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CFRA
Forest Lakes Fire District
Print CFRA
CSV
Agreement
Resources
Number:
AZ-FOL-2024-01
Signed On:
04/02/2025 16:07:42.467 MST
Term:
04/01/2024 - 03/31/2029
Signed By:
William Tavares
Fire Department / District (Cooperator)
Forest Lakes Fire District
1508 Merzville Rd
Forest Lakes, AZ 85931
Business Phone:
9285354644
After Hours Phone:
Fax:
928-535-5448
Email:
Representative
Wanda Bernett
928-535-4644
Workers Compensation
Securis
Roshell Lee
602-200-2475
District Fire Warden
Memo
State Area Office (ADO Payment)
Arizona Department of Forestry
and Fire Management
1110 W. Washington St.
Suite 500
Phoenix, AZ 85007
Fire Business Manager
By Signing, I verify that the information entered is accurate.
Signed
4/22/24 12:06 MST by Wanda Bernett
Document Name
Upload Date
None
Choose File
Drag and Drop Files Here
General Provisions
None
Special Provisions
None
Time Period
05/01/2026 - CURRENT
02/01/2025 - 04/30/2026
04/01/2024 - 01/31/2025
Kind
Type
FEPP
Name
License
VIN
Rate
Rate per Mile
Year
Max Daily
Min Daily
Staffing (min/max)
Active
Emergency Medical Equipment
AMBULANCE TYPE 1
R1211
G597JP
1FDUF4HT0KDA12601
$69.00 /Hour
-
2019
$0.00
$0.00
2/2
Yes
Medium Duty Vehicles
TRUCK - 1 1/2 TON
A1211
G364HL
1FDUF5HT7GEB08250
$35.75 /Hour
-
2016
$0.00
$50.00
1/1
Yes
Medium Duty Vehicles
TRUCK - 1 1/2 TON
A1212
G763HH
1FDAW57F71EC81501
$35.75 /Hour
-
2001
$0.00
$50.00
1/1
Yes
Light Duty Vehicles
1/2 TON PICKUP
Battalion 12
G216HV
5TFBV54177X009712
$17.51 /Hour
-
2007
$0.00
$50.00
1/1
Yes
Engines
TYPE 1 ENGINE
E1211
G327EH
1FVACYDC15HU487128
$159.00 /Hour
-
2005
$0.00
$0.00
3/4
Yes
Other Equipment
EQPT includes 3 trucks, UTV, Chain saws, BLS
LOAD1211
PWR04126
-
-
2015
$0.00
$0.00
5/17
Yes
Medical - Non-Vehicle
ALS KIT
ALS Kit
$215.00 /Day
-
$0.00
$0.00
1/1
Yes
Medical - Non-Vehicle
BLS KIT
BLS Kit
$150.00 /Day
-
$0.00
$0.00
1/1
Yes
Light Duty Vehicles
1/2 TON PICKUP
Chief 12
CHA 08W
1FTFW1RG6KFC46789
$17.51 /Hour
-
2019
$0.00
$50.00
1/1
Yes
Water Tenders Support
TYPE 2 SUPPORT
WT1211
WSA2BR
1HTMMAAN55H140627
$130.00 /Hour
-
2005
$0.00
$0.00
1/2
Yes
Emergency Medical Equipment
AMBULANCE TYPE 1
R1212
G891JB
1FDWF37P56EA66743
$69.00 /Hour
-
2006
$0.00
$0.00
2/2
Yes
Sign Rate Agreement
Enter your name and title in order to sign the agreement.
Name:
Title:
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Sign Rate Agreement
By signing this Agreement I hereby certify that I have read and understand the full terms of the agreement
and will adhere to the policies within while participating in Wildland Firefighting assignments
mobilized through the ICMA reimbursement process in the Fire Business System.
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Successfully Signed CFRA
The full CFRA payment terms and conditions can be accessed any time under the 'Documents' tab.
Please
submit
your CFRA now to the Local Area Office for review and Area signature.
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