Agenda 12/01/2009 Item #16F 1
Agenda Item No. 16F1
December 1, 2009
Page 1 of 8
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EXECUTIVE SUMMARY
Recommendation that the Board of County Commissioners approve a Florida Emergency
Medical Services County Grant Application, Grant Distribution Form and Resolution for
the funding of Training and MedicaVRescue Equipment and Supplies in the amount of
$119,847.00 and to approve a 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 award for fiscal year 2010 will be $1 ]9,847.00. 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,
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FISCAL IMPACT: Qualified purchases will be totally funded by the State of Florida
Emergency Medical Services Grant A ward Program. Funds will be allocated to and disbursed
from Fund 49] - EMS Grants. A Budget Amendment is necessary to appropriate the additional
grant award of$19,847.00 over the amount budgeted of $ 100,000.00 for FY 10.
LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County
Attorney's Office and is legally sufficient-JBW.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting
from this action.
RECOMMENDATION: That the Board of County Commissioners:
I. Approve the Florida Emergency Medical Services County Grant Application, the 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. Authorize the Chairman to execute the documents listed in number I above; and,
3. Authorize the Budget Amendment in the amount of $19,847.00 to appropriate funds over
the $100,000,00 budgeted for FY.
PREPARED BY: Artie Bay, Supervisor, Emergency Medical Services
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Agenda Item No. 16F1
December 1, 2009
Page 2 of 8
COLLIER COUNTY
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BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16F1
Meeting Date:
Recommendation that the Board of County Commissioners approve a Florida Emergency
Medical Services County Grant Application, Grant Distribution Form and Resolution for the
funding of Training and MedicallRescue Equipment and Supplies in the amount of
$119,847,00 and to approve a Budget Amendment
12/1/20099:00:00 AM
Prepared By
Artie Bay Senior Administrative Assistant Date
Bureau of Emergency EMS 11/5/200910:22:56 AM
Services
Approved By
Jeff Page Chief - Emergency Medical Services Date
Bureau of Emergency EMS Operations 1119/20097:30 AM
Services
Approved By
Marlene J. Foard Grant Development & Mgmt Coordinator Date
,.,.- Administrative Services
Division Administrative Services Division 11/10/20092:51 PM
Approved By
Dan E. Summers Director of Emergency Services Date
Bureau of Emergency Bureau of Emergency Services and
Services and Emergency 11/12/20093:17 PM
Emergency Management
Management
Approved By
Jennifer White Assistant County Attorney Date
County Attorney County Attorney 11/12/20094:33 PM
Appro"ed By
OMB Coordinator Date
County Attorney County Attorney 11/17/20099:00 AM
Approved By
Jeff Klatzkow County Attorney Date
11/17/20092:51 PM
Approved By
Sherry Pryor Management! Budget Analyst, Senior Date
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Office of Management & Office of Management & Budget 11/17120098:29 PM
Budget
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Agenda Item No, 16F1
December 1, 2009
Page 3 of 8
Approved By
John A. Yonkosky
Director. Management and Budget
Date
Office of Management &
Budget
Office of Management & Budget
11/19/20091:02 PM
FLORIDA DEPARTMENT OF \
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Agenda Item No. 16F1
December 1, 2009
Page 4 of 8
HEALT
Charlie Crist
Governor
Ana M, Viamonte RDs, M,D" M,P.H.
State Surgeon General
October 23, 2009
Received
NOV 0 2 2009
EMS Dept.
Chairperson
Collier County BOCC
Building H - Third Floor
3301 E, Tamiami Trail
Naples, FL 34112
Dear Chairperson:
We are pleased to announce that effective the .date above you may apply for your county's state
EMS annual grant for the improvement and expansion of emergency medical services (EMS). The
amount of your grant award is $119,847,00. The sum is 45 percent of the funds your county
deposited into the state EMS Trust Fund for traffic fine surcharges as specified in Section
401.113(1), Florida Statutes,
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This grant is not competitive and your application for funds to improve and expand EMS will be
approved if the required forms are properly completed, signed, and submitted, Also, your
organization must be in compliance with other state grant requirements, Replacement and ongoing
costs are not allowable. We are again using the 2002 edition grant booklet and forms. If you need
a copy please contact me or obtain them online at http://www.fl-ems.com/Grants/Grants.html.
The application forms are pages 3-5 in the grant booklet Item 4 in the application form describes
and requires a current resolution from the Board of County Commissioners (BOCC). Complete and
return the original plus one copy of DH Form 1684, DH Form 1767P, and the resolution (all three
documents must be signed) to the following address:
EMS County Grant Program
DOH Emergency Medical Services
4052 Bald Cypress Way, Bin C18
Tallahassee, FL 32399-1738
The deadline for us to receive completed applications is January 29, 2010,5:00 PM, Eastern
Standard Time. We will process completed applications after this deadline for those who will
receive advance payment of your grant funds.
Thank you for your cooperation and support to improve and expand access to quality EMS. Please
contact me at telephone (850) 245-4440, extension "2734, if you have any questions.
Sincerely,
A~ VO'/v'-- ~I e-",,--
-'-"
Alan Van Lewen
Health Services and Facilities Consultant
Grants Unit
cc: Mr. Jeff Page
DOH Bureau of Emergency Medical Services
4052 Bald Cypress Way, Bin C18' Tallahassee, FL 32399-1738
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Agenda Item No. 16F1
December 1, 2009
Page 5 of 8
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RESOLUTION NO. 2009 -
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 medical rescue supplies, medical equipment and
provision of training wilt 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:
The $119,847 in the EMS County Grant wilt be used to fund the medical/rescue
supplies, medical equipment and training and these funds will not be used to supplant
existing EMS Department budget allocations.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County, Florida, this
day of
,2009.
ATTEST:
DWIGHT E. BROCK, CLERK
BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORlDA
By:
DONNA FIALA, CHAIRMAN
, DEPUTY CLERK
Approval for form and legal
Sufficiency:
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Jennife . WhIte
Assistant County Attomey
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Agenda Item No. 16F1
December 1, 2009
Page 6 of 8
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EMS COUNTY GRANT ApPLICATION
FLORIDA DEPARTMENT OF HEALTH
Bureau of Emergency Med/c.I ServlcN
Complete .11 Items
10. Cod.!JThe Stllte Bureau of EMS wlU..slgn thelD Code -leave this blank} C
1. Cou~N.me;c~CQUnty
Business AddreI8:3301 Ta"'" Trail EM(
Nap.., Fl 34112
Te~one; U~252..3740 ~ Number . VF 50-801101558
Federal Tax 10 Number Nine C
Z. Certification: (The applicant signatory who has authOrity to sign contracta, grants, and other legal
documents for the county) I certify that alllnfomiatlon 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,
Slonature: Date:
Printed Name: Donn8 FIaI.
Position Title: Ch.....n
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3. Contact Person: (The Individual with direct knowledge of the project on a day-t~ay basis and has
responslbRity 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: J"~,
PDS~lon Title: """
Address: eo1Sl.tl\ICUltur-l~
SulI,2I1
~FL)ol1l3
Tel~one: 231-252.3740 I Fax Number: ,,,,,.'03,..
E-mail Address: j..~._Ii.rgOY.n.r
4. Resolution: Attach a current resolution from the Board of County Commissioners certifying the grant
funds will Improve and expand the county pre.hospltal EMS system and will not be used to supplant
current levels of county expenditures,
5. Budget: Complete a budget pagels) for each organization to WhICh you shell provide funds.
Ustthe organlzation(.) below. (Usa additional pages if """"..ary)
Medical Equipment/Supplies $30.000
Training , 5.000
MedicaVRescue Equipment 84,847
DH Form 1684, R... June 2002
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Approve~ as to form & legal Sufficlenc,
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Agenda Item No. 16F1
December 1, 2009
Page 7 of 8
BUDGET PAGE
A. Slllrln Ind Banantl:
For ellCh position tiUe, provide the amount of salary per hour, FICA per
hour, other fringe benafits, and the tolal number of hours. Amount
TOTAL Salaries
TOTAL FICA
Grand total Salaries and FICA
B. Expenses: These are travel costs and the usual, ordinary, and Incidental expendijures by an
agency, such as, commodijies and supplies 01 a consumable nature (lxQllJdinQ expenditures classified
as 0 eratin ca ital outla dsee next CIte 0 .
Llat thl llam Ind, If applicable, the quanllty Amount
Medical Equipment/Supplies 30,000
Training 5,000
TOTAL $ 35.000
C. Vehicles, equipment, and other operating capital outlay means equipment. fixtures, and other
tangible personal property 01 a non consLlT1able and non expendable nature wijh a normal expected UIe
01 one 11 ear or more.
Lllt the Item Ind, If .ppllclllla, the qUlntlty Amount
MedicaVRescue Equipment 84,847
TOTAL $ 84.847
Grand Total $ 119,847
DH Fonn lee., Rev, June 2002
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Agenda Item No. 16F1
December 1, 2009
Page 8 of 8
FI.ORIDA DEPART/IIENT OF HEAI.TH
EMS GRANT PROGRAM
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the Jlrovlslons of Section 401.113(2)(a), F. S., the undersigned hereby
requests an EMS grant fund distribution for the ImJlrovement and eXJlsnslon of Jlre-hosJlItaI
EMS.
Name of Agency: Collier County Board of County Commi88ione...
Mailing Address:
3301 Tamiami Trail East
Naples. FL 34112
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Federal Identification number Fed 10 59-6000558
Authorized Official:
Signature
Dele
Donna Fiala, Chairman
Type Name and Title
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Sign and return this page with your application to:
Florida Department of Health
BEMS Grent Program
4052 Bald CYPI8SS Way, Bin e1B
Tal/ahasSf/8, Florida 32399-1738
Do nol wrtte below this Un.. For us. by Bureau of Eme Mecllcal Service. personnel on
Grant Amount For State To Pay: $ Grant to: Code:
AJlJlroved By :
Signature of EMS Grant Officer Date
Slate Fiscal Year:
.
64-25-60-00-000
s&.
N
OCA
N2000
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Federal Tax 10:
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Grant Beginning Date: October 1,
Grant Ending Dete: SeJltember 30,
DH Form 1767P, Rev, June 2002
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Approved as to form & legal Sufficiency
Assfs
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