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Backup Documents 03/26/2024 Item #16F 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F 6 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. 2. 3. County Attorney Office County Attorney Office d 0 p WZ8/24 4. DCC Off Co U Nof M/ J o'FcE Gmiirners CM f�'l_�,�►•it!•� -•-,s�:�r,cdt 5. Minutes and Records Clerk of Court's Office iri44 q`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 EMS Phone Number 239-252-3756 Contact/ Department Agenda Date Item was . 624— Agenda Item Number 27718 I Approved by the BCC 3/�6/ZN r C Type of Document ARP Agreement Amendment#3 Number of Original 3 Attached Documents Attached PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST 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? CD 2. Does the document need to be sent to another agency for additional signatures? If yes, CD 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 CD 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 CD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CD 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 412.262* (enter date)and all changes ' ��t.4:1(: made during the meeting have been incorporated in the attached document The V 9 r ° 2® ai4. o} County Attorney's Office has reviewed the changes,if applicable. 3l2(,�Z y ✓ ;a a�6t 9. Initials of attorney verifying that the attached document is the version approve by the \;0 t BCC,all changes directed by the BCC have been made,and the document is ready for the 0 O P ' s: o4a a e" 8 QL.L.wuicsiA�igilature. ( M 6 Dceu 7I , �': 'e el 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 16F6 FAIN# SLT-1155 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 1.7 Category: Collier County Recovery CC 1.7 Plan Project Number Total Amount of Federal $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 — September 30, 2026 Fiscal Year End 9/30 Monitor End: June 30,2027 THIRD AMENDMENT TO MEMORANDUM OF UNDERSTANDING BETWEEN COLLIER COUNTY AND COLLIER COUNTY EMERGENCY MEDICAL SERVICES American Rescue Plan (ARP)Act Coronavirus Local Fiscal Recovery Fund dN THIS THIRD AMENDMENT is made and entered into this LAY day of el/4 1 4-1-1 2024, 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),having its principal office at 8075 Lely Cultural Parkway, #267,Naples,FL 34113. WHEREAS, The U.S. Congress passed HR 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 Agreement with the United States Treasury Department (Treasury) for a grant to execute and implement the American Rescue Plan Act Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 1 GP0 16F6 (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 MOU executed by the County Manager or Designee, pursuant to Agenda dated 6/22/2021,Item No. 11.H;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 22, 2022, Item No. 16.D.7., the COUNTY authorized Recovery Plan #5 for Capital Equipment Purchases for Emergency Medical Services under the American Rescue Plan Act, State and Local Fiscal Recovery Funds; and WHEREAS, on March 14, 2023, Item No. 16.D.8., the COUNTY ratified the agreement and the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to revise program number ARP21-19, Section 2A. Compliance Project Tasks, Performance Deliverables, and Exhibit C;and WHEREAS,on March 28,2023,Item No. 16.E.3.,the COUNTY authorized the necessary budget amendment for the executed Memorandum of Understanding, and authorized the County Manager or designee to sign a Letter of Intent for the purchase of equipment, products,or services under this MOU for APR21-23,replacing ARP21-19; and WHEREAS, on August 22, 2023, Item 16.E.1, the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to increase the budget, and revise the Project Details, Period of Performance, and Exhibit C; and WHEREAS, on February 13, 2024, the COUNTY authorized Recovery Plan #9 and ratified the agreement, changes to the Scope of Work,Project Details, and Exhibit C; and, WHEREAS, the parties wish to further amend the Memorandum of Understanding to revise the Scope of Work,Project Details, 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. Words lough are deleted; Words Underlined are added. Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 2 GP0 16F6 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 funding 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 few seven 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 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 seven new ambulances, including but not limited to all required specifications and modifications. Treasury Expenditure Category: EC1.7 Collier County Recovery Plan Project Number: CC1.7 Evidence Basis: N/A (EC1.7 Public Health; Other COVID-19 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 $2,700,000.00 costs of up to four seven 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: CC 1.7 Total Federal Funds: $2,700,000.00 *Expenditure Categories are subject to change based on future guidance from the US Treasury Department. If that occurs,additional reporting requirements may be necessary. Collier County Emergency Medical Services ARP2 1-23 American Rescue Plan—Collier Public Health Infrastructure Page 3 16F6 IN WITNESS WHEREOF, the SUBRECIPIENT and COUNTY, have each respectively, by an authorized person or agent,hereunder set their hands and seals on the date first written above. COLLIER COUNTY,COMMITY AND COLLIER COUNTY MANAGER'S OFFICE HUMAN SERV S DIVISI , By: By: POde/(Aktf- T SO A , IRECTOR IiQ BAN COUNTY ' MANAGER ,/fir w+y a it ev'S O v► Date: Date: ("I ( 1Q i 2—L+ COLLIER COUNT ERVICES DEPAR MENT B}c: TAN A WI IAMS,DEPARTMENT HEA Date: D2. - o l- 2°Z4-- COLLIER COUNTY EMERGENCY MEDICAL SERVICES By: �_�i" �a .e. r.t{.�-� I3RUCE GATINEAU, INTERIM CHIEF Date: /t9c) / a i Ap ov as t for an/7gality: D< Derek D. Perry �Oc � ' Assistant County Attorney ►\�� yy�� Date: /-40 — 2$, Lo L / [24-SOC-01143] Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 4 GQO 16F6 EXHIBIT C AMERICAN RESCUE PLAN(ARP) QUARTERLY PROGRESS REPORT Report Period: Fiscal Year: MOU Number: ARP21-23 Subrecipient Name: Collier County Emergency Medical Services Program: American Rescue Plan—Collier Public Health Infrastructure Contact Name: Contact Telephone Number: Activity Reporting Period Report Due Date October 1"—December 31 St January 30th January Pt—March 31 St April 30th April 1"—June 30th July 30th July lst—September 30th October 30th 1. Project Expenditures: Program Name Funds Expended Funds Expended Current Quarter To-Date EC1.7: Public Health; Other COVID-19 Public Health Expenses: Capital Expenditures Total Expenditures 2. Performance Measures: Project Outcomes Component 1:EC 1.7 Outcomes for the purchase and delivery costs of up to four seven 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- year comparison,pre-and post-acquisition of new EMS vehicles. Project Outputs Component 1: Outputs for the purchase and delivery costs of up to few seven 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 emergency response.Enter number: Collier County Emergency Medical Services ARP21-23 American Rescue Plan-Collier Public Health Infrastructure Page 5 GP0 16F6 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 in 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. Collier County Emergency Medical Services ARP2 1-23 American Rescue Plan—Collier Public Health Infrastructure Page 6 16F6 FAIN# SLT-1155 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 1.7 Category: Collier County Recovery CC1.7 Plan Project Number Total Amount of Federal $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 — September 30,2026 Fiscal Year End 9/30 Monitor End: June 30, 2027 THIRD AMENDMENT TO MEMORANDUM OF UNDERSTANDING BETWEEN COLLIER COUNTY AND COLLIER COUNTY EMERGENCY MEDICAL SERVICES American Rescue Plan (ARP)Act Coronavirus Local Fiscal Recovery Fund n THIS THIRD AMENDMENT is made and entered into this 2c° day of M4ICC1 2024, 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),having its principal office at 8075 Lely Cultural Parkway, #267,Naples, FL 34113. WHEREAS, The U.S. Congress passed HR 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 Agreement with the United States Treasury Department (Treasury) for a grant to execute and implement the American Rescue Plan Act Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 1 GQ0 16F6 (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 MOU executed by the County Manager or Designee, pursuant to Agenda dated 6/22/2021, Item No. 11.H; 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 22, 2022, Item No. 16.D.7., the COUNTY authorized Recovery Plan #5 for Capital Equipment Purchases for Emergency Medical Services under the American Rescue Plan Act, State and Local Fiscal Recovery Funds;and WHEREAS, on March 14, 2023, Item No. 16.D.8., the COUNTY ratified the agreement and the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to revise program number ARP21-19, Section 2A. Compliance Project Tasks,Performance Deliverables, and Exhibit C; and WHEREAS, on March 28,2023,Item No. 16.E.3.,the COUNTY authorized the necessary budget amendment for the executed Memorandum of Understanding, and authorized the County Manager or designee to sign a Letter of Intent for the purchase of equipment, products,or services under this MOU for APR21-23,replacing ARP21-19;and WHEREAS, on August 22, 2023, Item 16.E.1, the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to increase the budget, and revise the Project Details, Period of Performance,and Exhibit C; and WHEREAS, on February 13, 2024, the COUNTY authorized Recovery Plan #9 and ratified the agreement, changes to the Scope of Work,Project Details, and Exhibit C; and, WHEREAS, the parties wish to further amend the Memorandum of Understanding to revise the Scope of Work,Project Details, 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. Words Strnck-Thfough are deleted; Words Underlined are added. Collier County Emergency Medical Services ARP2l-23 American Rescue Plan—Collier Public Health Infrastructure Page 2 GP0 16F6 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 funding 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 seven 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 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 seven new ambulances, including but not limited to all required specifications and modifications. Treasury Expenditure Category: EC 1.7 Collier County Recovery Plan Project Number: CC 1.7 Evidence Basis: N/A (EC1.7 Public Health; Other COVID-19 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 $2,700,000.00 costs of up to four seven new ambulances anid-up-te-feur-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: $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. Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 3 GPO 16F6 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 COMM ITY AND COLLIER COUNTY MANAGER'S OFFICE HUMAN SERVICES DIVIS N By.- By: le(AtaitZP- KRI T ONNTAG, DIRECTOR , COUNTY Date: O j9 MANAGER AWW aft-•2�('Sor ( Date: y/ /G� l/a'T'/ COLLIER COUNT ERVICES DEPAR ENT i By�. TAN A WIL AMS, DEPARTMENT HEAD Date: 02• Dl .2.0 24 COLLIER COUNTY EMERGENCY MEDICAL SERVICES By: /s, l i (may,-c--C GA INEAU,INTERIM CHIEF Date: / 1 .9 1' hi 1C A ro ed as o fo nd legality: D, Derek D. Perry �00' Assistant County Attorney ,\°b� Date: 0 ,c zB ) 2- '-'I [24-SOC-01143] Collier County Emergency Medical Services ARP2 1-23 American Rescue Plan—Collier Public Health Infrastructure Page 4 0 GQ 16F6 EXHIBIT C AMERICAN RESCUE PLAN(ARP) QUARTERLY PROGRESS REPORT Report Period: Fiscal Year: MOU Number: ARP21-23 Subrecipient Name: Collier County Emergency Medical Services Program: American Rescue Plan—Collier Public Health Infrastructure Contact Name: Contact Telephone Number: Activity Reporting Period Report Due Date October 1st—December 31st January 30" January 1"—March 31 st April 30th April 1"—June 30th July 30th July 1"—September 30th October 30th 1. Project Expenditures: Program Name Funds Expended Funds Expended Current Quarter To-Date EC1.7: Public Health; Other COVID-19 Public Health Expenses: Capital Expenditures Total Expenditures 2. Performance Measures: Project Outcomes Component 1: EC 1.7 Outcomes for the purchase and delivery costs of up to few seven 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- year comparison, pre-and post-acquisition of new EMS vehicles. Project Outputs Component 1: Outputs for the purchase and delivery costs of up to few seven 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 emergency response. Enter number: Collier County Emergency Medical Services ARP21-23 American Rescue Plan-Collier Public Health Infrastructure Page 5 GQO 16F6 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 in 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. Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 6 GQ0 16F6 FAIN# SLT-1155 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 1.7 Category: Collier County Recovery CC1.7 Plan Project Number Total Amount of Federal $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 - September 30,2026 Fiscal Year End 9/30 Monitor End: June 30,2027 THIRD AMENDMENT TO MEMORANDUM OF UNDERSTANDING BETWEEN COLLIER COUNTY AND COLLIER COUNTY EMERGENCY MEDICAL SERVICES American Rescue Plan (ARP)Act Coronavirus Local Fiscal Recovery Fund ,y� THIS THIRD AMENDMENT is made and entered into this�2� 1 day of /V�AW/7'gc I�,/ 12024, 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), having its principal office at 8075 Lely Cultural Parkway, #267,Naples,FL 34113. WHEREAS, The U.S. Congress passed HR 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 Agreement with the United States Treasury Department (Treasury) for a grant to execute and implement the American Rescue Plan Act Collier County Emergency Medical Services ARP21-23 American Rescue Plan-Collier Public Health Infrastructure Page 1 GPO 16F6 (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 MOU executed by the County Manager or Designee, pursuant to Agenda dated 6/22/2021,Item No. 11.H;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 22, 2022, Item No. 16.D.7., the COUNTY authorized Recovery Plan #5 for Capital Equipment Purchases for Emergency Medical Services under the American Rescue Plan Act, State and Local Fiscal Recovery Funds;and WHEREAS, on March 14, 2023, Item No. 16.D.8., the COUNTY ratified the agreement and the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to revise program number ARP21-19, Section 2A. Compliance Project Tasks,Performance Deliverables, and Exhibit C; and WHEREAS,on March 28,2023,Item No. 16.E.3.,the COUNTY authorized the necessary budget amendment for the executed Memorandum of Understanding, and authorized the County Manager or designee to sign a Letter of Intent for the purchase of equipment,products,or services under this MOU for APR21-23, replacing ARP21-19; and WHEREAS, on August 22, 2023, Item 16.E.1,the COUNTY and the SUBRECIPIENT amended the Memorandum of Understanding to increase the budget, and revise the Project Details, Period of Performance, and Exhibit C; and WHEREAS, on February 13, 2024, the COUNTY authorized Recovery Plan#9 and ratified the agreement, changes to the Scope of Work,Project Details,and Exhibit C;and, WHEREAS, the parties wish to further amend the Memorandum of Understanding to revise the Scope of Work,Project Details,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. Words Struck—Through are deleted; Words Underlined are added. Collier County Emergency Medical Services ARP2 1-23 American Rescue Plan—Collier Public Health Infrastructure Page 2 GP0 16F6 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 funding 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 seven 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 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 seven new ambulances, including but not limited to all required specifications and modifications. Treasury Expenditure Category:EC1.7 Collier County Recovery Plan Project Number: CC1.7 Evidence Basis: N/A (EC1.7 Public Health; Other COVID-19 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 $2,700,000.00 costs of up to four seven 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: $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. Collier County Emergency Medical Services ARP21-23 American Rescue Plan-Collier Public Health Infrastructure Page 3 GQ0 16F6 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 CO TY C TY AND COLLIER COUNTY MANAGER'S OFFICE HUMAN CES VISION Plodda .0, By: K S I SONNTAG,DIREC ��BAN ROD , EPTY COUNTY _ MANAGER ,�{-t'Y�y latiteieS Or1 Date: ` q �J Date: Lk ` 1/41 COLLIER CO SERVICES D AR MENT B • TA A WI IAMS,DEPARTMENT HEAD Date: 0 - Dl. ?D14 COLLIER COUNTY EMERGENCY MEDICAL SERVICES By: UCE > STINEAU,INTERIM CHIEF/ /Date: 9 / mil t Api%oveI as • for d •:lity: I Der" D.Perry V• O Assistant County Attorney ,�� Date: /7/1,9i- Z `y [24-SOC-01143] Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 4 GPO 16F6 EXHIBIT C AMERICAN RESCUE PLAN(ARP) QUARTERLY PROGRESS REPORT Report Period: Fiscal Year: MOU Number: ARP21-23 Subrecipient Name: Collier County Emergency Medical Services Program: American Rescue Plan—Collier Public Health Infrastructure Contact Name: Contact Telephone Number: Activity Reporting Period Report Due Date October 1st—December 315t January 30th January 1"—March 31" April 30th April 1"—June 30th July 30th July 15t—September 30th October 30th 1. Project Expenditures: Program Name Funds Expended Funds Expended Current Quarter To-Date EC1.7: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 seven 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- year comparison,pre-and post-acquisition of new EMS vehicles. Project Outputs Component 1: Outputs for the purchase and delivery costs of up to few seven 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 emergency response. Enter number: Collier County Emergency Medical Services ARP21-23 American Rescue Plan—Collier Public Health Infrastructure Page 5 GP0 16F6 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 in 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. Collier County Emergency Medical Services ARP2 1-23 American Rescue Plan—Collier Public Health Infrastructure Page 6 GQQ