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Finance Committee - 12/06/2017 Page 3
Alderman Clemons

Is the station open to the public?

Mike Manning

It is, and | should qualify that. Compressed natural gas is really a fleet fuel. So when you say, “Open to the
public,” the public, in that instance, really means other fleets. | was speaking with the Aldermen about the
public; the public, in terms of consumers, much more suited with electric vehicles, or hybrid electric vehicles.
CNG is really geared towards refuse and recycling fleets, transit fleets, and then delivery fleets like UPS,
Federal Express, etc. So while | would never turn away a consumer or a private citizen wanting to utilize this
station, we don’t market to that segment because it’s just not where the industry is. But yes, it is, in theory,
open to the public.

Mayor Donchess

If someone did have a CNG car, what | think you’re saying is that’s highly unusual: they could buy fuel from
you?

Mike Manning

They could, and it does happen. But it’s not a commonplace occurrence.

Alderman Clemons

| guess | was more interested to see if — because | was on the committee back when it was first proposed and |
was a proponent of it then and | am now — but | was curious, because | know at the time UPS had some

interest in maybe converting their fleet to CNG, and | didn’t know if any other companies around Nashua did
that or were looking into that.

Mike Manning

Correct. We had approached UPS. Unfortunately, with UPS, all local decisions are made in Atlanta, so there
was a disconnect there. |’d say right now, the fleet that a non-City of Nashua fleet that refuels is Liberty
Utilities. They're a gas utility; it’s in their best interests to use their own fuel for their vehicles. So today, | would
say that Liberty Utilities is probably the number one non-City of Nashua fleet utilizing the station on Riverside.

Mayor Donchess

How many vehicles are in their fleet?

Mike Manning

That’s a good question. | don’t think it’s a huge number, maybe 10 or 12. And they’re primarily lighter-duty
vehicles. They’re usually customer service vans, either Chevrolet or Ford vans that have been ordered through
the factory to operate on compressed natural gas.

Dan Kooken

You said 2021 and this was 2026?

Mike Manning

I’m sorry. The current contract ends in 2021; the amendment would extend that to 2026, and allow us to invest
the monies for the additional compression.

Finance Committee - 12/06/2017 Page 4

MOTION CARRIED

Agreement between the City of Nashua and Revive Recovery, Inc.

Mayor Donchess

On your desks is an agreement between the City of Nashua and Revive Recovery which | am going to ask the
committee to at least consider under suspension of the rules. The resolution that would fund a recovery coach
pilot project with Revive went before the Budget committee last night and a couple of members here were
there: Alderman O’Brien and Alderman Wilshire. They recommended final passage on a unanimous vote at the
committee. Assuming the board were to adopt the recommendation of the Budget committee and pass the
resolution that would establish that pilot project, which | discussed at the last meeting of the Board of
Aldermen, we would enter a contract, namely this contract, with Revive for the provision of those services.
There is a lot of boiler plate here, but Section 4 allows us, the City, to gain reports on a monthly basis
regarding client outcomes and other information that we will want to demonstrate the effectiveness of the pilot
program. We would be asking for reports regarding how people in recovery are doing after 30, after 60, after
90, after 180 days; are they still in recovery. We'd be asking about relapse rates and the number of people who
are being served and the number of people who have broken off contact, so that we would get a very
comprehensive look at the client population that the recovery coach would work with, pursuant to this pilot. At
any one time, the number of cases or people or clients that the coach would be working with would be in the
range of 20-40. Therefore, if the committee is of this mind, | would ask that you suspend the rules to consider
this contract for approval.

MOTION BY ALDERMAN WILSHIRE THAT THE RULES BE SO FAR SUSPENDED AS TO ALLOW FOR
THE INTRODUCTION OF A CONTRACT RECEIVED AFTER THE AGENDA WAS PREPARED
MOTION CARRIED

ON THE MOTION

Mayor Donchess

| gave this to the members of the Budget committee, but | did want to pass out — and maybe we should accept
this as well — the AMR report that they do on a frequent basis for the City. This just documents what’s been
happening with the Safe Stations reporter; people who have reported into Safe Stations are over 1,200 so far.
The recovery coach that would be part of the pilot would work with those who have come off Safe Stations,
obviously not all of them but a certain proportion of them, in order to connect the next step of the process that
is more help in terms of life coaching for the people who are beginning into recovery. We would be able to
connect that part of this effort into the Safe Stations program. But this just shows you quite a lot of information
about what’s happening at Safe Stations. It shows that OD’s are down 25% from this previous 12 months to
the 12 months before that, and shows the number of OD calls and the number of fatalities on a monthly basis,
as well as a lot of other information regarding the characteristics: the ages; the gender, etc. of the people
reporting; the number of Narcan doses, the size of those doses; where the people are coming from; and a lot
of other information regarding the Safe Stations program.

Alderman Clemons

One of the questions | have is the participation of this. Is everyone that comes to the stations, is it all opioid
related or is it a mix of other issues?

Mayor Donchess

It’s definitely a mix. | would say most of it is opioids, but certainly we are getting people who are reporting with
alcohol issues and also, to some degree, other drugs such as cocaine or crystal meth. Harbor Homes reports

Finance Committee - 12/06/2017 Page 5

on that split every so often, and | don’t think this report includes it. | think roughly three-quarters are opioids,
and a little less than that, maybe 20%, are alcohol, and then there’s a small proportion of other harmful drugs.

We have a group that meets to talk about Safe Stations every two weeks that includes the fire department,
AMR, a bunch of people from Harbor Homes, Revive Recovery, and a bunch of other hospitals. There is a
smaller group of people who are now going to start meeting regarding some of the people who have come
back, because there is a small number of people who come back repeatedly, 3, 4, 5, 6 visits. Some of them
tend to be involved with alcohol as opposed to opioids. Alcohol is actually, at least in what they tell me, in some
ways a more difficult dependence to work with because of the way alcohol affects someone when they have
been drinking quite a bit and they become less willing to seek recovery once they sober up a little bit. But
anyway, we’re trying to get a group that’s trying to work on the problem cases so that a treatment plan can be
developed for them to hopefully steer them into a better set of choices.

Alderman O’Brien

| attended the Budget hearing last night, and | would like to say that | was very impressed with the three
representatives of this group that came. The way they explained it last night, this is another piece in the puzzle
to our goal to get these people sober. This is like a life coach that will come out and do outreach. We can take
care of the medical needs but the way one of the gentlemen explained it, what about the other needs of
searching for an apartment or learning how to take the transit system, or learning the different things that you
would need in your recovery to be a successful citizen again. We don’t have that right now. We seemed to
take care of the initial, try to get them sober and open up the door for them, but this seems like an important
piece of the puzzle that’s got to come in and stop the recidivism that we might be seeing in some of these
people today. | would like to say, and | hope you don’t mind me speaking for it, again, | was very impressed
with their presentation. Again, it’s a very important piece in the puzzle. Maybe in the future we can look at
granting, from what was presented last night. Once we open the door to get this one position going, maybe in
the future if we decide we need another type of coaching type of situation to take care of the needs. Our
citizens at home might ask, “Well, is this really our responsibility?” | think it is. Many of these people are good
citizens; they need something, for whatever reason they got into their particular quagmire. But this piece of the
puzzle will get them back on the right track, which we all want to see — someone to have a nice, successful life.
| support this. | think this is a great idea.

Mayor Donchess

There was quite a bit of information presented last night. One of the things is that for someone who has sought
recovery and maybe gone through an inpatient program (30 days or 28 days), they’re beginning on the process
of recovery but their brain, which has been altered by the addiction and use of something like Fentanyl or
heroin, has not recovered at all; certainly not completely resumed normal brain activity. That takes a year to
two years. So someone coming off a 30-day program could still have trouble sorting through normal life
decisions; where do | go, how do | stay away from the people who are dealing drugs; where do | live; how do |
get the bus system; how do | find a job; where do | go to get a car loan; things like this. Not only anecdotal, but
there is research showing that someone to help a person through these normal life decisions, as well as kind of
serving as someone that can be consulted regarding the necessity to stay sober has a significant impact, and
increases the likelihood of success by a considerable amount.

Alderman Wilshire

| am going to support this. | think we need 10-15 of these positions here in the city with the increase we’ve
seen in the opioid crisis here. | believe in the peer-to-peer recovery model; | think it’s helpful. | think the three
people that were here last night were great. Who can tell someone better than someone who has been
through it themselves? Hey, this is what | did, this is what worked, let me help you get there.

The other thing, when you talk about should the city be funding this, what | believe, as a nonprofit manager for
my whole career, if the city buys in to a program like this, it leverages other funding sources, other grants,
other opportunities. So the city is not really in the recovery business, but the city is a partner in making that

Finance Committee - 12/06/2017 Page 6

happen with our nonprofit network, which we have a pretty good one here in the city. I’ve got to give huge
kudos to Harbor Homes for stepping up. Honestly, | think that this short money will increase the buy-in. It

shows the city has buy-in, and grantors out there will look at that and say, well, if the city is going to buy in,
maybe we should too. I’m all for it.

Mayor Donchess

Part of the obligation that Revive would have to develop this information is to make the case that were
someone else to step forward and fund additional recovery efforts that it would yield results. That’s the goal of
providing the detailed reporting that we’re asking for.

Alderman Clemons

Do they have somebody in mind for this position?

Mayor Donchess

| think not yet. They would advertise for the position. There are quite a few people, | think, who would be
interested, but | don’t think they have anyone specifically in mind.

Alderman Clemons

| don’t disagree with the sentiment and | don’t disagree with what the city is trying to do. | guess where I’m
hesitant is how do we determine — because if you look at these statistics on here, there’s literally 500, 600, 700
people that walk through the door. No, 1,061 people were taken to recovery facilities. How is one person
supposed to even decide how to split those cases? | just am concerned that we’re asking somebody to do an
impossible task. It’s a high stressful job with a lot of burnout, and | guess the struggle that I’m having with it is
why only one position.

Mayor Donchess

Well, this is an issue that we’ve discussed with the whole Safe Stations team. The way that we started into this
is a few things. First, once a person comes out of recovery, they’re on their own. They’re not necessarily in
touch with the treatment facility where they received treatment, even someone who has not done an inpatient
program but is on intensive outpatient. Once they leave treatment, they are out in the world and no one really
knows where they are. So Harbor Homes has been trying to begin to call some of these people over a period
of months, and the success rate in reaching people is very low. They've got different numbers, they maybe
have gone somewhere else, they’re living somewhere else. So we’re not really able to determine where is
everybody or how well are they doing.

There was a report in the New York Times about a gentleman police officer up in Laconia by the name of Eric
Adams, and they do not have a Safe Stations program. Several years ago, he, as a police officer, was
responding to a lot of OD calls in Laconia, medical calls. On his own time, initially, he began to follow-up with
the people that were taken to the hospital. He had no expertise in recovery; he’s not a trained, licensed alcohol
and drug abuse counselor or anything like that. But he had some credibility, he had access into the emergency
room, he knew that people were, he knew social service agencies and the like, and he began working with
people. He’d just call them up, “Hey, Joe, how's it going? Do you need any help?” And he began working with
an expanding group of people. He began to have considerable success in keeping people in recovery, to the
point where, ultimately, the Laconia police department put him on this full-time. Rather than his normal police
duties, he began into recovery assistance full-time. He, being unable to handle the entire caseload, as you
have suggested, the community responded because they’d seen what he was able to do; they responded by
establishing a much broader group of recovery coaches. Now, most of the people who get taken to the
emergency room in Laconia have access to one of many recovery coaches, all of which began with the work
done by Eric Adams.

Finance Committee - 12/06/2017 Page 7

So based upon that experience and based upon the fact that we have limited funds and we hope to involve
others in this effort, | have been saying, “If we can get one person who was working with a group of people,” —
and yes, obviously one recovery coach cannot work with 1,000 people; the estimate is 20-40, maybe even 50
but probably not. Twenty to forty at any one time, maybe there’s a little bit of rotations. Over the course of a
year maybe 40, 60, 80, 100 people; something like that. If we could get one recovery coach for a limited
amount of money, we could partner with Revive who knows this business quite well, and they would do the
hiring and the like. And if out of that person we could develop not only the anecdotal “here’s what | found” kind
of story, as Eric Adams has done, but also statistical data showing I’ve worked with so many people and here’s
the kind of effectiveness there’s been; this many are still in recovery, etc. If we have one pilot program, that
based upon what happened in Laconia, we might then be able to convince others that expanding the network
is worth it, and we might find other funding sources. We might convince other people to become involved in
trying to expand the network. On the other hand —| don’t think this is going to take place — if this had no effect
whatsoever, we would know, well, we tried that and it didn’t work.

So you are totally right, Alderman Clemons, that there is no way that this person could work with 1,000 people
or even a majority of the people who come through in a year, but at least some, and the choice to some extent
would be random, in a sense that we just need him to work with any group of people that are coming into
recovery. | suppose those that get this service are more fortunate than ones who don't, but it’s better to be
helping 50 people than 0. So we help 50 people, if that were the number, and we develop information that
might lead to more people getting the same kind of help.

So that’s the thought process. And this has taken place over six months probably. That’s the thought process
that has led to this step.

Alderman Clemons

Thank you for the explanation. | think we need to start somewhere. | guess my concern with it was | don’t want
to see it fail because a person is overwhelmed or were not giving it enough go at the beginning to make sure
that it’s something that’s going to be successful. That’s where my concern was coming from, not that | don’t
agree with it; | think it’s a great idea. | think it’s something that we need to do. But more of are we doing
enough to ensure its success. | certainly will support it, but | hope that if for some reason there are issues
relating to the success of it, but more in the sense of the fact that the person is overwhelmed or we can’t help
enough people or we just don’t have enough resources, | hope that the reaction is not one of, “Well, this was a
waste of money,” but rather, “We didn’t soend enough and we didn’t get enough resources out there to do the
job.” And | hope that, as you say, Mayor, that the community will come around and rally behind something like
that, because | would hate to see us do an endeavor like this and have it fail because we just didn’t give it
enough push at the beginning.

Mayor Donchess

| appreciate that. The three people who came to the Budget committee last night were Justin Etling, who owns
and runs Process Recovery in Hudson, which is an inpatient treatment facility, as well as another organization
that is running about 10-12 sober houses in Nashua and the surrounding area, and serves about 120 people in
those sober houses. He has been in recovery himself for 20 years. He didn’t tell his whole story last night but
it's quite inspiring: Somehow family troubles, parents involved with heroin and the like, so he got addicted
when he was a teenager. And by himself, he went into recovery, lived on Palm Street, and by himself — he’s
now gone sober — works at the mall a couple of different jobs, decides this is leading nowhere. He gained
some computer training, got into IT — never actually went into college, but more like trade school level stuff —
but he moved up in IT and was the head IT guy for a hedge fund down in Boston. After working at that for
some years, he decided to — he knew someone very well who OD’d fatally — invest his time and money into
recovery. So he’s developed this entire network. He’s very devoted.

And the other two people are in recovery but not as long as Justin. They know this business, and | think if
you'd been there you would agree, very, very well, and they are very conscious of the fact that a recovery
coach cannot function effectively if they have too many people. Where the number is coming from, the 20-40,

Finance Committee - 12/06/2017 Page 8

that is from them. They think that number works. Depending on who you’re dealing with and the various
problems, the individual circumstances, you can work with that many people and have enough contact with
them to be effective. So they would be supervising this person and will, | think, realistically this pilot program
so that the person is not overextended. We could fund two or three or four, they could have 10 probably right
now, but we’re also dealing with some members of the public who are somewhat skeptical. Why are you doing
this? And we understand that this is a problem that affects the entire community, more than just those that are
involved with these drugs.

So it’s a way to make a reasonable expenditure, try to accomplish something in a short term, and expand the
effort as we go along. Could we? Yeah, you're right. If we did five, could they hire and probably get them all
busy within a couple of months? Probably. Probably 10, with 1,000 people coming through they could probably
do more than 10.

Alderman Caron

| agree. We could hire 100 people and it could work, but sometimes you have to do it slow so that you get it
right. And you have a company that handles this and certainly will not stress that person out. But | agree with
Alderman Wilshire; hopefully, if this is successful and it’s here and we do it in other towns, maybe the State will
step up and start giving more funding to these agencies, or even the communities, so that they can continue
this on a bigger scale. Because we weren't sure about the Safe Stations, and look at how well that has gone. |
think that if we work in conjunction with other agencies, | think that’s important. It gives them credibility, to both
the agency and the city as a whole, that we’re trying to reach out to our community as a whole, because
they're still part of our community. I’m all for it; I'll support it.

Mayor Donchess

One of the other people that appeared last night is a guy named Allen Irwing who grew up over here on
Pleasant Street. Typically, he’s got parents, family that are addicted to various things and a troubled
childhood. Eventually, he got involved in some kind of opioids and has been in recovery for a couple of years.
But he’s very devoted. He knows the city, he’s a product of Nashua, and as is Justin, launched his recovery
from Palm Street. | think the people are knowledgeable, dedicated, they know the community, they’re very
involved themselves in recovery coaching. They’ve worked with a lot of people, each one of them, but they are
more involved in trying to develop a larger network, doing recovery coach academies, managing all these
different facilities. They don’t have a person yet that they can just devote; this person is going to be a recovery
coach, so we help them expand in that fashion with this pilot, in a way that hopefully will demonstrate enough
success that we can attract more resources and help.

MOTION BY ALDERMAN CLEMONS TO ACCEPT, PLACE ON FILE AND AUTHORIZE THE CITY OF
NASHUA TO ENTER INTO THE AGREEMENT WITH REVIVE RECOVERY, INC., IN THE AMOUNT OF
$42,000

MOTION CARRIED

NEW BUSINESS — ORDINANCES — None

RECORD OF EXPENDITURES

MOTION BY ALDERMAN CLEMONS THAT THE FINANCE COMMITTEE HAS COMPLIED WITH THE CITY
CHARTER AND ORDINANCES PERTAINING TO THE RECORD OF EXPENDITURES FOR THE PERIOD
NOVEMBER 10, 2017 TO NOVEMBER 30, 2017

MOTION CARRIED

PUBLIC COMMENT - None

REMARKS BY THE ALDERMEN - None

Finance Committee - 12/06/2017 Page 9
POSSIBLE NON-PUBLIC SESSION - None

ADJOURNMENT

MOTION BY ALDERMAN WILSHIRE_TO ADJOURN
MOTION CARRIED

The Finance Committee meeting was adjourned at 7:42 p.m.

Alderman Ben Clemons
Committee Clerk, pro tem

AGREEMENT BETWEEN THE CITY OF NASHUA AND

THIS AGREEMENT, effective this 1‘ day of January 2018, is made by and between the
City of Nashua, the address of which is 229 Main Street, Nashua, New Hampshire 03060
(herein called the “CITY”) and Revive Recovery, Inc., 263 Main Street, Nashua, New
Hampshire, 03060 (herein called the “RECIPIENT”).

WHEREAS, the CITY wishes to have the RECIPIENT provide certain services in the
community.

NOW, THEREFORE, the parties hereto do mutually agree as follows:
L SCOPE OF SERVICE

The RECIPIENT shall, in a satisfactory and proper manner, as determined by the CITY,
perform certain services as described in APPENDIX A, Scope of Services, attached hereto
and made a part hereof, generally described as employing a full-time Community Recovery
Coach.

ii. TIME OF PERFORMANCE

The RECIPIENT agrees that the funded activities, described in APPENDIX A, Scope of
Services, shall be performed between January 1, 2018 and December 31, 2018.

Hii, COMPENSATION AND METHOD OF PAYMENT

A. Amount of Grant
It is expressly agreed and understood that the total amount to be paid by the CITY to the
RECIPIENT under this Agreement shall be Forty Two Thousand dollars ($42,000.00).

B. Payments

The CITY will make equal quarterly payments to the RECIPIENT on or around January 1,
April 1, July 1, and October 1. Funds shall only by used for the salary and related
employment expenses of a Community Recovery Coach as described in APPENDIX A,
Scope of Services.

IV. SUBMITTALS & REPORTING REQUIREMENTS

The RECIPIENT must provide the CITY with monthly and quarterly reports containing de-
identified, aggregate information on the activities of the Community Recovery Coach.
Such reports shall, at a minimum, include data on the number of clients served, contacts
with the clients, and the services provided to those clients. Initial intake data, client
outcomes, and challenges will also be collected and reported, but without identifiable client
information. Upon receiving each report, the CITY may require the RECIPIENT to alter
the report, or collect different or additional data that would be more useful to the CITY.

Vv. NOTICES

Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, personal delivery, facsimile, email or other electronic means.
Any notice delivered or sent as aforesaid shall be effective on the date of delivery or
sending. All notices and other written communications under this Agreement shall be
addressed to the individuals in the capacities indicated below, unless otherwise modified by
subsequent written notice.

Communication and details concerning this Agreement shall be directed to the following
contact representatives:

CITY RECIPIENT

Jim Donchess, Mayor Nikki Casey, Director

Office of the Mayor Revive Recovery, Inc.

City of Nashua 263 Main Street

229 Main Street Nashua, NH 03060

Nashua, NH 03060 (888) 317-8312

(603) 589-3260 Nikki.Casey@reviverecovery.org

nashuamayor@nashuanh. gov

VI. GENERAL CONDITIONS

A. Antidiscrimination

The RECIPIENT agrees to comply with the following:

1. RSA 354-A: State of NH "Law Against Discrimination." Prohibits discrimination
because of age, sex, sexual orientation, race, creed, color, marital status, familial
status, physical or mental disability or national origin.

2. The Americans with Disabilities Act (ADA) of 1990; The Age Discrimination Act of
1975, as amended: Prohibits discrimination on the basis of disability in employment
by state and local governments and in places of public accommodation and
commercial facilities. The Act defines the range of conditions that qualify as
disabilities and the reasonable accommodations that must be made to assure equality
of opportunity, full participation, independent living, and economic self-sufficiency
for persons with disabilities.

B. Independent Contractor

Nothing contained in this Agreement is intended to, or shall be construed in any manner, as
creating or establishing the relationship of employer/employee between the parties. The
Subrecipient shall at all times remain an independent contractor with respect to the services
to be performed under this Agreement. The CITY shall be exempt from payment of all
Unemployment Compensation, FICA, retirement, life and/or medical insurance and
Workers' Compensation Insurance, as the RECIPIENT is an independent contractor.

Cc. Hold Harmless

The RECIPJENT shall hold harmless, defend and indemnify the CITY from any and all
claims, actions, suits, charges and judgments whatsoever that arise out of the RECIPIENT's
performance or nonperformance of the services or subject matter called for in this
Agreement.

The RECIPIENT is not, by virtue of this Agreement, authorized to incur any indebtedness
or liability on the part of, or to pledge the credit of the CITY, or to bind the CITY in any
manner, beyond those obligations incurred by work done under this Agreement in a timely
and proper manner.

D. Amendments

The CITY or RECIPIENT may amend this Agreement provided that such amendments
make specific reference to this Agreement, and are executed in writing, signed by a duly
authorized representative of both organizations, and, if required, approved by the CITY's
governing body. Such amendments shall not invalidate this Agreement, nor relieve or
release the CITY or RECIPIENT from its obligations under this Agreement.

The CITY may, in its discretion, amend this Agreement to conform with Federal, state or
local governmental guidelines, policies and available funding amounts, or for other
reasons. If such amendments result in a change in the funding, the scope of services, or
schedule of the activities to be undertaken as part of this Agreement, such modifications
will be incorporated only by written amendment signed by both CITY and RECIPIENT.

E. Suspension or Termination

This Agreement may be terminated in whole or in part, as follows:

1. By the City, if the RECIPIENT fails to comply with the terms and conditions
herein;

2. By the City for cause;

3. By the City with the consent of the RECIPIENT, in which case the two parties
must agree upon the termination conditions, including the effective date and, in the
case of partial termination, the portion to be terminated; or

4. By the RECIPIENT upon sending the City written notification setting forth the
reasons for such termination, the effective date, and, in the case of partial
termination, the portion to be terminated. However, if the City determines in the
case of partial termination that the reduced or modified portion of the Agreement
will not accomplish the purposes for which the Agreement was made, the City may
terminate the Agreement in its entirety.