CONFIRMATION OF APPOINTMENT OF ANDREW R GUAJARDO, MD, AS MEDICAL EXAMINER OF DUTCHESS COUNTY

FAMILY & HUMAN SERVICES RE: RESOLUTION NO. 2026035 CONFIRMATION OF APPOINTMENT OF ANDREW R. GUAJARDO, M.D. AS MEDICAL EXAMINER OF DUTCHESS COUNTY Legislators VALDÉS SMITH, MUNN, POLASEK, ARNOFF, BRENDLI, DRAGO KAUL, LAWLER, REDL, RHODES and SHAH offer the following and move its adoption WHEREAS, pursuant to Sections 3.04 and 30.01 of the Dutchess County Charter, the County Executive has appointed Andrew R. Guajardo, M.D. as Medical Examiner for Dutchess County, effective March 23, 2026, and WHEREAS, after review of Dr. Guajardo's experience and qualifications, this appointment is supported by the Dutchess County Commissioner of Human Resources and the Dutchess County Commissioner of Health, and WHEREAS, by Resolution No. 2025099, this Legislature confirmed the appointment of Mary Grace Centeno, M.D. as Medical Examiner "until such time as a permanent candidate is appointed and confirmed," and Dr. Centeno having competently served for an interim, will return to her position as Deputy Medical Examiner effective March 23, 2026, and WHEREAS, pursuant to Article XXX, Section 30.01 of the Dutchess County Charter, the County Executive shall appoint a Medical Examiner subject to confirmation by the County Legislature, now, therefore, be it RESOLVED, that the appointment of Andrew R. Guajardo, M.D. as Medical Examiner of Dutchess County, effective March 23, 2026, is hereby confirmed. CA-016-26 G-0153 01/30/2026 Fiscal Impact: See Attached. APPROVED SevanySerwis SUSAN J. SERINO COUNTY EXECUTIVE Deto March 12, 2026 STATE OF NEW YORK COUNTY OF DUTCHESS his is to certify that I, the undersined Clerk of the Lemslature of the County of Dutc solution noni on tile in he boat, to sand diek, and lenio was doped by said county of the hayor and the for an hase same is the and correct transcript of said original resolution and of the whole thereof. IN WITNESS WHEREO, I have hereunto set my hand and seal of said legislaure this/ day of Manh 2026. JULIEST TROISIT, CLERK OF THE LEGISLATURE Roll Call Sheets District Present: Absent: Vacant: District 16 - Fishkill and Beacon Last Name Valdés Smith YES District 9 - City of Poughkeepsie Atkins District 20 - Red Hook, Tivoli, and Rhinebeck Munn District 3 - LaGrange Polasek District 12 - East Fishkill Metzger District 1 - Town of Poughkeepsie Redl District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie: Arnoff District 4 - Hyde Park and Town of Poughkeepsie Lawler District 5 - Town of Poughkeepsie Shah District 6 - Town of Poughkeepsie Kaul District 7 - Hyde Park and Pleasant Valley Darrow District 8 - City and Town of Poughkeepsie Brendli District 10 - City of Poughkeepsie Johnson District 11 - Clinton, Pleasant Valley, and Rhinebeck Kearney District 13 - East Fishkill and Wappinger Giles District 14 - Wappinger and Town of Poughkeepsie Winsby District 15 - Wappinger Faust District 17 - Town and Village of Fishkill McHoul District 18 - City of Beacon and Fishkill Rhodes District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 21 - East Fishkill Caswell District 22 - Beekman and Union Vale Tresca District 23 - Pawling, Beekman and East Fishkill District 24 - Dover and Pawling District 25 - Amenia, Washington, Pleasant Valley & Millbrook 20 5 Resolution: Motion: At ins/ Munn Rolison House Alexander Total : 18 Yes Abstentions: 2 NO absent recused absent recused absent absent absent No 2026035 CONFIRMATION OF APPOINTMENT OF ANDREW R. GUAJARDO, M.D. AS MEDICAL EXAMINER OF DUTCHESS COUNTY SUE SERINO COUNTY EXECUTIVE LIVIA SANTIAGO-ROSADO, MD, FACEP COMMISSIONER ANTHONY J. RUGGIERO, MPA ASSISTANT COMMISSIONER Dutchess CounTy GovErnMENT DEPARTMENT OF HEALTH MEMORANDUM To: From: Ron L. Hicks, Jr., Assistant County Executive Anthony Ruggiero, MPA, Assistant Commissioner for Administration Date: March 27, 2026 Subject: Resolution Request for March 9, 2026, Meeting It is with great pleasure to submit a Resolution Request Form and Fiscal Impact Statement for the appointment of Dr. Andrew R. Guajardo, M.D. as the Dutchess County Medical Examiner. His appointment will be effective March 23, 2026. Please find attached a copy of Dr. Guajardo's CV and Conditional Letter of Appointment. All conditions have been met. In addition, Dr. Mary Grace Centeno, MD, who has been serving in the role as Medical Examiner since July 1, 2025, and pursuant to the terms of resolution 2025099 she will return to her previous position of Deputy Medical Examiner. We cannot thank Dr. Centeno enough for all she has done in the seven (7) months in running and maintaining the Medical Examiner's Office. Please do not hesitate to contact me at my extension 3552 if you have any questions or concerns. Thank you. Notification of Sick Leave Usage 1 | Page NO FISCAL IMPACT PROJECTED Total Current Year Cost $ . Total Current Year Revenue $ and Source FISCAL IMPACT STATEMENT APPROPRIATION RESOLUTIONS (To be completed by requesting department) Source of County Funds (check one): Z] Existing Appropriations, •Contingency, •Transfer of Existing Appropriations, • Additional Appropriations, • Other (explain). Identify Line Items(s): Related Expenses: Amount $ Nature/Reason: Anticipated Savings to County: Net County Cost (this year): Over Five Years: Additional Comments/Explanation: though the negotiated salary is above the salary amount included in the budget, vacancy savings on the Medic xaminer position from the beginning of the year through the hire date, as well as 2 other positions that are current vacant, will cover the difference as well as the moving costs that were also negotiated. Prepared by: Jessica White, Budget Director Prepared On: 1/26/26 Dut pal SUE SERINO COUNTY EXECUTIVE 22 Market Street Poughkeepsie, NY 12601 Phone: 845-486-2000 Dutchess COUNTY GovernMeNT January 27, 2026 Via E-mail & 1st Class Mail Andrew R. Guajardo, MD 2008E. Stratford Dr Salt Lake City, Ut 84109 Dear Dr. Guajardo: I am pleased to offer you employment for the position of Medical Examiner: Your starting salary will be $280,000.00. All other benefits will be provided in accordance with the Dutchess County Non-Union Benefit Plan. his offer is contingent on your appointment and confirmation by the Dutchess Count egislature, scheduled for the March 5, 2026 Committee meeting, and the March 9, 202 Legislative Board meeting. We look forward to working with you and your successful career with Dutchess County. Sincerely, Susan| Seriro Susan J. Serino County Executive c: Rachel Kashimer, Commissioner of Human Resources SUE SERINO COUNTY EXECUTIVE 22 Market Street Poughkeepsie, NY 12601 Phone: 845-486-2000 DUTCHESS COUNTY GOVERNMENT January 27, 2026 Mr. Bradford Kendell Dutchess County Clerk 22 Market Street Poughkeepsie, New York 12601 Dear County Clerk Kendall: I am pleased to appoint Andrew R. Guajardo, MD, as Dutchess County Medical Examiner effective March 23, 2026. Dr: Guajardo, a board-certified forensic pathologist, returns to his native New York as Dutchess County Chief Medical Examiner having garnered over a decade of experience. Dr. Guajardo has a wealth of leadership experience, and has led his colleagues in implementing best practices, provided his expertise in complicated death investigations, and developed strategies to integrate the work of the medical examiner with that of health providers and organizations in the community. I look forward to his confirmation and appointment by the Dutchess County Legislature on March 9, 2026. Sincerely, Susan / sereno Susan . Serino County Executive c: Julie Shirioshi, Clerk of Legislature Rachel Kashimer, Commissioner of Human Resources Dr. Livia M. Santiago-Rosado, Commissioner of Health Anthony J. Ruggiero, Assistant Commissioner of Administration ANDREW R. GUAJARDO, M.D. EDUCATION New York Medical College HEARST Foundation Scholarship, NYMC Scholarship Award, Top academic quintile John Jay College of Criminal Justice B.S. Chemistry, Concentration: Forensic Science and Toxicology RESIDENCY AND FELLOWSHIP TRAINING New Mexico Office of the Medical Investigator Fellow: Forensic Pathology The Johns Hopkins Hospital Chief Resident, Pathology Fellow, Neuropathology Resident, Anatomic Pathology: Valhalla, NY 2009 - 2013 New York, NY 2004 - 2007 Albuquerque, NM 2018 - 2019 Baltimore, MD 2017 - 2018 2015 - 2017 2013 - 2015 LICENSURE AND BOARD CERTIFICATIONS New York Physician License #339555 Utah Physician License #11254472-1205 The American Board of Pathology Forensic Pathology The American Board of Pathology Neuropathology The American Board of Pathology Anatomical Pathology: 2025 - Present 2019 - Present 2019 - Present 2018 - Present 2018 - Present PROFESSIONAL POSITIONS Deputy Medical Examiner, Utah Office of the Medical Examiner Forensic Pathology Fellowship Program Director, University of Utah Review Editor, Diagnostic and Forensic Neuropathology, Frontiers in Neurology Institutional Review Board, Utah Department of Health and Human Services Assistant Medical Examiner, Utah Office of the Medical Examiner 2024 - Present 2024 - Present 2021 - Present 2021 - Present 2019 - 2024 Forensic Neuropathologist, Utah Office of the Medical Examiner Adjunct Instructor, Pathology department, University of Utah School of Medicine Director and Organizer, Continuing Medical Education Utah Medical Examiner Brain Cutting Conference, University of Utah PUBLICATIONS AND PAPERS Eschbacher KL, Tran QT, Moskalev EA, Jenkins S, Fritchie K, Stoehr R, Caron A, Link Mi. Brown PD, Guajardo A, Brat DJ, Wu A, Santagata S, Louis DN, Brastianos PK, Kaplan AB, Alexander B, Rossi S, Ferrarese F, Raleigh DR. Nguyen MP. Gross J, Velazquez Vega J, Rodriguez F, Perry A, Martinez-Lage M, Orr BA, 2019 - Present 2019 - Present 2019 - Present 2024 38523251; PMCID: PMC11483515. E Goold, J Klonoski, C Palmer, E Adjei. A Guajardo, A Abrahams, Neuropathology Outreach in Ghana, American Journal of Clinical Pathology, Volume 158, Issue Supplement_1, November 2022, Page S97, https://doi.org/10.1093/ajcp/aqac126.204. Johnson ECB, Dammer EB, Duong DM, Ping L, Zhou M, Yin L, Higginbotham LA. Trojanowski Q, Beach TG, Reiman EM, Haroutunian V, Wang M, Schadt E, Zhang B, Dickson DW, Ertekin-Taner N, Golde TE, Petyuk VA. De Jager PL, Bennett DA, 2022 2020 activation. Nat Med. 2020 May;26(5): 769-780. doi: 10.1038/s41591-020-0815-6. Epub 2020 Apr 13. PMID: 32284590; PMCID: PMC7405761. Fritchie K, Jensch K, Moskalev EA, Caron A, Jenkins S, Link M, Brown PD, Rodriguez FJ, Guajardo A, Brat D, Velázquez Vega JE, Perry A, Wu A, Raleigh DR, Santagata S, Louis DN, Brastianos PK, Kaplan A, Alexander BM, Rossi S. Ferrarese F, Haller F, Giannini C. The impact of histopathology and NAB2-STAT6 fusion subtype in classification and grading of meningeal solitary fibrous zumor/hemangiopericytoma. Acta Neuropathol. 2019 Feb; 137(2): 307-319. doi: 10.1007/s00401-018-1952-6. Epub 2018 Dec 24. Karisa C. Schreck, MD, PhD; Andrew Guajardo, MD: Doris D.M. Lin, MD, PhD; Charles G. Eberhart, MD, PhD; and Stuart A. Grossman, MD. Concurrent BRAF / MEK inhibitors in BRAF-Y600 mutant high-grade primary brain tumors. J Natl Compr Canc Netw. Apr 2018: Vol. 16, Issue 4. Diego F. Niño, Qinjie Zhou, Yukihiro Yamaguchi, Laura Y. Martin, Sanxia Wang, William B. Fulton, Hongpeng Jia, Peng Lu, Thomas Prindle Jr, Fan Zhang, Joshua Crawford, Zhipeng Hou, Susumu Mori. Liam L. Chen, Andrew Guajardo, Ali atemi, Mikhail Pletnikov, Rangaramanujam M. Kannan. Sujatha Kannan, Chhinder P. Sodhi, and David J. Hackam. Cognitive impairments induced by necrotizing enterocolitis can be prevented by inhibiting microglia activation in mouse brain. Science Translational 12 Dec 2018: Vol. 10, Issue 471. 2019 2018 2018 Waters KM, Rooper LM, Guajardo A, Halushka MK. Histopathologic differences partially distinguish syndromic aortic diseases. Cardiovascular Pathology. 2017; 30: Nauen DW, Guajardo A. Haley L, Powell K, Burger P, Gocke, C. Chromosomal defects track tumor subpopulations and change in progression in oligodendroglioma. Converge. Sci. Phys. Oncol. 2015; | (1). jhuznavi N, Nocera NF, Guajardo AR, Weinberg JM. Emerging medical treatment or actinic keratoses, squamous cell carcinoma, and basal cell carcinoma. Clinica Investigation. 2012 Sep; 2(9): 909-921. 2017 2015 2012 PRESENTATIONS American Academy of Neuropathology AR Guajardo, H Jarrell. Balo's Concentric Sclerosis: Autopsy of a Rare Demyelinating Process. Poster presentation. Neuropathology Core Leaders Meeting AR Guajardo, G Rudow, O Pletnikova, D Arking, JC Troncoso. RNAseq in frontal cortex of young subjects with ApoE 3/3 and 3/4 genotypes free of Alzheimer's Pathology. Platform, Poster presentation American Academy of Neuropathology, Interesting case unknown session AR Guajardo, A Tabbarah, F Rodriguez. Dyskeratosis Congenita Hoyeraal- Hreidarsson Syndrome. Case presentation • Best Case Presentation Award, Diagnostic Slide Session American Academy of Neuropathology AR Guajardo, CJ VandenBussche, DA Hill, M Reyes-Mugica, CY Ho. Malignant Transformation in Neurocutaneousmelanosis. Poster presentation regarding NCM at autopsy United States and Canadian Academy of Pathology AR Guajardo, CJ VandenBussche, DA Hill, M Reyes-Mugica, CY Ho. Malignant Transformation in Neurocutaneousmelanosis. Poster presentation regarding NCM at autopsy United States and Canadian Academy of Pathology AR Guajardo, ML. Zhang, MK Halushka, BJ Crain. A Tell-Tale Heart of Fabry Disease. Poster presentation regarding atypical presentation of Fabry discase at autopsy The Johns Hopkins Hospital AR Guajardo. Primary CNS Lymphoma. Presentation covering new research developments concerning disease prognosis and therapeutics Atlanta, GA 2019 San Diego, CA 2017 Santa Ana, CA 2017 Baltimore, MD 2016 Seattle, WA 2016 Boston, MA Baltimore, MD 2014 LECTURES/TEACHING EXPERIENCE Office of The Medical Examiner, Forensic Pathology Instructor • Forensic pathology didactics for forensic pathology trainee(s). University of Utah, Medical School Intersession Instructor Forensic pathology lecture for elective classes during intersessions. The Johns Hopkins Hospital, Neuropathology Instructor • Weekly lecturer for Neuropathology conference to residents and attending neurologists and pathologists The Johns Hopkins Hospital Guns, Knives, and Rotting Corpses, Pathology Symposium • Pathology department-wide lecture and Q&A session The Johns Hopkins Hospital Tutor • Provided curriculum-tailored 1 on 1 tutoring services throughout 1" and 2"d year medical student coursework The Johns Hopkins Hospital Lecturer, Overview of Gunshot/Blunt Force Trauma and its Mimickers at Autopsy • Delivered annual 45-minute lecture to residents with an emphasis on board preparation The Johns Hopkins Hospital IgG4 Related Disease, Gastroenterology Grand Rounds • Discussed current histopathology and clinical understanding of the disease The Johns Hopkins Hospital Medical-Social Reality of Chile, Grand Rounds Short Talk • Grand Rounds short talk on Salvador Allende's contribution to medical legislation in Chile The Johns Hopkins Hospital Ghouls and Grand Rounds: Fears of Our Time, Grand Rounds Short Talk • Themed short talk covering the cultural implications and evolution of "Zombies' New York Medical College Pathology Tutor • Reviewed and tutored course of study covering clinical and histopathological diagnoses Salt Lake City 2020-Present Salt Lake City 2024-Present Baltimore, MD 2015-2017 Baltimore, MD 2016 Baltimore, MD 2013-2015 Baltimore, MD 2013-2014 Ballimore, MD Baltimore, MD 2014 • Baltimore, MD 2014 Valhalla, NY 2010-2012 New York Medical College Alpha Omega Alpha Medical Anatomy Tutor • Instructed on medical anatomy using written material and cadaveric dissection OTHER EXPERIENCE Valhalla, NY 2010-2012 AG Forensic Neuropathology LLC Private Consultation • Provide first and second opinions on forensic and neuropathology casework providing guidance, drafting reports, and giving testimony as applicable The Johns Hopkins Hospital Joseph Eggleston Memorial Lecture Selection Committee • Organized annual visiting professorship for the Division of Surgical Pathology The Johns Hopkins Hospital The Johns Hopkins Pathology Diversity Committee • Reviewed and developed methods to increase recruitment and retention of underrepresented minority faculty members and residents The Johns Hopkins Hospital Tissue Committee Member • Quarterly review of tissue consultation and pre-procedure slide review for Pathology Department Westchester Labs and Research Forensic Science • Analysis and validation in various departments including Criminalistics. Drug Chemistry, and Arson using microscopes, HPLC, TLC, UV/IR, GC-MS, and GRIM-3 LANGUAGES • English (native) • Spanish (moderately fluent- speaking, reading, writing) PROFESSIONAL MEMBERSHIPS • National Association of Medical Examiners • American Association of Neuropathologists • American Academy of Forensic Sciences • American Board of Pathology • Gold Humanism Honor Society 2020 - Present Baltimore, MD 2014 Baltimore, MD 2014 Baltimore, MD 2014 Valhalla, NY 2007 Family and Human Services Committee Roll Call District District 16 - Fishkill and Beacon Name Valdés Smith* Yes District 9 - City of Poughkeepsie Atkins* District 20 - Red Hook, Tivoli, and Rhinebeck Munn* District 3 - LaGrange Polasek* District 12 - East Fishkill Metzger* District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie Arnoff (C) District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 24 - Dover and Pawling House District 6 - Town of Poughkeepsie Kaul (VC) District 17 - Town and Village of Fishkill McHoul District 5 - Town of Poughkeepsie Shah District 14 - Wappinger and Town of Poughkeepsie Winsby Present: Absent: Vacant: 12 Resolution: Motion: Total: 10 Yes Abstentions: 2 No ABSTAIN ABSTAIN No 2026035 CONFIRMATION OF APPOINTMENT OF ANDREW R. GUAJARDO, M.D. AS MEDICAL EXAMINER OF DUTCHESS COUNTY Roll Call Sheets District Last Name YES NO District 16 - Fishkill and Beacon Valdés Smith District 9 - City of Poughkeepsie Atkins District 20 - Red Hook, Tivoli, and Rhinebeck Munn District 3 - LaGrange Polasek District 12 - East Fishkill Metzger District 1 - Town of Poughkeepsie Redl District 2 - LaGrange, Pleasant Valley & Town of Poughkeepsie Arnoff District 4 - Hyde Park and Town of Poughkeepsie Lawler District 5 - Town of Poughkeepsie Shah District 6 - Town of Poughkeepsie Kaul District 7 - Hyde Park and Pleasant Valley Darrow District 8 - City and Town of Poughkeepsie Brendli District 10 - City of Poughkeepsie Johnson District 11 - Clinton, Pleasant Valley, and Rhinebeck Kearney District 13 - East Fishkill and Wappinger Giles District 14 - Wappinger and Town of Poughkeepsie Winsby District 15 - Wappinger Faust District 17 - Town and Village of Fishkill McHoul District 18 - City of Beacon and Fishkill Rhodes District 19 - North East, Stanford, Pine Plains, Milan & Red Hook Drago District 21 - East Fishkill Caswell District 22 - Beekman and Union Vale Tresca District 23 - Pawling, Beekman and East Fishkill Rolison District 24 - Dover and Pawling House District 25 - Amenia, Washington, Pleasant Valley & Millbrook Alexander X X X X X X X X X X ABSENT ABSTAIN ABSENT X X X X X X X X ABSTAIN ABSENT ABSENT ABSENT 20 Present: ____ 5 Absent: ____ Vacant: ____ Resolution: ____ Motion: ____ 18 Total : ______ ______ Yes No 2 Abstentions: ____ 2026035 CONFIRMATION OF APPOINTMENT OF ANDREW R. GUAJARDO, M.D. AS MEDICAL EXAMINER OF DUTCHESS COUNTY