERED RESOLVED that the Budgetary Status Reports showing the line item MOVED: SECONDED: CARRIED: changes for this amendment will be attached as part of this amendment. # # #

9 District Court Microfiche Conversion Project Project Overview: District Court has several bins of historical case history that is stored on Microfiche. The case files are from years 1969 through They get requests several times per month for print-outs of the case histories; primarily from police agencies. In November of 2016 their microfiche reader/printer broke. It was completely non-operational. A quote for a replacement was obtained from Graphic Sciences. The purchase price was $6,895, with an annual maintenance fee of $795, applicable at year 2. Additionally, a PC with a special graphics card and printer would be needed. Costs as follows, PC meeting specifications - $700, Printer - $250; replacement equipment purchase totaling $7,845. IT felt that converting the microfiche to digital images along with deploying an OnBase client for lookup, viewing, and printing was potentially a better option to purchasing equipment. OnBase is currently being used for Domestic cases in the Circuit Court, Circuit Court Clerk s Office, and Friend of the Court. It will be deployed shortly in the Family Support Division of the Prosecutor s Office. IT discovered, after interviewing District Court staff, that in addition to the case histories on microfiche; District Court also has a software application that accesses a separate set of archived case files. That software is no longer supported, as the vendor has gone out of business. There have been issues from time to time with the application and there is no support for it. District Court has also started to scan case files to a network folder. Having several different methods to store separate sets of historical case files makes it cumbersome and time consuming to search for archived cases for a given party. The overall goal is to consolidate the 3 sets of archived cases into one repository accessible by a method that allows for quick retrieval by common indexes (party name, case number, case type, etc.). Additionally a full text search on each document s text can be used. Using OnBase as that tool fits these criteria. They then can be printed and/or ed through the application. District Court agrees that the preferred method of retrieval is having a single repository of digital images. In order to move this forward, we obtained quotes for converting the microfilm sheets to digital images. The vendor was also asked to provide a data file that contains appropriate indexes to facilitate image retrieval. DSS Corp. has a current contract with the county. Graphic Sciences is a MiDeal participant. To tide us over, both vendors quoted a viewer rental; DSS offered to lend us the viewer, if we were to pick them to generate the images. Both vendors came on-site to look at the microfiche. Since the microfiche sheets can vary in capacity, number of images per sheet AND number of cases per sheet; Graphic Sciences declined to bid. They didn t feel that they could accurately quote the project. DSS also felt hampered by the inability to determine the effort involved in providing the requested products; they decided to bid a not to exceed cost of $20,000. Since Graphic Sciences declined to bid and a viewer was needed in the interim, we decided to accept DSS s offer to lend us a viewer. The next few years will see the remaining divisions of Circuit Court employing OnBase, as well as the other courts. Since Circuit Court criminal cases originate in District Court; it stands to reason that District Court will implement OnBase simultaneously to the Circuit Court criminal case implementation. Essentially there are 2 options for District Court to meet their obligations in this regard; replace their microfiche viewer OR convert their microfiche to digital images and use an imaging system to retrieve, view and print their digital images. See details below of cost implications for each option.

10 District Court Microfiche Conversion Project Current Costs to generate responses to case history requests Hours per request Salary + Benefits Annual Requests Annual Cost to Generate Research time 0.25 $ $1, Average Pages Typical Cost per printed page Annual Requests Annual History Request Print Cost Cost Per Page 2.5 $ $38.25 Total Annual Cost (lookup & print) $1, Average Pages District Court Fee per page Annual Requests Annual per page revenue Fee to customer 2.5 $ $ Costs not recouped $ As depicted above, the current charge of $1.50 per page of historical data, doesn t compensate for staff time used and printing costs. Depicted below is the District Court anticipated expense to use the current process with a replacement viewer. At 5 years, the supporting PC and printer would potentially need to be replaced. Cost of Generating Case History using the Purchased Viewer Yr Yr Yr Yr Yr Yr Viewer Purchase $6,895 Viewer Maint. Fee $795 $795 $795 $795 $795 PC Purchase $700 $700 Printer Purchase $250 $250 IT Support $3,100 $3,100 $3,100 $3,100 $3,100 $3,100 Viewer Related Total Cost $10,945 $3,895 $3,895 $3,895 $3,895 $4,845 Current Procedure net cost $693 $693 $693 $693 $693 $693 Total Cost per Year $11,638 $4,588 $4,588 $4,588 $4,588 $5,538 Cumulative Cost $11,638 $16,226 $20,814 $25,402 $29,920 $35,528

11 District Court Microfiche Conversion Project Using OnBase to retrieve converted microfiche images Conversion and Licensing Costs Yr Yr Yr * Yr Yr Yr Microfiche Conversion $20,000 OnBase Concurrent (shared) License $650 OnBase Software Maintenance (1 lic.) $130 $130 $130 $130 $130 $130 Total $20,780 $130 $130 $130 $130 $130 *In 2019, we ll most likely be implementing OnBase globally in District Court as a result of implementing it for Circuit Court Criminal cases. Therefore that single license will be used for current cases, as well as historical case history retrieval. Time per request Rate (Salary + Annual Annual Cost (1.5 min.) Benefits) Requests for Lookups Research time w/onbase.0025 $ $13.30 Average Pages per request Cost to Print Print Requests per year * Annual Cost to Print Requests Printed Request Costs $19.13 District Court History Request Service Fee Average Pages Charge per page Total Pages Year 1 Net Revenue Subsequent Year Revenue Customer Charges $675 $675 Annual Net Revenue using OnBase (Lookup and Printing costs) $643 $643 Cost of Generating Case History using Converted Microfiche and OnBase Yr Yr Yr Yr Yr Yr Microfiche Conversion $20,000 OnBase Concurrent License $650 OnBase Software Maintenance $130 $130 $130 $130 $130 $130 Total Costs $20,780 $130 $130 $130 $130 $130 Revenue from Case History Requests $643 $643 $643 $643 $643 $643 Net Revenue -$20,137 $513 $513 $513 $513 $513

12 District Court Microfiche Conversion Project Compare Costs between Viewer Purchase and OnBase Image Viewing The following table compares the cost of deploying each solution and takes into account the net revenue from using each solution. Year Viewer Purchase Microfiche Conversion with OnBase Year 1 (2017) -$11,638 -$20,137 Year 2 (2018) -$4,588 $513 Year 3 (2019) -$4,588 $513 Year 4 (2020) -$4,588 $513 Year 5 (2021) -$4,588 $513 Year 6 (2022) -$5,538 $513 Totals -$35,528 -$17,572 District Court DISADVANTAGES to purchasing the microfiche viewer: Does not rectify the issue of having various document storage locations and retrieval methods Spends a significant amount of money on hardware that will not be needed in a few years Continues the time-consuming process to locate and print case history Case History fees are not commensurate with the actual cost of producing the case history documents History documents can only be looked up by Case Number or Party Name(s) District Court ADVANTAGE to purchasing the microfiche viewer: The ONLY advantage to purchasing the microfiche viewer is that we re INITIALLY spending less money. However, we re just putting a stop-gap measure in place that will soon be replaced! District Court ADVANTAGES to using OnBase: Consolidates the various document storage locations and retrieval methods Ease and speed of document retrieval Dramatically reduces issues with misfiled documents Multiple users would have the ability to use the tool (one at a time) Facilitates the reduction of paper usage A repository s document content can be searched for specific phrases Familiarizes District Court staff with the product they will be using in the near future

13 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTION AUTHORIZING EXTENSION OF CONTRACTS WITH KEEFE COMMISSARY AND INMATE CALLING SOLUTIONS SHERIFF/JAIL WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, the jail currently has a contract with Keefe Commissary, which is a subsidiary of the Keefe Group of Companies, to provide commissary services: and the jail currently has a contract with Inmate Calling Solutions (ICS), which is also a subsidiary of the Keefe Group of Companies, for inmate phones and related services; and the jail has implemented video visitation as part of a long term plan to decrease inmate movement and increase efficiency of services within the jail; and the Keefe Group of Companies partners with the video visitation company known as VizVox who provides the visitation kiosks that also function as telephones (ICS) and commissary ordering kiosks (Keefe Commissary); and the Keefe Group of Companies has offered a three-year extension of the current Keefe Commissary and ICS contracts with all other terms and conditions remaining the same: and WHEREAS, the current contracts with Keefe Commissary and ICS will expire on August 31, THEREFORE BE IT RESOLVED that the Livingston County Board of Commissioners hereby approves a three-year contract extension of the current contracts for services with Keefe Commissary and Inmate Calling Solutions with all other terms and conditions remaining the same until August 31, BE IT FURTHER RESOLVED that the Chair of the Livingston County Board of Commissioners is authorized to sign such contract amendment documents as may be necessary to implement this resolution that are prepared and/or approved by Civil Counsel. MOVED: SECONDED: CARRIED: # # #

14 LIVINGSTON COUNTY, MICHIGAN DEPARTMENT OF LIVINGSTON COUNTY SHERIFF Memorand um 150 S. Highlander Way, Howell, MI Phone Fax Web Site: co.livingston.mi.us To: Livingston County Board of Commissioners From: Lt. Dan Adas Date: May 17, 2017 Re: Contract Extensions with Inmate Calling Solutions & Keefe Commissary Attached for your consideration and approval is a resolution authorizing the County and Sheriff to sign a three (3) year contract extension with Keefe Commissary and Inmate Calling Solutions. The jail has implemented video visitation as a means of security and efficiency improvement as well as convenience for families and professional visitors such as attorneys. The video visitation takes place on our end via a kiosk with a touch screen panel and a video camera. It operates much like any internet video meeting service such as Skype, but this is exclusive to a jail setting. The Keefe Group of Companies of which Keefe Commissary and Inmate Calling Solutions (inmate phones) is a part of, has partnered with VizVox which is the provider of the kiosk units and related software to offer video visitation services to their clients. These units also operate as phones (ICS) and commissary ordering kiosks (Keefe) as well as offering other functions. So they are integrated with the services that Keefe and ICS offer. The jail currently uses banking software provided by Keefe to handle all inmate trust fund and jail billing functions. This software also permits deposits to the inmate trust account to occur in our lobby via a kiosk, online or by phone. The software also integrates with Access Corrections who provides the inmate debit card release program. The software also integrates with the ICS inmate phone system, allowing for multiple ways an inmate can pay for calls. As you may know, the FCC recently has implemented changes to lower rates or eliminate fees for inmate phone calling and have placed caps on fees that took effect on June 20, As a result, this cap will cause a significant reduction in funding fee revenue for Inmate Calling Solutions. Livingston County now receives 46% in commissions on all calls based on true gross revenue and an annual bonus of $45, that is paid each year. The current contract states that commissions to the county are subject to change based on any changes that may be required by the applicable Public Service Commission or any policy, regulation or tariff of a regulatory body having jurisdiction over the public communications. Inmate Calling Solution has agreed to keep our commission rates and bonus the same and also include new technology which includes The

15 Word Detector phonetic word search and latest version of video visitation software. This would be with a three (3) year contract extension to our current contract. Due to this high level of integration between services and vendors, we have interest in continuing our current services offered by Keefe and Inmate Calling Solutions. The current contracts expire with Keefe and Inmate Calling Solutions on August 31, If you have any questions regarding this matter, please contact me. Thank you for your time and consideration. Lieutenant Dan Adas

16 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTION AUTHORIZING THE SPLITTING AND TRANSFER OF APPROXIMATELY 3.64 ACRES OF LAND FROM COUNTY OWNED PARCEL # (HARTLAND TOWNSHIP) FOR THE PRESENT AND FUTURE USE OF THE LIVINGSTON COUNTY SEPTAGE RECEIVING STATION WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, WHEREAS, the County of Livingston (the County ), by resolution of its Board of Commissioners, has established a Department of Public Works for the administration of the powers conferred upon the County by Act 185 of the Michigan Public Acts of 1957, as amended, which Department is administered by the Board of Public Works, under the general control of the Board of Commissioners; and the County, acting through its Department of Public Works, has successfully eliminated the land application of septage in Livingston County through the construction of the Livingston County Septage Receiving Station (SRS) in 2007; and since construction, the SRS has accepted over 147 million gallons of septage which otherwise could have been land applied and thus minimizing its effects on resident s health and welfare; and, on September 27, 2011, Livingston County purchased two parcels of land in Hartland Township at the State of Michigan Tax Foreclosure Sale, one of these parcels (Tax Id. # ) has a Permanent Easement on which the SRS is located on; and the primary purpose of the purchase was to increase the sewer capacity of the SRS in the amount of Residential Equivalent Units (REUs) that are assigned to Parcel # as well the use of the REU s on the contiguous parcel (# ) and authorization to purchase the parcels was approved at the September 23, 2011 Special Meeting of the Livingston County Board of Commissioners per the recommendation of the Debt Management Committee; and the purchase involved an agreement between Hartland Township and Livingston County s Administration, Treasurer and Drain Commissioner s Office (Exhibit A); and there is a potential need of property to accommodate the future needs of the SRS; and the Livingston County Department of Public Works is requesting the splitting of approximately 3.64 acres (Exhibit B) of property surrounding the SRS into a new parcel to be owned by Livingston County; and WHEREAS, the intent of the County would be to market and sell the original two parcels (Tax Id. # & ) once the new 3.09 acre parcel has been approved by Hartland Township as a new and separate parcel; and WHEREAS, no transfer of funds will occur between any departments within Livingston County and the newly created parcel will remain in the name of Livingston County THEREFORE BE IT RESOLVED that the Livingston County Board of Commissioners hereby authorizes the splitting of approximately 3.64 acres of land from Parcel # , Hartland

17 RESOLUTION NO: PAGE: 2 Township, Livingston County Michigan for the present and future use of the Livingston County Septage Receiving Station. BE IT FURTHER RESOLVED that the County Administrator be authorized to sign the necessary and MOVED: SECONDED: CARRIED: required documentation, subject to review and approval of Civil Counsel, required on behalf of Hartland Township and that all costs associated with the splitting be the responsibility of the Septage Receiving Station Fund No. 578 # # #

18 LIVINGSTON COUNTY, MICHIGAN DEPARTMENT OF DRAIN COMMISSIONER 2300 E. Grand River Suite 105 Howell, MI Memorandum To: Livingston County Board of Commissioners From: Robert A. Spaulding, DPW Coordinator Date: 05/15/17 Re: RESOLUTION AUTHORIZING THE SPLITTING AND TRANSFER OF APPROXIMATELY 3.64 ACRES OF LAND FROM COUNTY OWNED PARCEL # (HARTLAND TOWNSHIP)FOR THE PRESENT AND FUTURE USE OF THE LIVINGSTON COUNTY SEPTAGE RECEIVING STATION In 2007, the Livingston County Department of Public Works completed construction and began operations of the Livingston County Septage Receiving Station (SRS) on an easement on a parcel of land in Hartland Township just south of Clyde Rd. The purpose of the SRS was to provide an alternative to the practice of land applying the septic waste in farm fields in Livingston County. The practice of land application poses significant public health risks, especially in areas experiencing growing population such as Livingston County and as such was disallowed via Livingston County resolution shortly after the commencement of operations at the SRS. In the years since its opening, the SRS has experienced significant growth with first year totals in 2007 of 3.7 million gallons to approximately 25 million gallons in In 2011, in cooperation with Hartland Township, the County purchased two parcels of land at the State of Michigan Tax Sale, the first being the parcel on which our easement for the SRS is on and a second contiguous parcel. The main purpose of the purchase was increase the sewer capacity of the SRS as we experienced increased flows. It was a win-win solution between the County and Hartland Township as property owners with SAD assessment were finding that their sewer debt obligations became unbearable in the current market conditions and these parcels were up for tax sale. As a result of a Septage Receiving Station Expansion Planning Report completed in 2013, it is the desire of the Livingston County Board of Public Works to request that a 3.64 acre of land is split from Parcel # to allow for any possible future expansion of the SRS. If you have any questions regarding this matter please contact me.

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30 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTION AUTHORIZING AN AGREEMENT WITH EQ DETROIT, INC. DBA U.S. ECOLOGY TO PROVIDE LEACHATE COLLECTION AND DISPOSAL SERVICES Infrastructure &Development/Finance/Board WHEREAS, WHEREAS, WHEREAS, WHEREAS, Livingston County Department of Public Works, as part of its management of the closed Livingston County landfill is in need of a leachate disposal company for the disposal of leachate collected at the County owned landfill which closed in 1989; and in accordance with the County s Purchasing Policy, a formal bid process was performed and submitted proposals were evaluated; and EQ Detroit, Inc. dba U.S. Ecology of Livonia, Michigan submitted a proposal to provide leachate waste collection and disposal services per the proposed rates in RFP-LC for the (3) three-year term beginning June 1, 2017 to June 1, 2020 with the option for an additional (2) two- year renewal for a total contract period not to exceed five (5) years; and funding for same has been allocated and approved as part of the departmental budget. THEREFORE BE IT RESOLVED that the Livingston County Board of Commissioners hereby authorizes entering into an Agreement with EQ Detroit, Inc. dba U.S. Ecology for leachate waste collection and disposal services per the proposed rates in RFP-LC for a three (3) year term commencing on June 1, 2017 to June 1, 2020 with the option for an additional (2) two-year renewal for a total contract period not to exceed five (5) years. BE IT FURTHER RESOLVED that the Chairman of the Livingston County Board of Commissioners is authorized to sign all forms, assurances, contracts/agreements and future amendments for monetary and contract language adjustments related to the above as prepared by Civil Counsel. BE IT FURTHER RESOLVED that the Board Chairperson is authorized to sign a renewal for an MOVED: SECONDED: CARRIED: additional two-year period for leachate waste collection and disposal services as prepared by Civil Counsel upon satisfactory performance of the contract, as determined by the County Administrator. # # #

31 RFP-LC BID TABULATION Description of Service American Waste, Inc. DBA Northern A-1 Services Proposed Pricing EQ Industrial Services, Inc. DBA U.S. Ecology Proposed Pricing Manifest Fee (per manifest) $ - $ - Transportation Fee (per load) $ 1, $ ST for delays in pick-up (per hour) $ $ OT for delays in pick-up (per hour) $ $ Demurrage (per hour) $ $ Leachate (per gallon) $ 0.08 $ 0.02 Hazardous Surcharge N/C Included Insurance Surcharge N/C Included Energy Surcharge N/C Included Other Fees Analytical - $1, per year. Demurrage Line Item Note: 1.5 hours loading. Description of Service American Waste, Inc. DBA Northern A-1 Services Proposed Pricing for 10,000 gallons of Leachate EQ Industrial Services, Inc. DBA U.S. Ecology Proposed Pricing for 10,000 gallons of Leachate Manifest Fee (per manifest) $ - $ - Transportation Fee (per load) $ 1, $ Leachate (per gallon) $ 0.08 $ 0.02 Fuel Surcharge N/C 17% on transportation only for each $0.10 increase in diesel fuel cost >$3.25 per gallon. Other Fees Analytical - $1, per load. N/A 1 of 1

32 LIVINGSTON COUNTY, MICHIGAN DEPARTMENT OF PUBLIC WORKS 2300 E. Grand River Ave., Suite 105, Howell, MI Phone Fax Web Site: Memorandum To: Livingston County Board of Commissioners From: Robert Spaulding, DPW/Solid Waste Coordinator Date: May 17, 2017 Re: RESOLUTION AUTHORIZING AN AGREEMENT WITH E.Q. DETROIT, INC. DBA U.S. ECOLOGY TO PROVIDE LEACHATE COLLECTION & DISPOSAL SERVICES Infrastructure & Development/Finance/Board The Livingston County Department of Public Works is requesting Board of Commissioners approval to contract with E.Q. Detroit, Inc. DBA U.S. Ecology to provide leachate collection and disposal services. The current contract for this service will expire on June 1, Per the County Purchasing Policy, a competitive bid process was performed in which the bid was posted on the Michigan Inter-governmental Trade Network (MITN), the County Purchasing website, and an ad was placed in the local newspaper. Two qualified proposals were received and evaluated. After careful review and clarifications, the evaluation committee has recommended an award to U.S. Ecology. The proposal from U.S. Ecology was determined to be the most responsive and lowest cost proposal. Prior to the expiration of the contract, U.S. Ecology has provided exemplary customer service, quality HHW collection and disposal services. As a result, we are requesting the attached resolution be approved which authorizes a contract with U.S. Ecology to provide leachate collection and disposal services for a period of three (3) years with the option to renew for one (1) additional two-year period. Thank you for your consideration. If you have any questions regarding this matter, please contact me.

33 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTION AUTHORIZING AN ANNUAL PURCHASE ORDER WITH BATTERY SOLUTIONS, LLC. TO PROVIDE BATTERY RECYCLING SERVICES Infrastructure &Development/Finance/Board WHEREAS, WHEREAS, WHEREAS, Livingston County coordinates a battery recycling collection and disposal program as an objective of its Solid Waste Management Plan; and in accordance with the County s Purchasing Policy, a formal bid process was performed and submitted bids were evaluated; and Battery Solutions, LLC. of Howell, Michigan submitted a proposal to provide battery recycling collection and disposal services per the proposed rates in RFQ-LC for a (3) three-year term beginning July 1, 2017 to June 30, 2020; and WHEREAS, funding for same has been allocated and approved as part of the departmental budget. WHEREAS, the annual requirements for digital imaging and microfilming battery recycling collection and disposal services will be subject to the availability of appropriated funds. THEREFORE BE IT RESOLVED that the Livingston County Board of Commissioners hereby authorizes entering into an annual purchase order with Battery Solutions, LLC. for battery recycling collection and disposal services per the proposed rates in RFQ-LC for a three (3) year term commencing on July 1, 2017 to June 30, 2020, subject to the availability of appropriated funds. BE IT FURTHER RESOLVED that the Chairman of the Livingston County Board of Commissioners MOVED: SECONDED: CARRIED: is authorized to sign all forms, assurances, contracts/agreements and future amendments for monetary and contract language adjustments related to the above as prepared by Civil Counsel. # # #

34 ITEM DESCRIPTION AVG CURRENT RFQ-LC-17-06: Battery Recycling Bid Tabulation *BOLD = change in price Bidder - Non-Responsive Low Bidder COMPARISON TO CURRENT Retreiv Technologies, Inc. - ITEM PRICE Retreiv Technologies, Inc. - TOTAL Battery Solutions LLC. - ITEM PRICE ERG ERG Battery Solutions, Environmental Environmental LLC. - TOTAL Services - ITEM Services - TOTAL PRICE $ $ 5.00 $ $ $ 0.40 $ 10, $ $ - $ - $ $ - $ - $ $ 5.00 $ 1, $ $ 0.90 $ $ $ 0.70 $ - $ $ 0.70 $ $ $ 0.40 $ $ $ 5.00 $ 5.00 $ $ 0.40 $ $ $ 5.00 $ $ $ - $ - $ $ 0.40 $ - $ $ 5.00 $ $ $ 5.00 $ $ $ - $ - $ $ - $ - $ $ - $ - $ $ 5.00 $ - $ $ $ 1, $ $ 15, BUTTON CELLS $ 3.50 $ $ 2.40 $ $ ALKALINE ,163 $ 0.40 $ 10, $ 0.33 $ 8, $ , LI-ION CELLS $ (0.20) $ (12.70) $ 0.40 $ $ (0.20) (12.70) LI-ION PACKS $ - $ 0.40 $ 1.60 $ (0.20) (0.80) LITHIUM PRIMARY $ 3.25 $ $ 2.40 $ $ NICAD CELLS $ - $ - $ 0.45 $ $ - - NICAD PACK - $ - $ 0.45 $ - $ - - NIMH CELLS $ (0.20) $ (73.20) $ (0.10) $ (36.60) $ (0.20) (73.20) NIMH PACKS 27 $ (0.20) $ (5.40) $ (0.10) $ (2.70) $ (0.20) (5.40) SILVER OXIDE $ - $ - $ - $ ZINC-CARBON/ALKA 1,624 $ 0.85 $ 1, $ 0.85 $ 1, $ ZINC-AIR (W/MERC) 4 $ 4.50 $ $ $ $ VRLA SMALL $ (0.10) $ (66.95) $ (0.25) $ (167.38) $ (0.10) (66.95) NICAD W POCKET P $ - $ 0.55 $ - $ LITHIUM THIONYL C 5 $ - $ 3.10 $ $ LITHIUM SULFUR DIO 6 $ - $ 2.40 $ $ LI-ION CELLPHONE 62 $ (0.20) $ (12.30) $ (0.60) $ (36.90) $ (0.20) (12.30) LI-ION LAPTOP BATTERY 153 $ (0.20) $ (30.50) $ (1.00) $ (152.50) $ (0.20) (30.50) BALLAST NON-PCB $ 0.50 $ - $ - $ - $ - - LITHIUM THIONYL P - $ 3.25 $ - $ 3.10 $ - $ TRANSPORTATION FEE 4 $ $ Varies $ - $ TOTAL $ 13, $ 11, , TRANSPORTATION FEE? $ - YES YES YES Depending on If YES, please indicate the fee per load. $ - pick up location $ $20.00 Per Drum 2. MINIMUM LOAD REQUIREMENT? $ - NO NO NO RFQ-LC-17-06: Bid Tabulation 1 of 2

35 ITEM DESCRIPTION AVG CURRENT RFQ-LC-17-06: Battery Recycling Bid Tabulation *BOLD = change in price Bidder - Non-Responsive Low Bidder COMPARISON TO CURRENT Retreiv Technologies, Inc. - ITEM PRICE Retreiv Technologies, Inc. - TOTAL Battery Solutions LLC. - ITEM PRICE Battery Solutions, LLC. - TOTAL ERG Environmental Services - ITEM PRICE If YES, please indicate the minimum weight per load. $ - 3. SORTING REQUIREMENT OR FEE? $ - YES NO 10% variance/drum There is only a fee if the will require batteries are If YES, please indicate the sorting fee per sorting. There improperly load. will be a.15/lb. sorted, then a fee for sorting. $0.25/ lb. fee $ - applies. 4. HANDLING REQUIREMENT OR FEE? $ - NO YES NO IF YES, please indicate the fee and provide a description of the service. $ - Lithium taping fee = $0.60/lb., Debris Removal fee = $50/hour 5. COLLECTION SUPPLIES INCLUDED? $ - NO YES YES If NO, please complete the following: $ - 55 GALLON PLASTIC DRUM 16 $ - 4x4 PALLETS 4 $ - 6. OTHER FEES NOT LISTED ABOVE? $ - Waste material disposal - Wet & Dry - TBD We do not provide 55 gal plastic drums or pallets. $ - ERG Environmental Services - TOTAL RFQ-LC-17-06: Bid Tabulation 2 of 2

36 LIVINGSTON COUNTY, MICHIGAN DEPARTMENT OF PUBLIC WORKS 2300 E. Grand River Ave., Suite 105, Howell, MI Phone Fax Web Site: Memorandum To: From: Livingston County Board of Commissioners Robert Spaulding, DPW/Solid Waste Coordinator Date: May 17, 2017 Re: RESOLUTION AUTHORIZING AN AGREEMENT WITH BATTERY SOLUTIONS, LLC. TO PROVIDE BATTERY RECYCLING SERVICES Infrastructure &Development/Finance/Board The Livingston County Department of Public Works is requesting Board of Commissioners approval to contract with Battery Solutions, LLC. to provide battery recycling collection and disposal services. The current contract for this service has expired. Per the County Purchasing Policy, a competitive bid process was performed in which the bid was posted on the Michigan Inter-governmental Trade Network (MITN), the County Purchasing website, and an ad was placed in the local newspaper. Three quotes were received and evaluated. After careful review and bid clarifications, it was determined to award to Battery Solutions, LLC. The quote from Battery Solutions, LLC. was determined to be the most responsive and lowest cost quote. In comparison to current rates, an award to Battery Solutions, LLC. will result in an overall savings of 53% per year for an annual contract savings of $13, of $59.06 per year for an annual contract savings of $ (see attached). Prior to the expiration of the contract, Battery Solutions, LLC. provided exemplary customer service, quality collection and recycling services. As a result, we are requesting the attached resolution be approved which authorizes a contract with Battery Solutions, LLC. to provide battery recycling services for a period of three (3) years. Thank you for your consideration. If you have any questions regarding this matter, please contact me.

37 RESOLUTION LIVINGSTON COUNTY NO: DATE: RESOLUTUION TO LEVY 2017 ALLOCATION MILLAGE - EQUALIZATION / FINANCE / BOARD WHEREAS, WHEREAS, WHEREAS, in compliance with the requirements of Act 5, Public Acts of Michigan 1982, as amended; and the proposed levy would apportion taxes for the county operation purposes based on the Taxable /valuation of prior to the presentation of this resolution, the following tax levies were recommended: General Operations Ambulance.2962 Veterans Relief.1190 THEREFOR BE IT RESOLVED that the apportionment of taxes for the county operating purposes be approved and authorized to be levied on the summer tax billing against the Taxable Valuation of the County at the rate of BE IT FURTHER RESOLVED that the Ambulance Millage and Veterans Relief Millage be levied on the winter tax billing against the Taxable Valuation of the County at the rates of.2962 and.1190 respectively. BE IT FURTHER RESOLVED that the 2017 levy for the county operations and debt be approved and levied as recommended. BE IT FURTHER RESOLVED that the Chairman of the Board of Commissioners be authorized to sign the 2017 Millage Rate Request (L-4029) upon approval of the Board of Commissioners. MOVED: SECONDED: CARRIED:

38 ORIGINAL TO: County Clerk(s) COPY TO: Equalization Department(s) COPY TO: Each township or city clerk 2017 ) MILLAGE REQUEST REPORT TO COUNTY BOARD OF COMMISSIONERS County $ Livingston Local Government Unit $ 2017 tax roll. (1) (2) (3) (4) (5)** (6) (7) (8) (9) (10) (11) (12) Millage Millage Millage Millage Rate Current Year Millage Rate Sec Maximum Requested Requested Expiration Authorized Permanently Millage Permanently Millage Allowable to be to be Date of Purpose of Date of by Election, Reduced by Reduction Reduced by Rollback Millage Levied Levied Millage Source Millage Election Charter, etc. MCL d Fraction MCL d Fraction Levy* July 1 Dec 1 Authorized Director 5/15/2017 As the Representatives for the local government unit named above, we certify that these requested tax levy rates have been reduced, if necessary to comply with the state constitution (Article 9, Section 31), and that the requested levy rates have also been reduced, if necessary, to comply with MCL Sections e and and, for LOCAL school districts which levy a Supplemental (Hold Harmless) Millage, (3). Clerk X Secretary Elizabeth Hundley Chairperso X President Kate Lawrence See instructions on the reverse side for the correct method of calculating the millage rate in column (5).

39 LIVINGSTON COUNTY, MICHIGAN DEPARTMENT OF EQUALIZATION Memorandum To: Livingston County Board of Commissioners From: Sue I. Bostwick Date: May 15, 2017 Re: Resolution 2017 County Millage Rates I have attached the resolution for the 2017 L-4029, Millage Request, for the county s levies. Included in the form are both summer and winter levies calculated with the proper Headlee rollback. The rates are based on the assumption the Allocation Board will not change the allocation portion of the millage, and will not go a vote of the full board until after final allocation, May 25, If you have any question regarding this matter, please contact me.

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116 EMS 2016 ANNUAL REPORT

117 Requests for Service by City, Village, Township Brighton City 1684 Brighton Twp 1494 Cohoctah 149 Conway 157 Deerfield 234 Fowlerville 409 Genoa 3686 Green Oak 1358 Handy 422 Hamburg 1166 Howell 4538 Hartland 1212 Howell Twp 1516 Iosco 277 Marion 541 Oceola 644 Pinckney 152 Putnam 319 Tyrone 520 Unadilla 180

118 EMS Annual Report Requests for Service Emergency Requests Transports 4642 Non Emergency Requests 1710 Traffic Accidents 2804 Sick Complaints 2358 Falls 1908 Chest Pain/Heart Prob 1278 Breathing Problems 425 Strokes 316 Overdose 435 MICU Requests

119 Reimbursement LIVINGSTON COUNTY EMS COLLECTIONS FOR 2016 PRIVATE PAY $182, % MEDICARE $2,471, % BCBS $1,792, % MEDICAID $342, % COMMERCIAL $1,824, %

120 Legislative Issues Impacting EMS Bill Year Status Subject Matter HB House Health Policy Committee Criminal Sexual Conduct Victim Education HB House Criminal Justice Committee Body Cameras HB House Judiciary Committee Body Cameras SB Senate Health Policy Committee Community Paramedicine SB Senate Health Policy Committee Community Paramedicine SB House - Second Reading Insurance - decrease provider reimbursement HB House Transportation Committee DNR/NHM on Drivers License HB House Appropriations EMS at H.S. Athletic Events SB Senate Health Policy Committee HPRP Program SB Signed by Governor -PA 209 of 15' Good Samaritan HB House Tax Policy Committee Tax Deductions for Public EMS Providers HB Signed by Governor -PA 221 of 15' Expanded Epi-Pen HR House Energy and Commerce (federal) Controlled Substances under Standing Orders SB Senate Health Policy Committee Criminal Sexual Conduct Victim Education SB Senate Health Policy Committee MAPS Requirement HB House Health Policy Committee HPRP Program HB House Health Policy Committee Narcan Requirement for Police & Fire SB Signed by Governor -PA 40 of 16' CISM HB House Judiciary Committee MI-POST - Limited Interventions HB House Health Policy Committee DNR/NHM on State ID Cards HB House Health Policy Committee - H-2 Education on Drug Overdoses HB House Criminal Justice Committee Assault Related Crime Protection for H.C. Providers HB House Criminal Justice Committee Assault Related Crime Protection for H.C. Providers SB House Health Policy Committee - passed Senate Telehealth HB House Local Government Committee Fire Personnel Authoirty in Dangerous Situaitons HB House Appropriations Fire EMS Funding HB House Health Policy Committee Police Officer Education on Drug Overdoses HB Senate Homeland Security Committee - Passed House CPR Training in Schools SB House Second Reading - Passed the Senate CPR Training in Schools SB House Appropriations - Passed Senate Fire EMS Funding HB Senate Transportation Committee - Passed the House Speed Limit Bills HB Senate Transportation Committee - Passed the House Speed Limit Bills HB Senate Transportation Committee - Passed the House Speed Limit Bills HB Senate Transportation Committee - Passed the House Speed Limit Bills HB Senate Transportation Committee - Passed the House Speed Limit Bills HB House Health Policy Police Officer Education on Drug Overdoses HB House Appropriations Volunteer Provider Tax Credit HB House Floor - Second Reading Naloxone Usage by Corrections Officers Waiting for Introduction Casperson's Revision of SB Waiting for Introduction Bennett Bill Changes - Sponsor to be Sought

121 External Influences/Collaborations EMSCC Kevin Wilkinson member, Jeff Boyd Vice Chair Education Chair Kevin Wilkinson Legislative Kevin Wilkinson, Jeff Boyd By-Laws Chair Jeff Boyd STAC Chair Jeff Boyd State QA Jeff Boyd MAAS Jeff Boyd Board Member, Past President EXPO Kevin Wilkinson, Jeff Boyd Chair Reimbursement - Janine Dunning Legislative Jeff Boyd MiEMSPA Anthony Peters Board Member, Kevin Wilkinson Past President

122 External Influences/Collaborations Washtenaw Livingston Medical Control Authority Body, Authority, PSRO and D and E Jeff Boyd/Kevin Wilkinson/Anthony Peters/Sara Welter D1RMC John Waters Board Member Fire Chiefs Jeff Boyd/Tom Green AOB Kevin Wilkinson NHSTA Review

123 68 Full time Paramedics Paramedics Required Training RSI Cleared ACLS - Advanced Cardiac Life Support CPR - BLS for Healthcare Providers ITLS International Trauma Life Support Annual Competencies 45 Credits every three years Pediatric Advanced Life Support 239 Clinical Protocols to remember 47 different Drugs in 4 different drug boxes Approximately 10 more drugs for Community Paramedic

124 Major Events this Year Save MI Heart Conference Dedicated to doubling out of hospital cardiac arrest survival rates by 2020 Survival Flight Conference Continuing long tradition of education in pre-hospital and hospital setting State of the County EMSCC Meetings Starting in 2017 Helicopter EMS Safety Day

125 Education Almost 50 students enrolled in the High School EMT program this year Recruiters were in the building during the last weeks of the program looking to hire prospective high school graduates EMT students are returning from the high school program to work as a paramedic here Another 30 adult students were enrolled in an evening program at Hamburg Fire Dept. University of Maryland Baltimore Critical Care Paramedic University of Maryland Baltimore Pediatric Critical Care Paramedic CPR Education ITLS

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