Agenda 08/22/2023 Item #16E 1 (Ratify agreements and authorize budget amendment for the executed Memorandum of Understanding between Collier County EMS for the Public Health Infrastructure)08/22/2023
EXECUTIVE SUMMARY
Recommendation to ratify agreements and authorize necessary Budget Amendment for the executed
Memorandum of Understandings (MOUs) between Collier County Emergency Medical Service (EMS) for
the Public Health Infrastructure to decrease ARP21-06 (Public Health and Safety Operations and Response
program) by the amount of $1 million and to increase ARP21-23 (Collier Public Health Infrastructure
program) in the amount of $1 million within the Emergency Medical Services Grant Fund for the purcha se
of equipment and delivery costs of up to four new ambulances and four light body trucks under the
American Rescue Plan Act, Local Fiscal Recovery Fund.
OBJECTIVE: To utilize American Rescue Plan Act, State and Local Fiscal Recovery Funds (SLFRF) for the
purchase of Emergency Medical Service (EMS) vehicles to provide a high level of service in public health and
medical response to residents in Collier County.
CONSIDERATION: Since the onset of the global COVID-19 health pandemic, Congress has passed several
pieces of legislation that provided funding for states, counties, municipalities, and tribal governments.
Congress passed the American Rescue Plan Act of 2021 (ARP) and it was signed into law on March 11, 2021.
Included in the legislation was a $350 billion Coronavirus State and Local Fiscal Recovery Fund of which Collier
County has received an allocation of $74,762,701. Like the CARES Act, the use of the funds has been directed by
the local government body, following US Treasury guidance.
Allowable uses outlined in the ARP include:
· To respond to the public health emergency or its negative economic impacts, including assistance to
households, small businesses, and nonprofits, or aid to impacted industries such as tourism, travel, and
hospitality.
· To respond to workers performing essential work during the COVID-19 public health emergency by
providing premium pay to eligible workers.
· For the provision of government services to the extent of the reduction in revenue due to the COVID -
19 public health emergency relative to revenues collected in the most recent full fiscal year prior to the
emergency; and
· To make necessary investments in water, sewer, or broadband infrastructure.
On May 11, 2021, the Board of County Commissioners (“Board”) approved Agenda Item #11J, an “After-the-Fact”
agreement submitted to the U.S. Treasury.
On March 22, 2022, Agenda Item #16D7, staff submitted Amendment #5 of the Plan to the Board that included
acquisition of EMS fleet improvements.
On March 28, 2023, the Board approved Agenda Item #16E3 for a necessary Budget Amendment related to
Memorandum of Understanding (MOU) ARP21-23 superseding Subrecipient agreement ARP21-19 in the amount
of $1,700,000.00, and authorizing the County Manager or designee to sign a Letter of Intent for a non-binding
reservation for the purchase of equipment, products, or services under MOU ARP21-23.
Funding under this MOU is allocated for the purchase of capital expenditures for Emergency Medical Services. The
EMS project provides funding toward the acquisition of much-needed fleet improvements for Collier County EMS.
Up to four new ambulances and four light duty trucks that will be added to the EMS fleet to enhance response to
medical emergencies throughout the recovery phase of the pandemic.
FISCAL IMPACT: Budget Amendments are required to decrease ARP21-06 (Public Health and Safety
Operations and Response program) by the amount of $1 million and to increase ARP21 -23 (Collier Public Health
Infrastructure program) in the amount of $1 million within the Emergency Medical Services Grant Fund (4053),
Project 33848.
16.E.1
Packet Pg. 728
08/22/2023
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this item.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote
for Board approval. -DDP
RECOMMENDATION: To ratify agreements and authorize necessary Budget Amendment for the executed
Memorandum of Understandings (MOUs) between Collier County Emergency Medical Service (EMS) for the
Public Health Infrastructure to decrease ARP21-06 (Public Health and Safety Operations and Response program)
by the amount of $1 million and to increase ARP21-23 (Collier Public Health Infrastructure program) in the amount
of $1 million within the Emergency Medical Services Grant Fund for the purchase of equipment and delivery costs
of up to four new ambulances and four light body trucks under the American Rescue Plan Act, Local Fiscal
Recovery Fund.
Prepared By: Cherie DuBock, Accounting Supervisor, EMS
ATTACHMENT(S)
1. AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final
(PDF)
2. AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (PDF)
16.E.1
Packet Pg. 729
08/22/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 26304
Item Summary: Recommendation for the Board of County Commissioners to ratify agreements and authorize
necessary Budget Amendment for the executed Memorandum of Understanding (MOU) between Collier County
Emergency Medical Service (EMS) for the Public Health Infrastructure to de crease ARP21-06 (Public Health and
Safety Operations and Response program) by the amount of $1,000,000 and to increase ARP21-23 (Collier Public
Health Infrastructure program) in the amount of $1,000,000 within the Emergency Medical Services Grant Fund
(4053) for the purchase of equipment and delivery costs of up to four new ambulances and four light body trucks
under the American Rescue Plan Act, Local Fiscal Recovery Fund.
Meeting Date: 08/22/2023
Prepared by:
Title: – Emergency Medical Services
Name: Cherie DuBock
08/08/2023 4:08 PM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
08/08/2023 4:08 PM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Director Review Completed 08/08/2023 4:52 PM
Grants Maria Kantaras Level 2 Grants Review Completed 08/16/2023 1:04 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 08/16/2023 1:07 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 08/16/2023 1:11 PM
Grants Therese Stanley Additional Reviewer Completed 08/16/2023 1:25 PM
Office of Management and Budget Blanca Aquino Luque Additional Reviewer Completed 08/16/2023 1:58 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 08/16/2023 2:22 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 08/22/2023 9:00 AM
16.E.1
Packet Pg. 730
FAIN #sLT- l r55
Federal Arvard Date March l 1, 2021
Federnl ArYard Asellcy Depaltment of Tleasuy
ALN Nanrc ICoronavilus I-ocal Fiscal
Recovery Fund
AI,N#21.0+927
Treasury Expenditure
Cat€sol"y
lEca. 1
Collicr County Recovery
Plan l'roiect Nunrber'
'gcs.2
TotaI Arnoullt of Fedelal
I{unds Arvaldcd
$tolroo,zzo.oo
SUIln lr)Cll'lEN'I N nre lCollier County
Emergency Medical
Selices
Ill,lI#|JWKI(YRPLLU6
IlIi,IN 596000558
It& I)No
Ilrdil.ec( Cost Rate No
Peliod ol I'erforrnnnce ]octobe,' t, 202 t -
December 31, 2024
l'iscal Year Eld a9130
Mouitol Ilnd:Juue 30, 2025
SECOND AMBNDMTINT TO
MEMORANDI]M OF UNDDRSTANDING BETWDEN
COLLIER COUNTY, FLORIDA
AND
COLLIER COIJNTY EMERGENCY MEDICAL SERVICES
Arnerican Rescue Plan (ARP) Act
Coronavirus Local Fiscal Recovcry [und
This AMENDMENT is rnade and enteled iuto as of this.-_ day of Augrst 2023, by
and between Co.llier County, a political subdivlision of the State ofFtotaa lcoutlTY) having its
principal address at 3339 E. Tamiami Trail, Naples FL 34112, and Collier County Emergency
Medical Services (SUBRECIPIENT), a govelnmental agency existing under the laws ofthe State
ofFlorida, having its ptincipal office at 8075 Lely Cultutal Parkway, #267, Naples, FL 34113.
WHtrRtrAS, Congress passed the American Rescue Plan Act of 2021 (ARP), which was
signed into law on March 11,2021. Included in the legislation was $350 billion to establish the
Coronavilus Statc and LocaI Fiscal Recovety Fund (SLFRF); and
[23"SOC.O I O75/I 809445/ I J COLI,IER COI.INTY EMERGENCY MEDICAL SERVICES
ARP2t-06
Ame.ican R.scuc Plsll - Public Hcalth and Saf€ty operaliom ,nd R.spo1s.
Pagc I -\o
RI1CITALS
16.E.1.b
Packet Pg. 731 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment
WHER-EAS, the COUNTY has enteted iuto an agree nrent with the United States Treasury
Department (Treasuly) for a grant to execute and intplement the American Rescue Plan Act (ARI'),
pulsuant to the Colonavirus State and Local Fiscal Recovery Fund (SLFRF), Section 603 (c) of
the Social Seculity Act; and
WHDRtrAS, pulsuant b the aforesaid agreer'nent, the COUNTY is underlaking celtaiu
activities to assist the corrlrrunity in navigating dle impact pef the COVID- I 9 or.rtbre ak; and
WHEREAS, the SUBRECIPIENT has applied for and, based on the information provided
by the SUBRECIPIENT, is qualified to receive progtaln funding; and
WHERtrAS, the COUNTY and SUBRECIPEINT wish to set forth the lesponsibilities and
obligations of each in tl.re undeltaking of the Anrerican Rescue Plan (ARP) project, The COUN'I'Y
has created a Recovery Plan in accoldance with fedetal guidelines, which includes Goals,
Expenditure Categol'ies, Evidence-basis, and Key PetforTnance Indicators (l(Pl) that impact the
projeot; arrd
WHIiREAS, this sub-award agreement !E executed by the County Manager or Designee
pursuant to Agerrda Dated 612212l,lternNo. lIJ'L
WHTII{DAS,on March 14. 2023, Agenda Item No. 16.D.8, the COIINTY *nd
dment to i'evise
prograrn number ARP2I-19, Scope of Wor*, Expenditure Categoly, Section 2,{ Conrpliance
Project Tasks, Performauce Deliverables, and Exltittit C, arrd irrclude Exhitrit B-l; and
wHr,ItnAS the arties wish to furdrer a Memorandurl of Understandin to
ucc the bud et and revise ils it u-I and Extribi as sta
NOW, TIIEREFORE, in consideration of the covenants and agreernents herein
contained, and for othel good and valuable consideratioh, the Patties hereby agree to amend the
Merlorandum of Undersranding (MOU) as set forth below.
Wolds Str-urk-llu.erg} sre deleted; Words Ihrderlirted are addcd.
PART I
il
[23-SOC4IO?5/I809445/I] COLLIER COUNTY EMERGENCY T,IEDICAL SERVICES
ARP2I{16
American Rescue Plell - PublicH€althsod Ssfcty opcratior)s atd RespoNe
PaEe2 ^Lo\,'
16.E.1.b
Packet Pg. 732 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and
I.2 PROJTC'| I)IiTdI,S
A. Projcct Description./Ploject Budget
Desctiptiou Ifedelal Arnouna
Pl'oJcct Component 1: Staffing - Satary, payloll taxes, and
fiinge benefits ofemployees responding to COVID-19
$165,166,770
US Treasury Expcuditure Ca(egory*: ECL!
Collier County Recovery PIan Project Nunlbcr': CC3.2
'Iotal Fcdclal Funds:$165,166,770
*rr*
B. Perfornrance Deliverables
Ploglanr Deliverable Delivelable Supporting
Documentation
Submission Schedule
Special Glant Corrdition
Policies (Section l.l)
Policies as stated in this
MOU
Within sixty (60) days of
MOU execution
Insurance Insurancc Certifi cate @xhibit
A)
Within thilty (30) days of
MOU exccution and
Annually within fiity (30)
days of tenewal
Detaiied Ploicct Schedule N/A N/A
Ploject Plans and
Specifications
N/A N/A
Subcontractor I-og N/A N/A
Davis-Bacon Act Certified
Payroll
N/A N/A
Quarterly Progress Report Exhibit C Quadelly, due *l0rr' of month
following end of quartet.
Ouarterly Certifi cation Fot m
and Validated
Employsq Ljr]!
Exhibit B- I and Validated
EMS Enrployee List
Bv OMB's preferled date of
the 4tl'of the nrontli (before
tlie end ofthe first week).
imnrediatelv followins eacir
qlader'glrd
Annual Audit Monitoring
Report
tsxhibit D Within sixty (60) days of
Iiscal Year (FY) end
Financial and Compliance
Audit
Audit, Matlagement Letter Annually: rline (9) lnonths
after FY end for Single Audit
oR oue lrrurdred eighty (180)
days aftel FY end
PLogtam lncome Reuse Plan {N/A)N/A
[2]-SOC-0 r 075/t 809145/t I COLU ER COI'NTY EMERGENCY MEDICAL SERVICES
ARP2I-06
,/\ cricafl Rcscrlc PIar - Publ ic I'lealth ard S8f.ty Operalions and Rcsponsc
PaBc 3 .,aO
I
16.E.1.b
Packet Pg. 733 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and
C. Payment I)elivelablcs
Paymefit l)elivelable Payment SupDollirlg DocuDrentatioll Subntission Scltedule
I Project Component 1: Staffing -
Salary, payrrcll taxes, and fringe
benefi ts of employees responding
to coVID-19
US Treasury Expendihlre
Categoiy: EC3.l
Collier County Recovery Plan
Proiect Numbel: CC 3.2
Submission of tinresl*etq SAP payroll
leports, andjob descriptions for
enrployees' first payroll only,
Subnrission of
quartelly jourlal
cntr-ies within 20 days
following each qualter
end,
1.4 MOI] AMOUNT
The COUN'I'Y agrees to nake avaiiable SI#EEN EIETEEN MILLION, ONE HUNDRED
SIXTY-SIX ]'IIOUSAND, SEVEN HUNDRED SEVENTY DOLLARS and ZERO CENTS
($ 165,166,770.00) fol use by the SUBRECIPIENT during the ter.rrr ofthe MOU (hereinaffer, shall
be refered to as the "Funds"). SUBRECIPIENT may use Funds only for expenses eligible under
Section 603(c) oftlre Social Secut'ity Act, specifically the Cor onavirus LocalFiscal Recovety Fund,
and furthel outlined undel US'[j'easury Guidance.
**rt
JJ&J
Signature Page to Follorv
[23 SOC,OIO?5/I809445/I] COLL'ER COUNTY EMEROENCY MEDICAL SERVICES
ARP2I -06
Anr€rics, RcscrE Pler, - Itblic Hcalth alld Saflty op.ralions ard Respo6e
Pagc 4
cFo
16.E.1.b
Packet Pg. 734 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment
IN WITNESS WFIEREOI, the SUBRECIPIENT and COUN'IY, have each respectively, by an
authorized person ol agent, hereunde| set their lrands and seals on the date first w|itten above.
COIl,ll,)R COIIN'I'Y (l MMTJNITY AND COUN'I'Y
HIIMAN S CT,S I)ION
SO AG, D R DAN RODRIGUtrZ,
MANAGER
By
.3fr)Date :
COLI,II,R COUNTY PUBLIC SER}'ICIS
DEPAIiTMENT
By
W i I I i a msTa n y a B:','j::ld.':"J,81f,#i)"1"?ffi
TANYA WILLIAMS, DEPARTMI,NT
HEAI)
Date:08.16.2023
COLI,IER COUNTY trMERGENCY
MDDICAL StrRVICES
B utc h e rTa bat h a 3i1f Y""lffifi'
By:
Approvcd as to forrn and legality:
Derel< D. Pelry
Assistant County Attorney
I)atcl
Dale: 2023.08.16 08:17:31 .04'00'
TABATHA BUTCHBR, CHIDF
Date:
FIU(]I,)
[23-SOC-01075/1 809445/]I CoLLIER COUNTY EMERCENCY MEDICAL SERVICES
ARP2I-06
ArNric&r Rcscuc Plar - Public H.6lth and Satety Opcrations lnd Rcsponsc
Pagc 5 c>o
,^r., €- 23
16.E.1.b
Packet Pg. 735 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and
PART V
EXHIBITS
trXIIIBIT I]- I
I,)mergeucy Medical Services Quarte rly ARP Certification ftrr the
Q*erter Pnv I'eriod trnding:
I hereby certify the follorving to be ttue and correct.
'Ihe Collier County EMS fiontliue medical tespondem are preventing and nliligating the impacts
of COVID- l9 when providing rnedical ser vices tltroughout the County by
(a) Adoption ofpLactices and guidelines, relying on 100% ofall flontline staff time rrtilizittg PPE
(respirators, gloves, eye protection, gor.vns/covelalls) to protect staffand patients fiom the
traflsmission of COVID- 19, pafiicularly when staff are iI close contact oI suspect COVID- 19
(b) EMS frontliue pelsom')el are on lhe fiout liues dealing with individuals who are suspected or'
confirmed COVID-l9 patients
(c) EMS frontline personnel follorv OSHA standards and assess hazards to rvhiclr they may be
exposed, evaluate risk exposurc on each tmmport and select, implemenq and ensure workets
use colltrols to prcvent exposurc and spread oS€OYID-{9
(d) EMS lin)its the number ofEMS frontline staffin the patielt conlpalhrer)t to minimize
exposule
(e) Family menrbers ofthe patient arc not permitted to ride in the transpolt vehicle
(0 EMS continues to mairltair pandenric protocol to irclude Prc-call, screening for COVID-19
(g) Dispatch notifies EMS persomel ofsuspected and Co\rlD positive transpol1s
(h) EMS maintains COVID patient coniact plotocols consistent with OSHA regulation and CDC
guidance for COVID-19
(i) EMS lus mainlained post call paDdelllic protocols to include decontantination ofstat
vehicles and equipment
0) Daily ternperature checks ate doue fot eurployees
(k) Deployment of infrared thermometers for lon-patient contact
(l) EMS rnaintai0s infectiol prevelltion plotocols by backing employeels and isolation, patient
tracking for COVID positive cases and hacking of PPE and aeroclave me
2. The EMS burn rate fol PPE for the nlost tecellt qttattel endhrg IS
per rveek
3. EMS tlansports for the quarter were this reprcsents _ _-- _ increase(deerease) frorr
the plior quarter
Nurnbel of front line EMS staffdeployed in the qua(er
Stahs F calls fol tile quafiel'
certify that thc fiolltline EMS staff are primalily dedicated to
lesponding to COVID-19 by providing nredical care to the coururunity and entploying mitigation and
pleverrtion effo s on eacll trarspolt.
4
5
I,
[23-SOC-01075/1809445/l] COLLIER COUNTY EMERGENCY M[IDICAL SERVICES
ARP2I-06
furericar Rescuc Plan - Public Hcll(h atld Safcty OperatioDs ard Rcsponsc
Pasa 6
Date
,- No
16.E.1.b
Packet Pg. 736 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment
PART V
EXHIBITS
EXEIBIT C
AMDIIICAN RESCUE PLAN (AITP)
QUARTERLY PROGRtsSS RIPORT
I
1 Pel.foInlance Indicatol's:
2. Project Progrcss:
Describe your plogress and any impediments experienced during the reporting period
I
Enter the total nurnber ofQualified Census Tlacts (QCTs) denoting the atea where the project is
,prinralily serving disproportionately inlpacted comnlunities.
iQCT total:
I
t2l-soc-o I 075/ I 80944 5/ I I COLLI ER CO{JNTY EMERGENCY MEDICAL SER1',ICES
ARP2I-06
Anericar Rcscuc Pla'r- Public H€ahh and Safcty opcrations arrd Rcspoose
PaE T
Repo Period:
Fiscal Year':
Agreernent Number AnP2l -06
Subrecipient Nanre:Colliel County Emergency Medical Services
Program:Aurelican Rescue Plau
Contact Nanrc:
Activity ReDorting Period R€pol t Duc D^(e
Octolrcr l't - Deccutbet 3l'l Janualy +30'r'
January l"i- Malch 3f i APIil110'r'
April 1" - June 30th July +10'r'
Jrrly 1't - Septenrber' 30'r'October'+30'r'
Pl'oject Outcol|les
Maintain enployee IetentiollConrpon€nt l:
Proiect 0utputs
Number ofgovetnment FTEs responding to COVID-19 supported
undel this authority. Entel numbe[:
DC 3,1
nnpact [v,lluation Plan
Detail update :
^Lo
Contact Telephoue Nuntber:
Component 1:
16.E.1.b
Packet Pg. 737 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and
By signing this rcport, I cerdry to the best of nly knowledge aud belief that the infounation contairred in
this repolt is hue, cornplete and accurate. I ain aware thal any false, fictitious, or fraudulent inforuration,
or the onrission ofany matedal fact, rnay subjecl me to c rri[al, civil, or adurilistrative penalties for'fiaud,
false stater)relts, false clainrs ol othenvise (U.S. Code Titte 18, Section l00l and Title 31, Sections 3729-
3730 and 3801-3812).
Signature:
P"
te:
Pliutcd
Nanre:
'I'itle:
NOTIC: 'l'his form sulrject to uxrdificatiol based orr fieasuty gLridauce.
Your typed rrame here rcprcscnts your electronic .siguature,
[23-SO(j,0 t075/I 809445/l ] COLL!ETT COUNTY EMERCENCY MEDICAL SERVICES
ARP2t-06
Ahcricarr Rcscuc Plm-Public tlcalth ai)d Safcty Opcr^tions ard Rtspoose
pagc I
cF,o
I
16.E.1.b
Packet Pg. 738 Attachment: AMEND #2 ARP21-06 EMS PUBLIC HEALTH SAFETY 7.19.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and
IIAIN #sL,T-l 155
Fedelal Award Date March I l, 2021
Federal Award Agency Depaltnrent of Trcasury
AI-N Naurc Coronavilus Local Fiscal
Recovery FuDd
ALNICS{.A+
Trcasury F,xpenditure
Category:
2t.02't
EC I.?
Collier Couuty Recovely
Plan Proiect Nunrber
cct.'t
$.12,700,000.00'lbtal Amount of Fedeml
Funds Awalded
SUBRF.CTPIENT Nanre Colliel County
Emergency Medical
Selvices
UIiI4 JWKJKYRPLLU6
FEIN 5960005s8
It&D No
lndirect Cost Rate No
Period of Perfor:narrce Octobel I5, 2021
eeteber]5;?034
Scple'rrUe4_4,2026
Fiscal Yeal End 9/30
Monitor [r[d:J\re 30,2027
SECOND AMENDMENT TO
MIMORANDUM OF IINDERSTANDING BETWEEN
COLLTER COUNTY
AND
COLLIER COUNTY EMERGENCY MtrDICAL SERVICES
Arnericar Rescue Plan (ARP) Act
Coronavilus Local Fiscal Recovery Fund
IIEIS StrCOND AMENDMDNT is made aud entered i!1to this_day of August 2023, by and between
Collier County, a political subdivision of the State of Florida, (CoUNTY) havi[g its principal address at
3339 E Tamiauri Trail, Naples FL 34112, and Collier County Emcrgency Medical Services,
(SUBRF,CIPIENT), having its principal office at 8075 Lely Cultural Parkway, #267, Naples, FL 34113.
WI{EREAS, The U.S. Congress pass€d HR 1913, the American Rescue Plan Act of 2021
(ARP),whicb was signed irto law or March ll,202l (Pub. L, No. I l7-2). l)cluded in the legislation tvas
S350 billion for the Coronavirus Stat€ and Local Fiscal Recovery Fund (SLFRF); arrd
WflDRDAS, or May 13,2021, the COUNTY entered into an MOU Aereenent rvith the United
States Treasury Dcpadnlent (Treasury) for a gtant to execute and implement the Anerican Rescue Plan Act
-soc-0 I 075/ r 809.144/ tl
ColliEr County Em.rgcncy Medical Scrvicts
AR?2t -21
Am.rimn Rcscu. PItrn - Collier Publi€ Hcalth Infiaslructurc Page I I
cFo
I
I 16.E.1.c
Packet Pg. 739 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
(AllP), pursuar)t to lhe Coronavir'us State and Local Fiscai Recovery Fu[d (SLFRF), pulsuant to Section
603 (c) ofthe Social Secuity Act; and
WHAREAS, this subawald MOU !!_execured by the Courrty Manager or Designee, pulsual)t to
Ageid.a dalcd 612212021 , Iterr No. l1.I{; and
WHEIfDAS, pursuant to lhe aforesaid agreerDent, lhe COTINTY is undertaking celtain activities
to assist the courrlulity in navigatiug the irrrpact ofthe COVID-19 outbleak; and
WHEREAS, or1 Match 14. 2023. the COUNTY and the STIBRECIPIENT *ielr-+e aurerdgg[ the
Memolanduru ofUnderstanding to revise progarn nunrber ARP2l-19, Section 24. Cornpliance Project
Tasks, PerfoLrnanc€ Deliverables, and Exhibit C; and
WIIEREAS, the COLrl.lTY and the SUBRECIPIENT rvish to set forth the responsibilitics and
obligations of each in the undertakirg of the American Rcscue Pla[ (ARP) project.
NOW, THEREIIORE, in consideration ofthe nlutual promises and covenallts contained berein,
the palties hereto agree to al[end the Memorandu[r ofUndelstandirg (MOU) as set folth belolv.
Words Slrue}{hr+ng.h ale deleted; Words Underlirred are added.
PART I
SCOPE OF'WORI(
SUBRECIPIENT shall, in a satisfactory and propel malrrer and consistert with any standards required as
a conditiou of providing ARP assistance as provided herein and, as detetmined l.:y Collier Counry
Conununity and Human Services Division (CIIS), perfornl the tasks necessaly lo conduct the plograltr as
followsr
Project Name: AmericaD Rescue Plan - Collier Public Health Infrastllrcture (ARP21-23)
Description of project alld outcone: Tltis project rvill provide firnding toward the acquisition of
nruch-lceded fleet irnprovements for Collier County EMS. Pandemic-related calls ilcr€ased stmiD
oD existing EMS transportation capital stock, accelerating asset depreciation and irnpacting the
ability to provide a high level of service in public health aud medical tesponse. Up to fout rew
arnbulances ard up to four light duty trucks \vill be added to the EMS fleet to er la[ce tesponseto
rr1edical euergeucies tlxoughout the recovery phase ofthe pandenric. Equiplneut suppolting EMS
servicx will be purchased fo frrther outfit the antbulanccs alld trucks ilcludirg but not lilllited to
radios, lighting, sirens, decals, and health rnonitodng and healthcate equipment. TlIe goai of this
I23.soc-o roTJ/r m9444/ll
Collie. Coruty Em€rSency Mcdical Scrvic.s
Amzl-21
Aorcrican It.sco. PIar-. Collicr Public Hcolth I,1fiaslruclurc lagc 2 |
-Lo
WI{EREAS. the parties wish to fufther aurend the Menorcnduru of Understanding to ilrcrease the
budset. and tevise tlte Proiect Detail
16.E.1.c
Packet Pg. 740 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
ploject is to nraintain ard enhance direct public health seryices benefifting the public in response
to COVID-19.
Project Component One: Equiptnerl purchase and delivery costs ofup to four new aorbulances and
up to four Dew light body trucks, ilcluding bul not linited to all required specifications and
nodifications.
Tr€asury Expenditu[e Category: EC 1.7
Collier Counly Recovery Plan Ploject Nunrber: CCl.?
Evideuce Basis: N/A (ECl.7 Public Healtir; Other COVID-19 Public Heatth Expenses: Qqpll{
Exuenditurcs: Acouisition of EquiDment for CO VID-19 urcveltion and tlealrnent. includ
velltilators. ambula[ces. alld other fledical ol emersenc], serr'ices equipment)
1.2 PRO.IDCT DETAILS
A. ProjectDescription/ProjectBudget
Irederal ArDount
* Expenditure Categories are subject to change bas€d on fllture guidance frour the US Treasuly Departnent.
if that occurs, additional lepoting requireruents lrlay be necessary.
B. PerformanceDelivelables
Description
Prcjeot Con]ponelrt l: Equipment purchase and delive{y
costs ofup to foul. new ambulances aud np to four uew lighl
body trucks, irrcluding but not linlited to all requircd
specifications and nrodifi cations,
$+a70o,ooo.o0
US T|easury Expendihrre Category+: EC L7
Collier County Recoyery Plalt Proiect Number: CCI.7
Total Federal lrunds:$+2,700,000.00
Prograru De!iverabie Deliverable Supporting
Documelltation
Submission Schedule
Special Grant Condition Policies
(Sectior l.l)
Policies as stated in this MOU Within sixty (60) days of MOU
executiol]
Insutance Insulance Celtificate
Project Schedule
Wjthin thirry (30) dsys of MoU
execution and Anrually witirin
thirty (30) days of renelval
Detailed Project Schedule Within sixty (60) days of MOU
executio11
Proiect Plans ard Specilica(ions N/A N/A
Subcontractor Log N/A N/A
cr'o
Ir-soc-o r o7J/r 809444/r I
Colli.r County EmcrS.ocy Medic^l S€ryiceg
ARP2I-23
Am.rican Rcscuc Plan - Collier Public Heal& Infi s{ruclule Pugc 3 I
I
I
I
I
i
I
I
I
16.E.1.c
Packet Pg. 741 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
NiA
Quarier'ly I'rogress Report Iixhibit C
Arlnual Audit Monitoling Iixhihit I)
Re
Financial and Cornpliance Audit Audit, Manage,nelt Letter
Quarterty, due 4l0d' of nronth
following end of quarter'
Within sixty (60) days ofFiscal
Year (FY) End
)g I Plao Approved by the COIINTY
Davis-Bacon Act Certified
P loll
fam lDconle Reuse PlanPr
N/A
Aunually: nine (9) nronths after'
FY end for Single Audit OR one
hundred eiglrty (180) days after
FY eud
N/A
I.3 PEIUOT' OF PDRFOITi}UNCItr
The SUBRECIPIEN'I' selvices shall stad on October 15,2021, it\ accordance with ARP and
Coronayirus Local Fiscal Recovery Applopliatiol language, aud shall end on e€bbeFtt-?O24
Seoteuber 30. 2026 unless telminated eatlier, in accordance rvith provisious of Paraglaph 3,9,
Defauits, Remedies, and Temination. In accordance rvith 2 CFR 200 Subpart E - Cost Prirciples
and Section 215.97( IXd) Flol ida Statutes, SUBRECIPIENT, may expend Funds authorized by tlris
MOU. only fol allowable costs resulting frorl obligations incu|led during the specific agreerneot
period ofOctober 15, 2021 to 6eteber*$,-2e24 September 30. 2026.
If SIJBRECIPIENT coDrplies lvith all [cquirements set fo h hel€in, this MOU shall temrinate
eebb€i--15'-4e?4 September' 30. 2026, whereupon all obligations ol SUBRECIPIENT for
repaynent of Funds shall cease. Notwithstanding the foregoin& the COIINTY expr€ssly leselves
and does not waive itsrights to rccoverany damages arising from orrelatiogthe SUBRECIPIENI"s
breach of arly of the Grant Doclnlents, iflcluding bnt rot limited to this MOU and/or any
attachrnents hereto which occur|ed ir wlrole or iu part before said tenllination.
1.4 MOU AMOTJNT
The COUNTY agrrces to rnake availableONETWO MILLION SE\GN IUINDRED THOUSAND
DOLLARS and .00 CENTS ($*!700,000.00) for use by SUBRECIPIENT du ng the te u of the
MOU (helefuafter', shall be refeued to as the "Funds"). STIBRECIPIENT nlay use Funds only for'
expenses eligible under Sectiorl 603(c) of the Social Security Act, specifically the Coronavilus
Local Fiscal Recovery Fund, and fi.rfilter outlined under US Trcasury Guidance.
The ARP requiles that Fu[ds florr] the Cor1clravirus Local Fiscal Recovery Frmd only be used to
cover expeDses that:
A, Were incurred du ng the period tilat begios on Octob€r' [5,2021 a[d erds on €el€Ht2g+a
Septeuber 30. 2026. Fulds urust qualify as a rlecessary exp€uditule iucuued due to the public
health eurergency and meet the otirer critet ia of Section 603(c) ofthe Social Security Act,
0r075/r809444/ll
Collie. County Emer8cncy M€di€al Servicr:s RP2t-23
Amcrion R.scue Plnn - C'ollier Public Health lnfmrlroctulc Paee 4 |
c>o
I
16.E.1.c
Packet Pg. 742 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
B. Examples ofeligible expenses inctude, but arc not lin)ited to:
i. Respording to oI mitigating the public heahh emergency with respect to the
COVID-19 e|lelgency ol its negative econoDlic irrpaots; a|d
ii. Providing goverulnent services to the ex(ent ofthe reductiol in rcvenue; ard
iii. Making lecessary irlvestnlents il water, sewer, ol broadband inftastructure; and
iv. Responding to workels performiug esscrltial wolk during the COMD- 19 public
heallh enrergency by providing prenrium pay to eligible COUNTY wolkers that
are perfolming suclt esseltial wotk, ol by providirrg gra[ts to eligible eutployets
that have eligible worters who pelfomr essential lvolt.
Modificatiorl to the "Budget and Scope" rtray only be ntade ifapproved irt advance by COIINTY.
Budgeted fu[d shifts anrong lirle iterns shallnot be ulorc than l0 percellt ofthe totalfunding atrroutt
and does not signiry a change in scope. Fund shifts that exceed l0 percent of the MOU anount
shall only be ntade with County Marlager approval.
The COUNTY slull reilrburse the SI]BRECIPIENT for tlte performance of this MOU upor]
conrpletiol'l or partial cornpletion of the wolk tasks, as accepted a[d approved by CHS.
SUBRECIPIENT may lrot request disburseutent ofARP ftuds until fu[ds are needed for eligible
cosls, and all disbulsel]ent requests must be Iinited to the amount needed at tlro linre ofthe rcquest,
ST BRECIPIENT nray expeud flrrds orrly for allorvable costs resulting frorr obligations inctttrtd
ftonl october 15, 2021 through e€{ober]-#4+4 Seutember 30. 2026. Invoices for work petfornted
a|e rcqui|ed every month. If no rvolk has beeD perfoflrred during that notlth, or if the
SUBRECIPIENT is rot yet prcpared to send the rcquired backup, a $0 invoicc is requited.
Explanations may be required if two consecutive ntontlx of $0 invoices are suburitted. Payfients
shall be lrrade to the SUBRECIPIENT, wher lequested, as work progresses but not nrore frequently
tiran once pcr montli. Reimbursetnent will not occut if SUBRECIPIENT fails to peform the
miuimunr level of seNice rcquired by tltis MOU.
Final hrvoices are due no laler tlral ninety (90) days after the end of the MOU. Work pefonned
duling the telm ofthe proglaor but lrot invoiced wittrin ninety (90) days after the end ofthe MOU
may uot be processed without wriltefl autholization fronl tlte Glant Coordiuator.
The County Manager or designee nray extend the teml of this MOU fol a period ofup to 180 days
after the er)d of the MOU. Extensior)s tttust be authorized, io writing, by formal letter to the
SUBRE,CIPIENT.
No paynent will be made urtil approved by CHS for grant compliance and adherence to any and
ail applicable Local, State, or Federal requiren'lents. Reinrbulsements will only be r)rade for
expenditulEs that the COUNTY provisioually deternritres are eligible under the ARP. However', the
COUNTY'S provisional deternination that ao expelditure is eligible does not rElieve the
SUBRECIPIENT of its duty to repay the COUNTY for al]y expenditures that arc later deterolined
by the COUNTY or FedeBl governnre[t to be ineligible. Except where disputed {br
noncompliance, payment will be rnade upon receipt of a prrcpelly completed hrvoice and iu
compliance witlr $218.70, Florida Statutes, othen ise known as the "Local Govemnlent Prompt
Payrnent Act."
I23-soc-olo?5/i809d44/ll
Colljer Co nty Emcrger)cy Mcdicfll Sc,vices
ARP2I-23
Anpri.an Rcscue Plon - Collier Pulrlic Hcalt[ lnlilstructure Pagc s ]
c!'o
I
I
16.E.1.c
Packet Pg. 743 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
IN WI fNESS WHEREOF, the SUBRECIPIENT a!1d COUNTY, have each rcspectively, Ily ar arthorized
person ol agent, hereunder set their l]aods and seals on the date first witten above.
COLLIER ITY AND MA o CF]
II(JMA SiON
Ilv
G, DI
Datei
COLI-IER COLNTY PUBLIC SERVICES
DEPARTMENT i olollally sro^.d by MlaoBT.nFWilliamsTanya,o.b:20?3,031610i3oo5
I]
TABATHA BUTCHER, CH]EF
Date:
By:
TANYA WILLIAMS, DEPARTMENT IIEAD
D^re.09.162023
COLI,IER COUNTY EMERGENCY MEDICAL
SERVICES r Dts.,rsuy .rsned by
ButcherTabatha 8*lYJ,1oili"o,,,n *
I)AN (;
MANAGER
Date:
Derek l). Peny
Assistant County Attorney
Datc:
s L'N'IY
12t-soc-oro7s/r 809444/rl
ColUc.County En,er8.ncy Med;cal Scrvices
AllP2l-21
Anrerican Rescuc Plai- Collicr i\blic HcshJr fi)llrslructure Paec6l
-Lo
Approved as to fornr anU fegalig: * Q
\\,) {"-rl
\J ,"bt"$\
16.E.1.c
Packet Pg. 744 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
trXHTBIT I}
COLLIER COUNTY COMMUNITY & F(]MAN SERVICES
SECTION II RtrQUEST FOR PAYMENT
SUBRECIPIENT Name: Collier County Enlergercy Medical Sewices (APR2l-23)
SUBRECIPIENT Address: 8075 Lely Culturzl Par kway, #267, Naples, FL 341 l3
Project Name: ARP2I-23 - Collier Public Health Infiastructue
ProjectNo: CC I.7 Paym€nt Request #
Total Payment Minus Retainage
Period ofAvailability: Octob 15,202l thrcugh @
Period for which the Agency lras incuned the indebledness tlu'ough
SECTION II: STATUS OF FUNDS
Subrecipierlt CHS Apploved
L Grant Amount Award6d $$
2. Total Amount ofPr€yious Requests $$
3. Aruount ofToday's Request (Net ofRetainage), if
applicable)
$$
4. Culrent Gmnt Balance (lnitial Grart Anount Awatd
r equest) (includes Retainage)
$
By sigring this repod, I certi0 lo thc best ofrry knowledgc aod belief that this request for paynlent is true, conrplete
and accurate, and the expenditules, disburscrnents alld cssh leceipts are for the purposes aud objectives set fo(h il!
tlre ternr and conditiols ofthe Fcderal alvard. I a awarr that any false, fictitious, or frauduleut inforNation, or the
onission ofaly rtraterisl fac! nray subject me to criminal, civil, or adolinisfative pemllies for fraud, false statenrents,
false clainrs or otherwiso (U,S. Code Titlc I8, Sectio,l l00l and Title 3 I, Secliorls 3729-3730 and 3 801-3 812; aod/or
Title Vl, Chapter 68, Sections 68.081-083, and Title XLVI Chapter 83?, Sectior 837-06).
Signahtre Date
'rii le
Authorizing Gl"nt Coodinator Authorizing Grant Accoulltant
Superaisor (Approval rcquired $15,000 and above)Divisiort Director'(Approval Requircd $15,000
and above)
lzlsoc-ororslraorllllr l
Coliier County Emeracncy Medi.rl Sc.vicca
ARP2I-23
Arnericar Rcscuc Pllll - Collier Public l'l.alth InfiEstructlrr Page 7 |
c >o
ls
16.E.1.c
Packet Pg. 745 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
EXI{IBIT C
AMERICAN RDSCUI, PLAN (ARP)
QUAR'I'IIII. LY PROGITUSS REPORT
Report Period:
Fiscal Yealr
MOIJ Nr llber:ARP2 i-23
Sublecipient Nane:Colliel County Emergency Medical Seryices
Proglaur Amelican Rescue Plan - Collier Public llealtlt hlfiastntctrxe
Colltact Nanle:
Colltact Telephone Number:
Activity Iteportirg I'criod Reporl Due Date
Octoter l"r- Decenlb€r 3l"r January.!l0d
January l't -March 3I'r At)ril+30'r'
April l"- June 30'r July *l0th
July I't - SeDtenlber 30d'October +l0rr'
to cct ul csi
+.2 Pcrfolrnance Measules:
NIA
I'roglarl Name Ilunds fixDcuded
Cnl'rept Ouar'1er'
Fullds Expended
To-Dat€
ECl.?: Public Healtl)l Other COVID-19 Public Health
Expenses; Capital Expenditures
'l'otal Exr)e ditrrres
Prcject OutcoDres
Co ponent l: lic I .7 Oulconres for the purchase and delivery costs of up to fotlr new
arnlrulances ard up to four new light body trucks (including but not
lirnited to all requircd specificatious and modifications) include
irnproved response tintes for EMS selvices, as rneasured by a year-over-
year courpauison, pLe- and post-acquisjtion ofnew EMS vehicles.
eon+po*et}t.+NIA
Proiect Outputs
Component l:Outputs folthe purchase and delively costs ofup to four lrew ambulaaces
ard up to four ne\y ligtrt body trucks (irlcludirg but not limited to all
required specifications aud nlodificatioDs) ilclude number of fuliy
outfttted an)bulaices and light dury trucks acquired fol Colliel EMS
eurergeocy response. E lfe,Ixqlnl9!;
€€rrrlolrgrtJ:
c-01075/1809444/tl
Colli.r Counry Enlcrgency Mcdicrl serv iccs
ARP2t-23
Adrericar Rcscuc Plan - Collic. Public Hcddr Infrslruclurc t,age 8 ]
-Lo
1
I
l
16.E.1.c
Packet Pg. 746 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)
+ I Project PlogIess:
By signirg this report, I cefiify to the best of nry knowledge and beliefthat the irlforfiation contaired iu
this repolt is true, colnplele aud accumte, I am aware that alry false, fictitious, or fi"udulent infornalion,
or the ouission of arry lnaterial fact, nlay subject me to criminal, civil, or adtninistrative penalties fol liaud,
false slatements, false clains or othenvise (U.S, Code Titie 18, Section l00l and Title 31, Sections 3729-
3730 and 3801-3812).
Signatui€:
Printed Nane:
Title:
Date I
Desclibe youl plogress aud auy ilrpedirnerlts experierced dt:[ing the repofiing period.
Proiect Demoel'aphic Distribution
What Inpacted ald/or Disproportio[ately Iurpacted propulation does this project pl iurariiy serve? Select
the population primalily selved. Detctmine if the ploject plimarily serves Djspropoltionately lflrpacted
comrnurrities.
a. Dnter total numbel of times fot. the quarter that this project ha$ selyed the Gcneral Public
(Irrpactcd):
b. Whcn EMS serryices originate fi om rn EMS stafiolt Iocated ir a QCT, crrtel the total ttumbel of
tiues fot. tlle quarter that this project has selved Dispropoltionrtely Irnpacted populatiorrs:
ls I rtioDatel hrr ctcd
c Duting the qual'ter', has thc project pl'iltlarily sei ved Disploportionately Irrlpacted populatiorrs?
Y€s _
No
d. If this proiect prinralily selves rlolc than o4q Inlpacted and/or DisDlopoltionatclv Inpacted
population, please select up to two additiopd plDllatiolls selved frorn the list belorv (if
npplicablc\:
Lorv or uoderate income households ot populations
-
Households of poprilations residing in Qualified Ceosus Tlacts _
Households receiviug sewices provided by Tt'ibal govelnntents _
Ir-soc-o lo75/ I 8094,{4/l l
Collicr Coonly EnErgency Medical Sereiccs
l\R?21-23
ADr.rican Rcscue H6n- Collier Public Heolth ftlliaslflrc(ur.]'age 9 I
^ NC}
NOTE: This fonn subject to modificatiorr based on Treasury guidance,
Your tvDed rrame here renresents vour electlonic signature,
16.E.1.c
Packet Pg. 747 Attachment: AMEND #2 ARP21-23 EMS MOU 8.3.23 (FINAL) - DDP DR CHS final (26304 : ARP Agreement Amendment and Budget Amendment)