Corporal Ruffolo was deployed with Charlie Company of the 1st Battalion, The Royal Canadian Regiment Battle Group, in Afghanistan. On September 3, 2006, while engaged in combat operations in the opening phase of Operation MEDUSA, a bulldozer vainly attempted to extract his light armoured vehicle and came under heavy enemy fire. Without regard for his own safety, Corporal Ruffolo placed himself in a very vulnerable position to unhook his vehicle. In a subsequent attack, he again exposed himself to enemy fire to render first aid to a casualty. His courage and professionalism under extreme duress brought great credit to the Armed Forces and to Canada.