Chief Douglas Meyer {1am writing you to notify you that 1 am resigning from City of Watewville Fire Department. | am resigning due to personal reasons that | have been dealing with for alittle while. ‘wanted to thank you for everything you have done for me and giving me this opportunity. | am truly grateful for everything you and Chief Bingham have done for me and helped me through. Both of you have truly made me a better firefighter and leader. am resigning as of September 9" 2022. Sincerely, Zachary Bernhard Bled RECEIVED SEP 09 2922ASSL, ORS “on the banks of history August 30, 2022 Zachary Bernhard RE: Administrative Leave Dear Mr. Bernhard: Effective August 30, 2022, you are being placed on administrative leave from the City of Waterville Fire Department pending the outcome of an investigation into your alleged violation of the City’s aleohol and controlled substances prohibition policies. Until this investigation is concluded, you are not permitted to work or sign up for any available shifts at the Waterville Fire Department, Upon conclusion of this investigation, if futher action appears warranted, a predisciplinary meeting will be scheduled with the Waterville Municipal Administrator. At a predisciplinary hearing, you have the right to present oral or written testimony on your behalf and you have the right to a representative to appear with you or on your behalf, If you have any questions, please contact Fire Chief Douglas Meyer or nyself at the City office, ‘Thank you, Jon Dedmowe, Jon Gochenour ‘Municipal Administrator City of Waterville 26 North Second Street + Waterville, Ohio 43566-1491 + 419-878-8100 * Fax 419-878-8044 © www.watervilleongWaterville Fire Department Chief Douglas B Meyer Phone: (419) 878-0165 Fax: (414) 878-8199 751 Waterville-Monclova Road « —_—-‘Waterville, OH 43566-1151 30 August 2022 Mr. Gochneour Municipal Administrator 25 North Second Street ‘Waterville Ohio 43566 419-878-8100 RE: Employee with alcohol on breath at work ‘Mr, Gochenour, Zachary Bernhard was found to have missed @ call at 07:51 am on 30 August 2022. Mr. Bernhard ‘was hard to wake and eventually reported to Deputy Chief Bingham’s office. At that time Deputy Chief Bingham smelled alcohol on Mr, Bernhard. Mr. Bernhard was sent for a BAC and Drug Test at Occupational Health escorted by Chief Meyer. The BAC results were given to Chief Meyer while at Occupational Health. Mr. Bernhard was taken home by Chief Meyer and advised we would contact with further information as it became available. Chief Meyer collected statements from all the parties involved and interviewed two other full-time ‘employees, During the verbal interview with Mr. Welling he was asked if he brought Mr. Bernhard to the station, He stated yes, he was here to drop off Mr. Bernhard as he did not want Mr. Bernhard to drive, Mr. Welling verbally stated he was not intoxicated and that he was with Mr, Robertson only, and that they did wake the duty crew up to say hello and then leave, Chief Meyer also verbally interviewed Mr, Robertson. Mir. Robertson stated that he also was here to bring Mr. Bernhard to the station. Mr. Robertson stated that he was not intoxicated and that he did not want Mr. Bernhard driving home. Mr. Robertson stated it was only him and Mr. Welling that dropped off Mr. Bernhard, Mr. Robertson did also state that he accompanied Mr. Welling in waking the crew up to. say hello. All statements are attached to this letter, and all show around the same information. Mr. Bernhard was dropped here to sleep, that way would be here for work. The crew was disturbed after hours by two other fulltime employees, but was kept brief and then they left.‘Thank you for your consideration and time on this important issue. Please let me know the next step that need to be taken in order to complete this discip Respectfully Douglas 8. Meyer Fire Chief City of Waterville 754 Waterville Monciova Rd. Waterville Ohio 43566]419-878-0165,Waterville Fire Department. Chief Douglas B Meyer Phone: (419) 878-0165 Fax: (414) 878-8199 751 Waterville-Monclova Road « Waterville, OH 43566-1151 Bernhard incident Statement At 07:51 we were dispatched to a residence for a Check Safety with Police. | responded with Medic 78 from home due to it being close to the start of my shift, as well as information indicating the patient may have been hallucinating and combative. | arrived to find Medic 78 completing paperwork for an AMA, and | noticed the crew members were Tanner Dodge and Matt Fischer. Matt Fischer was due to be off shift at 07:00, and | asked why he was there, He advised he would talk to me outside. We completed inside, and met at the ambulance, Matt Fischer advised that Zach Bernhard, Greg Robertson and Zach Welling came to the station around 02:30 this morning and were loud and disruptive. Fischer advised that Zach Bernhard ended up sleeping at the station from this. Matt Fischer indicated that he attempted to wake Zach Bernhard up before shift change and that Zach wouldn't wake up. At 08:17 | contacted Chief Meyer and informed him of the situation. Chief Meyer believed that this was a No Call No Show for Zach Bernhard, however | advised him of what | was informed, Chief Meyer began the process through the Municipal Administrator to get an alcohol and drug screen. | returned to the station and noticed that Zach Bernhard’s truck was not at the station. | ordered Tanner Dodge and Matt Fischer into my office. | had a stern conversation with them, informing them that the events of last night and this morning needed to be reported immediately to myself or Chief Meyer. Tanner Dodge advised that he attempted to wake Zach Bernhard up twice, and that Zach would open his eyes, but not wake up and would go back to sleep. | asked both of them if they believed Zach was having a medical emergency that we needed to address, and they both felt that it was not. At this point I noticed Zach Bernhard was downstairs in the administrative hallway, ‘had Tanner and Matt leave my office and ! ordered Zach into my office and closed the door. | advised him that his behavior was unacceptable and that we needed to work sorne things out. Zach was cooperative and understanding. From across my desk | could smell what | believed to. be alcohol, and Zach has bloodshot and glassy eyes. | advised Zach to stay in my office, and | stepped out to call Chief Meyer. At 08:27 | called Chief Meyer and informed him that | made contact with Zach, and suspected Zach of possibly still being under the influence. | was advisedto not have Zach leave my office or use the bathroom. Chief returned to the stat Zach to Occupational Health. Nn and took | contacted Mr. Gochenour at 09:19 to see if he wanted me to gather statements from people involved and he indicated that | should, | advised Tanner Dodge and Matt Fischer to give me written statements. | spoke with Spencer Wilkerson over the phone at 09:22. Spencer was on shift yesterday and was at the station when the 3 individuals arrived at the station. He advised that they were loud and disruptive, | apologized to Spencer, as this was his first 24 hour shift. | advised him that what happened last night Is not the norm, that it was unacceptable, and does not represent Waterville Fire or the City of Waterville. He advised that he was not offended in any way, and that he completely understood. He advised that he did not want to be labeled asa “snitch” by the staff if he gave names. | advised him that the individuals got themselves into trouble, and that nothing he would say would change the outcome. He advised that Zach Welling and Greg Robertson were in the station at 2:30am, I made contact with Kyle Yeager 09:29 via phone, | asked him about the events at 2:30, and he confirmed that there was an incident like that at 2:0, He did not want to give names, however, he was advised that nothing he would say would change the outcome as the individuals were already being investigated, | advised him that | needed him to complete a written statement by the completion of his next shift. Zachary E. Bingham Deputy Fire Chief Waterville Fire DepartmentWaterville Fire Department —— Chief Douglas B Meyer Phone: (419) 878-0165 Fax: (414) 878-8199 751 Waterville-Monclova Road . Waterville, OH 43566-1151 To whom this may concern, | Zach Welling will state of the events of August 30, 2022 2:30 am. ‘At Waterville Fire Station. | was a rider in the car when we dropped off Zach Berhard to Waterville Fire station because he had to be on shift at 7:00am and felt like he did not want to go home and just sleep at the station. | as well came in to station and talked! to on duty shift to let them know that he would be here, after that ! left with the same car | rode In to get to the station, We did not want him to drive because of a drink he had earlier in the day, | did not know when he had one or what time he last had said drink, Zach Welling 6Wes— 130/22.Waterville Fire Department AAA a) Chief Douglas B Meyer Phone: (419) 878-0165 Fax: (414) 878-8199 751 Waterville-Monclova Road Waterville, OH 43566-1151 ‘On the morning of 8/30/2022 @ around 0230 | was in a car that was driven to the Waterville fire department in order to drop off a full time fire fighter. The said individual was worried ‘that he wouldn’t wake up in the morning for his shift. The idea of having said individual steep at the station to ensure he would be on shift was given. Said individual was dropped off at the station. Duty crew was informed of what was happening.Zach Bingham From: Kyle Yeager Sent: Tuesday, August 30, 2022 1:12 PM To: zbingham@watervilleorg Subject: Statement 10/30/22 On the morning of 10/30/22, approximately at 0230 in the morning a noise disturbance was heard coming from the hallway. I got up, turned my light on and proceeded out to the hallway. Two employees were found in the hallway and they stated “We wanted to say hello to c-shift.” I proceeded to walk back into my bedroom to go back asleep. I ended up getting back up to use the restroom down stairs. I was met by 3 employees and 1 of their family members at the bottom of the stairs, Employees were Z. Welling, Z. Bemard, and G. Robertson, along with the family member who was G. Robertson's wife, A quick conversation was held with all of them. A statement from Zach Bernhard was made, “wake me up before 7:00am” I stated “sure,” not thinking much of the statement. I stated ! have to reaily use the restroom end walked quickly to the bathroom, After finishing using the restroom, I proceeded to go back upstairs to go back to sleep. I noticed a flash light coming from the day room, I was met by Zack Bemhard who stated he was grabbing his blankets and was going to sleep in the Gay room, Z, Bernhard proceeded to grab his blanket and went into the day room, At 0600 I woke up and conducted my normal morning routine. At 0640 I went back up to the day zoom to wake Z, Bemhard as he asked. The day room light was tured on and he, Z, Bemhatd proceeded to stand up. I left the room and walked back down stairs, Leaving Z, Bemhard upstairs. Approximately at 0930 on 08/30/22 chief Bingham called me and requested to rite up a statement of what took place. This is that said statement.On the morning of August 20 2022 at 0230 hours ! heard noises and laughing coming from the hallway. I woke out of bed, tumed the light on and opened the door. ! found 2 full ime employees in the hallway. ‘They sald they wanted to come up and see “C” shift crew. | went to the bathroom and went back to bed locking the dorm door. Time went by and they were still at the station. Unknown time but someone said they were just going to sleep in the day room. | fell back asleep. At 0640 | woke up to my alarm, put my bedding away and proceeded downstairs for shift report. At 0653 | went outside to check if firefighters Zach Bernhard’s truck was in the fot as he usually arrives around this time, and it was not. | went upstairs to the day room and found firefighter Bernhard sleeping in the chair. | turned the light on and off and told hhim its time to get up, He did not respond, but waking him up is a difficult time, from past experiences working 2 departments with him. | went back downstairs. | told Tanner Dodge that he did not really responded to me-and | will stick around until firefighter Jacob Twletmeyer arrives for shift. Tanner went to check on Zach at 0715. (See Dodge’s report for details) At 0751 Waterville Fire received a 911 call. | responded with Tanner Dodge to scene. At the call DC Bingham asked why I was still here, | told him | will talkto him after the call. After the call | explained what happened to DC Bingham and returned to station. At the station further explained what happened and typed a statement.O2 2302 \nioKe_ue ko voces owssdeivs, thought | ib imay - rave—lneer_ Otte mernbers_on.duby lilid were 40 talking. | ___ did mot gph vie. lA Lew sainutes lade \ Weald clara opening and | Naices_in the halt outside my coam. so | €\ieped the light on and cheked Outside \ was wre \oy the cher duty crew _______| vember, Kyle and Madk, in. Ade. \nalluiny Aaileng ho ——§lsiea anertsom ond Zan Wetinng, We eenced Sea negand Zaz 40 ploy a Rirendly proglical Yoke of Sorts, and they | Rew winukes Laker The otter shit membrs and |.(On the morning of 08/30/2022, | Tanner Dodge was in the dispatch room at 6:55 AM after getting ready for shift, Firefighter Yeager came to me in the morning for the morning briefing for the things that went. ‘on for the day of 08/29/2022. While giving me the morning report Firefighter Yeager told me that Firefighter Bernhard was still upstairs sleeping and his alarm was going off, he also told me he came in the Early AM time and slept in the Day room. | did the Daily check on M78 at 7:00am, At 7:15am | walked upstairs and was walking to the day room. | heard an Alarm going off on a Phone, | walked in the day room and turned on the light to the room, Bernhard opened his eyes and | told the time and that he should get up. | than walked out of the day room and went down stairs. | than did the daily check on M77. After completing the daily check, | went upstairs and hear the same alarm going off. The time was 7:27am. | again told Bernhard it was time to get up. Bernhard opened one eye when being talked to. | than went downstairs, After working with Bernhard on A shift It was not uncommon to have alarms in the morning going off on his phone, | was going to go back up after doing more daily tasks. {called Firefighter Twietmeyer to see how far he was out, only to learn the he was at Whitehouse tll 8am. 1 started the weekly check on £77, At 07:51am Station 77 received an EMS call, | and Firefighter Fisher ‘went on the Ems call. We did not hear Firefighter Bernhard upstairs so we wanted to make sure to goon the call. Deputy Chief Bingham arrived on the Ems call and was told about the incident at the station after the call was complete. tana a 30°22.VILLAGE OF WATERVILLE, OHIO PERSONNEL POLICY AND PROCEDURE MANUAL RECORD OF WRITTEN WARNING Zachary Bernhard Employee's Namer Bull Time Firefighter/EMT Classification: TYPE OF VIOLATION: Group_l! Number 1 Deseription of Violation: Seeatiecheds (attach additional sheets if necessary) Date Violation Occurred:_5/27/202 Location Where Violation Ocoumed; __ 75! Waterville-Monclova Road Waterville, OH 43566 ‘Waterville Fire Department FF Bernhard will be in the kitchen no'later than 6:45am on his Necessary Corrective Action: 3 offgoing mornings to give a verbal shift change with the oncoming crew (B-Shift) (attach additional sheets iff necessary) Date of Prior Verbal Warning(s);__(informal) 10/29/2021 a aaa ‘This written reprimand is issued as a corrective measure in an effort fo help you improve {. Any further violations could result in more gevere disciplinary actions. Fire Chief Title T hereby acknowledge that a copy of the above Record of Written Warning has been given to me, ry. ‘ j-22 Lee eg Date Original: Personnel File Copy: Employee 082i veep phatWaterville Fire Department Chief Douglas B Meyer Phone: (419) 878-0165 Fax: (414) 878-8199 751 Waterville-Monclova Road Waterville, OH 43566-1151 Bernhard Discipline Statement On Friday May 27, 2022 Zach Bernhard was found to have slept past shift change, Department SOPs require on duty personnel to be downstairs in the kitchen by 6:45am for shift change report with the oncoming crew. Firefighter Bernhard slept until we recelved a call at 8:14am. Firefighter Bernhard advised that he had set 3 alarms, had silenced 2 and slept through the 3" Zach Bernhard had a similar incident on October 29, 2021, where he received an informal verbal warning from Deputy Chief Bingham for oversleeping shift change.VILLAGE OF WATERVILLE, OHIO PERSONNEL POLICY AND PROCEDURE MANUAL, RECORD OF VERBAL WARNING ] Employee's Name:_Zachary Bernhard Classification: Failure to clock out / Failure to report off work timely TYPE OF VIOLATION: Group_|_ Number_} &2 Description of Violation: Mr Bembard was unable to make it to work due to car problem on Dec 22nd 2020 and did not call in to report this tardiness, Mr Bernhard then did not sign out for his shift on the same day. Mr. Bernhard has been told that he will inform the Chief of tardiness and properly sign in and out for work. (attach additional sheets if necessary) Date Violation Ocourred:_Dec 22nd 2020 ‘Location Where Violation Occurred: _Fire Station Necessary Corrective Action:_Mt. Bernhard will report tardiness and will sign in and out. (attach additional sheets if necessary) ‘This verbal warning is issued as a comective measure in an effort to help you improve your conduef, Any further violations could result in more severe disciplinary actions, = Fite Chief ‘Signature of PeygOh Issuing Warning Title Thereby acknowledge that a copy of the above Record of Verbal Warning has been given to me this day. GE “ 4 fr2r2l Signature of Employee fee Date Original: Personnel File Copy: Employee o82iayempLt plsat9ten; ECEIVE yn EMPLOYMENT APPLICATION City of Waterville 25 North Second Street ‘Waterville, OH 43566 419.878.8100 THe Ciry OF WATERVILLE IS AN EQUAL OPPORTUNITY EMPLOYER jae Time Blrefighber Position Applied For Date 7-17-14 cS PG Nome _Sambnag ae ZaLjory Wiliam. Ta Fa ee Address srerereeeeare aR TeaaROTT oF Sa ee eat ase - Phone At, Phone Soctal Securly# (optionay : ‘Ave you atleast 18 years of age? Yes No Are you. clizen ofthe United States or Yes No ‘are you iden 290 oF 18, 2 work pom may be ested C1 otherwise legally eligible towork inthe U.s.? BO) Yes No Have you previously applied to the City of Watevile? CJ [Sq ltyes, when? YES No Have you ever been employed by the State of Ohio or any county or municipal in Ohio ? ra} PAN oym Tw, BITE ae uae TF-VES; please Fl no cation of previous mnjpal oat empaymentn ONa a : ree umeccasaes PLEASE DESCRIBE, IN ONE OR TWO SENTENCES, THE TYPE AND NATURE OF EMPLOYMENT YOU ARE SEEKING, LON SEK IND A POSEN OS Poreting Pole Yh Emr, FilTine Petting NoPitaence Fergeue tleitnt Tempo Senin NoPreteaen Position Desired I Oo ‘Type of Position "BR tl ‘re you able to perform aliob-eated functions YES No Desired Salary $_svegolirbig Date Available 71-14 ofthe speoiic postion for which you are applying? CE] C) Yes No ves No Co you currently possess a vad Ohio Driver's License? BEE Commercial Diver's License? E] ‘Ae you wilting and able to secure any Yes No If necessary, can you supply yout No license or certification required for this position 2 oO ‘own transportation for work use? oO j mimes : ‘Tas section 1s oprionan ConLETE ONLY IF YOU ARE CLAIMING A VETERAN'S PREFERENCE ‘Branch From To Rank at Discharge. ota ig ants oe Sts Ble hFLIST ALL EMPLOYMENT AND WORK EXPERIENCE DURING THE PAST 20 YEARS, IN DATE ORDER. BEGIN WITH YOUR CURRENT oR MOST RECENT EMPLOYMENT. OMISSION OF ANY EMPLOYMENT DURING THE PAST 20 YEARS MAY BE GROUNDS FoR DISQUALIFICATION. USE ADDITIONAL SHEETS, IF NECESSARY. Emoyer MOnclaye TANT FYengevve derereniy Phone UM 865 ~Guias Address A345 Mein Rd, Monclove ot Usa Superviscor_Kewin Besnlord dob Tile _Firetighte -Peid an aft Starting Salary $ YAW’ 280 Current Salary §_16. 16 Responsibites "Nes Ped to Stayin Cor j Acidtrks ond (45 Pord bo cats Stating Date _Ut~16- 20S May we conlact your supervisor forareterence? “id 19 Eralpor “ENE0 TOK. securdy cal LAVESHIpeHO vrone 4IAh-7447-4 245 Address 165 mari eve —pammseieil ok, 44403 superior Ed Gre Job Tite _SCOvyrkY OFFI cer Starting Satay §_|(-06 Ending Salary $_ULOO. Responsivities Cheble Vehiches ang Maina PEACE Oe this emer Prapeky From Ug 718 to 7-26-14 Reason tor Leaving Tommy hove vith VorHing EN deParmar Enpoyer TEXAS Rod howe i Prone I= S31- 2645 Address _3S40 Secor cd Tojedd oH, 4Zh0e Supervisor DAVE Solehnen Job Tite Vine Cooke Starting Salary $_\\-00 Ending Salary $_|1.00 ies COOK tood cmd Lint decoad for Serius From _tay-20) To U9 -2018 Reason orLeaving _Obtein a FVII tine, 0b Previous Responsi empioyor AVP Ceber UC _ Phone Ala Address 3345 Ceakahiat ty SY IWintn, ot Uzsco Supervisor _ TONY dob Title Air comprestoy Tech jc i my Staring Salary §_12-00 Ending Satary $_J2..06 Responsibiities_ COMPLE pr trary Maingmente 0 (PStowers A ip COmPM oes From _DEC* 2014 to _M{~2018 Reason for Leaving . Terminate Bees Employer united porces Serviley Phone (0 -242- $977 Address 1560 tononl ad Maurer of U3S2y superisor_ OMe ser], dob Tile __P%cleage Hon dye Starting Salary $_(1.0.0 Ending Salary $_ 1-60 Responsibites_ [00d Pachager Or TYvC iy eee Bad From J YlY 2017 to NOU 201 ReasontorLeaving __T9 We of hopes SOS2EneHigh Schoot «Atti “wesc hse cityisate uubehone (olt 0d you graduate? 5 colege ____ ctyistae eee Yes NO Didyou graduate?) LE] Degree é ao austen Teehnieal School _ Four Oudty Coweer Comber ciyistete _ AL Chapyd £0 tt ves NO Did you graduate? fx} EL) Degree Adational School _Pat& (arene Cantor” cryistate PE Thug 0 He Yes No ee \ : Did you graduate? fC] — Degree Fifehighter Ir cerpienepin : PLEASE DESCRIBE COURSES YOU COMPLETED OR TECHNICAL TRAINING YOU RECEIVED WHICH YOU BELIEVE WILL HELP YoU PERFORM THE JOB FOR WHICH YOU ARE APPLYING. INCLUDE SPECIAL MACHINERY OR EQUIPMENT YOU ARE QUALIFIED TO OPERATE, HOBBIES OR VOLUNTEER WORK PROJECTS WHICH TAUGHT YOU QUALIFYING SKILLS. ANetionny pepithy Emegucy Med bechnition PLEASE LIST THREE REFERENCES NOT RELATED TO YOU ie SCOTT Bocke| mon i puna EAE pin gtteet wa puyernoit a ia.s rit mebtfinite louvy “is24 oak sr fOjeds oft .ua6os “9 ry ben eunirey 5 “10 COUNHY y-tur APT IRA totes ct HE _Yig-262~t5uq Taint TSTICR GS Saale eels USE THIS SPACE FOR ANY ADDITIONAL EXPLANATION OR INFORMATION PERTINENT TO YOUR APPLICATION FOR EMPLOYMENT ma tn ® enone 81. | understand and accept that if selected for employment, my employment may be conditioned upon my passing any medical examination the City of Waterville deems necessary to determine whether I can physically perform the essential functions of the position, with reasonable accommodation when necessary, understand and accept that this may include drug, alcohol or substance abuse testing. , 2. If employed ! understand and accept that, depending upon the department to which 1 am applying for employment, | may be required to work evening shifts, nights shifts, weekends, and may be on-call to work mandatory overtime hours. ® 3. | understand and accept that if any information required in this application is found to be false or intentionally excluded, my application may be disqualified from further consideration, | further understand and accept that if | am employed by the City of Waterville, | may be subject to disciplinary action, including termination, if any information required by this application had been falsified or intontionally omitted, % 4. | understand and accept that the various law enforcement and informational agencies thal share information with the City of Waterville require that the City’s employees do not possess a record of prior unlawful activities, Therefore I understand and accept that, depending on the department to which | am applying for employment, it may be necessary for the City of Waterville to investigate my background for evidence of prior criminal activity, j I SOLEMNLY SWEAR THAT ALL INFORMATION FURNISHED IN THIS APPLICATION FOR EMPLOYMENT 1S TRUE, ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. | AUTHORIZE THE CITY OF WATERVILLE TO FULLY INVESTIGATE ALL STATEMENTS CONTAINED IN THIS APPLICATION, | UNDERSTAND THAT ANY MISREPRESENTATION OR FALSIFICATION OF THE INFORMATION PROVIDED MAY RESULT IN WITHDRAWAL OF ANY OFFER OF EMPLOYMENT, OR TERMINATION FOLLOWING EMPLOYMENT. | RECOGNIZE THAT MY FUTURE EMPLOYMENT WITH THE CITY OF WATERVILLE WILL BE JEOPARDIZED IF | ENGAGE IN SUBSTANCE ABUSE, ILLEGAL DRUG USE, OR ALCOHOL ABUSE. I hereby authorize the employers, schools and other references named in this application to provide information regarding me, and to release personnel, academic or other records concerning myself, to the City of Waterville, ryreropcae o eeFgh THN Roodhose ine Hb goo BA Adis, G7 Ter ori, Svrenior ERE GIONE Ke oo re QIS| washer. Storey peey oo Ena Poy 1-00 eee 60 CESPenscitityes Todo pad Stark dishes yrleppriocetiy for COPS = E op Aukans To Oy -2617 Remon Ler (taviny COMIC oF awe nd SehaningZSSRVILLE, ORF ‘on the banks of histaryO Verification of Both Ethic Documents This is verification that I have received a copy of “The Ohio Ethic Law and Related Statutes” and also a copy of Ethics is Everybody’s Business,” [0-24-14 ‘Dats aoe City of Waterville 25 North Second Stzeet © Waterville, Ohio 43563-1491 © 419-878-8100 © Fax 419-878-8044 ¢ www,waterville.orgNOTIFICATION OF PAYROLL ACTION Date: July 15, 2022 Name: Zachary Bemhard Position: Full Time EMT_ Department: Fire Status: Full-Time __X Patt Time ‘Temporary fe ACTION TO BE TAKEN: Salary Change From: $17.31 to 17.7437 Effective: 6-25-2022 / Reason: Annual Evaluation 50% Merit + 2.00% Buse= 2.50% Hourly Pay increase Leave Of Absence For Period to With Pay Without Pay Effective Date Reason: Separation: Effective Date: Reason: Layoff Voluntary Resignation __‘Termination Explain: Other Payroll Action: Vacation Pay: Back Pay: Retirement Other: ___ODC Match Increases to $28.39. Explanation, if necessary: See Gan eee yaaa Signature of Municipal Administrator fenature of Assistant Finance OfficerNOTIFICATION OF PAYROLL ACTION Date: 09/18/2021 Name: Zachary Bernhard Position: =EMT/FF Department; FIRE Status: Full-Time & Part Time Oo Temporary oO ACTION TO BE TAKEN: Salary Change From$ 15.41 To$ 1731 Effective: $- 18 - 2024 Reason: Leave Of Absence egies. Por Period To WithPay [) WithoutPay [] Effective Date Oo Reason: Separation: Effective Date: Reason: Layoff [J Voluntary Resignation: [] Termination [] Explain: Other Payroll Action: ( Vacation Pay: (Back Pay: [J Retirement: Dd Other: Hired as a full time EMT/FF Explanation, if necessary: SEE ATTACHED Ca Sees Signature of Municipal Administratot signature of Assistant Finance OfficerNOTIFICATION OF PAYROLL ACTION Date: {0/3/ae Name: PeRNHARD Position: FE/EMT Department: FIRE. Status; Full-Time o Part Time &) Temporary a] ACTION TO BE TAKEN: Salary Change From$ 14.05 ToS 1431 Effective: Reason: Leave Of Absence For Period To With Pay (1 Without Pay [] Effective Date Oo ‘Reason; Separation: Effective Date: Reason: Layoff [] Voluntary Resignation: [] Termination [1] Explain; Other Payroll Action: C Vacation Pay: (Back Pay: (Retirement: Bd Other; COMPLETED HIS 1 YEAR PROBATIONARY PERIOD Explanation, if necessary: SEE ATTACHED Oe. SD DO fgnature of Depgeatient Head Signature of Municipal Administrator Signature of Assistant Finance OfficerShellie-The following are the pay rates for: ZACHARY BERNHARD. VOLUNTEER FF/EMT Medical at scene (R) $16.00 Medical standby (B) $10.66 Fire at scene (C) $16.00 Fire Standby (B) $10.66 Weather Stand-by (B) $10.66 In-House Training (T) $10.66 Special Event (T) $10.66 Part time EMT (PTE) $14.31 STARTING DATE ol3t/ Ab FIRE CHIEF - SlonaTuRE ere Es ADMINISTRATOR-SIGNATURE Glen 29) JShellie-The following are the pay rates for: ZACHARY BERNHARD VOLUNTEER FF/EMT Medical at scene (R) Medical standby (B) Fire at scene (C) Fire Standby (B) Dispatcher (R) Weather Stand-by (B) In-House Training (T) Special Event (T) Part time Probationary EMT (PRE) STARTING DATE > 2Q-AWA FIRE CHIEF - SIGNATURE IEF rae 9.4, ADMINISTRATOR-SIGNATURE $15.45 $10.30 $15.45 $10.30 $15.45 $10.30 $10.30 $10.30 $13.25NOTIFICATION OF PAYROLL ACTION Date: 10-29-19 ZACHARY Name: BERNHARD Position: FF/EMT. Department; FIRE Status: Full-Time Oo Part Time ® ‘Tempor ACTION TO BE TAKEN: Salary Change From $ Tos Effective: Reason: Leave Of Absence For Period To WithPay [] WithoutPay [1] __ Effective Date oOo Reason; Separation: \ Effective Date: Reason: Layoff [] Voluntary Resignation: [] Termination [J Explain: Other Payroll Action: (Vacation Pay: [2] Back Pay: Di Retirement: Other: NEW HIRE, Explanation, if necessary; SEE ATTACHED Ga @ ec ‘Head Signature of Municipal Administrator Sigdiature of Assistant Finance O}CONFIRMATION OF SUBMISSION OF NEW HIRE REPORTS Ohio New Hire Reporting Center le P.O, Box 15309 ciara Noe verokng venler Columbus, OH 43215-0309 (614) 221-5330 (888) 872-1490 (toll-free) New Hire Entries for: City of Waterville Date: 11/1/2019 _— Fame [ne bar Dacian stal Naren Tony Stein — [evant abn Bor 292019] Joi ‘fessor STATES [[Pané Confirmation Report | [EmployerHome | [ Logout | hitps://newhire-reporting.com/OH-Newhire/NewHireConfirmed,aspx 11/1/2019AGES a ntof Qe | Acknowledgement of receipt of Auditor of State Fraud Reporting System information: Pursuant to Ohio Revised Code 117.103(B)({), a public office shall provide information about the Ohio fraud-reporting system and the means of reporting fraud to each new employee upon employment with the public office. Each new employee has thirty days after beginning employment to confirm receipt of this information, By'signing below you are acknowledging the City of Waterville, Ohio provided you information about the fraud-reporting system as described by Section 117.103(A) of the Ohio Revised Code, and that you read and understand the information provided. You are also acknowledging you have received and read the information regarding Section 124.341 of the Ohio Revised Code and the protections you are provided as a classified or unclassified employee if you use the before- mentioned fraud-reporting system. 1, (print namie) Zachary Bemba have read the information provided by my employer, the City of Waterville, regarding the fraud-reporting system operated by the Ohio Auditot of State’s office. I futther state that the undersigned signatory acknowledges receipt of this information, Becher dermbd FUE hee Emr, City of weber vine Bite dette PRINT NAME, TITLE, AND DEPARTMENT ocd, f \0-2-4- 209 PLEASE SIGN NAME DATE City of Waterville 25 North Second Street, Waterville, Ohio 43566, (Ph) 419-878-8100 - (fax) 419-878-8044ATLL, OS Bate ents of oy Qe. Auditor of State’s Fraud Reporting System ‘The Ohio Auditor of State’s office maintains a system for the reporting of fraud, including misuse of public money by any official or office, The system allows all Ohio citizens, including public employees, the opportunity to make anonymous complaints through a toll free number, the Auditor of State’s website, or through the United States mail. Auditor of State’s fraud contact information: Telephone: _1-866-FRAUD OH (1-866-372-8364) US Mail: Ohio Auditor of State’s Office Special Investigations Unit 88 East Broad Street P.O, Box 1140 Columbus, OH. 43215 Web: wow.ohioauditor. gov ( Please Post Permanently — 3 pages ) City of Waterville 25 North Second Street, Waterville, Ohio 43566 (Ph) 419-878-8100 - (fax) 419-878-8044i CITY OF WATERVILLE a | io PERFORMANCE EVALUATION FORM. ployee: jassification: TA ent Em Employee: Zon @eenhard Classifi El Fireks ex/En Rating Supervisor:_Qinghern Rating Period: From Q-\®+AU__ to Reviewed Personnel File: Date: i 1. COMMUNICATIONS 45) Communicates lfestvely verbally ad inviting with citizens, public tfc, oer employers eae rth superior to clarify fisundersinings in instructions o repo problems, repr insides in accordaace with policies, et. Prepares comprehensive, meaningful, conelse and accu Processes reports in accordznce with proger time Eames Provides prompt and courteous service tothe ganecs! public rts ‘Total for Communications Supgoring Framptes: Thowoh URS, Customer Seve Oreniel, (eports needy becomls bebe end of Shalt 2, RELIABILITY .ad unusual close checking and instruetion from supervisor 1d within required time period. G5). Completes regular assigameets without continued a (95) Plans and arranges own work ‘échedules and compleses tasks and projects assignet (15) _Aztives and departs to/from work at scheduled times GS __Daplays depentablity as evidenced by aregulorexcndance pater [¥Go} Total for Retiabiiey [330] Teer Rete, Ok timer Tanty Sh aeenset abenes O supgoring Examples Lath Ws over Slept on a tmere of Occasion tt hes deen reported Tek Zach Fleqentny GOs SB miaeles betert Shit Fig Hot ia he lutehen at Ferm 3, MOTIVATION % Completes one task and be 3) Team work and voluntarily ~ Cooperases with co-workers and performs tasks with the best ( another within job functions without constant assignment from supervisor, sists others when assigned tasks are completed. interests of te City in mind. Maintains effective working eelationships wits fellow employees. ‘Total for Motivation sipping Bamps HO Chant _OcCasteuny purctmes fl Shifts ued. b wore on Soiwin igsues W/ Dhar SEES, ASwTE TS Re Gt Plat dows Humes? 4, PRODUCTIVITY —tainig on duby. (G5) Wotks continously unt assigned tasks completed wih only minlmal Bess or interruption workdlow. G)__ Amount of woes performed i tan acceptabe level and seeks additional work when assigned fs completed, cadily accepts direction or change from supervisor. (49) Prioitizes work assignments inorder to complete as many peojests in a given time frame as possible, [335] rota or Productivity supporing Beample Aon YasK5 are allen Stet late, Zach hes void ls disagrenmd Wd Hein, deters af Biker Craplayees5. QUALITY OF WORK 35) siaes oustakes and quickly dentfies and corrects any mi ct) dy woes at the level of experise expected for his elas @P) a is efficieatly organized and kept clean at ail times.. (45) feguarding confidential inforraation, work ior originaticy ia hand!ing'resolving non-routin (®) —_ Demonswa:es use of common sense, ness, a! relaied problems within confines of policy procedures (45) Takes proper precautions when confronted by poteatially ddagerous situations normally encountered in performing assigned work. 595] rotator Quatty of Work Supporting Examptes Lawn OCkasteuty lomes Yash lyigg crmnd cad Oberle tts nerd Clon tye 6. ADHERENCE TO POLICIES icy interpretation to supervisor's attention for clarification and resolution. ‘when required, explains policies adequately to other stafgener 25) Brings questions of pol t public, 5) a5 to policies @o) sonal dress ead appearance standards, @0) y rales (c.g., wears andor uses issued safety equipment, a5) ng saf2 u32, operation and ance of equipment, tools, instuments, vebicles, 6S | total for Adherence to Policies Supponing Examples Lad er Seevs Cheiltaten by bean te Clatr Oh Comaent JOB KNOWLEDGE assigned tasks , processes and procedures necessary to comple als utlized to complete assigned tasks ig all equipment assigaed to the classification. knowledge of services provided by the organization and procedures G9) Poss (B) —_ Possesses thorou 5) Capatile of opers 43) Possesses thorous! services for obeining such ‘Total for Job Knowledge supponing Beompes Zach ty Ney Wetolelpeable. in Prolihies peas delshes. SECTION A RATING SUMMARY 1..Comnuinications 2. Reliabitioy 3, Motivation 4, Productivity 5. Quality of Fork 6. Adherence 10 Policies 7. Job Knowledge nee RS ds TOTAL GENERAL CATEGORIES RATIN( a TOTAL NUMBER OF CATEGORIES REVIEWED (MAXIMUM 3. 3SECTION B ILLUSTRATIVE DUTIES EmployeeName Zachary Bernhard Classification Title: Full Time Firefighter/EMT 1, @)) Performs duties as presoribed by the Fire Chief, Deputy Fire Chief or Paid-Per-Call Officer. Suneoing xaples. Zech Rertoms. Joge5 2s assipnd and Gases Chetlys Questor’ aS mi 2. (85). Responds to both on-duty and off-duty incidents, alarms or emergencies as directed, Supporting Examples: ing B Lath i fortady OF We dow in Zawwles or less, yweer 1s Lar isonatiy gut fle oe Z Mints. Zar bw pot Wale sry recalis , hove Orly Wad ove opporienay ad Whs on duke @ HED. 3. @S)_ Drives, operates and assists with maintaining all fire apparatus, medical service units, wateroraft, staff vehicles, utility vehicles and any other equipment that pertains to the functions of the fire department Supporting Examples: Zach 15 Capable OF Seb Cyeipren}- elu. He feeds Clie toe. ra on WN. NShdt ig te bn ee aE ieee tot being 14 4 5 be ot 4, 4S) Performs maintenance and housekeeping duties in and directly outside the fire station, Syppoding Peappes, [vse bcm, OCCsisuny gebs ovectood. Other Crews CePord Chines Pot being bry fp Chen “vp afer A SLL IS ; 5. gov Prepares and maintains accurate and complete reports for fire and EMS incidents end equipment and station maintenance, Supporting Bxamples: Zac Compiles Howgh cd Acenae fees Ad NARS 6. (45) Assist with public education activities and other special events of the fire department, Supporting Examples; Loch iver Cnotedpetse gad loves $0 Commewente ~“/ Public.SECTION B ILLUSTRATIVE DUTIES Employee Name Zachary Bernhard Classification Title: Full Time Firefighter/EMT (QO) Assist with fire safety inspections as directed by the Fire Chief or Deputy Fire Chief Supporting Examples:_| Wold Vive Se Lach Crenbvelly ops Wis CRI, howe , he fetds to Los 01 Vrenedee Schos! has G65isied wl Ne Salety laspeckm 8. (4) Performs physical work for extended periods of time without rest, Supporting Examples: Lach Con Perform his doles fv _extadsd Petts tle 9. (48) Performs physical work in inclement weather. Supporting Examples: Zach, While a PI em 0 G fue in ume Vf Mo is jue 10, (10) Capable of working at elevated heights or enclosed spaces. Supporting Examples: No Conte 11, (2) Capable of wearing personal protective equipment for fire or EMS activities such as but not limited to: Firefighting gear, helmets, gloves, boots and respiratory protection equipment, Supporting Examples:N°__ Conse 12, @) Meets all job safety requirements and all applicable OSHA safety standards that pertain to essential functions ‘Supporting Examples: Cac O6Cosorvtly Neds temabed + f+ Selly wort 07 @ cus aH Sten5 nk NYS 2 AceiesS,SECTION B ILLUSTRATIVE DUTIES Employee Name Zachary Bernhard Classification Tile: Full Time Firefighter/EMT 13, @o) Remains informed of current developments and procedures pertinent to job duties. Supporting Examples: |{ Zach 15 enawet, Wy will by 4p Dad ort abort homes, hone Mey np} flow Opprpate Moms. 14.49) Maintains physical fitness as needed to perform job duties. Supporting Examples: Zan 15 iw. Shepe Crognte Debora all dws 15, 4S) __ Maintains working relationship with all other municipal employees; Works cohesively with personnel from other jurisdictions during times of emergencies and non-emergencies. Sypporting Examples: Zach end all @npbyses feed tp viene On Soluns 35> beluwon gills. wows wea vily Whitelese A-Shuth. 16. 0) Adheres to departmental rules, regulations, work methods, policies, and procedures as necessary to enable the department to implement its mission, Supporting Examples; Zactn wabrstols Gly olny f depetrend Sop, _\wouid_lite fo See a Shit comy fam Pe “A Sith (viealeut 17. (YS) Ability to adapt to new assignments, environments, and methods at the direction of the Fire Chief and/or Deputy Fire Chief Supporting Examples: 24¢h Ws Voeed Mergpecaund WPL Sleelt Sb assignment a eeatio ten Hi a - 4 SECTION B RATING SUMMARY TOTAL ILLUSTRATIVE DUTIES CATEGORY RATING \s40 TOTAL NUMBER OF CATEGORIES REVIEWED (MAXIMUM. 6 iDEFINITION OF CATEGORY RATING NUMBERS Nezds ment = Performa: Usacceptable ~ Performance is cle jot Applicable ~ The task is not p ecform the task during this eval GENERAL CATEGORY, Performs at an acceptable le in c3t=gory. fp standards aze not being met in of tis employze"s job respon: jon period. GSUMS category. in category NUMBER OF CATEGORIES ‘REVEWED, TLLUSTRATIVE DUTIES CATEGORY | Tear (Seite | RaTiNG Geutea®) 7H43_| \s42 NUMBER OF CATEGORIES REVIEWED RATING (Section C) (Lf azolieable) NUMBER OF CATEGORI REVIEWED. ‘SUBTOTAL (id above catagories together) FINAL RATING u345 a9 | | S| | DivibeD BY TOTAL CATEGORIES REVIEWED CLASSIFICATION AND EXPLANATION OF FI FINAL RATING. 75-100 60-74 45-59 30-44 Lass Than 30 My signature herein acknowledges that 1 by ‘above but in no manner indicates my ag ‘Supervisor's Signature: Employee's Signature SUPERVISORY CATEGORY Department Head's Signature: ae EE ae Municipal Administrator's Signaturs, Gon 29 Dnt pate _ Zhe /Z02% INTERPRETATION Pacformance is consistently abave the required standards in most ofall categories. Candidare for special recognition, Pecformanee is consistently good, generally exceeding required standards Performance generally meets required standards and is satisfactory Performance needs tmpcovement in several areas, verformanes is unasezptable in most ofall categories, Disciplinary action should be pursued unless Enployee's peeformance improves to required Level withia specified tims pat 18 agreed to be the eMloges end supervisor during the evaluation interview in accordance with 19z4 policies and procedures, of applicable collective bargainiag azveereents goys Tite such matters. Peep document the plan of action to improve performance, th time period and the performance level as discussed with employee inthis regard. oa boca povided an opportunity fo review my performance evaluation as clined at withthe final performance evaluation rating pate; 222-2022 dae: BoF— AS pate 273-2020