Agenda 09/27/2011 Item #16F 3
9127/20111temt6.F.3.
E~tUTIVE S~y
r"\
Reeommeodation that the Beard of C.uty Commissioners provides after-the-fact appre.vtI.fortlle
attaehed Assistanee to Firelcltten Grant application tltat was submitted to the FecIe....laaerpncy
Mana'ement Agency for the. purdaaae of two Carbon Monoxide Detectors for Eme..... Medical
Services in the amount of $9,8fMl.
9J,UJ'.t;'I'1VE: To receive after-the-fact approval from the Board of County Commissioners to submit an
Assistance to Firefighters Grant (AFG) application to the Federal Emergency Management Agency (FEMA) to
fund the pW'Chase two Carbon Monoxide Detectors for Emergency Medical Services.
CONSIDERATIONS: On August 30, 2011, the County Manager approved theeloctronic subnUttal'otan AFG
grant application, in accordance with Collier County CMA #5330 which authorizes the CountY-Manager to .
approve the submittal of grant applications with subsequent BCC action at the next available Board meeting.to
ratify the. approval as "after-the-fact."
The Assistance to Firefighters Grant program typically provides only a month for development and submittal of
gran.tappli~ons. This year, the program was announced on August 15th with a deadline of September 9th.
This deadline was subsequently extended to September 16th. There was no Board Meeting held during the
month of August.
This grant was submitted by EMS to request funding to pW'Cbase two Carbon Monoxide (CO) Detectors, to be
strategically placed in the nol1b. and south areas of the County. Carbon Monoxide Poisoning is rising at an
~ing rate. Currently C()llier County EMS does not have the equipment to detect CO poisoning. The pulse
oximeterS currently in use are unable to differentiate between oxygen molecules and carbon molecules. When
carbon monoxide is inhaled, it passes from the lungs into thebemoglobin molecules of red blood cells. Carbon
monoxide binds to hemoglobin at the same site as and preferentially to oxygen, forming carboxyhemoglobin.
Carboxyhemoglobin interferes with the oxygen transport and gas exchange abilities of red blood cells. The
r~ult is that the body becomes oxygen-starved, which can result in tissue damage and death. The ability to
quickly and positively identify CO poisoning will provide far better patient outcomes.
The total amount of funds requested for this project is $9,800, and comprised of $7,840 to be funded by the
grant and a match of $1,960 (2()o,4) to be funded by the County from the State of Florida Bureau of Emergency
Medical Services County Grant. If awarded, staff will come back to the Board to request approval to accept the
grant.
FI~AJ;..IMPAC;:T:There is no Fiscal Impactat this time.
LEGAL CON~ERAtI~S: The Board will have the opportunity to accept or reject the funds if the grant
is approved. Accordingly, this Office has no issue with respect to the legal sufficiency of this request, which is
appropriate for Board action. This is areguIar item requiring a majority vote. - JBW
GROW'J'H JMPACT: There is no Growth Management Impact resulting from,~s~n.
RECO~A nON: That the Board of County Commissioners approves the after-the-fact. SJlbmittal of
~ Assistance to Firefighters Grant application to fund the purchase of two Carbon Monoxide Detectors for
~mergency Medical Services.
PREPARED BY: Artie Bay, Administrative Supervisor, Emergency Medical Services
Pa.cket Pale -2045- .
9/27/2011 Item 16.F.3.
---.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.3.
Item Summary: Recommendation that the Board of County Commissioners provides
after-the-fact approval for the attached Assistance to Firefighters Grant application that was
submitted to the Federal Emergency Management Agency for the purchase of two Carbon
Monoxide Detectors for Emergency Medical Services in the amount of $9,800.
Meeting Date: 9/27/2011
Prepared By
Name: Bay Artie
Title: Supervisor - Accounting,EMS Operations
9/7/2011 3:09:09 PM
Approved By
---
Name: KopkaWalter
Date: 9/8/2011 4:13:53 PM
Name: WhiteJennifer
Title: Assistant County Attorney,County Attorney
Date: 9/8/2011 4:24:05 PM
Name: Joshua Thomas
Title: Grants Support Specialist,
Date: 9/9/2011 7:24:21 AM
Name: SummersDan
Title: Director - Bureau of Emergency Services,
Date: 9/9/2011 11:25:01 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 9/19/2011 11:22:08 AM
..-...
Name: PryorCheryl
Title: Management! Budget Analyst, Senior, Office of Management & Budget
Date: 9/19/2011 1:51:04 PM
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9/27/2011 Item 16.F.3.
~
Name: SheffieldMichael
Title: Manager-Business Operations, CMO
Date: 9/19/2011 2:58:17 PM
,..-.....
-...
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c~~ Cou.nty
"-- ~ .............
-- ~ ---
Administrative Services Division
Grants Coordination
9/27/2011 Item 16.F.3.
CC:
Artie Bay, Emergency Medical Services
Marlene Foortt:.ants Coordinator
TO: Leo Ochs, County Manager
FROM:
Aftcr-thc-Fact Approval by the BCC is required
at the September 27.2011 DCe meeting.
DATE: August 29, 2011
SUBJECT: County Manager review and approval of an Assistance to Firefighters Grant
Application to the Federal Emergency Management Agency in the amount of
$7t840.
Collier County Emergency Medical Services is submitting an application on behalf of Collier
County to request funding for two Carbon Monoxide Detectors, which determine CO blood
. levels. The grant request will be $7,840 and, if awarded, EMS would provide a 20% match of
$1,960 towards the total $9t800 necessary to fund the purchase of these units. The 20% match
will come from EMS Fund 493.
,,-...,
This grant program typically provides only a month for development and submittal of grant
applications. This year, the program was announced on August 15, 2011 with a deadline of
September 9t 2011. Furthermore, since there were no BCC meetings scheduled prior to or
during the application pel'iod, your review and approval of the application is requested followed
by after-the-fact approval at the September 27t 2011 BCC meeting.
This application is submitted online and does not require the submittal of any signed documents.
Your approval will allow the Grants Management Office on behalf of Jeff Page and Atiie Bay in
EMS to submit the application via the FEMA online application pOlia!.
Once you have reviewed the proposal, please sign in the box above and call me for pickup at
252-4768.
Thank you and please let me know if you have any questions regarding this request.
.-..
3301 East Tamiami TI'ail · Naples, Florida 34112 . marlenefoord(iilcollier2ov.net . (239) 252-4768 . (239) 252-8720 (fax)
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Pl'eptll'er InformatIon
Overview
9/27/2011 Item 16.F.3.
J
Page 1 of t
'Old you attend ol1e of (he workshops oonducted by DHS's regional fire program speolallst?
Yes, I have atlended workshop
'Was ft workshol) within 2 hours drlvo?
Yes
"Are YOll a member, or are you ourrently Involved In the management, of the fire dopartment
or non-affiliated EMS organization applyIng for thIs grant wllh this applloatlon?
Yes, f am a member/offlcer of Ihls applicant
If you answered No, please oOlllplote the Infonnallon below. If you answered Yes, please skIp the Preparer
fnformaUon seoUon. .
Fields marked with an · aye required. '
· Preparer's Name
" Address 1
Address 2
" Oily
· Slate
· Zip
Preparer Information
Need hero lOf ZIP'M?
In the space below please list the person your organli:atlon has seleoted to be the primary poInt of contact for this
grant. This should be a Chief OHloer or long lime member of the organlzallon who will see Ihls granlthrough
completion. Reminder: If IIl1a person ohanges at anyllme during lhe period of performance please updatelhls
Information. Please list only phone numbers where we oan get In dlreot contaot wllh you.
PrImary PoInt of Contact
Admlnlslralive SllpelVlsor
"Title
Preflx(cheok one)
· First Name
Middle fnllfal
· last Name
· Business Phone (e.g. 123-466w78QO)
· Home Phone (e.g. 123-466-7890)
Mobile Phone/Pager (e.g. 123.466w7890)
Fax (e.g. 123-456-7690)
· Emall (e.g, user@xyz.org)
ArUe
R
Bay
239.262w3740 Ext.
239.262-3766 Ext.
ArtleBay@colliergov.nel
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9/27/2011 Item 16.F.3.
~. Altet't1l'1te Contact InfOl'mntioll Page 1 of 1
Contaot Information
Alternate Contact Information Number 1
'Tille Assllan! Chief
Prenx N/A
· First Name waller
Middle Inlllal
> lasl Name I{opka, 11
· Business Phone 239-262-3740 ex!.
'Home Phone 239.262.3757 Exl.
Mobile Phone/Pager
Fax
'Emall WalterKopka@coUJergov.net
Alternate Contacllnformatlon Number 2
, Tille Ootlllly Manager
Prefix N/A
, First Name Leo
Middle lolllal E
,-.., · Last Name Oehs, Jr.
· BtlSlness Phone 239-262-8383 Ex!.
'Home Phone 2$9-262-3746 Ex!.
Mobile PhonelPager
. ,Fax
'Email LeoOchs@colllergov.nel
~
https:/Ieservices.fema.gov/FemaFit'eGrantlfll'egrallf/jsp/flre20 ll1application/oontaoUnfo.js.., 8/1812011
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Applicallt Information
9/27/2011 Item 16.F.3.
1
Page 1 ofl
Applleanllnforlllallon
Uep'oe
~Iorlda
34.13.9006
Il'K1ht'ofor i:1P.4?
0/1:1104 Emergonoy Mansoomonl Preparoc/nua and MllllaMo GilInl (I!MP/I) Oporallng
1OJtoIOlllimerqenoy Managemonl PlOp'rodno.. aM ^"lsltneo Grant Proorllm
111106 EmorqMoy Managomenl Prop.rodn,,, anclAotlalanoo OlllntProll/am
3/1110$ OIPtena Corp, 8ub,GllIol Program OpelaUng /Qrllmero,noy Managomonl
f/28106 "'1."18n<< to I'IteAohlera Olanl PIOQlllIIl Flto app.rlllUl fo' lalo <lIOeprf
f13104 ,,"Islanee to FirelIGhter. Granl PfOQ r8m ."'(03. FflQOghUno oqulpnlo nHoI Oel1Opoo
7/1104 Slate Homolsnd 80Clld!y 0"01 PfOlIRlm (SHSGP) 2004.2000 pfOQrom aMI plons
. Ploll~ doacllbo .'uran" lhal you I1l1ve fJ/Str11 A"r.tanee to PltellOhtela Granl PfOQranll!qulpmont
recolvod fr<lll\ DHS Ine/udltlg any /lFG oranl 1/201/00 8ltto HOMolond Socu/ll)' Ol.nl PN$l4lnl flY 0$ PI8Mlll1l.lteW/lll. equlpnlOnl for IImol'tnoy Man~tm4n1
recolved rlom OHS olI'I!M^ fortxonlp/o 2002 313106 ~IIW linfolwllonlTerronsm Pravonlloll Proor'llI l!qulpnlonUorWalor OeplI/lIIlont seCUlllY UMla.dOt
AfG glen' ror Vllhlde or2o(}i oOP ot.nlior 111$108 Aulll.nco 10 FI,ollghl,l. Orenlollqulpmenl
oxorcllui IGnler'~fA"f(NoIAppllC4ble) 4'61011A"~lenco 10 Flfolltjhltt' Grllnl.Equlpmolll
. ~'20f08 Cll/Lone Corpa Sub-O,anl Prootem,ralnlng
SeplombelO, 2008 AFG SlaltOh.1t
Oclobat 27,2000 E'Rl.tg.noy M.na8olll0nll'raporodneu end Aulsl.nce PrograM 2000.2010
Oerobet 30.2000 oepanmontol Homeland Socunly Oranl ProglllM 2010
Soplonlbor i. 2010 E'nleroollCY Managomenl PorforMunc;e Gronl2010
Aprll19, :lOti f)opollm,nl ofHomoland Securlly Granl PCQIllent 20H
June 14, 20 f 1 elllo/OoMY Menlgomonl Proparadnell ell<l Aulsl.11CO B6S0 Oron12011.2012
. Oll'jenkallon Neme
. Type 0/ ApjlllcMI
. Typo 0/ JIII'I'dlo~n S4/Ved
I' olhor, p1ea50 ontet Iho !ype or JuflsdlcUon
. Emolevor tdeellllMUbft NUn\bol
. WIt.II. your oroenl~ellon'. PUlllllluJllbet?
lfoaolquener. or Mllfn Sltllon Phy.lce' Adetr...
, Phyaltlll Addrost 1
Phyelcel Addl... 2
'Olli
, Slalt
'ZIp
M~llfnll Add,e"
, MelHno Adlfreeo1
Mailing Mdt." 2
. Oll)'
'Slale
. Zip
Colller Counly EAtS
Non.ornlotod IIMS Or8onlxlltl9n
Ooulll1
.'.8000S.8
0781191780 (call 1.0O$.706o&71110gel a DUNS num"-I)
e07Ill.IyOuUllr.1 PIIwy
H,plel
floll"a
~4113.9oo6
/I.t<! ....~Itv l'P'A?
8076 leI)' CuUurel PIIY"
ACC<:lunllnformallon
'Typo or bank ac",unt
· BanI( roullng nURlbol. .iJJJolInumbor (In Ihe 087001710
bollolll ,.n hand COlnet of yout eIlo ok
'Your llCCOURt numbor
Addll~nallnrQtmaUotl
. F(lt llll, tl$eal yeef (Fodelet) It your
019anlzoUon leceMIll) Fedorollvnd/no Irolll eny Nil
olher %nl program Ihel may dupll~I.lho
pUlpose andfqr JWpO Qr \hIs qranlloqutsl?
'If awarlfod tho AfO (Ilenl. Will your
0I0anllllllon oxpond Rloro llIen $600.000 ltJ
Federel funda during YOUt organltallon's fisetl Yoo
yoe r 11\ whlt/1 lhls NO Ol.nt w" awerlled?
'Ie tho applicant donnouaAl Oft env F.~.'.I
~t
ItyolI answoled yeelo eny or tho elfdillonal
quea~n' above, jlhle88 proYklo on 6xplanaUon
In IhllepeC9 provided below:
In 2010 Colftor County o~p.nded $~7 ,93~.2$2ln foderal runds.1l1HtaSOneblo 10 oxpect thai Collor County WIll o;onllnutlll expend IlIOlll illeR .$600,001) oach
aUbe,qu'nl aS1lf1 Y$O I.
Check/no
1138577
No
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EMS D()})6l'tmcnt Chl'lracte1'istlc& (Part 1)
Departmont Oharacterlstlclt {Part I}
9/27/2011 Item 16.F.3.
Pftge I of2
.. What Is the permanent resident population Qf your
PrlmalYffr($I'D~IQ l3~sponse ~re~ 9f lu(ls~llfllQl) 321520
~
. How many aetlve members does YO\lr EMS
organlzallon have that meet the minimum EMS
cerutlcallon standards as dictated by your Jurlsdlellon 164
or S{ate?
. How many stations are operated by your
organization?
· How many personnel are Iralned to First
Responder/Emergency Medical Responder? .
· How many untraIned members perform other duUes 0
such as only drive?
· How many personnel are Iralned to EMT.B level?
.. How many personnel are trained 10 EMT-Ilevel?
. How mSIW personnel are Iralned loEMT.P leval?
· What services does your organization provide?
Medical First Response Advanced Life Support "ransport
BasIc LIfe SUPI>ort Non~Transport Advanced Life SlIpport Non-Transport
Basic life Support Traneport Ha%mat Operallonal Level
Rescue Technical Level
· What kind of organllatlon do YOll represent?
If you answered comblnallon. above, what Is the %
percentage of career members In YOllr organlzallon?
· What type of community does your organization
selVe?
· 0065 your department transport?
· What 18 the aquare mileage of your first-due
response area?
.In what county/parish Is your organization physically
located? If YOll have more than one stallon, In what
county/parish Is your main stallon located?
.. Do&s your organlzatlon protect orllleallnfrsstruotura No
of the state?
,-....,.
· How much of your )urlsdlollon's land use Is (or
agr/oulture, wild land. open space, or undeveloped
properties?
· What percentage of YO'lr Jurlsdlollon's land lIsele for
commerolal. Industrial, or Instllullonal purposes?
.. What percentage of your Jurlsdlotlon's land Is used
for resIdential purposes?
All Pald/Oareer
Suburban
Yes
2026
Collier
67%
24%
9%
20
164
164
164
139
Resoue Operational Level
Vehicle Extrication
Fire Suppression
,-....,
.. Please describe your organization and/or community Collier County EMS Is the $ole provider of emergency
that you serve. We recommend lyplng your response medical transport services for all of Collier County,
In a Word Dooument o\lteldeof this appJloatlon. then Florida. Collier Is. the largest county In the slate,
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9/27/2011 Item 16.F.3.
EMS Department Characteristics (Part I)
Page 2 of2
~
copying and pasting It Into the wrlUen Reid.
There is a 4000 character limit.
encompassing 2025 square miles, with a combination of
urban. suburban and rural areas. Collier County Is
located on the southwest coast of Florida with a
permanent population of 321,620 (based on the 2010
census). Approximately 20,000 workers increase the
population each day. In addition, the moderate climate.
miles of beaches, three airports and numerous marinas
attract a mullltude of visitors each day I swelling the
populallon level to an estimated 395,866 (Collier County
Planning Department estImate) during peak season.
This agency responded to 37,249 calls for emergency
medical services In FY 201 o and provided 23,476
transports. Emergency medical services are provided to
the County via 144 full.tlme Paramedics and EMTs,
along with 10 field supervisors.
https:/Ieservices.fema.govlFemaFil'eGl'ant /fiw.m-ant/i "...m....')/) 11./applicationl gen _ ques.jsp?.. 8/29/2011
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EMS Department Characteristics (Part II)
9/27/2011 Item 16.F.3.
EMS' D.epartment Characteristics (Part II)
~
. What is the total number of line of duty member
fatalities in your jurisdiction over the last three years?
. What is the total number of line of duty member
injuries in your jurisdiction over the last three years?
.. Over the last three years, what was your
organization's average TOTAL operating budget?
. What percentage of your TOTAL budget is dedicated
to personnel costs {salary, overtime and fringe
benefits}?
.. What percentage of your annual operating budget is derived from:
Enter numbers only, percentages must sum up to 100%
Taxes?
EMS Billina?
Grants?
Donations?
Fund drives?
Fee for Service?
o
2009
o
2008
o
2010
24
26
25
24712367
80%
59%
41 %
~.
Other?
If you entered a value into Other field (other than 0),
please explain
0%
0%
0%
0%
0%
--
Over 80% of the Collier County EMS budget is utilized to
cover personnel costs. The remaining 20% is utilized to
cover operating costs and capital purchases to replace
worn equipment. The budget is largely dependent (40%)
on ambulance fee revenues. With the majority of the
county being agricultural, there is a large influx of both a
migrant population and indigent patients. As such,
Collier County experiences a high volume of write-offs
for ambulance services. In addition, ambulance fee
collections are taking a negative turn due to the trend by
* . . . , insurance companies to short-pay claims (payments
, Plea~e des.cnbe your orgamzatlon s ne~d for Federal substantially less than billed), unemployment and
fmanclal a,sslstance. We recommen? tYPlngyour people's loss of group insurance, and the economy in
resp~ms.e m a Word D?cument out~ld~ ~f thiS . general. Most individuals will choose to keep their lights
application, ~hen cOPYing and pa~lt~g It Into the written on and feed their families before paying for an.
field. There IS a 4000 character limit. ambulance ride. As the revenues decrease, the
offsetting funds must come from ad valorem taxes,
which are already strained due to the growth of the area
and demands on the infrastructure of the County.
Especially significant is a referendum in the State of
Florida to reduce property taxes that has. crippled county
agencies from obtaining necessary funding through ad
valorem taxes. In addition, and common throughout the
United States, property values have tumbled and Collier
County has experienced an $86 million loss in revenue
since FY08. For the past four fiscal years, the
department's operating budget has been reduced from
. Packet Page -2054-
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. EMS Department Characteristics (Part II)
9/27/2011 Item 16.F.3.
the prior year, totally eliminating funding for replacement
of worn out equipment.
,-......"
.. What was the total mileage that your organization
drove the vehicles in your fleet last year?
.. How many vehicles does your organization have in each of the types or class of vehicle listed below? You must
include vehicles that are leased or on long-term loan as well as any vehicles that have been ordered or
otherwise currently under contract for purchase or lease by your organization but not yet in your possession.
(Enter numbers only and enter 0 if you do not have any of the vehicles below.)
864664
Type or Class of Vehicle
Total Number Total Number Total Number
of of of Seated
Front line Reserve Riding
Apparatus Apparatus Positions
24 9 132
17 0 68
Ambulances:
Ambulance, EMS Transport Unit
Other:
EMS Chase Vehicle, Airllight Unit, Rehab Units, Bomb Unit,
Technical Support (Command, Operational Support/Supply),
Salvage Truck, ARFF (Aircraft Rescue Flrefighting),
Command/Mobile Communications Vehicle, Other Vehicle
.~
.,-......"
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9/27/2011 Item 16.F.3.
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EMS Depatimellt Call Volume
Page 1 of 1
Departmenf Call Volume
,-......"
2010 2009 2006
· How many responses per year by oategory? (Entefwhote numbors only. It you have no oalls (Of any or Ihe calellor/oB. onlor 0)
Working Structural Fires 0 0 0
EMS.BLS Response Calls 23911 3160B 29762
E:MS.ALS Resl)onS8 Calls 20456 19606 18578
EMS-BLS SchedUled Transports 0 0 0
EMS-ALS Soheduled Transports 0 0 0
Vehicle EXlrlcallons 0 0 0
Other Rescue 0 0 0
Ha%ardous Condlllon/Materlals
Calls '
Total 44416 51246 48374
· How many responses par year by oalegory? (Enlofwhole numbers ollly.llyou have no oaUo (or allY ollhe catego!l6S, onler 0)
Total oal/s requiring lransporl,
exclusive of sohedtlled transport
deQlared above
All Other Calls and Incidents not
declared above, Including lire,
good.lntent. eto.
48
29
44
23476
'22604
22864
o
o
o
~
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EMS Request Information
9/27/2011 Item 16.F.3.
1
Page 1 of 1
Requesf Information
1. Select a program for whloh YOIJ are applying, You can apply for as many actlvllles wllhln a program as you
need. If you are Interested In applying under both Vehlol$ AcqulsIllon and EMS 01>9rallon8 and Safety. and/or
regional application you will noed to submit separate applloatlons.
Program Name
Operations and Safely
2. WlIIthls grant benefll more than one organl~atlon?
No
If you answered Yes 10 Queslloll 2 above, please explain.
3. Enter Grant.wrlllllg fee associated with the preparallon of this requesl. Enter 0 If there Is no fee.
~O
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9/27/2011 Item 16.F.3.
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EMS Operations and Safely Request Details
Page 1 of 1
Request Details
The aollvllles for program Operations and Safety are listed In the table below.
AcUvlly
Equipment
MQdlry Faollllles
Personal proteollve EquIpment
Training
Wellness and Fllness Programs
Number of Entries Total Cost Addlllonal Funding Action
YIsw Details '
1 $ 9,000 $ 0 Ylew Addlllonal Funding
Narratives
o $ 0 $ 0 View Details
o $ 0 $ 0 View Details
o $ 0 $ 0 View Oetall~
o $ 0 $ 0 View Detall~
Grant.wtlllng fee associated w/lh the preparal10n of this request.
~
..--
$0
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9/27/2011 Item 16.F.3.
BUdget
Page 1 of 1
~
BUdget
--
l3udoet OQJeot Cla~ '
a. Personnel
b. Fringe 86neflls
O. Travel
d. Equipment
e. Supplies
f. Contractual
$0
$0
$'0
$ 9,800
$0
$0
$0
g. Construction
h. OilIer
I. Indirect Charges
$0
$0
$0
j. State Taxes
~ederal and Applicant Share
Federal Share
Applicant Share
Federal Rate Sharing (%)
· NOI'.ftlder~1 Resources (1h9 ~oml1ll18(1 Noll-Fedorai RO$OI1(t;08/11l/$1 Q(Jllall/l(I Applicant Sharf) of $ 1,980}
a. Applloant
b. State
c. Local
d. Other Sources
If YOll entered a value In Other Sources other than zero (0), Inolude your explanation below. You can use this
space to provide information on the project, COSI share match, or If YOll have an Indirect cosl agreement with a
fe("~ral agency.
Total Budget
$ 7,840
$ 1,960
80/20
~
$1960
$
$
$
$ 0,800
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9/27/2011 Item 16.F.3.
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Proiect Descl'iJ>flon:
This grant l'equest is respectfully submitted to provide $7,840 for two cal'bon monoxide
detectors, Collier County will match 20% ($1,960) fOl' a total of $9,800 to fund the
purchase of these units.
According to the Centers of Disease Control and Prevention, 400 Americans die each
yeal' from unintentional Cat'bon Monoxide (CO) poisoning, and more than 20,000 visit
the emergency room. Our neighboring County of West Palm Beach reports that Carbon
Monoxide poisoning is I'ising at an alal'lning rate; prompting the Palm Beach County
Health Department to issue a preventive wRming. By mid 2010 Palm Beach County was
expel'iencing the higl1est number-of cases ever reported in previous years. Carbon
Monoxide poisoning, the leading cause of accidental poisoning 'in America is no stranger
to Florida.
FOl'many years CO poisoning was thought to be an exclusive side effect of structure
fires, fumaces, and val'ious heaters. Whether the patient was a victim who had lost theh'
residence to a fire, a firefighter exposed to the hal'mflll gas as he/she fought the fire; or
someone just simply attempting to make it through the bitter winter) CO poisoning was
believed to an ((up north)! issue, In recent yesrs the inacouracy of this myth has been
exposed and much needed awareness is being raised.
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Healthc81'e organizations throughout the State of Florida are wOI'king diligently to
educate the public about the many different sources of CO poisoning, and how to prevent
the increasing frequency of those incidents. Although Florida does not experience the
cold wintel's characteristic of the northern states, and strllcture fit'es do net happen every
day; we in the Sunshine State are as vulnel'able as anyone. Mother Nature capriciously
has chosen Florida as the primary highway for her path dlll'ing hurricane season. Anothel'
unsuspected source of accidental CO poisoning are the very convenient keyless ignition
starters) which are the center of controvel'sial lawsuits due to unintentional activation of
the ignition while the vehicle is parked indoors, Following is fut'thel' suppOt1ing data on
the incl'easing incidence of accidental CO poisoning in the State of Florida.
In January 2011,5 people died ill a Hialeah, Florida hotel room from carbon
monoxide poisoning due to a vehicle left rUlUling under their hotel window.
In June 2008, a 19-year-old Collier County resident died in his home from
accidental CO poisoning, His 1'00mmate was found semiconscious in the house,
Florida experienced 4 major hun'icanes i112004, at least 167 people were treated
for accidental CO poisoning, with 6 fatalities that year. Portable genel'ators were reported
in 96% ofllon~fatal poisonings, and 100% responsible for fatal poisonings, Among those
reporting the location of the generator, 34% repol.ted having placed the genel'atol'
outdoors vs, ) 7% inside the garage, Even placed outside, the fumes were still able to
enter the dwelling and kill,
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9/27/2011 Item 16.F.3.
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Cost Benefit:
Currently Collier County EMS does not have the equipment to detect CO poisoning. The
pulse oximeters al'e unable to differentiate between oxygen molecules and carbon
molecules. When carbon monoxide is inhaled. it passes fi'om the lungs into the
hemoglobin molecules of red blood cells. Carbon monoxide binds to hemoglobin at the
same site as and preferentially to oxygen. torming carbox.yhemoglobin.
CSl'boxyhemoglobin intel'fel'es with the oxygen tl'ansport and gas exchange abUities of
red blood cells. The result is tbat the body becomes oxygen-starved. which can result in
tissue damage and death. The ability to quickly and positively identify CO poisoning
will provide far bettel' patient outcomes than what we are currently able to do, However,
Collier EMS is unable" to fund this project and has been unable to secure alternative
funding.
Because our response area is so lal'ge (over 2000 square miles), we feel that it would be
most cost efficient to deploy one unit at the north side of the county and another in the
south. It is 110t reasonable 01' cost efficient to place a detector on each (1'8nsp011: unit. The
Battalion Chieffo!' eaoh sector is equipped with an "all hazat'ds>l kit, which would include
the CO detector unit. HMO protocols would be changed to pl'Ovide that once a possible
CO poisoning has occUl1'ed, the appropriate Be w01.lld be notified to initiate their
response, bringing the CO detectol' to the scene. The detector would be sent with the
ground unit for continuous monitoring dul'ing transport.
Statement of Effect:
If awarded this grant through the assistance ofthe U, S. Department of Homeland
Security, Collier County EMS will be able to assure that our citizens and visitors as well
as our firefighters have the benefit of early and effective carbon monoxide poisoning
detection. As mentioned earlier, hurricane season, which runs from J1.me through the end
ofSeptember,leave..<J OUl' County's citizens vulnerable to the risks of CO poisoning,
Atlothet. dangerous period for the County's firefighters is the brush fire season, which
picks up during Mal'ch and lasts until the Stimmel' rains occur with enough consistency to
sufficiently soak the areas where these fires break out. Our crews are responsible fot'
rehabbing these firefighters, so they would also benefit b~1 having early CO detection.
All field personnel and supervisory staff will be trained in the operation of these units.
Additional Information:
As indicated previously. our County is experiencing critical budget reductions, Our
capital budget to purchase wom out medical equipment has been completely eliminated
fOI' FY 2012 and the opel'ating budget has been cut for four consecutive years, NQ pay
raises have been given. In fact, several years ago the union members voted to not take a
scheduled COLA adjustment tllat was contractually obligated in an effort to avoid layoffs
which would have oceul'red due to the budget constraints,
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9/27/2011 Item 16.F.3.
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The purchase of these CO detectors would be used in conjunction with protocols and
sel've as diagnostic tools in the treatment of CO poisoning. The units can be upgl'aded~
allowing for monitoring Hemoglobin (SpHB)) blood constituents and fluid
l'esponsiveness (pvi) and Methemoglobin (SpMet) levels.
The following are additional sources of accidental carbon monoxide poisoning:
Gas water heaters
Kerosene space heaters
Propane heaters and stoves
Charcoal gl'iIls
Gasoline and diesel powered generators
Cigarette smoke
Propane-fueled fOl'klifts
Gasoline powered concrete saws
Indoor tractor pulls
Any boat with an engine
Spray paint, solvents, degl'easel's) and paint removers
Vehicle fumes (accidental ignition)
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Assurances and Celiifications
9/27/2011 Item 16.F.3.
Assurances and Certifications
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Form 20-16A
You must read and sign these assurances. These documents contain the Federal requirements attached to all
Federal grants including the right of the Federal government to review the grant activity. You should read over the
documents to become aware of the requirements. The Assurances and Certifications must be read, signed, and
submitted as a part of the application.
Note: Fields marked with an * are required.
O.M.B Control Number 4040.0007
Assurances Non-Construction Programs
Note: Certain of these assurances may not be applicable to your project or program. If you have any questions,
please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to
certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1. Has the legal authority to apply for Federal assistance and the institutional, managerial and
financial capability (Including funds sufficient to pay the non-Federal share of project costs) to
ensure proper planning, management and completion of the project described in this
application.
2. Will give the awarding agency, the Comptroller General of the United States, and if
appropriate, the State, through any authorized representative, access to and the right to
examine all records, books, papers, or documents related to the award; and will establish a
proper accounting system in accordance with generally accepted accounting standards or
agency directives.
3. Will establish safeguards to prohibit employees from using their positions for a purpose that
constitutes or presents the appearance of personal or organizational conflict of interest, or
personal gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval of
the awarding agency.
5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C, Section 4728-4763)
relating to prescribed standards for merit systems for programs funded under one of the
nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration (5 C.F.R. 900, Subpart F).
6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not
limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits
discrimination on the basis of race, color or national origin; (b) Title IX of the Education
Amendments of 1972, as amended (20 U.S.C. Sections 1681-1683, and 1685-1686), which
prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973,
as amended (29 U.S.C. Section 794), which prohibits discrimination on the basis of
handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. Sections 6101-
6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and
Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis
of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment
and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on
the basis of alcohol abuse or alcoholism; {g} ss523 and 527 of the Public Health Service Act
of 1912 (42 U.S.C. 33290 dd.3 and 290 ee-3), as amended, relating to confidentiality of
alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Acts of 1968 (42
U.S.C. Section 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or
~
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Assurances and Certifications
9/27/2011 Item 16.F.3.
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financing of housing; (i) any other nondiscrimination provisions in the specificstatute(s) under
which application for Federal assistance Is being made; and m the requirements of any other
nondiscrimination statute(s) which may apply to the application.
7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which
provide for fair and equitable treatment of persons displaced or whose property is acquired
as a result of Federal or federally-assisted programs. These requirements apply to all interest
in real property acquired for project purposes regardless of Federal participation in
, purchases.
8. Will comply, as applicable, with provisions of the Hatch Act (5 U.S.C. 991501-1508. and 7324-
7328) which limit the political activities of employees whose principal employment activities
are funded in whole orin part with Federal funds.
9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. ss276a to
276a-7), the Copeland Act (40 U.S.C. ~276c and 18 U.S.C. S874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. 99327-333), regarding labor standards for
federally-assisted construction subagreements.
10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of
the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special
flood hazard area to participate in the program and to purchase flood insurance if the total
cost of insurable construction and acquisition is $10,000 or more.
11. Will comply with environmental standards which may be prescribed pursuant to the following:
(a) institution of environmental quality control measures under the National Environmental
Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating
facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d)
evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management program developed under the
Coastal Zone Management Act of 1972 (16 U.S.C. SS1451 et seq.); (f) conformity of Federal
actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act
of 1955, as amended (42 U.S.C. ~S7401 et seq.); (g) protection of underground sources of
drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and,
(h) protection of endangered species under the Endangered Species Act of 1973, as
amended (P.L. 93-205).
12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. Section 1271 et seq.)
related to protecting components or potential components of the national wild and scenic
rivers system.
13. Will assist the awarding agency in assuring compliance with Section 106 of the National
Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and
protection of historic properties), and the Archaeological and Historic Preservation Act of
1974 (16 U.S.C. 469a-1 et seq.).
14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research,
development, and related activities supported by this award of assistance.
15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7
U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals
held for research, teaching, or other activities supported by this award of assistance.
16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. Section 4801 et
seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence
structures.
17. Will cause to be performed the required financial and compliance audits in accordance with
the Single Audit Act Amendments of 1996 and OMS Circular No. A-133, "Audits of States,
Local Governments, and Non-Profit Organizations."
18. Will comply with all applicable requirements of all other Federal laws, executive orders,
regulations and policies governing this program.
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Assurances and Certifications
9/27/2011 Item 16.F.3.
Signed by Artie Bay on 09/06/2011
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Assurances and Certifications
9/27/2011 Item 16.F.3.
Form 20-16C
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You must read and sign these assurances.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Free
Workplace Requirements,
Note: Fields marked with an * are required.
O.M.B Control Number 1660-0025
Applicants should refer to the regulations cited below to determine the certification to which they are required to
attest. Applicants should also review the instructions for certification included in the regulations before
completing this form. Signature on this form provides for compliance with certification requirements under 44
CFR Part 18, "New Restrictions on Lobbying; and 44 CFR Part 17, "Government-wide Debarment and
Suspension (Non-procurement) and Government-wide Requirements for Drug-Free Workplace (Grants)," The
certifications shall be treated as a material representation of fact upon which reliance will be placed when the
Department of Homeland Security (DHS) determines to award the covered transaction, grant, or cooperative
agreement.
1. Lobbying
A. As required by the section 1352, Title 31 of the US Code, and implemented at 44 CFR Part 18 for persons
(entering) into a grant or cooperative agreement over $100,000, as defined at 44CFR Part 18, the applicant
certifies that:
(a) No Federal appropriated funds have been paid or will be paid by or on behalf of the
undersigned to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of congress, or an employee of a Member
of Congress in connection with the making of any Federal grant, the entering into of any
cooperative agreement and extension, continuation, renewal amendment or modification of any
~ Federal grant or cooperative agreement.
(b) If any other funds than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of congress, or an employee of a Member of Congress in
connection with this Federal grant or cooperative agreement, the undersigned shall complete and
submit Standard Form LLL, "Disclosure of Lobbying Activities", in accordance with its instructions.
(c) The undersigned shall require that the language of this certification be included in the award
documents for all the sub awards at all tiers (including sub grants, contracts under grants and
cooperative agreements and sub contract(s)) and that all sub recipients shall certify and disclose
accordingly.
2. Debarment, Suspension and Other Responsibility Matters (Direct Recipient)
A. As required by Executive Order 12549, Debarment and Suspension, and implemented at 44CFR Part 67, for
prospective participants in primary covered transactions, as defined at 44 CFR Part 17, Section 17.51 O-A, the
applicant certifies that it and its principals:
(a) Are not presently debarred, suspended. proposed for debarment, declared ineligible, sentenced
to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered
transactions by any Federal department or agency.
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(b) Have not within a three-year period preceding this application been convicted of or had a
civilian judgment rendered against them for commission of fraud or a criminal offense in connection
with obtaining, attempting to obtain or perform a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or State antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property.
(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity
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Assurances and Certifications
9/27/2011 Item 16.F.3.
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1 )(b) of
this certification: and
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(d) Have not within a three-year period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default; and
B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an
explanation to this application.
3. Drug-Free Workplace (Grantees other than individuals)
As required by the Drug-Free Workplace Act of 1988, and implemented at 44CFR Part 17, Subpart F. for
grantees, as defined at 44 CFR part 17, Sections 17.615 and 17.620:
(A) The applicant certifies that it will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture.
distribution, dispensing, possession. or use of a controlled substance is prohibited in
the grantee's workplace and specifying the actions that will be taken against
employees for violation of such prohibition;
(b) Establishing an on-going drug free awareness program to inform employees
about:
(1) The dangers of drug abuse in the workplace;
(2) The grantees policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation and employee
assistance programs; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
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(c) Making it a requirement that each employee to be engaged in the performance of
the grant to be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a
condition of employment under the grant, the employee will:
(1) Abide by the terms of the statement and
(2) Notify the employee in writing of his or her conviction for a violation
of a criminal drug statute occurring in the workplace no later than five
calendar days after such conviction.
(e) Notifying the agency, in writing within 10 calendar days after receiving notice
under subparagraph (d)(2) from an employee or otherwise receiving actual notice of
such conviction. Employers of convicted employees must provide notice, including
position title, to the applicable DHS awarding office, Le. regional office or DHS office.
(f) Taking one of the following actions, against such an employee, within 30 calendar
days of receiving notice under subparagraph (d)(2), with respect to any employee
who is so convicted:
(1) Taking appropriate personnel action against such an employee, up
to and inclUding termination, consistent with the requirements of the
,Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a
Federal, State, or local health. law enforcement or other appropriate
agency.
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(g) Making a good faith effort to continue to maintain a drug free workplace through
implementation of paragraphs (a), (b), (c). (d), (e). and (t).
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Assurances and Certifications
9/27/2011 Item 16.F.3.
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(B) The grantee may insert in the space provided below the site(s) for the performance of work
done in connection with the specific grant: ,
Place of Performance
Street
City
State
Zip
Action
If your place of performance is different from the physical address provided by you in the Applicant Information,
press Add Place of Petiormance button above to ensure that the correct place of performance has been
specified. You can add multiple addresses by repeating this process multiple times.
Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in each
Federal fiscal year. A copy of which should be included with each application for DHS funding. States and State
agencies may elect to use a Statewide certification.
Signed by Artie Bay on 09/06/2011
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Assurances and Certifications
9/27/2011 Item 16.F.3.
FEMA Standard Form LLL
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Only complete if applying for a grant for more than $100,000 and have lobbying activities. See Form 20-16C for
lobbying activities definition.
This form is not applicable
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