Agenda 10/11/2016 Item #16E13 1 6.E.13
10/11/2016
EXECUTIVE SUMMARY
Recommendation to approve a Florida Emergency Medical Services County Grant Application,
Request for Grant Fund Distribution Form, and Resolution for the funding of Training and
Medical/Rescue Equipment in the amount of $72,971 and to approve the associated Budget
Amendment.
OBJECTIVE: To expand and improve pre-hospital emergency medical services utilizing State grant
money.
CONSIDERATIONS: The State of Florida established the Emergency Medical Services Grant Award
Program for the expansion and/or improvement of emergency medical services.A grant award notice was
recently received from the State of Florida indicating that Collier County's grant allocation for Fiscal
Year 2016 will be $72,971.00. A resolution is required to be included with the grant application stating
that funds will not be used to supplant the EMS budget and certifying that the grant funds will be used to
improve the County's emergency medical services. Also included with the application is a Request for
Grant Fund Distribution, which directs the Florida Department of Health to remit the grant funds to
Collier County Board of Commissioners. Approval of these documents also constitutes acceptance of the
grant when awarded.
FISCAL IMPACT: Qualified purchases will be totally funded by the State of Florida Emergency
Medical Services Grant Award Program. Funds will be allocated to and disbursed from Fund 493 - EMS
Grants, Project 33492. A Budget Amendment is necessary to appropriate the grant award of$72,971.00
for FY16.
GROWTH MANAGEMENT IMPACT: There are no growth management impacts associated with
this item.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority
vote for Board approval. -JAB
RECOMMENDATION: That the Board of County Commissioners:
1. Approves the Florida Emergency Medical Services County Grant Application, the Request for
Grant Distribution form requesting grant funds be remitted to the Collier County Board of
Commissioners and the Resolution stating that grant funds will not supplant the EMS budget;
2. Authorizes the Chairman to execute the application, Request for Grant Distribution and a
Resolution stating that grant funds will not supplant the EMS budget; and,
3. Approves the Budget Amendment in the amount of$72,971.00 to appropriate the grant funds.
PREPARED BY: Artie R.Bay, Supervisor-Admin.,Emergency Medical Services
ATTACHMENT(S)
1.Award Letter (PDF)
2. CAO Stamped Grant Application (PDF)
3.FY16 County Grant Resolution (PDF)
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16.E.13
10/11/2016
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.13
Item Summary: Recommendation to approve a Florida Emergency Medical Services County
Grant Application, Request for Grant Fund Distribution Form, and Resolution for the funding of Training
and Medical/Rescue Equipment in the amount of $72,971 and to approve the associated Budget
Amendment.
Meeting Date: 10/11/2016
Prepared by:
Title: Supervisor-Accounting—Administrative Services Department
Name: Artie Bay
09/21/2016 11:30 AM
Submitted by:
Title: Department Head-Administrative Svc—Administrative Services Department
Name: Len Price
09/21/2016 11:30 AM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Level 1 Add Division Reviewer Completed 09/21/2016 6:46 PM
Administrative Services Department Pat Pochopin Level 1 Division Reviewer Completed 09/22/2016 1:22 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 09/22/2016 1:54 PM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 09/23/2016 3:52 PM
Grants Edmond Kushi Level 2 Grants Review Completed 09/27/2016 2:56 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 09/28/2016 11:37 AM
County Attorney's Office Jeffrey A.Klatzkow Level 3 County Attorney's Office Review Completed 09/29/2016 4:51 PM
Grants Therese Stanley Level 3 OMB 1st Reviewer 1-4 Completed 09/30/2016 12:01 PM
County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 10/04/2016 2:46 PM
Board of County Commissioners MaryJo Brock Meeting Pending 10/11/2016 9:00 AM
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From: Van Lewen, Alan [AIan.VanLewen@flhealth.gov] co
Sent: Monday, August 29, 2016 9:14 AM a
To: BrockMaryJo
Cc: BayArtie; EMS Admin
Subject: County Grant Announcement
COLLIER maryjobrock(@,colliergov.net
maryjobrock@colliergov.net
ArtieBay@colliergov.net
emsadmin(ccol€iergov.net
We are pleased to announce that you may now request your annual emergency medical services (EMS)
county grant funds. The amount for your county this year is $72,971.00.
The state EMS grant website address follows, which contains links with the instructions and forms.
http://www.floridahealth.gov/provider-and-partner-resources/ems-grants/index.html
Section 401.113 (I); Florida Statutes, requires the funds must be used solely to improve and expand pre-
hospital EMS. Therefore, replacement, indirect, and recurring costs are not allowable.
Your grant budget total that you submit must equal the amount cited above.
The deadline for us to receive the completed application is December 16, 2016.
Send the completed and signed documents by email attachment or mail the original and one copy to the
following address.
DOH EMS, County Grants
Attn: Alan Van Lewen
4052 Bald Cypress Way, Mail Bin A-22
Tallahassee, FL 32399-1722.
Please see the instructions in the website links or contact me if you have any questions.
Alan Van Lewen
Health Services and Facilities Consultant Telephone: (850)245-4440 Ext.2734
DOH Emergency Medical Services Fax: (850)245-4378 or(850)488-9408
4052 Bald Cypress Way,Mail Bin A-22 E-Mail:Allan.VanLe«enrri_flhealth.Lov
Tallahassee,FL 32399-1722
DOH Mission:To protect,promote&improve the health of all people in Florida through integrated state,
county&community efforts.
PLEASE NOTE: Florida has a very broad public records law.Most written communications to or from state
officials regarding state business are public records available to the public and media upon request.
Your email communications may therefore be subject to disclosure(section 668.6076,Florida Statutes).
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EMS COUNTY GRANT APPLICATION
a
FLORIDA DEPARTMENT OF HEALTH
} Emergency Medical Services Program
I Complete all items
ID.Code(The State EMS Program will assign the ID Code—leave this blank) C50
1. County Name: Collier
Business Address: 3299 Tamlami Trail East,Suite 700
Naples,FL 34112-5747
Telephone: 239-252-3740
Federal Tax ID Number(Nine Digit Number). VF 59-6000558
2. Certification: (The applicant signatory who has authority to sign contracts, grants,and other legal
documents for the county)I certify that all information and data in this EMS county grant application and
its attachments are true and correct. My signature acknowledges and assures that the County shall
comply fully with the conditions outlined in the Florida EMS County Grant Application.
Signature: Date:
Printed Name: Donna Fiala
Position Title: Chairman
3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and has
responsibility for the implementation of the grant activities. This person is authorized to sign project
reports and may request project changes. The signer and the contact person may be the same.)
Name:Artie Bay
Position Title:Supervisor—EMS Admin
Address: 8075 Lely Cultural Pkwy,Suite 267
Naples, FL 34113
Telephone:239-252-3756 Fax Number:239-252-3298
E-mail Address:Artiebay@
4. Resolution: Attach a resolution from the Board of County Commissioners certifying the grant funds
will improve and expand the county pre-hospital EMS system and will not be used to supplant current
levels of county expenditures. We cannot process for funds without a current resolution.
5. Budget: Complete a budget page(s)for each organization to which you shall provide funds.
List the organization(s)below. (Use additional pages if necessary)
Collier County Emergency Medical Services
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DH 1684,December 2008 64J-1.015,F.A.C.
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BUDGET PAGE n.
A. Salaries and Benefits:
For each position title, provide the amount of salary per hour, FICA per
hour, other fringe benefits,and the total number of hours. Amount
TOTAL Salaries= $ 0.00
TOTAL FICA&Other Benefits=
Total Salaries&Benefits= $ 0.00
B. Expenses: These are travel costs and the usual,ordinary, and incidental expenditures by an
agency, such as,commodities and supplies of a consumable nature excluding expenditures classified
as operating capital outlay(see next category).
List the item and,if applicable,the quantity Amount
Training 5,000.00
Total Expenses= $5,000.00
C. Vehicles,equipment,and other operating capital outlay means equipment,fixtures,and other
tangible personal property of a non consumable and non expendable nature with a normal expected life
of one(1)year or more.
List the item and,if applicable,the quantity Amount
MedicailRescue Equipment 52,971.00
Video Cameras for training,testing and QA 15,000.00
Total Veh.&Equipment= $ 67,971.00
Grand Total= $72,971.00
DH 1684,December 2008
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FLORIDA DEPARTMENT OF HEALTH a
EMERGENCY MEDICAL SERVICES(EMS)GRANT SECTION
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of Section 401.113(2) (a), Florida Statutes, the undersigned hereby requests
an EMS grant fund distribution for the improvement and expansion of pre-hospital EMS.
DOH Remit Payment To:
The agency name and mailing address must be in the state MyFloridaMarketPlace (MFMP) system.
Name of Agency: Collier County Board of County Commissioners
Mailing Address: 3299 Tamiami Trail East,Suite 700
Naples,FL 34112-5749
Federal Identification number: 58-6000558
Authorized County Official:
Signature Date
Donna Fiala,Chairman
Type or Print Name and Title
Sign and return this page with your application to:
Florida Department of Health
Emergency Medical Services Section, Grants
4052 Bald Cypress Way, Bin A-22
Tallahassee,Florida 32399-1722
Do not write below this line. For use by State Emergency Medical Services Program
Grant Amount for State to Pay: $ Grant ID: Code:C50
Approved By
Signature of State EMS Grant Officer Date
State Fiscal Year: 2016 2017
is
Organization Code E.O. OCA Object Code Category
64-61-70-30-000 05 SF005 750000 059998
Federal Tax ID:VF
Grant Beginning Date: Grant Ending Date:
DH 1767P, December 2008 64J-1.015, F.A.C.
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ATTEST:
Approved asto form and icg.ttiry
DWIGHT E. BROCK,Clerk
By: Assistant County Au�x�K Y
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RESOLUTION NO.2016- ns
RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
CERTIFYING THAT THE APPLICATION FOR AND USE
OF EMS COUNTY GRANT FUNDS WILL IMPROVE AND
EXPAND PRE-HOSPITAL EMS DEPARTMENT
ACTIVITIES AND WILL NOT SUPPLANT EXISTING
COUNTY EMS BUDGET ALLOCATIONS.
WHEREAS, EMS Department Paramedics and Paramedic/Firefighters provide
basic and advanced life support care and highly technical service to the citizens and
visitors of Collier County; and
WHEREAS, the purchase of equipment and provision of training shall greatly
enhance the effectiveness of pre-hospital emergency medical care.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY,FLORIDA,that:
will be used to provide trainingand
EMS CountyGrant
The 72 971.00 in the
purchase medical/rescue not be used to supplant rescue equipment and these fundsexisting
EMS Department budget allocations.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida,this day of ,2016.
ATTEST: BOARD OF COUNTY COMMISSIONERS,
DWIGHT E.BROCK, CLERK COLLIER COUNTY,FLORIDA
ii
BY: BY:
, Deputy Clerk DONNA FIALA,Chairman
Approved as to form and
legality:
Jennifer A. Belpedio
Assistant County Attorney 0