Backup Documents 08/22/2023 Item #16E 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 E
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. County Attorney Office County Attorney Office
Do 813(123
2. BCC Office Board of County it• f d
Commissioners rev�`
3. Minutes and Records Clerk of Court's Office /ieffi/23
4.
5.
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Cherie DuBock Phone Number 239-252-3756
Contact/ Department
Agenda Date Item was 08/22/2023 Agenda Item Number 26304
Approved by the BCC 16. E.
Type of Document Ems ARP Amendments h T e• Number of Original 6 (3 of- EACHAttached Documents Attached rr r 0 u
PO number or account
number if document is
to be recorded Please r e h)r n COQ
I TR.U�C�TIONS`&�CHECKLISBUtcN Psi E aqS •
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? Na
2. Does the document need to be sent to another agency for additional signatures? If yes, Na
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be CD
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's CD
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the Na
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's Na
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip Na
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 08/22/2023 (enter date)and all CD N/A is not
changes made during the meeting have been incorporated in the attached document. an option for
The County Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the Q N/A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the 19 Or an option
Chairman's signature. this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16E
MEMORANDUM
Date: August 31, 2023
To: Tabatha Butcher, Chief— Emergency Medical Services
Emergency Services Division
From: Martha Vergara, Sr. Deputy Clerk
Minutes & Records Department
Re: Economic Development Agreement
EMS ARP Agreements
Attached is an original of the document referenced above, (Agenda Item #16E1)
approved by the Board of County Commissioners on Tuesday, May 9, 2023.
An original has been kept by the Minutes and Records Department as part of the
Board's Official Record.
If you have any questions, please contact me at 252-7240.
Thank you.
Attachment
�16E 1
FAIN# ELT-1155 •
Federal Award Date March 11,2021
Federal Award Agency Department of Treasury
ALN Name ,Coronavirus Local Fiscal
Recovery Fund
21.01.927
Treasury Expenditure EC3.1
Category
Collier County Recovery ;CC3.2
Plan Project Number
Total Amount of Federal )l65 166,770.00
Funds Awarded
SUBRECIPIENT Name iCollier County
Emergency Medical
Services
UEI# LJWKJKYRPLLU6
FEIN 96000558
R&D
Indirect Cost Rate • o
Period of Performance October 1,2021—
December 31,2024
Fiscal Year End `09l30
Monitor End: 01113e 30,2025
SECOND AMENDMENT TO
MEMORANDUM OF UNDERSTANDING BETWEEN
COLLIER COUNTY,FLORIDA
AND
COLLIER COUNTY EMERGENCY MEDICAL SERVICES
American Rescue Plan(ARP)Act
Coronaviros Local Fiscal Recovery Fund
This AMENDMENT is made and entered into as of this 22"J day of August 2023, by
and between Collier County, a political subdivision of the State of Florida(COUNTY) having its
principal address at 3339 E. Tamiami Trail, Naples FL 34112, and Collier County Emergency
Medical Services(SUBRECIPIENT),a governmental agency existing under the laws of the State
of Florida,having its principal office at 8075 Lely Cultural Parkway,#267,Naples,FL 34113.
RECITALS
WHEREAS, 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
Coronavirus State and Local Fiscal Recovery Fund(SLFRF); and
[23-SOC-01075/1809445/11 COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP21-06 •
American Rescue Plan—Public Health and Safety Operations and Response
Page t Gr,o
16E 1
WHEREAS,the COUNTY has entered into an agreement with the United States Treasury
Department(Treasury)for a grant to execute and implement the American Rescue Plan Act(ARP),
pursuant to the Coronavirus State and Local Fiscal Recovery Fund (SI,FRF), Section 603 (c) of
the Social Security Act; and
WHEREAS, pursuant to the aforesaid agreement, the COUNTY is undertaking certain
activities to assist the community in navigating the impact pof the COVID-19 outbreak; and
WHEREAS,the SUBRECIPIENT has applied for and, based on the information provided
by the SUBRECIPIENT, is qualified to receive program funding; and
WHEREAS,the COUNTY and SUBRECIPEINT wish to set forth the responsibilities and
obligations of each in the undertaking of the American Rescue Plan(ARP)project.The COUNTY
has created a Recovery Plan in accordance with federal guidelines, which includes Goals,
Expenditure Categories, Evidence-basis, and Key Performance Indicators (KPI) that impact the
project; and
WHEREAS, this sub-award agreement is executed by the County Manager or Designee
pursuant to Agenda Dated 6/22/21, Item No. 11.1-i-i.
WHEREAS, on March 14, 2023, Agenda Item No, 16.D.8,_the COUNTY arid
final sub-award approved the First Amendment to kevise
program number ARP21-19, Scope of Work, Expenditure Category, Section 2A Compliance
Project Tasks,Performance Deliverables,and Exhibit C, and include Exhibit 13-1;and
WHEREAS, the parties wish to further amend the Memorandum of Understanding to
reduce the budget,and revise Project Details,Exhibit B-1,and Exhibit C,as stated below
NOW, THEREFORE, in consideration of the covenants and agreements herein
contained, and for other good and valuable consideration, the Parties hereby agree to amend the
Memorandum of Understanding(MOIL)as set forth below.
Words Struck Through are deleted; Words Underlined are added.
PART I
[23-SOC-01075/180944511I COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP2I-06
American Rescue Plan—Public Health and Safety Operations and Response
Pate 2 Goo
1 6 E 1
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component 1: Staffing—Salary,payroll taxes,and S165,166,770 •
fringe benefits of employees responding to COVID-19
US Treasury Expenditure Category*:ECU
Collier County Recovery Plan Project Number: CC3.2
Total Federal Funds: S165,166,770
B. Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies as stated in this Within sixty(60)days of
Policies(Section 1.1) MOU MOU execution
Insurance Insurance Certificate(Exhibit Within thirty(30)days of
A) MOU execution and
Annually within thirty(30)
days of renewal
Detailed Project Schedule N/A N/A
Project Plans and N/A N/A
Specifications
Subcontractor Log N/A N/A
Davis-Bacon Act Certified N/A N/A
Payroll
Quarterly Progress Report Exhibit C Quarterly,due 430th of month
following end of quarter.
Quarterly Certification Form Exhibit B-1 and Validated By OMB's preferred date of
and Validated EMS EMS Employee List the 4th of the month(before
Employee List the end of the first week),
immediately following each
quarter end
Annual Audit Monitoring Exhibit D Within sixty(60)days of
Report Fiscal Year(FY)end
Financial and Compliance Audit, Management Letter Annually: nine(9)months
Audit after FY end for Single Audit
OR one hundred eighty(180)
days after FY end
Program Income Reuse Plan -(N/A) N/A
[23-SOC-01075/1809445/I]COWER COUNTY EMERGENCY MEDICAL SERVICES
ARP21-06
American Rescue Plan—Public Health and Safety Operations and Response
Page 3 00
16E 1
C. Payment Deliverables
Payment Deliverable Pa ment Supporting Documentation Submission Schedule
Project Component I:Staffing— Submission ofti*LLeshects,SAP payroll Submission of
Salary,payroll taxes,and fringe reports,and job descriptions for quarterly journal
benefits of employees responding employees'first payroll only. entries within 20 days
to COVID-I9 following each quarter
US Treasury Expenditure end.
Category: EC3.I
Collier County Recovery Plan
Project Number:CC 3.2
* * * *
1.4 MOU AMOUNT
The COUNTY agrees to make available SIXTEEN FIFTEEN MILLION, ONE HUNDRED
SIXTY-SIX TI-IOUSAND, SEVEN HUNDRED SEVENTY DOLLARS and ZERO CENTS
($165,166,770.00)for use by the SUBRECIPIENT during the term of the MOU(hereinafter,shall
be referred to as the"Funds").SUBRECIPIENT may use Funds only for expenses eligible under
Section 603(c)of the Social Security Act,specifically the Coronavirus Local Fiscal Recovery Fund,
and further outlined under US Treasury Guidance.
* * * *
Signature Page to Follow
[23-SOC-01075/I80944S/1 J COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP2I-06
American Rescue Plan—Public Health and Safety Operations and Response
Page 4 �O
1 6 E i
IN WITNESS WHEREOF, the SUBRECIPIENT and COUNTY, have each respectively,by an
authorized person or agent,hereunder set their hands and seals on the date first written above.
• COLLIER COUNTY COMMUNITY AND C COUNTY A ' //!
HUMAN SE CES D SION FFICE
/ .
By: ' yL y:
K IS I SONNTAG,DIRE? R DAN RODRIGUEZ, NTY
MANAGER
Date: /6 (2�3�
Date: ' G2,5
COLLIER COUNTY PUBLIC SERVICES
DEPARTMENT
WiIIiamSTanya Da11eAf2023 08 18 10:3I1:07
By:
TANYA WILLIAMS,DEPARTMENT
HEAD
Date: 08.16.2023
COLLIER COUNTY EMERGENCY
MEDICAL SERVICES
gned by
ButcherTabatha DigitallyT
By: Date:2023.08.1608:17:31-04'00•
TABATHA BUTCHER,CHIEF
Date:
Appro d a• to for n a1 gai�:
fr
Derek I).Perry r . \N
Assistant County Attorney
Date: 9 Pi / 2-3
[23-S0C-01075/1809445/1]COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP21.06
American Rescue Plan—Public Health and Safety Operations and Response
Page S �t0
16E 1
PART V
EXHIBITS
EXHIBIT B-1
Emergency Medical Services Quarterly ARP Certification for the
Quarter Pay Period Ending:
I hereby certify the following to be true and correct.
1. The Collier County EMS frontline medical responders are preventing and mitigating the impacts
of COVID-I9 when providing medical services throughout the County by
(a) Adoption of practices and guidelines,relying on 100%of all frontline staff time utilizing PPE
(respirators,gloves,eye protection,gowns/coveralls)to protect staff and patients from the
transmission of COVID-19, particularly when staff are in close contact or suspect COVID-I9
(b) EMS frontline personnel are on the front lines dealing with individuals who are suspected or
confirmed COVI D-19 patients
(c) EMS frontline personnel follow OSHA standards and assess hazards to which they may be
exposed,evaluate risk exposure on each transport and select, implements and ensure workers
use controls to prevent exposure and spread oCA �1
(d) EMS limits the number of EMS frontline staff in the patient compartment to minimize
exposure
(e) Family members of the patient are not permitted to ride in the transport vehicle
(f) EMS continues to maintain pandemic protocol to include Pre-call,screening for COVID-19
(g) Dispatch notifies EMS personnel of suspected and COVID positive transports
(h) EMS maintains COVID patient contact protocols consistent with OSHA regulation and CDC
guidance for COVID-19
(i) EMS has maintained post call pandemic protocols to include decontamination of staff,
vehicles and equipment
(j) Daily temperature checks are done for employees
(k) Deployment of infrared thermometers for non-patient contact
(1) EMS maintains infection prevention protocols by tracking employee's and isolation, patient •
tracking for COVID positive cases and tracking of PPE and aeroclave use
2. The EMS burn rate for PPE for the most recent quarter ending is
per week
3. EMS transports for the quarter were this represents increase/(destease)from
the prior quarter
4. Number of front line EMS staff deployed in the quarter
5. Status F calls for the quarter
,certify that the frontline EMS staff are primarily dedicated to
responding to COVID-19 by providing medical care to the community and employing mitigation and
prevention efforts on each transport.
Date
(23-SOC-01075/1809445/1)COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP21-06
American Rescue Plan—Public Health and Safety Operations and Response
Page 6 �Nt,
16E 1
PART V
EXHIBITS
EXHIBIT C
AMERICAN RESCUE PLAN(ARP)
QUARTERLY PROGRESS REPORT
Report Period:
Fiscal Year:
Agreement Number: ARP21-06
Subrecipient Name: Collier County Emergency Medical Services
Program: American Rescue Plan
Contact Name:
Contact Telephone Number:
---------- - - ---------
Activity Reporting Period . Report Due Date
October 1"—December 31" January 430i1'
January 1"—March 31" April 430'1'
April 1"—June 301h July 4-30th
July 1"—September 30th October 430n'
1. Ivey Performance Indicators:
Project Outcomes
Component 1: • Maintain employee retention
Project Outputs
Component 1: • Number of government irltLs responding to COVID-l9 supported
under this authority.Enter number:
EC 3.1 ----------
Impact Evaluation Plan
Detail Update:
2. Project Progress:
Describe your progress and any impediments experienced during the reporting period.
Enter the total number of Qualified Census Tracts(QCTs)denoting the area where the project is
primarily serving disproportionately impacted communities.
?CT total:
[23-SOC-01075/1809445/1J COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP21-06
American Rescue Plan—Public Health and Safety Operations and Response
Page 7 Gl r'RQ
16E 1
By signing this report, I certify to the best of my knowledge and belief that the information contained in
this report is true,complete and accurate. I am aware that any false,fictitious,or fraudulent information,
or the omission of any material fact,may subject me to criminal,civil,or administrative penalties for fraud,
false statements, false claims or otherwise(U.S.Code Title 18, Section 1001 and Title 31,Sections 3729-
3730 and 3801-3812).
Signature: Date:
Printed I
Name:
Title:
NOTE: This form subject to modification based on Treasury guidance.
Your typed name here represents your electronic signature.
(23-SOC-01015/I809445/I]COLLIER COUNTY EMERGENCY MEDICAL SERVICES
ARP2I-D6
American Rescue Plan—Public Health and Safety Operations and Response
Page 8 ��0
lbt 1
FAIN# SLT-1 155
Federal Award Date March 11,2021 _
Federal Award Agency Department of Treasury
ALN Name Coronavirus Local Fiscal
Recovery Fund
ALN # 21.027
Treasury Expenditure EC I.7
Cate:or :
Collier County Recovery CC1.7
Plan Pro'ect Number
Total Amount of Federal $I-2,700,000.00
Funds Awarded
SUBRECIPIENT Name Collier County Emergency Medical
Services
UEI# JWKJKYRPLLU6
FEIN 596000558
R&D No
Indirect Cost Rate No
Period of Performance October 15,2021 --
Qetel3cr 15,2024
September 30,2026
Fiscal Year End 9/30
Monitor End: June 30,2027
SECOND AMENDMENT TO
MEMORANDUM OF UNDERSTANDING BETWEEN
COLLIER COUNTY
AND
COLLIER COUNTY EMERGENCY MEDICAL SERVICES
American Rescue Plan(ARP)Act
Coronavirus Local Fiscal Recovery Fund
THIS SECOND AMENDMENT is made and entered into this 2Z"day of August 2023,by and between
Collier County,a political subdivision of the State of Florida,(COUNTY)having its principal address at
3339 E Tamiatni Trail, Naples FL 34112, and Collier County Emergency Medical Services,
(SUBRECIPIENT),having its principal office at 8075 Lely Cultural Parkway,#267,Naples,FL 34113.
WHEREAS, The U.S. Congress passed FIR 1913, the American Rescue Plan Act of 2021
(ARP),which was signed into law on March 11,2021 (Pub. L.No. 117-2).Included in the legislation was
$350 billion for the Coronavirus State and Local Fiscal Recovery Fund(SLFRF);and
WHEREAS,on May 13,2021, the COUNTY entered into an iU Agreement with the United
States Treasury Department(Treasury)for a grant to execute and implement the American Rescue Plan Act
123-SOC-01075118E 944i111
Collier County Emergency Medical Services
ARP21-23
American Rescue Plan--Collier Public Health Infrostructure Page I 1
r`�O
16E 1
(ARP),pursuant to the Coronavirus State and Local Fiscal Recovery Fund (SLFRF), pursuant to Section
603(c)of the Social Security Act;and
WHEREAS, this subaward MOIL is executed by the County Manager or Designee, pursuant to
Agenda dated 6/22/2021,Item No. t 1.1-I;and
WHEREAS,pursuant to the aforesaid agreement, the COUNTY is undertaking certain activities
to assist the community in navigating the impact of the COVID-19 outbreak;and
WHEREAS, on March 14,2023, the COUNTY and the SUBRECIPIENT wish-te amended the
Memorandum of Understanding to revise program number ARP21-19, Section 2A. Compliance Project
Tasks,Performance Deliverables,and Exhibit C;and
WHEREAS,the parties wish to further amend the Memorandum of Understanding to increase the
budget,and revise the Project Details,Period of Performance,and Exhibit C,as stated below:and
WHEREAS, the COUNTY and the SUBRECIPIENT wish to set forth the responsibilities and
obligations of each in the undertaking of the American Rescue Plan(ARP)project.
NOW,THEREFORE, in consideration of the mutual promises and covenants contained herein,
the parties hereto agree to amend the Memorandum of Understanding(MOU)as set forth below.
Wordstelr Through are deleted; Words Underlined are added.
PART I
SCOPE OF WORK
SUBRECIPIENT shall,in a satisfactory and proper manner and consistent with any standards required as
a condition of providing ARP assistance as provided herein and, as determined by Collier County
Community and Human Services Division(CHS),perform the tasks necessary to conduct the program as
follows:
Project Name:American Rescue Plan-Collier Public Health Infrastructure(ARP21-23)
Description of project and outcome: This project will provide fimding toward the acquisition of
much-needed fleet improvements for Collier County EMS.Pandemic-related calls increased strain
on existing EMS transportation capital stock, accelerating asset depreciation and impacting the
ability to provide a high level of service in public health and medical response. Up to four new
ambulances and up to four light duty trucks will be added to the EMS fleet to enhance response to
medical emergencies throughout the recovery phase of the pandemic.Equipment supporting EMS
services will be purchased to further outfit the ambulances and trucks including but not limited to
radios, lighting,sirens,decals,and health monitoring and healthcare equipment.The goal of this
123-SOC-01075/1809444/11
Collier County Emergency Medical Services
A RP21-23
American Rescue Plan••Collier Public Health Infrastructure Page 2
16E 1
project is to maintain and enhance direct public health services benefitting the public in response
to COVID-19.
Project Component One:Equipment purchase and delivery costs of up to four new ambulances and
up to four new light body trucks, including but not limited to all required specifications and
modifications.
Treasury Expenditure Category:EC 1.7
Collier County Recovery Plan Project Number:CC1.7
Evidence Basis: N/A (EC1.7 Public Health; Other COVID-1 9 Public Health Expenses: Capital
Expenditures: Acquisition of Equipment for COVID-19 prevention and treatment, including
ventilators,ambulances,and other medical or emergency services equipment)
* * *
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component 1: Equipment purchase and delivery $-42,700,000.00
costs of up to four new ambulances and up to four new light
body trucks,including but not limited to all required
specifications and modifications.
US Treasury Expenditure Category*:EC1.7
Collier County Recovery Plan Project Number:CC1.7
Total Federal Funds: S-1-2 700,000.00
*Expenditure Categories are subject to change based on future guidance from the US Treasury Department.
If that occurs,additional reporting requirements may be necessary.
B. Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies Policies as stated in this MOU Within sixty(60)days of MOU
(Section 1.1) execution
Insurance Insurance Certificate Within thirty(30)days of MOU
execution and Annually within
thirty(30)days of renewal
Detailed Project Schedule Project Schedule Within sixty(60)days of MOU
execution
Project Plans and Specifications N/A N/A
Subcontractor Log N/A N/A
imems
123-sOC-61075/1809444/1]
Collier County Emergency Medical Services
ARP2 r-23
American Rescue Plan—Collier Public Health Infrastructure Page 3
16E 1
Davis-Bacon Act Certified N/A N/A
Payroll
Quarterly Progress Report Exhibit C Quarterly,due 4-306 of month
following end of quarter
Annual Audit Monitoring Exhibit D Within sixty(60)days of Fiscal
Report _ Year(FY)End -
Financial and Compliance Audit Audit,Management Letter Annually:nine(9)months after
FY end for Single Audit OR one
hundred eighty(180)days after
_ FY end
Pro:ram Income Reuse Plan Plan A roved b the COUNTY N/A
1.3 PERIOD OF PERFORMANCE
The SUBRECIPIENT services shall start on October 15, 2021, in accordance with ARP and
Coronavirus Local Fiscal Recovery Appropriation language, and shall end on Oe o er 15, 2021
September 30, 2026 unless terminated earlier, in accordance with provisions of Paragraph 3,9,
Defaults,Remedies,and Termination.In accordance with 2 CFR 200 Subpart E—Cost Principles
and Section 215.97(1)(d)Florida Statutes,SUBRECIPIENT,may expend Funds authorized by this
MOU,only for allowable costs resulting from obligations incurred during the specific agreement
period of October 15,2021 to September 30,2026.
If SUBRECIPIENT complies with all requirements set forth herein, this MOU shall terminate
October 15, 2024 September 30, 2026, whereupon all obligations of SUBRECIPIENT for
repayment of Funds shall cease.Notwithstanding the foregoing,the COUNTY expressly reserves
and does not waive its rights to recover any damages arising from or relating the SUBRECIPIENT's
breach of any of the Grant Documents, including but not limited to this MOU and/or any
attachments hereto which occurred in whole or in part before said termination.
1.4 MOU AMOUNT
The COUNTY agrees to make available ONE TWO MILLION SEVEN HUNDRED THOUSAND
DOLLARS and .00 CENTS($-1-2 700,000.00)for use by SUBRECIPIENT during the term of the
MOU(hereinafter,shall be referred to as the"Funds"). SUBRECIPIENT may use Funds only for
expenses eligible under Section 603(c) of the Social Security Act, specifically the Coronavirus
Local Fiscal Recovery Fund,and further outlined under US Treasury Guidance.
The ARP requires that Funds from the Coronavirus Local Fiscal Recovery Fund only be used to
cover expenses that:
A, Were incurred during the period that begins on October 15,2021 and ends on October 15,202'1
September 30,2026.Funds must qualify as a necessary expenditure incurred due to the public
health emergency and meet the other criteria of Section 603(c)of the Social Security Act.
[23-SOC-01075/1809444/1]
Collier County Emergency Medical Services
ARP2r-23
American Rescue Plan—Collier Public Health infrastructure Page 4
16► E 1
B. Examples of eligible expenses include,but are not limited to:
i. Responding to or mitigating the public health emergency with respect to the
COVID-19 emergency or its negative economic impacts;and
ii. Providing government services to the extent of the reduction in revenue;and
iii. Making necessary investments in water,sewer,or broadband infrastructure;and
iv. Responding to workers performing essential work during the COVID-19 public
health emergency by providing premium pay to eligible COUNTY workers that
are performing such essential work,or by providing grants to eligible employers
that have eligible workers who perform essential work.
Modification to the"Budget and Scope"may only be made if approved in advance by COUNTY.
Budgeted fund shifts among line items shall not he more than 10 percent of the total funding amount
and does not signify a change in scope. Fund shifts that exceed 10 percent of the MOU amount
shall only be made with County Manager approval.
The COUNTY shall reimburse the SUBRECIPIENT for the performance of this MOU upon
completion or partial completion of the work tasks, as accepted and approved by CHS.
SUBRECIPIENT may not request disbursement of ARP funds until funds are needed for eligible
costs,and all disbursement requests must be limited to the amount needed at the time of the request.
SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred
from October 15,2021 through October 15,202 September 30,2026.Invoices for work performed
are required every month. If no work has been performed during that month, or if the
SUBRECIPIENT is not yet prepared to send the required backup, a $0 invoice is required.
Explanations may be required if two consecutive months of$0 invoices are submitted. Payments
shall be made to the SUBRECIPIENT,when requested,as work progresses but not more frequently
than once per month. Reimbursement will not occur if SUBRECIPIENT fails to perform the
minimum level of service required by this MOU.
Final invoices are due no later than ninety(90)days after the end of the MOU. Work performed
during the term of the program but not invoiced within ninety(90)days after the end of the MOU
may not be processed without written authorization from the Grant Coordinator.
The County Manager or designee may extend the term of this MOU for a period of up to 180 days
after the end of the MOU. Extensions must be authorized, in writing, by formal letter to the
SUBRECIPIENT.
No payment will be made until approved by CHS for grant compliance and adherence to any and
all applicable Local, State, or Federal requirements. Reimbursements will only be made for
expenditures that the COUNTY provisionally determines are eligible under the ARP.However,the
COUNTY's provisional determination that an expenditure is eligible does not relieve the
SUBRECIPIENT of its duty to repay the COUNTY for any expenditures that are later determined
by the COUNTY or Federal government to be ineligible. Except where disputed for
noncompliance, payment will be made upon receipt of a properly completed invoice and in
compliance with §218.70, Florida Statutes, otherwise known as the"Local Government Prompt
Payment Act."
* * * *
123-SOC-01075/0109444/1i
Collier County Emergency Medical Services
ARP21-23
American Rescue Plan—Collier Public Health Infrastructure PaI;c.S
16E )
IN WITNESS WHEREOF,the SURRECIPIENT and COUNTY,have each respectively,by an authorized
person or agent,hereunder set their hands and seals on the date first written above.
COLLIER C UNTY C UNITY AND OLLIER •UNTY MAN; 'r*0 O CE
HUMAN VICES [VISION
%K TI SONNT G,DIRT DAN RO•RIGUL j. ••4/ OUNTY
///2 MANAGER
Date: t
Date:
COLLIER COUNTY PUBLIC SERVICES
DEPARTMENT
OlgltaKy signed by WittamsTanya
WilliamsTanya, e;23.08.1610:30:05
By:
TANYA WILLIAMS,DEPARTMENT HEAD
Date: 08.16.2023
COLLIER COUNTY EMERGENCY MEDICAL
SERVICES DI9itieh'signed by
ButcherTabatha to: p8n7608:19.65
By: -o.rna _
TABATHA BUTCHER,CHIEF
Date:
Appip.ved as to •ro r ity:
3
O
Deli- D.-Perry
Assistant County Attorney cp4
Date: .3f 2—?
123-SOC-010751180944411]
Collier County Emergency Medical Services
ARF2I-23
American Rescue Plan—Collier Public Health infrastructure Paec 6
�L�
16E 1
EXHIBIT B
COLLIER COUNTY COMMUNITY& HUMAN SERVICES
SECTION I:REQUEST FOR PAYMENT
SUBRECIPIENT Name:Collier County Emergency Medical Services(APR2I-23)
SUBRECIPIENT Address: 8075 Lely Cultural Parkway,#267,Naples,FL 34113
Project Name: ARP21-23-Collier Public Health Infrastructure
Project No:CC 1.7 Payment Request#
Total Payment Minus Retainage
Period of Availability: October 15,2021 through October 157 2024.September 30,2026
Period for which the Agency has incurred the indebtedness through
SECTION II:STATUS OF FUNDS
Subrecipient CHS Approved
I.Grant Amount Awarded $ $
2.Total Amount of Previous Requests —_-
3.Amount of Today's Request(Net of Retainage),if $ $
applicable)
4. Current Grant Balance (Initial Grant Amount Award $ $
request)(includes Retainage)
By signing this report,I certify to the best of my knowledge and belief that this request for payment is true,complete
and accurate,and the expenditures,disbursements and cash receipts arc for the purposes and objectives set forth in
the term and conditions of the Federal award.I am aware that any false,fictitious,or fraudulent information,or the
omission of any material fact,may subject me to criminal,civil,or administrative penalties for fraud,false statements,
false claims or otherwise(U.S.Code Title 18,Section 1001 and Title 3!,Sections 3729-3730 and 3801-3812;and/or
Title VI,Chapter 68,Sections 68.081-083,and Title XLVI Chapter 837,Section 837-06).
Signature Date
Title
Authorizing Grant Coordinator Authorizing Grant Accountant
Supervisor(Approval required S 15,000 and above) Division Director(Approval Required S15,000
and above)
123-SOC-0 1075/1809444/1)
Collier County Emergency Medical Services
ARP21-23
American Rescue Plan—Collier Public Health lnfrastructurc Page 7
C*0
16E 1
EXHIBIT C
AMERICAN RESCUE PLAN(ARP)
QUARTERLY PROGRESS REPORT
Report Period:
Fiscal Year:
MOU Number: ARP21-23
Subrecipient Name: Collier County Emergency Medical Sevices—
^Program: American Rescue Plan •Collier Public Health Infrastructure
Contact Name:
Contact Telephone Number:
Activi Reporting Period Report Due Date
October I —December 31" January•I.30t
Januat 1"—March 31" April 4.30th
ril I"—June 30i° July-1-30'h
Jul 1"—September 30th October 4-30'h
1. Project Expenditures:
Proaram Name Funds Expended Funds Expended
Current Quarter To-Date
gC1.7:Public Health:Other COVID-19 Public Health
Expenses:Capital Expenditures
Total Expenditures
�.2.Performance Measures:
Project Outcomes
Component 1:EC1.7 Outcomes for the purchase and delivery costs of up to four new
ambulances and up to four new light body trucks (including but not
limited to all required specifications and modifications) include
improved response times for EMS services,as measured by a year-over-
ear cow sarison,pre-and post-acquisition of new EMS vehicles.
ttpeteat- W
Project Out uts
Component 1: Outputs for the purchase and delivery costs of up to four new ambulances
and up to four new light body trucks (including but not limited to all
required specifications and modifications) include number of fully
outfitted ambulances and light duty trucks acquired for Collier EMS
emertenc res onse.Enter number:
— — — — —_-
123-S0C-01075/1809444/11
Collier County Emergency Medical Services
ARP21-23
American Rescue Plan--Collier Public Health Infrastructure }age 8
16E 1
a:3. Project Progress:
Describe your progress and any impediments experienced during the reporting period.
Project Demographic Distribution
What impacted and/or Disproportionately Impacted population does this project primarily serve?Select
the population primarily served. Determine if the project primarily serves Disproportionately Impacted
communities.
a. Enter total number of times for the quarter that this project has served the General Public
(Impacted):
b, When EMS services originate from an EMS station located ht a QCT,enter the total number of
times for the quarter that this project has served Disproportionately Impacted populations:
(Disproportionately Impacted):
c. During the quarter,has the project primarily served Disproportionately Impacted populations?
Yes
No
d. If this project primarily serves more than one Impacted and/or Disproportionately Impacted
population, please select up to two additional populations served from the list below (if
applicable):
Low or moderate income households or populations
Households or populations residing in Qualified Census Tracts
Households receiving services provided by Tribal governments
By signing this report, I certify to the best of my knowledge and belief that the information contained in
this report is true,complete and accurate. I am aware that any false,fictitious,or fraudulent information,
or the omission of any material fact,may subject me to criminal,civil,or administrative penalties for fraud,
false statements,false claims or otherwise(U.S.Code Title 18,Section 1001 and Title 31,Sections 3729-
3730 and 3801-3812).
Signature: Date:
Printed Name:
Title:
NOTE: This form subject to modification based on Treasury guidance.
Your typed name here represents your electronic signature.
123-S0C-01075/I8094,14/1]
Collier County Emergency Medical Services
ARP2I-23
American Rescue Plan--Collier Public Health Infrastructure Page 9