Resolution 1997-357
1 6D . 2
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RESOLUTION NO. 97 - 357
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
CERTIFYING THAT THE APPLICATION FOR ANO USE OF EMS
TRUST FUND MONIES WILL IMPROVE AND EXPAND PRE-HOSPITAL
EMS DEPARTMENT ACTIVITIES AND SERVICES AND WlLL NOT
SUPPLANT ALLOCATIONS.
WHEREAS, EMS Department Paramedics provide basic and advanced life support care,
a unique and highly tectlnica! service to the citi2ens and visitors of Collier County; and
WHEREAS, trle pLifchase of equipment shall greatly enhance the effectiveness of pre-
hospital eme.rgenGY medicnl c.are.
NOW, THERF.FORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS
THAT the $52,583.64 in the EMS Trust Fund will be used to purchase equipment and these
monies will not be lJsed to supplant existing EMS Department budget allocations.
f'
This Resolution adopted this / c,,;t:L day of ~./J-<:'
, 1997 after motion, second and
majority vote favoring same.
DATE: ~.p.'l((':/ lJ7
ATTEST:
DWIGHT E. BROCK,.Clerk
~ : ?:t;~~~ ,IJ), r&
Approved ns to form and
legal sufficiency:
State of FLORIDA
County of COLLIER
sJwi~ A~.l/l A-.
Heidi Ashton
Assistant County Attorney
I HEREBY CERTIFY THAT this is a true and
correct copy of a document on file in
Board Minutes and Records of Collier County.
WITNESS my hand and official seal this
day of
DV..'IGHT E. BROCK, CLERK OF COURTS
By:
D.C._
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1 6 D ,., 2. .,;
EMERGENCY MEDICAL SERVICES COUNTY GRANT APPLICATION
STATE OF FI.ORIDA
DEPARTMENT OF HEALTH
BUREAU OF EMERGENCY MED/CAL SERVICES
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GRANT NO. C 97-11
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rBU4'rd of County Commi:.csiOil'iB-(grant96) Identification:
I
IName of COlJrlty:~OL~___
(USi~eSS Address: 31Q L!L.Jarn i ~m i TJ' i I
Nap1esn Florida, 33962
PI10ne # ( 9411 7~4-8~~ ______~UNCOM#
1/2. Certification: /, t.fle undemigned official of the previously named county, certify thai to-I
1'0 the best of my know/edge and belief all information and data contained in this EMS County
Grant Application and its attachments are true and correct.
My signature acknowledges and ensures that I have read, understOOd, and will comply fully with
the Florida EMS Grants Program Handbook October, 1996
77tle: Cha i t'man
Name.'.J.1j rll~" R f.' 1 rt ~ III
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Title: Chief
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Business Ado'ress.~_'L1ill..-.E~ TallJiami Trail, Sui Idinq H
Naples,
flo~ida" 34112
(City)
(State) (Zip)
Telephone:( 941)_774-8459
SUNCOM:
County's Federal Tax Identification Number: VF _ 5 96000558
HRS Form 1684, October sa
22
~. ---,r9$oIutJon: Attach II reBiilution from the Biiard of County Comrnissionel'S cerliIyiijjj:!
monies from th6 EMS County Grant 'w;!I improve end expand the county's prehospbJ EM
~~~ that ~ grant monies will nat be used to $Upplanl exi3tMJfI ~ EUS. b j
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Wo'* Activities:
Time Frames:
Bid, purc~ase and distribute equipment
Six (6) ~onth~ after
contraC't begin.s.
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B.
APPUCA710N
(RfKlulros Signature)
REQUEST FOR COUNTY DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EIdS)
COUNTY GRANT PROGRAM
In acr;ordance wfih the prov/sJot1S of Srtction 401,113(2)(8), F.S., the unders/gled heroby
requests all EMS county award distribution (advarx:e payment) for th8lmp"O'~ment and
oxplmsJon of prehospitsl EMS.
Payment To:
COLLIER COUNTY BOARD OF COMMISSIONERS
NameC5n.1oard orCOunty l,;ommissloners (l-'ayee)
3301 East Tamiami T~ail,
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Naples, F.lor.1.da", 34112
(Glty) (~tate) (Lip)
Federal Tax ID Number of county: VF .2.1. ~ Q... ..Q..9-..2 2... L
SIGNA TURE:
-_u Date:
Printed Name: Timothy L.
Title: Cha i rman
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sr(iNAND RETURN WITH YOUR GRANT APPUCATlON TO:
. ST: . ',. ',.'~ DrJ/,artment of Health
!OO E. B~CK/, CLERX Bureau ~k~J.~~g%~;~:'::~rervic~~Drp'0~ as to form &.. le9~1 s~ffici(:r,t
- " /j __ South Tower 912-d d-' ( 1.( " ( I ,_.-
. .~..... ::;z:.;~~--:--~ Orlando Florida 32801-1782 ~ l < LU-," .J , '-
""DePUty Cl erk' .' Ass ista:lt County AttcrneJ
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Below this point for use only I:!y Department of Health
Bureau of Emergency Medical services
Amount: $ 53,583.64
Grant Number:
97-11
Approved By:
- ~/gnature, ~tafe EMS"G'fan1 C;ffscer -
Date:
Fiscal Year:
Orqanization Code
l:f()..~U-6U-JU-1 uo
Federal Tax 10 V F
Amount: $
EO.
r=rR
Ob~Code
f 60
Beginning Date of Grant:
Ending Date:
25