Agenda 04/22-23/2008 Item #16F 1
Agenda Item No. 16F1
April 22, 2008
Page 1 of 23
EXECUTIVE SUMMARY
Recommendation to approve the after-the-fact submittal of the attached Assistance to
Firefighters Grant application to the Federal Emergency Management Agency for the
purchase of 30 evacuation (stair) chairs for Emergency Medical Services in the amount of
$62,850.
OBJECTIVE: 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 purchase of ergonomically designed stair chairs for
use by EMS field personnel for the safe and expedient removal of patients/victims,
CONSIDERATIONS: On March 31, 2008, the County Manager approved the electronic
submittal of an 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 grant applications, This year, the program was announced on March 3'd with a
deadline of April 4th. Since the FEMA sponsored workshop's nearest location did not take place
until March 7th, staff was not able to develop the full application in time for the March 13' cut-
off for the March 25th BCC Meeting,
This grant was submitted by EMS to request funding to purchase 30 evacuation (stair) chairs for
30 ambulances, This newer type of stair chair has already been purchased for the five growth
ambulances put into service this year, The replacement of the remainder of the worn and out of
date models of stair chairs will help assure the safe and efficient evacuation of patients/victims,
while protecting EMS personnel from injuries frequently incurred in this process,
The total funds requested for this project was $62,850, $50,280 to be funded by the grant and a
match of 20%, $12,570 to be funded by Collier County EMS, If awarded, staff will come back
to the Board to request approval to accept the grant and a Budget Amendment to fund the
County's match,
FISCAL IMPACT: There is no Fiscal Impact at this time, However, should this grant be
awarded, a Budget Amendment for Fund 491 - EMS Grants in the amount of $12,570 will be
necessary to fund the 20% match,
GROWTH IMPACT: There is no Growth Management Impact resulting from this action,
RECOMMENDATION: That the Board of County Commissioners approves the after-the-fact
submittal of an Assistance to Firefighters Grant application to fund the purchase of 30 stair
chairs to equip EMS ambulances,
~
PREPARED BY: Artie Bay, Operations Analyst, Emergency Medical Services
Item Number:
Item Summary:
Meeting Date:
Page 1 of 1
Agenda Item No. 16F1
April 22, 2008
Page 2 of 23
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16F1
Recommendation to approve the after-the-fact submittal of the attached Assistance to
Firefighters Grant application to the Federal Emergency Management Agency for the
purchase of 30 evacuation (stair) chairs for Emergency Medical Services In the amount of
$62,850.
4/22/2008 900:00 AM
Prepared By
Artie Bay
Bureau of Emergency
Services
Senior Administrative Assistant
Date
EMS
4/3/20082:15:09 PM
Approved By
Debra Eurom
Administrative Services
Assistant Grant Coordinator
Date
Administrative Services
4/7/20089:35 AM
Approved By
Jeff Page
Bureau of Emergency
Services
EMS Chief
Date
EMS
4/7/200810:00 AM
Approved By
Dan E. Summers
County Manager's Office
Bureau of Emergency Services Director
Date
Bureau of Emergency Services
4/7/200812:58 PM
Approved By
OMS Coordinator
County Manager's Office
OMS Coordinator
Date
Office of Management & Budget
4/7/20082:02 PM
Approved By
Sherry Pryor
County Manager's Office
Management & Budget Analyst
Date
Office of Management & Budget
4/8/2008 5:54 PM
Approved By
Leo E. Ochs, Jr.
Board of County
Commissioners
Deputy County Manager
Date
County Manager's Office
4/1212008 2:42 PM
file://C:\AgendaTest\Export\ 1 05 -Apri1%2022, %202008\ 16. %20CONSENT%20A GENDA \ 1.., 4/16/2008
Preparer Information Application Number: EMW-2008-FO-03394
Page I ot I
Agenda Item No. 16F1
April 22, 2008
Page 3 of 23
Overview
Did you attend one of the workshops conducted by DHS's regional fire program specialist?
Yes, I have attended workshop
'Are you a member, or are you currently involved in the management, of the fire department
or non-affiliated EMS organization applying for this grant with this application?
Yes, I am a member/officer ofthis applicant
If you are a grant writer or otherwise not affiliated with this applicant, please complete the information below.
If you are a member/officer of this applicant, please do not complete the information requested below. After you
are finished press the Save and Continue button below.
Preparer Information
. Preparers Name
. Address 1
Address 2
. City
. State
. Zip
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.1/1 non2
Contact Information
Contact Information
l'age J ot I
Agenda Item No. 16F1
April 22, 2008
Page 4 of 23
"Title
Prefix
. First Name
Middle Initial
. Last Name
. Business Phone
'Home Phone
Mobile Phone/Pager
Fax
'Email
. Title
Prefix
" First Name
Middle Initial
. Last Name
" Business Phone
'Home Phone
Mobile Phone/Pager
Fax
-Email
Alternate Contact Information Number 1
Operations Analyst
N/A
Artie
R
Bay
239-252-8459 Ex!.
239-252-8459 Ext.
239-252-6730
ArtieBay@colliergov.net
Alternate Contact Information Number 2
County Manager
N/A
James
V
Mudd
239-252-8383 Ex!.
239-252 -8383 Ex!.
jamesmudd@colliergov,net
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Applicant Information
Applicant Information
t'age I or L
Agenda Item No, 16F1
April 22, 2008
Page 5 of 23
EMW-2008-FO-03394
Originally submitted on 04/01/2008 by Marlene Foord (Userid: marlenefoord)
Contact Information:
Address: 3301 Tamiami Trail E,
City: Naples
State: Florida
Zip: 34112
Day Phone: 2397748971
Evening Phone:
Cell Phone:
Email: marlenefoord@colliergov.net
Application number is EMW-2008-FO-C3394
- Organization Name
- Type of Applicant
-Type of Jurisdiction Served
If other, please enter the type of Jurisdiction
- Emplo,:&r IdentificatiolLNumb~
. D_ll!'JS Number
Headquarters or Main Station Physical Address
, Physical Address 1
Physical Address 2
'City
- State
'Zip
Mailing Address
- Mailing Address 1
Mailing Address 2
. City
-State
'Zip
Account Information
. Type of bank account
. Bank routing number -ll.J:Ijgit number on the bottom
left hand corner of your check
'Your account number
Additional Information
, For this fiscal year (Federal) is your organization No
receiving Federal funding from any other grant
Collier County EMS
Non-affiliated EMS Organization
County
59-6000558
076997790
3301 Tamiami Trail E.
Naples
Florida
34112 - 3969
Need he.lpfQf,ZlE.7"A2
2705 S Horseshoe Drive
Suite 202
Naples
Florida
34104 - 6146
Need helD for ZJP+4?
Checking
067091719
1138577
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Applicant Information
program that may duplicate the purpose and/or scope
of this grant request?
. If awarded the AFG grant, will your organization
expend more than $500,000 in Federal funds during
your organization's fiscal year in which this AFG grant
was awarded?
. Is the applicant delinoueTlt on any Federgj debt? No
If you answered yes to any of the additional questions
above, please provide an explanation in the space
provided below:
In 2006 Collier County expended $44,651,086 in federal funds, It is reasonable to expect that Collier County will
continue to expend more than $500,000 each subsequent fiscal year.
Fage l. ot l.
Agenda Item No. 16F1
April 22, 2008
Page 6 of 23
Yes
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Fire Department Characteristics (Part 1)
Department Characteristics (Part I)
l'age 1 or I
Agenda Item No, 16F1
April 22, 2008
Page 7 of 23
. What kind of organization do you represent?
If you answered combination, above, what is the
percentage of career members in your organization?
. What type of community does your organization
serve?
'What is the square mileage of your first-due
response area?
. In what county/parish is your organization physically
located? If you have more than one station, in what
county/parish is your main station located?
. Doe5 your organization protect critical infrastructure
of the state?
~ How much of your jurisdiction's land use is for
agriculture, wild land, open space. or undeveloped
properties?
- \/\/hat percentage of your jurisdiction's land use is for
commercial, industrial, or institutional purposes?
. What percentage of your jurisdiction's land is used
for residential purposes?
All Paid/Career
%
Suburban
2025
Collier
No
67 %
24 %
go;,
. What is the permanent resident population of your
Erimarv/Fir.st-Due Response Are,,_gJj~risdiction
,~erved?
. How many active members does your EMS
organization have that meet the minimum EMS
certification standards as dictated by your jurisdiction
or State?
. How many stations are in your organization? 21
. How many personnel are trained to First Responder? 169
. How many personnel are trained to EMT-B level? 169
. How many personnel are trained to EMT-Ilevel? 169
. How many personnel are trained to EMT-P level? 146
. What services does your organization provide?
Medical First Response Advanced Life Support Transport
Basic Life Support Non-Transport Advanced Life Support Non-Transport
Basic Life Support Transport Hazmat Operational Level
Rescue Technical Level
251000
169
Rescue Operational Level
Vehicle Extrication
Rescue Fire Suppression
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Department Characteristics (Part II)
Department Characteristics (Part II)
Page I ot I
Agenda Item No. 16F1
April 22, 2008
Page 8 of 23
. 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 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?
Grants?
Donations?
Fund drives?
Fee for Service?
Other?
2007
2006
2005
o
o
o
30
35
27
18622607
77 %
66 %
0%
0%
0%
34%
0%
If you entered a value into Other field (other than 0),
please explain
. 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,
Type or Class of Vehicle
Ambulances:
Ambulance, EMS Transport Unit
Rescue Vehicles:
Rescue Squad, Rescue (Ligh1. Medium, Heavy). Technical Rescue
Vehicle, Hazardous Materials Unit
Other:
EMS Chase Vehicle. Air/Light Unit, Rehab Units. Bomb Unit,
Technical Support (Command, Operational SupportISupply). Hose
Tender, Salvage Truck. ARFF (Aircraft Rescue Firefighting),
Command/Mobile Communications Vehicle, Fire Boats (more than
13 feet long), Other Vehicle
890114
Total Number of
Total Number
Riding Positions
35
140
o
o
11
55
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Department Call Volume
Page I 01 j
Agenda Item No. 16F1
April 22, 2008
Page 9 of 23
Department Call Volume
2007
2006
2005
. How many responses per year by category? (Enter whole numbers only If you have no calls for any of the categories, enler 0)
Working Structural Fires 0 0 0
EMS-BLS Response Calls 12387 12795 12086
EMS-ALS Response Calls 29992 29385 27407
EMS-BLS Scheduled Transports 0 0 0
EMS-ALS Scheduled Transports 0 0 0
Vehicle Accidents wlo
Extrication
o
o
o
Vehicle Extrications
Other Rescue
Hazardous Condition/Materials
Calls
Total calls requiring transport,
exclusive of scheduled transport
declared above
All Other Calls and Incidents not
declared above, including fire,
good-intent, etc.
Total
o
o
o
o
o
o
16
46
38
22692
23004
21954
o
o
o
65117
65222
61463
- Please indicate the number of times your department provides or receives mutual aid. Do not include first-due
responses claimed above.
In a particular year, how many
times does your organization 0 0 0
receive mutual/automatic aid?
In a particular year, how many
times does your organization
provide mutual/automatic aid?
o
o
1
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Request Information
J:'age 1 ot 1
Agenda Item No, 16F1
April 22, 2008
Page 10 of 23
Request Information
. 1, Select a program for which you are applying. If you are interested in applying under both Vehicle Acquisition
and Operations and Safety, and/or regional application you will need to submit separate applications.
(If you modify your selection, you will lose data entered under the original activity.)
Program Name
Operations and Safety
. 2. Will this grant benefit more than one organization?
No
If you answered Yes to Question 2 above, please explain,
. 3, Enter Grant-writing fee associated with the preparation of this request. Enter 0 if there is no fee.
$0
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Request Details
Request Details
Page j ot 1
Agenda Item No. 16F1
April 22, 2008
Page 11 of 23
The activities for program Operations and Safety are listed in the table below.
Activity Number of Entries Total Cost
Equipment $ 62,850
Modify Facilities 0 $0
Personal Protective Equipment 0 $0
Training 0 $0
Wellness and Fitness Programs 0 $0
Grant-writing fee associated with the preparation of this request.
Additional Funding Action
$ 0 View Details
View AdditiQ.m'i!l FundiOg
$ 0 ",iew_E)_etail!>
View Details
$ 0 ,{le",Additional F~nqing
$ 0 View [)?LaiLs
$ 0 ",i~VlI [)~tails
$0
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Page 1 ot j
Agenda Item No. 16F1
April 22, 2008
Page 12 of 23
Budget
Budget
~,~<:!geLObiect Cla~jl
a. Personnel
b. Fringe Benefits
C. Travel
d. Equipment
e. Supplies
f. Contractual
g, Construction
h. Other
i Indirect Charges
Federal and Applicant Share
Federal Share
Applicant Share
Federal Rate Sharing (%)
~ Non-Fed~r~.! Resourc~_~ (The combined Non-Federal Resources must equal the Applicant Share of $ 12,570)
a, Applicant
b, State
c Local
d. Other Sources
$0
$0
$0
$ 62,850
$0
$0
$ 0
$0
$0
$ 50.280
$ 12,570
80/20
$ 12,570
$0
$0
$0
If you entered a value in Other Sources other than zero (0), include your explanation below, You can use this
space to provide information on the project, cost share match, or if you have an indirect cost agreement with a
federal agency.
Total Budget
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$ 62,850
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Narrative Statement
Narrative Statement
Page J 01 j
Agenda Item No, 16F1
April 22, 2008
Page 13 of 23
Project Description
. Please indicate which of these Target Capabilities your request outlined in this application will satisfy. Check all
that apply:
Emergency Medical Services
. Please provide your narrative statement in the space provided below, Include in your narrative, details
regarding (1) your project's description and budget, (2) your organization's financial need, (3) the benefit to be
derived from the cost of your project, and (4) how the activities requested in YDur applicatiDn will help your
organization's daily operations and hDW this grant will protect life and property.
Collier County EMS is a non-affiliated emergency medical services provider fDr all Df Collier County, Florida,
which is the largest county in the state. encompassing 2025 square miles, Collier County is located Dn the
southwest coast of Florida with a permanent population of 251 ,000 (based Dn the 2000 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 multitude of visitors each day, swelling the population level to an
estimated 415,000 (Collier County Planning Department estimate) during peak season. This EMS agency
responded to 39,420 caiis for emergency medical services in P{ 2007 and provided 22,692 transports.
Emergency medical services are provided to the County via 152 full-time Paramedics and EMTs, along with 12
field supervisors,
Project Description and Budget:
This grant request is respectfully submitted to provide $50,280 for the procurement of 30 evacuation (stair)
chairs. Collier County will match 20% ($12,570) of the tDtal $62,850 necessary to fund the purchase of this
equipment. We expect a turnaround time of approximately 8 weeks to order and deploy these chairs and
approximately one week to train field persDnnel on the use of the newer-style, ergonomic stair chairs. These
stair chairs will provide safer evacuations both for patients and the field persDnnel performing the evacuation. It
is anticipated that the project couid be completed within three months of an award of grant funds.
In a recent risk/needs analysis it was determined that the replacement Df the current worn and out of date
models of stair chairs will assure the safe and efficient evacuation of patients/victims, while protecting EMS
personnel from injuries frequently incurred in this process.
Emergency Medical Services routinely engages in removing patients or victims from many types of locations and
under some very unusual conditions. This task can often be slowed or jeopardized by a number of contributing
factors. Examples of some factors that may adversely affect the movement/rescue Df individuals include:
Disposition of the patient/victim (elderly, disabled, bedridden, unconscious, etc,); configuration Df building
(cDnfined space, restricted access, elevators, stairs, narrow hallways, etc,); rapid evacuation scenariDs (fires,
hurricane evacuations, etc.); and type of location (high-rises, condominiums, multi-story commercial buildings,
nursing homes, mobile hDmes, etc,),
It is alsD desirable to accomplish this task with the least amDunt of personnel and physical effort. In a medical
emergency, it is imperative that the main focus is to attend tD the patient's immediate medical needs. Thus, the
movement of patients safely, securely and quickly presents an additional challenge to EMS personnel. To
compound this, the use of the older removal equipment requires more physical effort and strains for EMS
personnel while maneuvering and lifting patients.
Patients often complain Df discomfort when being moved with the current outdated stair chairs, most of which
are between 10 and 15 years old and are comprised of a metal frame with a canvas cover, two wheels in the
rear and two short handles in front. In addition to being uncomfortable, patients are also fearful because the
medic carrying the front Df the chair is navigating backwards down stairs, The use of the current remDval
equipment necessitates bending and twisting motions in order to maneuver and negotiate patients through
inhospitable conditions, which can, and does, result in neck and back injuries. These types Df injuries are usually
the most costly, due to loss of time, overtime to fill vacancies and workers compensation claims, medical
treatment and rehabilitation. According to Collier County's Risk Management Department, during the period
10/1/06 - 9/30/07, EMS field personnel experienced 11 workers cDmpensation claims related tD lifting incidents
alone. Replacing outdated equipment with ergonDmically redeSigned equipment will go a long way in helping to
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eliminate these injuries.
Page 1. 01 j
Agenda Item No. 16F1
April 22, 2008
Page 14 of 23
Narrative Statement
Financial Need:
Nearly 80% of the Collier County EMS budget is 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 on
revenue. 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-ofts 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 substantially less than that billed) or to pay claims directly to the insured rather than the
provider, unemployment and people's loss of group insurance, and the economy in general. Most individuals will
choose to keep their lights on and feed their families before paying for an 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 the passage of a recent
referendum in the State of Florida to reduce property taxes that will cripple county agencies from obtaining
necessary funding through ad valorem taxes. In fact, the budget for FY09 requires a two percent reduction over
the FY08 budget. This in itself will seriously hamper any efforts to replace worn and unsafe equipment.
Collier EMS has been unable to secure alternative funding for this project. We have twice applied to the State of
Florida for EMS grants and both times were not awarded funding. As indicated above, the only way we will be
able to fund this project is through outside financial assistance, such as the AFG program.
Cost/Benefit:
The funds requested will allow us to benefit first and foremost by reduction in field personnel injuries and the
financial consequences of those injuries. These newer designed stair chairs will also give peace of mind to
patientslvictims who will feel safer and more confident while being moved about in these chairs. There are
numerous multi-story buildings which do not have elevators, or in which the elevators are too small to
accommodate a stretcher. These chairs will be invaluable in moving patients when stretchers cannot be utilized.
Effect on Daily Operations:
Currently patients/victims are being moved with stair chairs that are out-dated and worn. Many of the field
personnel are reluctant to use these stair chairs for fear of injury. Additionally, when EMS units are responding,
along with fire units, the EMS units are the only units equipped with evacuation chairs.
In the event of a hurricane, or another catastrophic event, these evacuation chairs will playa major role in
removing patients/victims from harms way. Our goal is to be able to achieve all evacuations in the safest, most
expedient manner. The newer, better designed stair chairs will greatly enhance that possibility. It will also enable
us to offer this service to the region in a mutual aid situation.
If awarded this grant through the assistance of the U. S, Department of Homeland Security, Collier County
Emergency Medical Services will be able to assure that 100% of our field medics have the safest and most user-
friendly equipment with which to evacuate patients in the most expedient manner,
. Please describe all grants that you have received from DHS including any AFG grants received from DHS or
FEMA, for example, 2002 AFG grant for vehicle or 2003 ODP grant for exercises. (Enter "N/A" if Not Applicable)
9/13/04 Emergency Management Preparedness and Assistance Grant (EMPA) - Operating
10/10/06 Emergency Management Preparedness and Assistance Grant - Program
1/1/05 Emergency Management Preparedness and Assistance Grant - Program
3/11/03 Citizens Corps Sub-Grant Program - Operating for Emergency Management
1/28/05 Assistance to Firefighters Grant Program - Fire apparatus for Isle of Capr i
1/3104 Assistance to Firefighters Grant Program -- FY03 - Firefighting equipment for Ochopee
7/1/04 State Homeland Security Grant Program (SHSGP) 2004-2005 - Program and plans
3/8/07 Assistance to Firefighters Grant Program - Equipmen t
1/24/06 State Homeland Security Grant Program FY 06 -Planning, training, equipment for Emergency
Management
3/3/05 Law Enforcement Terrorism Prevention Program - Equipment for Water Department Security Upgrades
1/18/08 Assistance to Firefighters Grant-Equipment
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Narrative Statement
Page j ot j
Agenda Item No. 16F1
April 22, 2008
Page 15 of 23
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Assurances and Certifications
Assurances and Certifications
Page j or I
Agenda Item No. 16F1
April 22, 2008
Page 16 of 23
Form 20-16A
You must read and sign these assurances by providing your password and checking the box at the
bottom of this page.
Note: Fields marked with an * are required.
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 gain.
4. Will initiate and complete the work within the applicable time frame after receipt of approval
of the awardi ng 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 USC. 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,SC. 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 1 970 (P ,L. 91-616), as amended, relating to nondiscrimination on
the basis of alcohol abuse or alcoholism; (g) Sections 523 and 527 of the Public Health
Service Act of 1912 (42 U,S,C, 290-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 financing of housing; (i) any other nondiscrimination provisions in the specific
statute(s) under which application for Federal assistance is being made; and Ul 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
ht'h...~,Jln.r'lrl<:ll f'P'''''~ (Tl'o"/fir""n-1"gnt/i~nlFirPJ[)(\R/'Annl1r::'lti(\n/~,"~llr~n{'p.. fnnnQ rnn,}..;nprll.;;:n?"
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Assurances and Certifications
15,
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,
Will comply with provisions of the Hatch Act (5 U,S,C, Sections 1501-1508 and 7324-7328),
which limit the political activities of employees whose principal employment activities are
funded in whole or in part with Federal funds.
Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U,SC Sections
276a to 276a- 7), the Copeland Act (40 USC. Section 276c and 18 U.S,C. Sections 874),
and the Contract Work Hours and Safety Standards Act (40 US,C. Sections 327-333),
regarding labor standards for Federally assisted construction sub agreements,
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 flood plains 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. Section 1451 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 USC. Section 7401 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.
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,),
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.
Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7
U,S,C, 2131 et seq,) pertainin9 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 USC. Section 4801 et
seq,) which prohibits the use of lead based paint in construction or rehabilitation of residence
structures.
Page 2 01 "/
Agenda Item No. 16F1
April 22, 2008
Page 17 of 23
8.
9.
13,
14.
17. Will cause to be performed the required financial and compliance audits in accordance with
the Single Audit Act of 1984.
18. Will comply with all applicable requirements of all other Federal laws, executive orders,
regulations and policies governing this program.
19, It will comply with the minimum wage and maximum hours provisions of the Federal Fair
Labor Standards Act (29 U.SC. 201), as they apply to employees of institutions of higher
education, hospitals, and other non-profit organizations,
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Signed by Marlene Foard on 04/01/2008
t'age j ot I
Agenda Item No. 16F1
April 22, 2008
Page 18 of 23
Assurances and Certifications
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Assurances and CertiticatlOns
l'age 'I or I
Agenda Item No. 16F1
April 22, 2008
Page 19 of 23
Form 20-16C
You must read and sign these assurances by providing your password and checking the box at the
bottom of this page.
Note: Fields marked with an " are required.
Certifications Regarding Lobbying, Debarment, Suspension and Other Responsibility Matters and Drug-Free
Workplace Requirements.
Applicants should refer to the regulations cited beiow 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 certif<cation 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 impiemented at 44 CFR Part 18 for persons
(entering) into a grant or cooperative agreement over $100.000, as defined at 44CFR Part 18, the appiicant
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 infiuencing or attempting to infiuence 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 infiuencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of congress, or an empioyee 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 17,510-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.
(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
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1 )(b) of
hHT'lco.lln.\1'1-o:;:tl fpm~ (l('y\dfjrp.or~nt/i....n/firP'/O()Rlr:l.nf'\11r~tlnn/::l~"llnm('p~ form" r,nm'hinp.ri io::n?v
4/1 !?()()R
this certification: and
rage) or I
Agenda Item No. 16F1
April 22, 2008
Page 20 of 23
Assurances and Certifications
(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 empioyees
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;
(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, I.e. 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.
(g) Making a good faith effort to continue to maintain a drug free workplace through
implementation of paragraphs (a), (b), (c), (d), (e), and (f).
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Assurances and Certifications Yage b ot I
Agenda Item No. 16F1
April 22, 2008
(8) The grantee may insert in the space provided below the site(s) for the performance of workage 21 of 23
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 Performance 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 Marlene Foard on 04/01/2008
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FEMA Standard Form LLL
Page I 01' I
Agenda Item No. 16F1
April 22, 2008
Page 22 of 23
Assurances and Certifications
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 fonn is not applicable
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~PRG3-
EMS Dept.
Jim Mudd, County Manager
Administrative Services Division
Collier County Government Center
3301 East Tamiami Trail
Naples, Florida 34112
marlenefoordra>Collierl!ov.net
(239) 252-GRNT (4768)
(239) 252-8720 (fax)
Agenda Item No. 16F1
April 22, 2008
Page 23 of 23
".....
,.....,.-:,.. .....,_ _ r'iEC~!'/ED
,-,'r rlC:t: OF THE Cor ,~.rn(' ',\ J!" >.j i' -,
, .","" i .I/L~,,",'\l.it.
Ac TI IN
------..~-_._-
~'-----,----,--
TO:
CC:
Artie Bay, Operations Analyst, EMS
JetIPage, Chief, EMS
Marlene Foord;'Errants Coordinator
FROM:
DATE:
March 27, 2008
After-the-Fact Approval by the Bee is
required at the April 22, 2008 Bee
meeting.
RE:
County Manager Review and Approval of an Assistance to Firefighters Grant (AFG)
Application to the Federal Emergency Management Agency
Collier County EMS has prepared an application on behalf of Collier County to request funding to
purchase 30 evacuation (stair) chairs for 30 ambulances, This newer type of stair chair has already
been purchased for the five gro\\'lh ambulances put into service this year. The grant request will be
$50,280 and, if awarded, EMS will provide a 20% match of $12,570 towards the total $62,850 to
fund the purchase of this equipment.
This grant program typically provides only a month for development and submittal of grant
applications, This year the program opened on March 3rd with a deadline of April 4111, The
workshop sponsored by FEMA for our area did not take place until March 7th. Consequently, staff
was unable to develop the full application in time to meet the deadline of March 13th for the March
25th BCC meeting. Therefore, your review and approval is requested to be foJlowed by after-the-
fact review and approval by the BCC on April 22, 2008,
This application is submitted online and does not require the submittal of a..'1y signed documents,
Your approval will allow me, Marlene Foord, on behalf of Jeff Page and Artie Bay in EMS to
submit this application via the FEMA online application portaL
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,