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Agenda 12/04/2008 W City <o>f Marc<o> ][sland City 01 November 21, 2008 The Honorable Board of Collier County Commissioners Collier County, Florida The Honorable City Council City of Marco Island, Florida Ladies and Gentlemen: I am very pleased to welcome you to this joint meeting of the Marco Island City Council and the Collier County Board of Commissioners, and appreciate your engagement, your participation, and your commitment to constantly improving our Island community and all of Collier County. I believe that our combined hope is that we can continue to discuss, debate, and resolve issues facing our communities, and reach mutually acceptable resolution to the challenges that we face in our roles as legislators and governors. In the attached binder you will find a series of presentations, focusing primarily on the services shared or provided by the City and the County on Marco Island. Most of this is good news - we have a number of very good things going on in this community as we continue to improve the quality and level of service for our residents. At the same time, there are always concerns that the residents and businesses of Marco Island should receive a fair return on tax dollars with the appropriate level of service as dictated by need and availability, ifnot a dollar for dollar return on these taxes. Our staffs have coordinated these discussions, and I hope that the facts and information presented will lead to substantive discussion on the policy issues that we face. I am looking forward to this discussion, and look forward to many such discussions in the upcoming years. Thank you again for your efforts to constantly improve services on Marco Island and in Collier County, and [look forward to seeing you on December 4th. Sincerely, _ } i/___ n '( '/ ' - ./ it')! /i~~ //t William D. Trotter, Chairman Marco Island City Council [If! Bm1d Ea~ll' Ilnw, M,,,'m Isj",nd, Fllm.;d" :;~1 14S i1239D3tl9.iAWO FAX 123'1)389.-13[1') \V W'\\ , I' ; 'l } n r nl I~ 1'1' DJ S ] l~ nil r.():I1:1 ~ City Council of Marco Island Florida ;o':~::jW;:,,"" l-....u/: Chairman: William D. Trotter City Council: Ted Forcht, Jerry Gibson, Chuck Kiester, Robert J. Popoff, Frank R. Recker, Wayne Waldack City Manager: Steven T. Thompson City Clerk: Laura Litzan City Attorney: Alan L. Gabriel f'o. Board of Collier County Commissioners -"-"~,t'" Chairman: Tom Henning Vice-Chairman: Donna Fiala Commissioners: Jim Coletta, Fred W. Coyle, Frank Halas, County Manager: James V. Mudd Deputy County Manager: Leo E. Ochs, Jr. County Attorney: Jeffrey A. Klatzkow Special Joint Meeting AGENDA Thursday, December 4, 2008 1 :00 PM Community Meeting Room 51 Bald Eagle Drive Marco Island, Florida Notice: Any person who decides to appeal any decision of this Council/Board with respect to any matter considered at this meeting will need a record of the proceedings and may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be heard. 1. ROLL CALL 2. INVOCA TION AND PLEDGE OF ALLEGIANCE 3. WHA T WORKS WELL IN CITY AND COUNTY COOPERA nON AND SERVICES (A) CA T Bus System (B) Hurricane and Emergency Management Coordination 4. ITEMS FOR DISCUSSION (A) Emergency Medical Services (EMS) and Fire. (8) Law Enforcement - Coordinating Services with Marco Island Police Department and Collier County Sheriff's Office. (C) Town Center Redevelopment Area (CRA). (D) Community Development I Affordable Housing 5. CONCLUSION - ITEMS FOR NEXT DISCUSSION. Proposed meetinas: (A) March 2009 (B) July 2009 6. ADJOURN Public comment is limited to four minutes. The timekeeper located on the podium is there to assist citizens with keeping track of the four-minute public comment period. The green light will turn yellow and a tone will sound when 30 seconds remains; the light will turn red and will sound repeatedly when time has expired. . . ... ..~.. ..... ..... ..~...... ............... ................... .~..... .;..... .-:.... ...~....... :...... ......;.... ..~...... .~.......:.... ...~ ..... .'':.'' ...-:. ...... ~....... .... 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'.....r. ..T.....T... . . .......~...... ............. . . . . . . ............................ . . . . . . . . . . . . . . , . . . ..............-..........- . . . . . . . . . . . . . . . . . . . , . ............................ . . . . . . . . . . . . . . . . . . . . . .......................~.... . . . . . . . . . . ,;; .......:-.......:-......~.... . . . . . . . . . . . . . . 'II; . . . . . . . . . . . . . . . :::::1::::t::::::::: . . . . . . . . . . . ..............-........... . . . . . . . . . . . . . . . , . . ..............-........... . . . . . . . . . . . . .......................~.... . . . . . . . . . . . . . . . . . . .......~.......:._-....~.... . . . . . . . . . . . .........---................... . . . . . . . . . . . . Citvol City Council of Marco Island Florida trnfJl'i~h;; . Chairman: William D. Trotter City Council: Ted Forcht, Jerry Gibson, Chuck Kiester, Robert J. Popoff, Frank R. Recker, Wayne Waldack City Manager: Steven T. Thompson City Clerk: Laura Litzan City Attorney: Alan L. Gabriel ~o Board of Collier County Commissioners ~~~'tk" Chairman: Tom Henning Vice-Chairman: Donna Fiala Commissioners: Jim Coletta, Fred W. Coyle, Frank Halas, County Manager: James V. Mudd Deputy County Manager: Leo E. Ochs, Jr. County Attorney: Jeffrey A. Klatzkow PUBLIC NOTICE Special Joint Meeting Thursday, December 4, 2008 1 :00 PM Community Meeting Room 51 Bald Eagle Drive Marco Island, Florida The Marco Island City Council and the Board of Collier County Commissioners will hold this special joint meeting to discuss matters of mutual interest regarding services shared or provided by the City and the County on Marco Island. A full meeting agenda will be available prior to the meeting. . . tlT'l t()u//tlt '::~~CO,\S~~~~:J ()r RI1Rt() IgM//{} '." '-:;'t City of ,-' ad BMR{} ()r t()LLIER t()u//" t()RR/cfcfl()//ERg #3. IVM.t Itf,,./, IVJI'ir &~ -' e'M~ e,~ftiJl( fJJfr/ g~N4 11. MT Bfl4' ~~ B. 1f<<l"1'f;'~ &- ~~I !ffl/(~t (j,,""iratti~ . . Q) - ,Q) en u.;- ctS ,,,~Q) ~ ~ Q) ;4 ~ ctS ctS .r:. C~ 0> ~ Q) - C 0 en Q) -0.. 0> Q) Q. "'0 C ctS 0 C -- ~ _.r:. ctS 3: 0"'0 en ~ o E C en Q) OE~:J Q) -_enO 3: ~ E ;e -~ Q) -00> E ~~enE - Q)"'OctSo 5 -cQ)~ octS~- .r:. _ctS"'O 0> E~"'O C ~5 Q) 0 C ctS ~ ~ (j)uctSo~E >- ~ - .0 en ctS Q) C -- en 00:::::: u - Q) en 0::::: C _Q Q) - :J 0 -i:: - .r:. :J .o-ll.{g-e 1-~:JO"'Oen <(Q)<(Q.~:J ()~ en 0_ ~ t:: C en -i:: en Q)OoctS~ctS"'O .r:.3:ll.~ctS>C en -en Q.en Q) 0>"'0 ~ ~ ~ ~ C ctS Q) ctS Q) Q) - i:: 0::::: Q)::::: Q) caa:Oc03: . . . ~ I!I 11~1'! II ! ililU i!1 !n~,! ~ ~~( I !l111 ~I! ! Ii! :ill:: El~ ~ Ii! .11 Ih'II'd: !1I1:il1~ l;e~ !!!rl~ , , I i~!,~ iil'lll 1_n_n.1 !ill d'!!! 1~llii ;::ill ,iji ~,I ! ; '. j-----,- .. I I ! I I 11;'1 I -~'II !I,E! 1'1.1 ! II , '"~.;; ~.. '!'!..o;o! !!l . !- _,I "":1 - !ilil~1 ; ~ ~,~; .' I. I !IIIII ;ill II.IIIE I i I ; i aUii! I iei.lii! I.l! !'I :I '" '1Ila '!II I ~ ,e.. ,lei o;o! ;1!tI:l,. ~ ~ ::I -, _ - -1-='" '-:ii, - N .-:1' ! ! · I 111'1 I -ill I I I i ii ~ oid" -, ,N,'" .. I-T1---~- - j-F-' lil!'1 Iii. II!.I ~ Ii I ..... -I ::._tN . . tfTll tOt(/ltlL or KI1RtO /cftll/lf} / ,,\> . ,\,;"p... '. City of -,I:> ~ BtJI1Rf} or tOU/ER tOt(/lTf/ tOKK/cfcf/O/lERcf If. ltur~ p" f)~;~ . 11. &~tJl tlfuIJeal guwU4 (Etlfcf &- n-"" B. LfUII Erfo/Wl(urt e. TiIQI( Oe,reu. ReI"J,'pMurt IfI'eQ (tRIf) /J. tOMMtlI(/~ {)"J,IMurt / IfIfol'fiaJlt, !foal/if! . . Fire-EMS Ensuring Access to the Best Service Available Providing it Better and More Cost Efficient Continuing Goals Saving lives and properties. Providing quality service. Continue and improve cooperative working relationship. Maximize the utilization of existing resources. Maximize utilization of Citizens tax dollors, City and County. Ensure Marco Island Taxpayers receive bang for their Dollars. Ensure appropriate funding and minimize Marco Residents and businesses as donor community. Develop sound and fair financial strategies options for the future. Existing System . Approximotelv 3.000 calls for service . One Battalion Chief . One ALS Engine . One ALS Aerial . One Fire/EMS Transport Existing System . Cooperative working relationship between department personnel. . Personnel in street work together to save lives and property. Qrt County ll-Asslanod 2 - Asslanod . ALS Enaine Aareement. . County lCity agreement- Enginel Aerial operate as State licensed paramedic units. . City personnel ride County Transport and County Personnel ride City Fire Unit. . All personnel ot both departments do EMS and Fire. . Response Aareement- Nov.2008 - April 2009 . Changes unit response system . Engine and Transport respond to critical calls . Engine responds to certain types ot calls and transport remains available. Engine determines transport needs. . Marco Division Chiet determines what units respond. . Calls and program reviewed with shilt personnel. Agreements now Other Cooperative Efforts . Realonalization . Merger of : City of Marco Fire Rescue, Collier County Fire/EMS, Isle of Capri Fire Rescue and Ochopee Fire Rescue. . Status- Began talks two+ years ago, created organization model, on hold. . Consolidation . Creation at Countywide Fire/EMS Department under a Special Taxing District. . Status- Began talks 2+ years ago, City has participated from beginning. . Plan has been developed Funding Property Value r~''''<'<'; 1997 2000 2005 2OG6 . 2008 ''.'"~''~''' '" ._-~-~~...._.., $2,841,082,435 $S'.814,706.403 $9,487,437,304 $.t:z.~6.1-68.~ $10,486,293,910 Funding Sources- 2008- Fire/EMS . Cltv of Marco -Tax-.26mill . Goodland Agreement . $ 102,414 . User Fees . Fire Prevention . Plans, Inspections and Impact . Fire Alarm . Hazardous Material . Violation of Law . Grants . WMD State Funding Issues . Taxpayers in Marco Island and County seek relief. . Can we Develop Funding Sources where Growth Pays lor Growth. . Can Marco Island Taxpayers receive back some of current County collected EMS money (Not $ for $ basis)? . Positive-Fair Action and utilization of existing resources will save all money. . Collier Countv . Tax-.1531 mill . District I Tax ~ 1.0343 mill . User Fees . Transport 950- $850,946 billed $484,000 collection Helicopter 8- $ 69,680 . Treat no Transport 300 at $175. . Impact . Grants . EMS . State~Local Recommendations -10- Creote smoll work group consisting ot One City Council member and One County Commissioner with stoff representatives assigned by Managers: . Mission: Return in 70 days possible suggestions on revenue utilization . 1 b. Create small work group consisting of City and County Manager with staff members: . Mission: Return in 70 doys possible suggestions on revenue utilization ~" .~. Emergency Medical Services (EMS) 64J-l.004 Medical Direction. (I) Each ALS, BLS or air ambulance provider shall maintain on file for inspection and copying by the department its current contract for a medical director by which it employs or independently contracts with a physician qualified pursuant to this section to be its medical director. (2) There is no standard format for a medical director's contract, however, in drafting such an instrument, the following provisions may be addressed: (a) Name and relationship of the contracting parties. (b) A list of contracted services inclusive of medical direction, administrative responsibilities, professional membership, basic and advanced life support review responsibilities, and reporting requirements. (c) Monetary consideration inclusive of fees, expenses, reimbursement, fringe benefits, clerical assistance and office space. (d) Termination clause. ( e) Renewal clause. (I) Provision for liability coverage. (g) Effective dates of the contract. (3) Qualifications: (a) A medical director shall be a Florida licensed M.D. or D.O. (b) In addition to all other provisions applicable to medical directors in this rule, an air ambulance medical director shall be knowledgeable of the aeromedical requirements of patients and shall evaluate each patient in person or by written protocol prior to each interfacility transfer flight for the purpose of determining that the aircraft, flight and medical crew, and equipment meet the patient's needs. (c) A medical director shall be board certified and active in a broad-based clinical medical specialty with demonstrated experience in prehospital care and hold an ACLS certificate or equivalent as determined in Chapter 64J-l.022, F.A.C. Prehospital care experience shall be documented by the provider. (d) A medical director shall demonstrate and have available for review by the department documentation of active participation in a regional or statewide physician group involved in prehospital care. (4) Duties and Responsibilities of the Medical Director. (a) Develop medically correct standing orders or protocols which permit specified ALS and BLS procedures when communication cannot be established with a supervising physician or when any delay in patient care would potentially threaten the life or health of the patient. The medical director shall issue standing orders and protocols to the provider to ensure that the provider transports each of its patients to facilities that offer a type and level of care appropriate to the patient's medical condition if available within the service region. The medical director or his appointee shall provide continuous 24-hour-per-day, 7-day-per-week medical direction which shall include in addition to the development of protocols and standing orders, direction to personnel of the provider as to availability of medical direction "off-line" service to resolve problems, system conflicts, and provide services in an emergency as that term is defined by Section 252.34(3), F.S. (b) Develop and implement a patient care quality assurance system to assess the medical performance of paramedics and EMTs. The medical director sha1l audit the performance of system personnel by use of a quality assurance program to include but not be limited to a prompt review of patient care records, direct observation, and comparison of performance standards for drugs, equipment, system protocols and procedures. The medical director sha1l be responsible for participating in quality assurance programs developed by the department. (c) With the exception of BLS medical directors each ALS or air ambulance service medical director sha1l possess proof of current registration as a medical director, either individua1ly or through a hospital, with the U.S. Department of Justice, DEA, to provide contr01led substances to an EMS provider. DEA registration shall include each address at which controlled substances are stored. Proof of such registration sha1l be maintained on file with each ALS or air ambulance provider and sha1l be readily available for inspection. (d) Ensure and certity that security procedures of the EMS provider for medications, fluids and contr01led substances are in compliance with Chapters 499 and 893, F.S., and Chapter 64F-12, F.A.C. (e) Create, authorize and ensure adherence to, detailed written operating procedures regarding a1l aspects of the handling of medications, fluids and controlled substances by the provider. (I) Notity the department in writing of each substitution by the EMS provider of equipment or medication. (g) Assume direct responsibility for: the use by an EMT of an automatic or semi-automatic defibri1lator; the performance of airway patency techniques including airway adjuncts, not to include endotracheal intubation, by an EMT; and on routine interfacility transports, the monitoring and maintenance of non-medicated LV.s by an EMT. The medical director shall ensure that the EMT is trained to perform these procedures; shall establish written protocols for the performance of these procedures; and shall provide written evidence to the department documenting compliance with provisions of this paragraph. (h) An EMT employed by a licensed ALS provider is authorized to start a non-medicated IV under the following conditions: I. A non-medicated IV is initiated only in accordance with department approved protocols of the licensed ALS provider's medical director. These protocols must include a requirement that the non-medicated IV be initiated in the presence of a Florida certified paramedic (of the same licensed provider) who directs the EMT to initiate the IV. 2. If the licensed ALS provider elects to utilize EMTs in this capacity, the licensed EMS provider shall ensure that the medical director provides training at least equivalent to that required by the 1999 U.S. D.O.T. EMT- Intermediate National Standard Curriculum relating to IV therapy which is incorporated by reference and available from the Superintendent of Documents, Post Office Box 371954, Pittsburg, PA 15250-7954. The licensed EMS provider shall document successful completion of such training in each EMTs training file and make documentation available to the department upon request. (i) Ensure that all EMTs and paramedics are trained in the use of the trauma scorecard methodologies as provided in Rule 64J-2.004, F.A.C., for adult trauma patients and Rule 64J-2.005, F.A.C., for pediatric trauma patients. (j) Develop and revise when necessary TTPs for submission to the department for approval. (k) Participate in direct contact time with EMS field level providers for a minimum of 10 hours per year. Notwithstanding the number of EMS providers served by the medical director, direct contact time shall be a minimum of 10 hours per year per medical director, not per provider. (I) Ifhe is a medical director of a training program: 1. Be responsible for the instruction of the Department of Transportation (DOT) approved training program for EMTs and paramedics. 2. Have substantial knowledge of the qualifications, training, protocols, and quality assurance programs for the training facility. 3. Maintain current instructor level training in Advanced Cardiac Life Support (ACLS), or equivalent, or Advanced Trauma Life Support (A TLS), maintain provider level training in International Trauma Life Support (ITLS) or Prehospital Trauma Life Support (PHTLS); and Advanced Pediatric Life Support (APLS), Pediatric Advanced Life Support (PALS) or Pediatric Education for Prehospital Professionals (PEPP). 4. Act as a liaison between training centers, local EMS providers and hospitals. 5. Participate in state and local quality assurance and data collections programs. 6. The EMS training center shall by contract, require such medical director to be available 4 hours per month for classroom teaching or review of student performance, and participate in direct contact time with EMS field level providers for a minimum of 10 hours per year. Notwithstanding the number of training centers or EMS providers served by the medical director, direct contact time shall be a minimum of 10 hours per year per medical director, not per training center. 7. Participate in the recruitment, selection, and orientation of instructors and preceptors. 8. Participate in student selection, mid-term evaluation and final practical examination of students. (5) The medical director of a licensed EMS provider may authorize paramedics under his or her supervision to perform immunizations pursuant to a written agreement with a County Health Department in the county in which the immunizations are to be performed. Should the medical director elect to utilize paramedics in this capacity, he or she shall verify on DH Form 1256, Certification of Training, July 98, which is incorporated by reference and available from the department, that each paramedic authorized to administer immunizations has completed training consistent with that of other staff giving immunizations in the County Health Department as required by the Director of that County Health Department. Specific Authority 381.0011, 395.405, 401.265, 401.272, 401.35, 499.05 FS. Law Implemented 401.23. 401.24, 401.25, 401.26. 401.265,401.27,401.281,401.2915,401.30.401.34, 401.35, 401.41, 401.411, 499.005 FS. History-New 8-7-89, Amended 6-6- 90, 12-10-92, 1-26-97, Formerly 1 OD-66. 0505. Amended 8-4-98. 1-3-99, 2-20-00, 4-15-01, 11-19-01, 10-24-05, 12-18-06, Formerly 64E-2.004. Effective 10-1-2008 8 EMERGENCY MEDICAL SERVICES 64J-1 'I~flll_'''' ~> 'U';:, \ '" F<"7> "'~'. ITEM PRICE QTY TOTAL Ace Bandaae 3" $0.27 1 $0.27 Ace Bandaae 6" $0.61 1 $0.61 Airwav Baa, Green $59.00 1 $59.00 Airwav, Nasal 12 fr $2.10 1 $2.10 Airwav, Nasal 14 fr $2.10 5 $10.50 Airwav, Nasal 16 fr $2.10 2 $4.20 Airway, Nasal 18 fr $2.10 2 $4.20 Airwav, Nasal 20 fr $2.07 2 $4.14 Airway, Nasal 22 fr $2.07 2 $4.14 Airwav, Nasal 24 fr $2.07 2 $4.14 Airway, Nasal 26 fr $2.07 2 $4.14 Airwav, Nasal 28 fr $2.07 2 $4.14 Airway, Nasal 30 fr $2.07 2 $4.14 Airwav, Oral 100 $0.13 2 $0.26 Airway, Oral 110 $0.13 2 $0.26 Airwav, Oral 40 $0.13 1 $0.13 Airway, Oral 50 $0.28 1 $0.28 Airwav, Oral 60 $0.13 3 $0.39 Airway, Oral 70 $0.13 1 $0.13 Airway, Oral 80 $0.28 4 $1.12 Airwav, Oral 90 $0.13 2 $0.26 Alcohol Preas $0.70 1 $0.70 Ammonia inhalants $1.45 1 $1.45 Armboard $0.46 2 $0.92 B/P cuff, adult $6.25 2 $12.50 B/P cuff, infant $6.25 1 $6.25 B/P cuff, oedi $6.25 1 $6.25 B/P cuff, xl $6.25 1 $6.25 BAAM's $5.95 1 $5.95 Bandaids $1.19 1 $1.19 Betadine Swabs $2.85 1 $2.85 Bia Hazard red baas, larae $0.24 2 $0.48 Bio Hazard red baas, small $0.09 3 $0.27 Bite Stick $0.30 1 $0.30 Blanket, disposable $5.04 1 $5.04 Blanket,Thermal Reflective $0.45 1 $0.45 Blue Pediatric Baa $45.00 1 $45.00 Broslow Taoe $32.62 1 $32.62 Bulb syrinae $0.39 1 $0.39 BVM Adult $8.81 1 $8.81 BVM infant $8.81 1 $881 BVM Dedi $8.81 1 $8.81 C02 Detector $7.31 1 $7.31 Collar baa $13.49 1 $13.49 Collars, adiustable $4.99 5 $24.95 Collars, mini adiustable $4.99 3 $14.97 Convenience baas $0.90 1 $0.90 Cotton Tipped Appilcators $0.01 1 $0.01 Cravat $0.18 4 $0.72 CricKit $2.50 1 $2.50 Endolock $2.87 1 $2.87 ET tube 2.5 $1.05 2 $2.10 ET tube 3.0 $1.05 2 $2.10 ET tube 3.5 $1.05 2 $2.10 ET tube 4.5 $1.05 2 $2.10 ET tube 5.5 $1.05 2 $2.10 ET tube 6.0 $1.08 5 $5.40 ET tube 7.0 $1.08 2 $2.16 ET tube 7.5 $1.08 2 $2.16 ET tube 8.0 $1.08 2 $2.16 Eye cover $1.06 2 $2.12 Eve Cuos $0.10 2 $0.20 Eye oad $0.09 2 $0.18 Gauze, 4x4 loaf $1.45 1 $1.45 Gauze, 4x4 sterile $1.44 5 $7.20 Gauze, 8x10 $0.12 4 $0.48 Gauze, Klino $1.10 9 $9.90 Gauze, Vaseline $0.48 4 $1.92 Gloves, Suoreno, Laroe $5.67 1 $5.67 Gloves, Supreno, Medium $5.67 1 $5.67 Gloves, Suoreno, Small $5.67 1 $5.67 Gloves, Supreno, XL $5.67 1 $5.67 Glucometer Free w/case of sensors 1 $0.00 Glucometer lancets $18.00 1 $18.00 Glucometer sensors $24.00 1 $24.00 Intubation Roll $34.45 1 $34.45 Isolation mask $0.04 4 $0.16 Isolation mask w/shield $0.37 6 $2.22 IV cath 14 aa $1.74 4 $6.96 IV cath 16 oa $1.74 4 $6.96 IV cath 18 qa $1.74 6 $10.44 IV cath 20 oa $1.74 4 $6.96 IV cath 22 qa $1.74 2 $3.48 IV Venioard $40.00 1 $40.00 KED $69.00 1 $69.00 Kina Tube # 3 $34.00 1 $34.00 Kinq Tube # 4 $34.00 2 $68.00 Kino Tube # 5 $34.00 1 $34.00 Kinq Tube Get-A-Grio $2.87 1 $2.87 KY Jelly $0.02 5 $0.10 Larvnqoscope blade MAC 2 $4.00 1 $4.00 Larvnqoscope blade MAC 3 $4.00 2 $8.00 Larvnqoscooe blade MAC 4 $4.00 1 $4.00 Larvnqoscooe blade MILL 1 $4.00 1 $4.00 Larvnqoscope blade MILL 2 $4.00 2 $8.00 Larvnooscooe blade MILL 3 $4.00 1 $4.00 Larvnqoscooe Handle $11.59 2 $23.18 Macro drio tubino $1.48 4 $5.92 MAD (Mucosal Atomizer Device $2.06 2 $4.12 Maaill forceps $0.79 1 $0.79 Maaill forceos Dedi 8" $1.85 1 $1.85 Meconium Aspirator $0.84 1 $0.84 Med box $69.60 1 $69.60 Mettaas $0.63 20 $12.60 Mini drip tubina $1.41 2 $2.82 N95 mask $1.03 2 $2.06 Nebulizer $0.60 1 $0.60 Needle, Butterflv 19a $0.34 1 $0.34 Needle, Butterfly 21a $0.34 1 $0.34 Needle, Butterfly 23a $0.34 1 $0.34 Needle, Butterfly 25a $0.34 1 $0.34 Needles 18 aa $0.03 2 $0.06 Needles 21 aa $0.03 2 $0.06 NG Tubes 10fr $1.06 2 $2.12 NG Tubes 12fr $1.06 1 $1.06 NG Tubes 14fr $1.06 1 $1.06 NG Tubes 16fr $1.06 2 $2.12 NG Tubes 8fr $1.06 2 $2.12 02 cvlinder (0) empty $45.00 1 $45.00 02 mask Adult $0.82 4 $3.28 02 mask infant $1.08 4 $4.32 02 mask Ped $0.77 4 $3.08 02 nasal cannula $0.31 2 $0.62 02 nasal cannula, ped $0.49 4 $1.96 02 Reaulator $108.18 1 $108.18 02 washers/aasket $0.87 1 $0.87 02 wrench, sm $0.38 1 $0.38 02 xmas tree $0.22 1 $0.22 OB kit $4.17 1 $4.17 OB stockinette cap $0.50 1 $0.50 Pack Cold $0.92 3 $2.76 Pack hot $1.07 2 $2.14 Paramedic scissors $0.69 2 $1.38 Pedi Immoblizer $217.95 1 $217.95 Penliaht $0.55 1 $0.55 Razor $0.19 1 $0.19 Red Trauma baa $45.00 1 $45.00 Res-Q-pod $89.00 2 $178.00 Res-Q-pod adapters $0.45 2 $0.90 Restraint Set $3.00 2 $6.00 Rina cutter $2.45 1 $2.45 Safety olasses $1.03 2 $2.06 Sham shuttle $1.67 2 $3.34 Sharps box, IV tray $1.35 1 $1.35 Spineboard/Backboard $142.67 2 $285.34 Solints, 12" $0.90 2 $1.80 Splints, 18" $1.00 2 $2.00 Solints, 24" $1.28 2 $2.56 Splints, ladder $3.05 2 $6.10 Sta-blocks, case of 30 $117.00 1 $117.00 Stehoscope, pedi $2.95 1 $2.95 Stethoscope Adult $10.06 2 $20.12 Straps 9ft $2.63 9 $23.67 Stvlette, Adult $2.75 2 $5.50 Stvlette, Infant $2.75 2 $5.50 Stylette, Pedi $2.75 2 $5.50 Suction canister $2.20 1 $2.20 Suction Catheter 10fr $0.21 1 $0.21 Suction Catheter 12fr $0.21 1 $0.21 Suction Catheter 14fr $0.21 1 $0.21 Suction Catheter 6fr $0.21 1 $0.21 Suction Catheter 8fr $0.21 1 $0.21 Suction tonsil $0.44 1 $0.44 Suction tubinQ $0.52 1 $0.52 Suction, portable $519.00 1 $519.00 SvrinQe 10ml $0.08 2 $0.16 Svrinae 1 ml $0.06 2 $0.12 SvrinQe 20ml $022 5 $1.10 Syringe 3ml $0.04 3 $0.12 SvrinQe 60ml $0.28 1 $0.28 Tape 1" $0.34 5 $1.70 Tape 2" $1.00 2 $2.00 Thermal Reflective Blanket $0.45 1 $0.45 T ona ue blade $0.02 1 $0.02 Tourniquet $0.10 4 $0.40 Trauma Baa, Pedi, Blue $45.00 1 $45.00 Trauma BaQ, Red $45.00 1 $45.00 Trauma dressina $0.58 3 $1.74 Trauma sleeves $0.10 6 $0.60 Triaae Vest $29.75 1 $29.75 loll pulse ox sensor, infant $17.00 2 $34.00 loll pulse ox sensor, ped $15.00 2 $30.00 loll recorder paper $58.65 1 $58.65 Albuterol $0.17 4 $0.68 Amiodarone $7.16 2 $14.32 Aspirin $0.81 1 $0.81 Atropine $1.65 2 $3.30 Atroventllpratupium Brom $0.19 4 $0.76 050 $2.33 2 $4.66 Diphenhydramine $1.14 1 $1.14 Epinephrine 1:1000 ampule $0.57 2 $1.14 Epinephrine 1: 1 0000 $1.67 3 $5.01 Epinephrine multidose vial $2.85 1 $2.85 Mister Blister $5.08 1 $5.08 Narcan/Naloxone $9.90 2 $19.80 Nitro $68.25 1 $68.25 Oral glucose $3.37 2 $6.74 Solution LR $1.21 3 $3.63 Solution NS $1.10 2 $220 Sterile H20 IRR $1.08 2 $2.16 loll ECG monitor $21,800.00 1 $21,800.00 loll battery charQer $1,650.00 1 $1,650.00 $26,409.53 .1 City of MUIlo lalnd ll'lre Releae Deparlmellt ALS Reaouree Operational Pin Odober 1, :Z008 ObJedlve The objeetive of this plan is to develop a Pilot Program Inteoded to evaluate a modified supervisory span-of-eontrol and IeSpODSe plan to maximize the utilization of all pro-hospital BLSI ALS resources, provide cosl effeetivene&8, and improve operational eflk:lencies. This Operational Plan is delJisned to improve the availability of n:SO\II\:CS during concurrent incidents, maximize command oversight, and to maintain readiness and availability of the transport unit for incldenls involving pstienta ofhigh-aculty. The Pilot Program will commence Octobet27, 200B through Man:h 27, 2009 for cwaluation purposes. Procedure Marco Island Fire Rescue and Collier County EMS units 81ationed al Slation 50/51 willl\l8pond 10 medical emergencies utilizing the following procedure: 1. An ALS Engine will be fU'81 OUI for all incidents of medical emergeney. On arrival the cn:w will initiate palient assessment Ilteatmenl and detennlne the transportation need. If the palient requests tranaport by CCEMS, the Company Officer will make the request to ControL If consenl is implied the Company Officer will notifY Control to dispatch CCEMS for lransport The on-scene Company Officer will also detenniml the CCEMS unit mode ofzesponsll (respond or enroute) ~ I~rm/nology ALS EngIlN rtife,.. 10 ~llh",. on t:ngl"" 0' A.,1Id un/to) 2. Exc"!,,ion: An ALS Engine and CCEMS Unit will respond to the following call type: Cardiac Arresl Respiratory DiItress / Arlest Drowning Chesl Pain Electrocution Man Down Vehiele Accident Chemical exposure Bums Airway Obstruction Childbirth Unconscious A1tered LOC 3. In si1uations of concurrent calls nol meeting exception #2. the ALS Engine n:sponds to the IllSt incident, MR 50 ~ds to the second incident if staffed al 3 pelSOllJlel, leaving an ALS Engine available tor fire and medical emergencies. 4. The Marco Island Fire Rescue BatlB/ion Chief in cooperation with Battalion Chief 80 will maintain direct supervisory oversight of all BLSI ALS resources and baa the latilude 10 send Marco Island n:sources to in-dlstrIcllncidenls based on additional Information received. Oul-of-district IeSpOnsesloperations witl be coordinated through Battalion Chief 80. 5. Both agencies aaree to hold bi-weekly reviewa between Command staffinclllSive of Battalion 50 and Ba<<alion BO. Reviews will inclnde QAlQI review witb tbe Fire Rescue / EMS crews. ~~~ cru-' ,,\VI \01 9Jt~ loj?'floY 6. QA I QI will be conducted OD 100% of calls o<:curring on Marco IlIland with RpreseDt8tiveI from CCEMS and ~o Island Fire Rescue. QAlQI case studies and Rlovant tmMIs will be coordinated by the Office of the Medical Director. 7. All ALS Engines will complete a hard copy trip ticket for each incident, supplying the yellow copy to the Medic Unit upon tranafer of care. ~~ --- . . .' -~ . . 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"" <II ~ .:2 It) :g m 0 ~ .... .... 0 .... co U) '" '" ~ ~ ~ N N '" co 0 0 ~ ~ ~ ;:: - c( I i~ <II .. c c gg glil ct:1ll: ::t:E '" .... ~ ~ - co '" .... ~ 00 "'0> Ill: Ill: :::;;::!E -- :1l:1l ww c ~ l!! c .a 'ii .,0.. :gij e.c I-CJ ",co ........ ~~ ........ ....N U)U) - - "'N co o o ~ >:: .... ~ III Marco Island Fire Depatment CEU Courses Offered October 1 2007 - September 30, 2008 Total Employees Course Date CEU Hours Trained Total Hours Mobil Slm Lab Pesticide Julv-08 2 20 40 Mobil Sim Lab AL T Mental Status June-08 1 22 22 CCEMS Inservice Well Beino of the EMT Januarv-08 2 10 20 CCEMS Inservice Pediatric Resuscitation November-07 3 15 30 CCEMS Inservice Philips Monitor June-08 3 12 36 CCMES Inservice TraumafTasers Auoust-08 2 5 10 CCEMS Inservice Spinal Trauma October-07 2 11 22 EMS 2000 Training Februarv-08 4 6 24 Sub-Totals 19 101 204 ,Jt:~'i'i/+'\'" . i I''''' ResQPod/King- Tube/ETC02 October-07 1 26 26 EMS: End-of-Life Directives October-07 1 26 26 Airway Management for Children with Special Healthcare December-07 1 26 26 EMS - Medical-Legal Aspects of EMS Januarv-08 1 28 28 EMS - Basic Cardiac Assessment Februarv-08 1 27 27 EMS - Advanced Cardiac Pharmacology- Medics Only Februarv-08 1 19 19 EMS - The EMS Response to Toxic Exposures March-08 1 27 27 EMS - Safe Management of the Behaviorai Emeraencv Patient April-08 1 28 28 EMS - Medical Causes of Altered Mental Status Aoril-08 1 27 27 EMS - Liahtnina Strikes Mav-08 1 29 29 EMS - Advanced Management of Environmental Emergencies-Medics Only Julv-08 1,5 16 24 EMS - Basic Patient Assessment Julv-08 1 32 32 t::Mti - Kesponse to I erronsm 1: (;nemlcal Agents and Toxic Industrial Chemicals September-08 2 30 60 Sub-Totals 16.5 367 431 e II - III l!! ~ <( III C,) Ci ~ .!!! > o~ "E .~ :5 l'II ::I 0 MOII)- c;OJ9<;e . 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" ~ '" -0 '" uO) :J '" III Q; E > 0'" ~~ 0) - .~ J!3 ~ III & ~ :J ~ III '" 1Il- E 0 :.0::::; (j) 0'" ':;: a... -~ o '" Q) .!: -- '" '" ~-o " 00 :.0::::; c: .l'l III '0 ~ !!l-o III " ~ .Q "'''' z'o . 0 >-1Il = III "'<( 5-e :;:; ro '" '" ZI ~ . o .., . . ;; "' FY08 Billings and Collections Gross Billinas City of Marco 850,946.75 Countywide 22,249,423.00 City of Marco as % of Countywide 3.82% FY08 City of Marco Taxable Value Contractual to City of Marco Island (for Goodland/Horrs Island Fire Protection Collections 484,708.08 9,132,806.00 5.31% 10,415,115,306 102,415 8 Medflight Transports for $69,680 in Gross Billings Transports 950 24,322 3.91% FY08 Taxable Value for FY 09 EMS Transfer - FY 09 Orig EMS Transfer FY08 Taxable Value for FY 09 GF Transfer (Tax Revenue) Millage Rate (Tax Rate) GF Transfer (Tax Revenue) Fees and Other Revenue Total Revenue Percent of Revenue from Taxes Total Reserves Portion of Reserves from Taxes City of Naples Taxable value City of Marco Taxable Value Total Taxable Value Amount of Lost Revenue EMS Millage Calculations 78,677,407,153 12,049,300 12,049,300 78,677,407,153 12,049,300 0.1531 (15.31 cents per $1,000 of taxable value) 12,049,300 Budgeted Tax Revenue 12,985,600 25,034,900 48.13% (16,200) (7,797) Reserves (reserves were reduced to 2.5% in current year) 17,248,160,366 10,415,115,306 27,663,275,672 27,663,276 4,235,248 (15.31 cents per $1 ,000 of taxable value) Note: Taxable values are for the prior year Taxable values become available mid-October Got all taxable values from Properly Appraiser's website - Tax Roll Summary Information C:IDocuments and SettingslbayartielLocal SettingslTemporary Internet FileslOLK2F11FY 04 - FY 09 Taxllttfb1/2008 ,2.3456.> ~:' ~ "" 1 __ '>0.> ~ L APR 2IXJ5 ~ ~~ RECEIVEr '" fI:>~ ~~ . ..- I' .' I WHEREAS, Collier County desires to make aVailable to Its cItIzens sa c, prolcsslona emergency health care transportation services for the transfer of patients between and among locul hospital raciliti~s; and ORDINANCE NO. 200S - ..li- AN ORDINANCE AMENDING ORDINANCE 04-12 BY AMENDING SECTION FOUR ENTITLED: EXEMPTIONS AND EXCLUSIONS FROM CERTIFICATE REQUIREMENT. WHEREAS. Collier County desires to facilitate the provision of such services and has the necessary equipment, training. expertise. professional certifications and licenses to do so; and WHEREAS. the amendment to Ordinance Number 04-12 results in a benefit to Collier County by reducing response times for ccrt<lin transporls and providing for the availability of more transport vehicles. --l~._ r--l NOW THEREFORE: BE IT ORDAINED BY THE BOARD C'\Ri-CQtlNTY r-:" c.n COMMISSIONERS OF COLLIER COUNTY, FLORIDA: :;;: :;:: " ;;~.' :;-0 _ <:"~i': l-..l i- f~z. \.D ~ Section t: Purpose ~..,,~ ::- t'n ....,--.1 ::r: This ordinance is adopted pursuant to Chapters 125 and 401, Florida ~le!P TP ?:;?1> U\ 0"-' N purpose of this ordinance is to provide better protection for the health, safety and <<rglare of the residents ofeollier County, in ambulance and ALS matters, by establishing unifonn county-wide standards for certification of ambulance or advanced life support or services, or operations by promulgating complete and clear rules and regulations tor operation of all ambulance or rescue companies Of services in Collicr County. Section 2: Definitions A. Advanced Life Support (ALS) shall mean procedures conducted as defined in applicable Florida Statutes and Florida Administrative Code, Section 64E. B. Administrator shall mean the County Manager or his designee. C. Ambulance means any privately or publicly owned land, air, or water vehicle that is designed, constructed, reconstructed. maintained, equipped or operated, and is used tor or intended to be used for air, land, or water transportation of persons, who are sick, injured, or otherwise helpless. D. Board shall mean the Collier County Board of County Commissioners. E. Certificate means a certificate of convenience and necessity as authorized in Section 401.25 (2)(d), Florida Statutes. F. Emergency Call shall mean the transit of an ambulance under conditions which warrants travel with flashing lights and siren operating. G. Operator shall mean any person, organization or governmental entity providing amhulant:c or A LS services. H. Patient shall mean .1Il individual who is ill, sick, injured, wounded, or otherwise incapacitatcd or helpless. \. Routine Call or Routine Transfer shall mean the transportation of a patient under nOI1- emergency call conditions. J. Rescue Service shall mean first response treatment of patients but does 110t include Advanced Life Support (ALS) or transport. Section 3: Requirements For Certificate It shall be unlawful for any person, firm, agency, or any other entity, including governmental units, to provide an ambulance service or provide advanced life support without tirst obtaining a certiticale therefore from the Board of County Commissioners of Collier County. Section 4: Exemptions and Exclusions Prom Certitlcate Requirement Certificates shall not be required for: A. Rescue Services. B. The use of a non.ambulance for any transport of a patient pursuant to the Good Samaritan Act, Section 768.13, Florida Statues. C. Vehicles rendering ambulance.type services when requested to do so by the Board of County Commissioners or County Manager in the event of a major catastrophe or other such emergency which requires more ambulances that are available in the county. D. Ambulances based outside the county which pick up a patient in the county and transport him out of the county, or which pick up a patient out of the county and transport him into the county. E. Vehicles used to transport persons for routine scheduled medical treatments. Vehicles transporting persons who require services en route 8r .vhe rollSt he aRed 8ft a atrets'her are not covered by this exemption. SectloR 5: Procedure For Obtaining Certlneate An applicant for a certificate shall obtain forms from the department to be completed and returned to the Division Administrator. Each application shall contain: A. The name, age. and address of the owner of the ambulance or ALS provider, or if the owner is a corporation, then of the directors of the corporation and of all the stockholders Words underlined added and words stmek dwet:lgft are deleted. 2 Il. . that 25% of the outstanding shares. holdmg more .' . h 1\ be supplied for members afthe governing body. IOtormatlon s a The boundaries of the territory desired to be served. . h h. 'I s the applicant wIll " .' f the ambulances or ot er 'Ie lC e The number and bnet descnptlon 0 for governmental units, this c. E. have available. The address of the intended headquarters and any sub-stations. The training and experience of the applicant. d addresses of three (3) Collier County residents who wiH act us references The names an D. F. H. for the appl icant. A schedule of rates which the service intends to charge. Such other pertinenllnformation as the administrator may require. An application or renewal fee of two hundred fitly dollars ($2S0.00). (Exception Collier G. I. County EMS.) J. Financial data including assets and liabilities of the operator. A schedule of all debts encumbering any equipment shall be included. Section 6: Review of Application The Administrator shall review each application and shall investigate the applicant's reputation, competence, financial responsibility, and any other relevant factors. The Administrator shall also make an investigation as to the public necessity for an ambulance or ALS operation in the territory requested, and shall then make a report to the Board containing his recommendation whether to grant a certificate to the applicant within sixty (60) days of the time the Administrator determines the application is complete. Section 7: Requirement For Board Approval In Granting Certificate The Board of County Commissioners shall not grant a certificate unless it shall find. after public hearing and based on competent evidence that each of the following standards has been satisfied: A. That there is a public necessity for the service. In making such determination, the Board of County Commission shall consider, as a minimum, the following factors: (l) The extent to which the proposed service is needed to improve the overall Emergency Medical Services (EMS) capabilities of the County. (2) The effect of the proposed service on existing services with respect to quality of service and cost of service. Words underlined added and words aklJel[ threugh are deleted. 3 (3) The effect of the proposed service on the overall cost of EMS service in the County. (4) The effect of the proposed service on existing hospitals and other health care facilities. (5) The effect of the proposed service on personnel of existing services and the availability of surticient qualified personnel in the local area to adequately staff all existing services. B. That the applicant has sufticient knowledge and experience to properly operate the proposed service. C. That, if applicable, there is an adequate revenue base for the proposed service. D. That the proposed service will have suft1cicnt personnel and equipment to adequately cover the proposed service area. Section 8: Appointment of Hearing Offlccr In making the determinations provided for in Section 7 above, the Board may, in its sole discretion, appoint a Hearing Officer to hold a public hearing and to make factual findings and conclusions as a result of the hearing. Should a Hearing Ofticer be appointed. said Hearing Officer shall render a written report to the Board within 30 days of the hearing, which report shall contain the officer's findings and conclusions of fact, and a recommended order. The findings and conclusions of fact shall be binding upon the Board. but the recommended order shall be advisory only. Section 9: Rights and Duties Granted By Certificate The certificate grantcd by lhe Board shall be valid for one calendar year and 'shall be personal to the applicant and not transferable. In the case of a corporation, if there occurs such a transfer of stock or other incidents of ownership as to change the majority or largest stockholder, a new certificate must be applied for. Changes in the officers of the corporation will not require a new certificate. Acceptance ofthe certificate by the applicant shall obligate the applicant to: A. Service the entire zone granted to the applicant. B. Provide coverage to adjoining zones, when requested to do so by Emergency Control for emergency calls when the certificate holder for that zone is unable to respond. C. Keep posted at his place of business a copy of the fee schedule, which must be filed with the Administrator (Ifapplicable). Words underlined added and words streelt threuglt. are deleted. 4 D. Operate in accordance with the rules and regulations adopted pursuant to this Ordinance and any applicable County Ordinances, and Chapter 401 Florida Statutes, and any administrative regulatiul1s adopted pursuulll thereto. E. Employ at all times sufficient personnel experienced in operation and management of emergency medical services to ensure proper and efficient operation. Section 10: Renewal of Certificate Each certiticate holder shall tile within ninety (90) days of expiration, an application for renewal of his certiticate. Renewals shall be based upon the same standards. as the granting or the original certificate along with such other factors as may be relevant. The renewal application shall be accompanied by a two hundred and fifty dollar ($250.00) renewal fee. The renewal certificate may be approved routinely by the Board, upon advice of the Administrator, or the Board may hold a hcaring on samc. Section 1 t: Emergency Provisions The Board may modify, suspend or revoke a certificate in the interest of the public health, safety and welfare, only at public hearing and after reasonable notice has been given to the certiticate holder affected. However, if a situation exists which poses a serious lhrcat that ambulance or rescue service will not be available to any certain area of Collier County, the Administrator shall have such temporary emergency powers as are necessary to provide that service. These temporary powers are intended to provide interim protection until such time as the Board meets to resolve the emergency. Section 12: Classifications of Certificates There shall be two (2) classifications of service in Collier County, as follows: A. Class 1: Collier County EMS: ALS Rescue: An EMS provider with the capability of rendering on the scene prehospital ALS services and who mayor may not elect to transport patients. An EMS provider rendering this level of service for a governmental entity shall be. deemed to be operating under the Class I . ALS rescue certificate of public convenience and necessity held by the governmental entity. An EMS provider holding a Class 1 - ALS rescue certificate may provide post-hospital interfacility medical transfer services and routine ALS and BLS calls within the County. A Certificate Of Public Convenience and Necessity must be obtained from the County before engaging in this level of medical service. Words underlined added and words stftlsll thfeligs are deleted. 5 B. Class 2: Collier Counly Hospilals: I. ALS Transfer: An EMS provider who renders ALS interfacility medical transfer services. An EMS provider who is awarded a Class 2 ALS transfer certitlcate nod does not poss~ss a Class I ALS rescue certificate shall not respond to an emergency catt and provide ALS rescue services unless called upon by the appropriate Class t -- ALS rescue provider to provide emergency backup service. In these instances, it shall be deemed to be operating under the Class I ALS rescue certificate of the governmental entity requesting such emergency backup service. 2. Class 2 _ ALS transfer certificate holders may provide post-hospital inteffacility medical transfer services and routine ALS and BLS calls within the County but only to hospitals owned by the certificate holder, however, the Class 2 certificate holder may provide out-of-County transports. Unless an EMS provider possesses a Class 1- ALS Rescue certificate issued by the County, a Certificate Of Public Convenience and Necessity must be obtained from the County before engaging in this level of medical service. 3. Class-2 transfer certificate holders shall contract with the Class I rescue certificate holder's Medical Director for the perfonnance of services set forth in Florida Statutes. Section 40 1.265 and as speci fically set forth herein as follows: a. He shall supervise and accept direct responsibility for the medical performance of the paramedics and Emergency Medical Technicians (hereinafter EMTs). b. He shall develop medically correct standing orders or protocols relating to life support system procedures when communication cannot be established with a supervising physician or when any delay in patient care would potentially tlueaten the life or health oCthe patient. c. He shall issue standing orders and protocols to ensure that the Class.2 transfer certificate holder transports each of its patients to facilities that offer a type and level of care appropriate to the patient's medical condition. d. He or his appointee shall provide continuous 24-hour-per-day, 7_day_per_week medical direction which shaU include. in addition to the development of protocols and standing orders, direction to the Class-2 transfer Words underlined added and words stnlelf tlu'eugh are deleted. 6 certificate holder's personnel as to the availability of "off-line" service to resolve problems, system conflicts, and provide services in an emergency as that term is dclincd by section 252.34(3), Fiorida Statutes. c. He shall establish a quality assurance committee to provide for quality assurance review of all EMTs and paramedics operating under his supervision. f. He shall audit the performance of system personnel by use of a quality assurance program that includes but is not limited to a prompt review of patient care records, direct observation, and comparison of perfonnance standards tor drugs, equipment, system protocols and procedures. He shall be responsible tor participating in quality assurance programs developed by the Class-2 transfer certificate holder. g. He shall cnsure and certify that security procedures of the Class-2 transfer certificate holder for medications, fluids and controlled substances are in compliance with chaplers 401, 499 and 893, Florida Stall/les, and chapter IOD-45 of the Florida Administrative Code. h. He shall create, authorize and ensure adherence to, detailed written operating procedures regarding all aspects of the handling of medications, fluids and controlled substances by the EMS personnel and comply with all requirements of chaplers 401,499 and 893, Florida Statl/tes. I. He shall notify the Florida Department of Health, (hereinafter the "Department") in writing when the use of telemetry is not necessary. J. He shall notify the department in writing of each substitution of equipment or medication. k. He shall assume direct responsibility for the use by an EMT of an automatic or semi-automatic defibrillator; the performance of esophageal intubation by an EMT; and on routine interfacility transports, the monitoring and maintenance of non-medicated LV.s by an EMT. He shall ensure that the EMT is trained to perform these procedures; shall establish written protocols for the performance of these procedures; and shall provide written evidence to the Florida Department of Health documenting compliance with the provisions of this paragraph. Words underlined added and words stmeh thfsklgR are deleted. 7 1. He shall ensure that a\1 EMTs and paramedics are trained in the use of the trauma scorecard methodologies as provided in sections 64E-2.017 of the F.A.C., for adult trauma patients and 64E-2.0175, F.A.C., for pediatric trauma patients. m. He shall participate as a crewmernber on an EMS vehicle for a minimum of to hours per year and complete a minimum of to hours per year of continuing medical education related to pre~hospilal care or leaching or a combination of both. n. He shall ensure that all of the Class-2 transfer certificate holder's EMTs and paramedics have all proper certitications and receive all training necessary to maintain their certification. Section 13: Transfer Or Assignment of Certificates No certificate issued under this Ordinance shalt be assignable or transferable by the person to whom issued except unless approval is obtained from the Board in the same manner and subject to the same application, investigation, fees and public hearing as original applications tor certiticates. Any majority transfer of shares or stock or interesL orallY person or operator so as to cause a change in the directors, otlicers, majority stockholders or managers of such person or operator shall be deemed a transfer or assignment as contemplated in this Ordinance and subject to the same rules and regulations as any other transfer or assignment. Section ]4: Revocation, Alteration Or Suspension Grounds A. Every certificate issued under this Ordinance shall be subject to revocation, alteration and/or suspension of operation. by the Board, for a period of up to one year, where it shall appear that: I. The operator has failed or neglected for a period of thirty (30) days during any calendar year to render all services authorized by his certificate. 2. The operator has been convicted of a felony or any criminal offense involving moral turpitude. 3. The certificate was obtained by an application in which any material fact was omitted or falsely stated. 4. The operator has knowingly permitted any of its motor vehicles to be operated in violation the laws which result in conviction of the driver or operator of a Words underlined added and words streell ti'~eligh are deleted. 8 misdemeanor in the second degree or greater, or has knowingly permitted a driver with more than two previous convictions to operate emergency vehicles. 5. The operator has failed to comply with any orthe provisions of\his Ordinance. 6. The public interest will best be served by revocation, alteration, or suspension of any certificate upon good cause shown. 7. The operator or his agent has demanded money or compensation other that that established and prescribed under this ordinance. (I f applicable). 8. The operator has without sutlicient justification failed or refused to furnish emergency care and/or transportation promptly for a sick or injured person. 9. The operator or his agent has been found guilty of malpractice or willtlll and wanton misconduct in the operation of its service. B. All complaints shall be investigated and a report thereon made to the Board, together with findings and recommendations, within tifteen (15) days. If revocation, suspension or alteration of any certificate appears warranted, the Board shall give notice to the operator holding the certificate that the same will be considered at a specific commission meeting, provided the date of such meeting shall not be less than five (5) days from the date of the notice. The Board shall thereupon consider the complaint and either revoke, suspend or alter the certificate or dismiss the complaint. Sectlon 15: General Operatlng Regulations All certificate holders, operators. and drivers shaH comply with all state statutes and administrative regulations as following regulations: A. Twenty-four Hour Service. Every certificate holder shall be required to operate sufficient ambulances, as stated on the certificate of operation and determined by the Board. on immediate call at all times. B. Prompt Service Required. Every call for ambulance service shall be answered promptly. Patients shall be loaded and transported without being subject to unreasonable delays.. All calls for emergency assistance requiring over twenty (20) minutes from time of notification to arrival on scene shall be reported to the Administrator with complete documentation of the circumstances, which delayed the response. Those instances where more that three (3) minutes elapse between receipt of an emergency call and dispatch of an ambulance shall also be reported to the Administrator with documentation of circumstances. Words underlined added and words &tfUslt tRr81igR are deleted. 9 C. Bed Linens. Clean and sanitary bed linens shaH be provided for each patient carried and shall be changed as soon as practicable after the discharge of the patient. D. Daily Log. Every operator shall maintain in a daily log upon which shall be recorded the place or origin, time of call, time of dispatch, time of arrival at scene, time len for hospital, time of arrival at hospital. and charges for each trip made and such other operating and patient information as may be required by Ordinance. Every operator shall retain and preserve all daily logs for at least two (2) years, and such logs shall be available for inspection by the Administrator. E. Communications. Each ambulance shall maintain two-way radio communication with the location of primary dispatch from which it operates, as well as any additional communication capabilities required by Ordinance or state law. F. Vehicles and Equipment. Each vehicle shall be equipped with the proper medical and emergency equipment as required by the laws of the State of Florida and shall be subjected to inspection from time to time to insure compliance with the laws of Florida and this Ordinance. G. Certification. In addition to the State of Florida Department of Health, Bureau of Emergency Medical Services requirements for certification, each paramedic must be certified by the County Medical Director. Each paramedic must work with a Collier County EMS ambulance for a sufficient length of time for the ambulance service medical director to properly judge his capability. At minimum, the paramedic must work in that capacity not less than one full month's work shift annually. Salaries of other than Collier County EMS paramedics will be paid by the agency seeking the Med;cal Director Certification. H. Application. Each ambulance or ALS setvice shall be subject to those rules and regulation as promulgated by Ordinances of the Board for the purpose of carrying out this ordinance. S..lIon 16: C.ntral PIa.. of Bu.ln... Each operator shall maintain a central place of business which shall be entirely within his designated operating zone, at which place he shall provide two~way radio communication with his vehicles, the County Emergency ControL Communications Center, and his place of business, a properly listed tclcphone for receiving all calls for sctvice and at which central place of busincss he shall keep such business records and daily logs available for inspection or audit by Words underlined added and words streett ~eklgk are deleted. 10 the Administrator. Every operator shall keep on file with the Administrator and the County Emergency Control Communications Center a business address and telephone number at which the operator may be reached at all times. This information will be maintalned at the Emergency Control Center. Section 17: Records To Ue Kept Every operator shall keep accurate records of receipts from operations, operating and other expenses, capital expenditure and such other operating and patient infonnation as may be required by the Board. Section 18: Rates Every operator shall file with the Board a schedule of the rates. Such rates shall be tiled as a part of each new or renewal application, and a rate schedule shall also be filed when changes in rates are proposed. All such rates shall be subject to review and approval by the Board. Section 19: Operator's Insurance Every ambulance operator shall carry bodily injury and property damage insunmce with solvent and responsible insurers authorized to transact business in the State of Florida to secure payment for any loss or damage resulting from any occurrence arising out of or caused by the operation or use of any of the operator's motor vehicles. Each vehicle shall be insured for the som of al leasl one hundred thousand dollars ($100,000.00) for injuries 10 or death of anyone person arising out of anyone accident and the sum of at least three hundred thousand dollars ($300,000.00) for injuries to or death or more than one person in anyone accident and for the sum of at leasl fifty thousand dollars ($50,000.00) for damage 10 property arising from anyone accident. They shall also have malpractice insurance. Every insurance policy or contract for such insurance shall provide for the payment and satisfaction of any financial judgment entered against the operator and present insured or any person driving the insured vehicle. Such inswance shall be obtained and certificates or certified copies of such policies shall be filed with. the Board. All such insurance policies, certificates thereof or certified copies of such insurance policies shall provide for a thirty (30) day cancellation notice to the Board. Section 10: Conduct of Drivers And Attendants All drivers, EMT's and paramedics shall comply with the Jaws of the State of Florida, in order to meet the requirements set out in this Ordinance and no driver. EMT or paramedic registered hereunder shall: Words underlined added and words stnlelE tflr81lgft are deleted. II A. fail or refuse to promptly transport, if applicable. or attend any sick or injured person after responding to a catl. B. Demand or receive compensation other that that established and approved in accordance with this ordinance or fail to give a receipt for moneys received. (If applicahle). C. Give or allow rebate, commission. discount or any reduced rate not provided in the established rate. (If applicable.) D. At any time induce or seek to induce any person engaging an ambulance or ALS selVice to patronize or retain the services of any hospital, convalescent home, mortuary, cemetery, attorney, accident investigator, nurse, medical doctor or other service occupation or profession. E. At any time release his patient from his care until he is assured that some responsible person is available to receive such patient. F. At any time use a siren or flashing red Ught unless on an emergency call. G. Disobey the lawful orders of the law enforcement officer at the scene of an accident, or other similar such emergency or at a fire scene, the fire officer in charge. H. Smoke while within the confines of an ambulance. 1. Operate or ride in an ambulance without using seatbelts. (Personnel attending patients are exempt). Section 21: Passengers No person shall be aboard ambulances when engaged in emergency or routine medical calls except the following: A. Driver, attendants and fire or law enforcement personnel; B. Patients; c. Not more that one relative or close friend of the patient, or if the situation warrants, the paramedic in charge may authorize more than one passenger. D. Physicians and nurses; E. Personnel in an observing capacity that are being trained for ambulance or ALS service. F. Operator's supervisory personnel. Sedlon 22: Obedience to Trame Laws, Ordinances or Regulations. A. The driver of an ambulance or ALS vehicle when responding to an emergency call or while transporting a patient may exercise the followin.g privileges when such driver has Words underlined added and words stNell au-eap are deleted. 12 reasonable grounds to believe that an emergency in fact exists requiring the exercise of such privileges: I. Park or l'itand, irrespective of the otherwise applicable provisions oflaw, ordinance or regulations. 2. Proceed past a red light or stop signal or stop sign, but only after slowing down as may be necessary for safe operations. 3. Exceed the maximum speed limits permitted by law so long as he does not endanger life or property. 4. Disregard laws, ordinances or regulations governing direction or movement or turning in specified directions so long as he does not endanger life or property. B. The exemptions herein granted shall apply only when such vehicle is making use of audible and/or visible signals meeting the requirements of this Ordinance. C. The foregoing provisions shan not relieve the driver of a vehicle from the duty to drive with due regard for the safety of all persons, nor shall such provisions protect the driver from the consequences of his reckless disregard for the safety of others. Section 13: Violations In addition to the remedies provided herein, a violation of any provision of this ordinance shall be punishable as provided by law for the violation of County ordinances. Section 14: Uniformity of Application The Ordinance shall constitute a uniform law applicable in all of Collier County. Section 15: Anthority To Enforce it is hereby declared to be the duty of the Board of County Commissioners of Collier County, its officers, agents, employees and other governmental agencies, the sheriffs department of Collier County, its deputies and agents, fire departments, as well as the police departments of the various municipalities falling under the provisions of this Ordinance to strictly enforce the provisions of this Ordinance. Section 16: Repeal and Codification Ordinance 75-50 is hereby repealed. This Ordinance shall be codified in the Collier County Code as Chapter 4 of said Code, and said Code is hereby amended accordingly. Section 17: Conflict and Severahlllty In the event this Ordinance should ever conflict with any other ordinance of CotHer County, or applicable ordinance of any municipality, or oth~r applicable law, rule or regulation, Words underlined added and words atfHelE tkf'Sligh. arc deleted. 13 the more restrictive shall apply. If any section, sub-section, sentence, clause, phrase or portion of this Ordinance is for any reason held invalid or unconstitutional by any court of competent jurisdiction, such portion shall be deemed a separate, distinct and independent provision and such holding shall nouffectthe validity of the remainder ofthe Ordinance. Section 28: Effective Date This Ordinance shall become effective upon receipt of notice that it has been Ii led with the Secretary of State. PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier County, Florida, this ;;2:3 day of ~/M I! '-/r ,2005. BOARD OF COUNTY COMMISSIONERS :::LL1ER~~O~~ Fred W. Coyle, Chairman A TrEST: DWIGHT E. BROCK, Clerk I. , Tn;' o'd;na~~ri~~ S_~Sf..tOry 0 ~ day of ' of that end ock!"\Ow\edge~~ day ';"21:'0';"" tn" r>=- 0' ~p~~'~~ 08P"tyC\efk Words underlined added and words atlttek thunlgh are deleted. 14 STATE OF FLORIDA) COUNTY OF COLLIER) I, DWIGHT E. BROCK, Clerk of Courts in and for the Twentieth Judicial Circuit, Collier County, Florida, do hereby certify that the foregoing is a true and correct copy of: ORDINANCE 2005-16 Which was adopted by the Board of County Commissioners on the 23nd day of March 2005, during Regular Session. WITNESS my hand and the official seal of the Board of County Commissioners of Collier County, Florida, this 28th day of March, 2005. ~a. By: I l n c _. ::J -< -. ::J n 0 n n _. n ......., _. 0 n -< -. Vl n -< ..a _. 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I..... · I I Ii $] Marco Island Town Center Planning Luncheon and Design Workshop You are cordially invited to attend a Planning Luncheon and Design Workshop (Charrette) hosted by the City of Marco Island WHEN: TIME: Registration at 9:15 a.m. Lunch at 12:00 noon Session ends at 3:00 p.m. WHERE: Mackie Park ... .'. !<:f,;"','- 1361 Andalusia Terracs(Marco Islf'[ld, Florida COST: Free RSVP: Nancy Paton at 3SQ-5014 before - (RSVP at your ea1"l!est convenienCe) '." .'..i L.. .., ./i(; _ <'I:;, , -. "i ,_t~ The City of Marco Islan'8 cora~UY invite$YOu to a Planning Charrette to be held on . at Mackie Park; 1361 Andalusia Terrace, Marco Island. Lunch and refresnmel1ts will;~provided.\ ::_:;"ii;il';i,~--t"::>'ri;:\-,::. -Ii, :y, At the Ct)alTefte;ourgd~iiil;be to':';C;~f6gether to identify effective solutions for the b~l.Itlficationah~enha~l;(,ement of the Marco Island Town Center Overlay District'. Discussion pQil1ts wU!iI1c1ude attraction of new development opportUnities, expansior\and rstEilntion of existing businesses, redevelopment of underutill~~c:l properties, property maintenance, code enforcement, public safety, improved pedestrian and Vehicular circulation, improvement of public utilities and infrastructure,and econOmic incentives. Your input and participation are vital to ensure that your goalsa'nd visions for Town Center are reflected in future planning and redevelopment. Representatives from the City of Marco Island, Collier County, and the Florida Department of Community Affairs will be available to answer questions, and discuss available resources to further enhance the appearance and function of Town Center. Other forms of assistance that are available to individual business owners will also be presented. Desian Charrette A Charrette is an intensified, highly interactive and participative community based planning process. The Charrette allows community participants to work together in a forum to identify and examine planning issues, generate and exchange ideas and potential solutions, evaluate alternatives, and ultimately reach consensus with regard to a final plan of action. The term "Charrette" originates from the French word for "little cart". At the Ecole des Beaux Arts in Paris in the 19th Century, architecture students had a limited amount of time to complete their final design projects. Students would frantically rush to put the finishing touches on their work as examin~rs circulated with little carts to collect final drawings. Using the Charrette proce$S, the City of Marco Island and Town Center stakeholders can generateeffectNli.~olutions for Town Center. . 'h'W, "'''"'i,'" Plannina Session/Charrette Schedule ;:~i:, Registration - 9:15 a.m. Participants will be registered, name tagsWiIlIil~ distributed, conference materials will be provided, and coffee, tea, an<l'juice will be available. Welcomellntroduction - 9:45 a.m. ... The general purpose an9 objectives of the event,\NiII be explained, participants will be Introduced and welcomed, and schedules will be provided. Historical PerspectiV~?nd ~Hffi'1!i1EliOf Chartette - 10:00 a.m. The purpqse of theCharrette will be explained to participants and a historical perspectiveofthe MalRo Island Town Center will be shared with regard to past trends andrecentpl?nning initiatives. Stakeholders (Marco Island staff and officials, comrtllmity leaders and business owners, other participants) will.l:)~ invited to sh~~ their perspectives and expectations with regard to the charrette's objectiveS; Existing Conditions Review-10:15 a.m. Staff will document existing conditions through a series of graphic displays, charts, and digital photographs. Stakeholder's perspectives with regard to the current conditions within the Town Center Planning Area will be solicited and documented. Break! Assemble Planning Teams - 10:45 a.m. Workshop participants will assemble into smaller planning teams and work together to define strengths, weaknesses, opportunities, and threats facing Town Center. The same groups will also help identify strategies and initiatives for the improvement of the corridor. Strengths and Weaknesses - 11 :00 a.m. Working in small planning teams, members will work together to identify planning strengths and weaknesses within the Town Center Planning Area. Strengths and weaknesses will be classified and prioritized in order of importance whereby each team will be asked to identify and rank the attribute of each response they feel is most significant. Lunch -12:00 Noon Lunch will be provided. Opportunities and Threats - 12:45 p.m. Planning teams will work together to identify pl~~~ing::l'lPportunities and threats within the Town Center. Opportunities,ljiind tA~s will be classified and prioritized in order of importance wher~ each teamU~jII. be asked to identify and rank the attribute of each r~s~nse they feel istnQ.!:it significant. iY' .';::i1jt~4 Break - 1 :45 p.m. Snacks and light refreshments will be provided.' Define and prioritize Planning Strf:itegjes - 2:00 15.1\'1" Each team will be asked to c,..fe ap~joritizedn$~'Qf objectives and strategies for the Town Center.lhe C~.~tMarco!~'i"nd will include these strategies within aQIilc:;~Rn plan forTowr1',~et'l~er.thaFwill be used to shape its future as a vitalfQ~l'pOIl!lt,of commi,JtliIY commekial and cultural activity. Adjourn - 3:00 p..m. The Planning Se~ion Will adjourn at 3:00 p.m., although planning staff will remain available to.ansvver questions and provide information as requested. Community Reinvestment Area and Tax Increment Financing Overview Information regarding CRAs and Tax Increment Financing may be found in the Florida Statutes. An excerpt from materials provided by Collier County regarding CRAs is provided below. In 1969, the Florida State Legislature enacted Part II, Chapter 163, Florida Statutes, enabling local units of government to set up a COl'llmunity Redevelopment Agency (CRA). The overall goal of the I~l~ature was to encourage local initiative in downtown and neighborhoQitlnrevitalization and to provide maximum opportunity for private enterprisestd'p8i:ticipate in the redevelopment and revitalization of the designated areas. The. five primary objectives of the redevelopment legislation ar~, ," ";j' To be designated as a redevelopment area, the area must meet the criteria outlined in Chapter 163.340, Florida Statutes. Areas can meet the requirements for establishment of CRAif: 1) There is a sU~~Cl,'i!~'li!1 number of deteriorated, or deteriorating structures and conditions that er\d~r\ger life or property by fire or other causes; or there is the presence of one or more of the following factors which substantially impairs or arrests the sound growth of a county or municipality and is a menace to the public health, safety, morals, or welfare in its present condition and use: a. Predominance of defective or inadequate street layout; b. Faulty lot layout in relation to size, adequacy, accessibility, or usefulness; c. Unsanitary or unsafe conditions; d. Deterioration of site or other improvements; e. Tax or special assessment delinquency exceeding the fair value of the land; and f. Diversity of ownership or defective or unusual conditions of title which prevent the free alienability of land within the deteriorated or hazardous area; or 2) There is faulty or inadequate street layout; inadequate parking facilities; or roadways, bridges, or public transportation facilities incapable of handling the volume of traffic flow into or through the area, either at present or following proposed construction. Section 163.357 of the Florida Statutes states that me body may be members of the Agency, but such mem~ a legal entity, separate, distinct, and independeryt from of the governing nstitute the head of . .1!;,erning body. ,,-," La. J,:';, , ,il'!!' Section 163.370, Florida Statutes outlines th~~6wers of Commtl~~~. Redevelopment Agencies. These powers inClude:<' 1. Executing contracts; 2. Hiring staff; 3. Disseminating community redevelopment inrormation; and 4. Undertaking and implement!1'l9 community redEiV910pment and related activities (property acquisition, demolition and re""oval of buildings; installation, construction, or reconstructIon o~streets, utilities, parks, playgrounds, and other improvem~nts necessary to carry out the plan; and dispositionpfany property acquired) within the community redevelopment area. As required by State Sta~llte, a redevelopment plan that provides the framework for effective redevf!lopmahtof the Community Redevelopment Area is required to be p~pared if CitY Council desides to establish a CRA. In addition to providing flexibl~y for implementation dftl;l9 goals outlined for a eRA, a plan may recognIZe several funding sources for implementation including the use of Tax Increment Financing (TIF); ,'I Tax Increment Financing realizes the incremental increase in property tax revenues resulting fI'om redevelopment and uses it to pay for public improvements needed to support and encourage new development. As value of property rises due to redevelopment investments, increased property taxes that result will be available to repay the public infrastructure costs associated with redevelopment. TIF is designed to allow local governments to finance, over the long term, front-end costs associated with adoption of a redevelopment plan, repaving or rerouting of streets, providing open space, housing, redevelopment assistance or incentives and property acquisition. For purposes of calculating the amount of tax increment revenues, the frozen tax base is the final tax roll for the year in which the CRA is established. Tax increment revenues can be used for the following purposes when directly related to redevelopment in the designated redevelopment areas: . Administrative and overhead expenses incidental to a redevelopment plan; . Redevelopment planning and analysis; . Acquisition of real property in the redevelopment area; . Clearance and preparation of redevelopment sites, and relocation costs; . Repayment of indebtedness and payment of expenses incidental to indebtedness; . Development of affordable housing within the red~jl!iil()pment area; . Development of community policing innovation~;,~rii::l . Construction of streets, utilities, parks, public;!!!rea$i,~arking garages, and other improvements necessary to carrying out the r~yelopment plan. To most effectively use the tax increment revenues, the CRA and the City may use other State and Federal funding sources such as advances, 10anli1. tax increment revenue bonds and grants as appropriate and available to carry out the provisions of the plan. The planning perlotl~n<lJlfe of a CRA can be up to 30 years. A common practice amol')g {~developme"~r~gencies is to invest in capital improvements early in the redevel()Prl1f!lnt procesSl;lli1ing borrowed money that will be repaid by the tax incremenf!rever\I;IElstream. . :0. Community Redevelopment Area (CRA) ~ht d -&rom: ant: To: Subject: wight_d Sunday, November 23, 2008 5:39 PM wight_d Community Redevelopment Area (CRA) The statutory provisions for establishing a eRA can be found in Chapter 163, Part III "Community Redevelopment/I! Florida Statutes. More specifically, a governing body would have to meet the llFindings and declarations of Necessityll set forth in Section 163.335. The primary consideration with respect to Marco Island would have to be a finding of slum or blight. The terms slum or blight have had a very wide application in the State of Florida as blight is considered a matter of state policy or state concern as it relates to that government agency. A normal example are the downtrodden old town centers that were subject to degradation or decaying waterfronts that have been successful CRAs in Florida. There is more specificity in the Section that would also need to be addressed as well. In order to support a finding of slum or blight, Section 163.355 requires that a finding of necessity be supported by data and analysis which either meet the definition of Slum as set forth in Section 163.340(7) or Blight as set forth in Section 163.340181, I am aware you have the Florida Statutes and the full context is easier to interpret when going back and forth from one section to another. If the local government makes a finding of necessity supported by data and analysis then the local government would pass a resolution that states the conditions enumerated in Section 163.355. Subsequent to that finding, the governing body would then create the community redevelopment agency in accordance with the provisions in Section 163.356, F.B. In summary, the criteria involve slum and blight related to a finding of necessity. -lease call me if you want more specific or general opinion on how CRAs have evolved in lorida as this perspective is also what you may be primarily looking for that a statute does not address. Randy Cohen Collier County Comprehensive Planning Department Director 1 ~ht d """"om: ent: To: Subject: wight_d Sunday, November 23, 2008 5:42 PM wight_d Community Redevelopment Area (CRA) Attached are the applicable sections referenced in my prior e-mail. I would recommend starting with the definitions of slum and blight and then review those definitions in the context of the findings of necessity. The pivotal question is what geographic area will be the subject of discussion. 163.335 Findings and declarations of necessity.-- (1) It is hereby found and declared that there exist in counties and municipalities of the state slum and blighted areas which constitute a serious and growing menace, injurious to the public health, safety, morals, and welfare of the residents of the state; that the existence of such areas contributes substantially and increasingly to the spread of disease and crime, constitutes an economic and social liability imposing onerous burdens which decrease the tax base and reduce tax revenues, substantially impairs or arrests sound growth, retards the provision of housing accommodations, aggravates traffic problems, and substantially hampers the elimination of traffic hazards and the improvement of traffic facilities; and that the prevention and elimination of slums and blight is a matter of state policy and state concern in order that the state and its counties and municipalities shall not continue to be endangered by areas which are focal centers of _disease, promote juvenile delinquency, and consume an excessive proportion of its revenues 3cause of the extra services required for police, fire, accident, hospitalization, and ~ther forms of public protection, services, and facilities. (2) It is further found and declared that certain slum or blighted areas, or portions thereof, may require acquisition, clearance, and disposition subject to use restrictions, as provided in this part, since the prevailing condition of decay may make impracticable the reclamation of the area by conservation or rehabilitation; that other areas or portions thereof may, through the means provided in this part, be susceptible of conservation or rehabilitation in such a manner that the conditions and evils enumerated may be eliminated, remedied, or prevented; and that salvageable slum and blighted areas can be conserved and rehabilitated through appropriate public action as herein authorized and the cooperation and voluntary action of the owners and tenants of property in such areas. (3) It is further found and declared that the powers conferred by this part are for public uses and purposes for which public money may be expended and police power exercised, and the necessity in the public interest for the provisions herein enacted is declared as a matter of legislative determination. (4) It is further found that coastal resort and tourist areas or portions thereof which are deteriorating and economically distressed due to building density patterns, inadequate transportation and parking facilities, faulty lot layout, or inadequate street layout, could, through the means provided in this part, be revitalized and redeveloped in a manner that will vastly improve the economic and social conditions of the community. (S) It is further found and declared that the preservation or enhancement of the tax base from which a taxing authority realizes tax revenues is essential to its existence and financial health; that the preservation and enhancement of such tax base is implicit in the purposes for which a taxing authority is established; that tax increment financing is ~ effective method of aChieving such preservation and enhancement in areas in which such ~ax base is declining; that community redevelopment in such areas, when complete, will enhance such tax base and provide increased tax revenues to all affected taxing authorities, increasing their ability to accomplish their other respective purposes; and that the preservation and enhancement of the tax base in such areas through tax increment 1 financing and the levying of taxes by such taxing authorities therefore and the appropriation of funds to a redevelopment trust fund bears a substantial relation to the purposes of such taxing authorities and is for their respective purposes and concerns. ~This subsection does not apply in any jurisdiction where the community redevelopment rency validated bonds as of April 30, 1984. (6) It is further found and declared that there exists in counties and municipalities of the state a severe shortage of housing affordable to residents of low or moderate income, including the elderly; that the existence of such condition affects the health, safety, and welfare of the residents of such counties and municipalities and retards their growth and economic and social development; and that the elimination or improvement of such condition is a proper matter of state policy and state concern and is for a valid and desirable public purpose. (7) It is further found and declared that the prevention or elimination of a slum area or blighted area as defined in this part and the preservation or enhancement of the tax base are not public uses or purposes for which private property may be taken by eminent domain and do not satisfy the public purpose requirement of s. 6(a), Art. X of the State Constitution. History.us. 2, ch. 69-305; ss. 1, 22, ch. 84-356; s. 1, ch. 98-201; s. 6, ch. 2006-11. 163.355 Finding of necessity by county or municipality.--No county or municipality shall exercise the community redevelopment authority conferred by this part until after the governing body has adopted a resolution, supported by data and analysis, which makes a legislative finding that the conditions in the area meet the criteria described in s. 163.340(7) or (8). The resolution must state that, (1) One or more slum or blighted areas, or one or more areas in which there is a shortage of housing affordable to residents of low or moderate income, including the elderly, exist .in such county or municipality; and \2) The rehabilitation, conservation, or redevelopment, or a combination thereof, of such area or areas, including, if appropriate, the development of housing which residents of low or moderate income, including the elderly, can afford, is necessary in the interest of the public health, safety, morals, or welfare of the residents of such county or municipality. History.--s. 6, ch. 69-305; s. 4, ch. 84-356; s. 4, ch. 94-236; s. 3, ch. 2002-294. 163.340 Definitions.--The following terms, wherever used or referred to in this part, have the following meanings: (7) "Slum area!l means an area having physical or economic conditions conducive to disease, infant mortality, juvenile delinquency, poverty, or crime because there is a predominance of buildings or improvements, whether residential or nonresidential, which are impaired by reason of dilapidation, deterioration, age, or obsolescence, and exhibiting one or more of the following factors: (a) Inadequate provision for ventilation, light, air, sanitation, or open spaces; (b) High density of population, compared to the population density of adjacent areas within the county or municipality; and overcrowding, as indicated by government-maintained statistics or other studies and the requirements of the Florida Building Code; or (c) The existence of conditions that endanger life or property by fire or other causes. (8) !IBlighted areal! means an area in which there are a substantial number of ~teriorated, or deteriorating structures, in which conditions, as indicated by ~overnment-maintained statistics or other studies, are leading to economic distress or endanger life or property, and in which two or more of the following factors are present: (a) predominance of defective or inadequate street layout, parking facilities, roadways, 2 bridges, or public transportation facilities; (b) Aggregate assessed values of real property in the area for ad valorem tax purposes have failed to show any appreciable increase over the 5 years prior to the finding of such '~ondi tions; (c) Faulty lot layout in relation to size, adequacy, accessibility, or usefulness; (d) Unsanitary or unsafe conditions; (e) Deterioration of site or other improvements; (f) Inadequate and outdated building density patterns; (g) Falling lease rates per square foot of office, commercial, or industrial space compared to the remainder of the county or municipality; (h) Tax or special assessment delinquency exceeding the fair value of the land; (i) Residential and commercial vacancy rates higher in the area than in the remainder of the county or municipality; (j) Incidence of crime in the area higher than in the remainder of the county or municipality; (k) Fire and emergency medical service calls to the area proportionately higher than in the remainder of the county or municipality; (1) A greater number of violations of the Florida Building Code in the area than the number of violations recorded in the remainder of the county or municipality; (m) Diversity of ownership or defective or unusual conditions of title which prevent the free alienability of land within the deteriorated or hazardous area; or n) Governmentally owned property with adverse environmental conditions caused by a public or private entity. However, the term lIblighted areal! also means any area in which at least one of the factors identified in paragraphs (a) through (n) are present and all taxing authorities subject to s. 163.387(2) (a) agree, either by interlocal agreement or agreements with the agency or by resolution, that the area is blighted. Such agreement or resolution shall only determine that the area is blighted. For purposes of qualifying for the tax credits authorized in chapter 220, "blighted areal! means an area as defined in this subsection. The 2008 Florida Statutes Title XI COUNTY ORGANIZATION AND INTERGOVERNMENTAL RELATIONS Chapter 163 INTERGOVERNMENTAL PROGRAMS View Entire Chapter 163.356 Creation of community redevelopment agency.-- (1) Upon a finding of necessity as set forth in s. 163.355, and upon a further finding that there is a need for a community redevelopment agency to function in the county or municipality to carry out the community redevelopment purposes of this part, any county or municipality may create a public body corporate and politic to be known as a lIcommunity redevelopment agency.!! A charter county having a population less than or equal to 1.6 million may create, by a vote of at least a majority plus one of the entire governing body of the charter county, more than one community redevelopment agency. Each such agency shall be constituted as a public instrumentality, and the exercise by a community redevelopment agency of the powers conferred by this part shall be deemed and held to be .~.he performance of an essential public function. Community redevelopment agencies of a ~unty have the power to function within the corporate limits of a municipality only as, if, and when the governing body of the municipality has by resolution concurred in the community redevelopment plan or plans proposed by the governing body of the county. 3 - . (2) When the governing body adopts a resolution declaring the need for a community redevelopment agency, that body shall, by ordinance, appoint a board of commissioners of the community redevelopment agency, which shall consist of not fewer than five or more than nine commissioners. The terms of office of the commissioners shall be for 4 years, ,~'- xcept that three of the members first appointed shall be designated to serve terms of 1, ,/ and 3 years, respectively, from the date of their appointments, and all other members shall be designated to serve for terms of 4 years from the date of their appointments. A vacancy occurring during a term shall be filled for the unexpired term. As provided in an interlocal agreement between the governing body that created the agency and one or more taxing authorities, one or more members of the board of commissioners of the agency may be representatives of a taxing authority, including members of that taxing authority's governing body, whose membership on the board of commissioners of the agency would be considered an additional duty of office as a member of the taxing authority governing body. (3) (a) A commissioner shall receive no compensation for services, but is entitled to the necessary expenses, including travel expenses, incurred in the discharge of duties. Each commissioner shall hold office until his or her successor has been appointed and has qualified. A certificate of the appointment or reappointment of any commissioner shall be filed with the clerk of the county or municipality, and such certificate is conclusive evidence of the due and proper appointment of such commissioner. (b) The powers of a community redevelopment agency shall be exercised by the commissioners thereof. A majority of the commissioners constitutes a quorum for the purpose of conducting business and exercising the powers of the agency and for all other purposes. Action may be taken by the agency upon a vote of a majority of the commissioners present, unless in any case the bylaws require a larger number. Any person may be appointed as commissioner if he or she resides or is engaged in business, which means owning a business, practicing a profession, or performing a service for compensation, or serving as an officer or director of a corporation or other business entity so engaged, within the area of operation of the agency, which shall be coterminous with the area of operation of the county or municipality, and is otherwise eligible for such appointment ,~~nder thi s part. ,c) The governing body of the county or municipality shall designate a chair and vice chair from among the commissioners. An agency may employ an executive director, technical experts, and such other agents and employees, permanent and temporary, as it requires, and determine their qualifications, duties, and compensation. For such legal service as it requires, an agency may employ or retain its own counsel and legal staff. An agency authorized to transact business and exercise powers under this part shall file with the governing body, on or before March 31 of each year, a report of its activities for the preceding fiscal year, which report shall include a complete financial statement setting forth its assets, liabilities, income, and operating expenses as of the end of such fiscal year. At the time of filing the report, the agency shall publish in a newspaper of general circulation in the community a notice to the effect that such report has been filed with the county or municipality and that the report is available for inspection during business hours in the office of the clerk of the city or county commission and in the office of the agency. (d) At any time after the creation of a community redevelopment agency, the governing body of the county or municipality may appropriate to the agency such amounts as the governing body deems necessary for the administrative expenses and overhead of the agency, including the development and implementation of community policing innovations. (4) The governing body may remove a commissioner for inefficiency, neglect of duty, or misconduct in office only after a hearing and only if he or she has been given a copy of the charges at least 10 days prior to such hearing and has had an opportunity to be heard in person or by counsel. History. us. 2, ch. 77-391; s. 1, ch. 83-231; s. 6, ch. 84-356, s. 903, ch. 95-147; s. 4, ch. 98-314, s. 41, ch. 2001-266; s. 4, ch. 2002-294, s. 2, ch. 2006-307. -- f you need anything else let me know. 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(I) . :::) .. cu U I- :I o (I) 0\ ~ en OCC o .... ._ NO"CS >-....C u.. :I . U. en c .- E o U Q. ::> I (f) CO C ~ o .- Q) .a->>c Q.Q) O~ .... Q).....-I Q) ~ ~ Q) c..c:.c Q) .&-J 0 .&-J -1-1 .&-J -1-1 X U .~ ~ 0 CJ') CJ) ~ c co ~.- U .&-J -1-1 C C C Q) Q) Q) E E E E Q) Q) 0 Q) Q) U ~ ~ CJ') CJ') E <(<( ~ ~"OQ) Q) c-I-I C Q) ~ 0\ ~<(E~g >-N . . ~ "'" '\J' Affordable Housing To: From: Date: Subject: Memorandum Marcy Krumbine - Director, Housing and Human Services Frank Ramsey - Housing Manager November 20, 2008 Collier County - Marco Island Interlocal Agreement Fees Collected from Marco Island FY2001 - FY2008 According to the interlocal agreement between Collier County and the City of Marco Island, recorded on 06/28/2000 at OR Book 2692 Page 0211, Marco Island must provide the County an amount equal to ten (10) percent of annual building permit fees collected by the City, or $50,000.00, whichever is greater. Below please find a summary of collections received since FY2001: FY200l FY2002 FY2003 FY2004 FY2005 FY2006 FY2007 FY2008 TOTAL $75,340.82 $95,168.80 $101,332.56 $92,893.13 $50,000.00 $49,716.90 $14,194.73' $7,047.39' $485,694.33 , FY2007 $35,805.27 pending payment. FY2008 20d and 3'd quarter payments pending. Use of Funds $61,420.14 - Expenses recorded in FMS (prior to SAP conversion) $200,000.00 - Creative Choice Homes Rental Assistance for Heron Cove Apartments $68,000.00 - Start-up Costs to Collier County Housing Development Corporation (Payment 1/3) $20,000.00 - Start-up Costs to Collier County Housing Development Corporation (Payment 2/3) 10/13/2005 $2,510.41 -legal Fees to Smith & White regarding Impact Fee Deferral Program CONTINUED NEXT PAGE 2001 - 2003 06/15/2003 06/03/2004 10/15/2004 DEPARTMENT OF HOUSING AND HUMAN SERVICES 3301 E TAMIAMI TRAIL, BUILDING H, SUITE 211, NAPLES, FLORIDA 34112 Phone: 239-252-4663 * Website: http://www.colliergov.neUhousing Use of Funds (Continued) 02/23/2006 $10,000.00 - Start-up Costs to Collier County Housing Development Corporation (Payment 3/3) $20,000.00 - Match required for Tenant Based Rental Assistance Program $5,816.80 - Pay permits for Installation of 36 FEMA Trailers for IHOPE $35,000.00_- Tenant Based Rental Assistance Program Administration $6.156.51- Pay Additional Fees for Installation of FEMA Trailers for IHOPE $428,903.86 09/30/2006 07/02/2007 2007-2008 12/01/2008 TOTAL Total Received Total Spent BALANCE $485,694.33 $428,903.86 $ 56,790.47 Grant Awards to Marco Island Fiscal Year Source FY2001 CDBG FY2002 CDBG FY2003 CDBG FY2008 CDBG FY2009 CDBG Proiect Tallwood Drainage Project Tallwood Drainage Project Tallwood Drainage Project Marco Lake Sidewalk Project 5th Avenue Sidewalk Project TOTAL Award Amount $250,000.00 $250,000.00 $250,000.00 $75,336.00 $72.231.00 $897,567.00 In addition to the grants awarded to the City of Marco Island, Collier County's comprehensive affordable-workforce housing program is available to all residents of the County, including the citizens of Marco Island. The program includes incentives such as the deferral of impact fees, down payment and closing cost assistance, residential rehabilitation and hurricane hardening and mitigation. Residents interested in becoming new homeowner's may schedule a personal consultation with a member of the Housing and Human Services Department. Through the County, residents may partner with local banks to provide home loans for households earning less than $55,850 per year. All interested parties may contact Housing and Human Services at (239)252-4663 or visit our website at colliergov.net/housing. DEPARTMENT OF HOUSING AND HUMAN SERVICES 3301 E TAMIAMI TRAIL, BUILDING H, SUITE 211, NAPLES, FLORIDA 34112 Phone: 239-252-4663 * Website: http://www.colliergov.neVhousing Retn: CLBRK TO THB BOARD IIlTBRomeB ITH FLOOR BXT1210 2655402 OR: 269Z 'G: 0211 RBCORDBD in the OFFICIAL RBCORDS of COLLIBR COUNTY FL Oi/18/2000 at 12:18PH DWIGHT B, BROCK, CLBRK ' 16 A 1 RBC FBE 28,50 COPIBS i,OO INTERLOCAL AGREEMENT THIS INTERLOCAL AGREEMENT (the "Agreement") is entered into this ~ day of ~ ' 2000, by and between THE CITY OF MARCO ISLAND, FlO DA, hereinafter called the "City", and the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, hereinafter called the "County". The City and the County are sometimes collectively referred to herein as the "parties" or individually as the "party". WITNESSETH: WHEREAS, the City was incorporated by special act of the Florida legislature that was approved on August 28, 1997 and by referendum; and WHEREAS, Chapter 163, Florida Statutes, requires all municipal governments to prepare and adopt a Comprehensive Plan, including a Housing Element, within three years of incorporation; and . WHEREAS, the City is located within Collier County, Florida; and WHEREAS, the County has successfully implemented a Housing Program pursuant to the Housing Element contained in the County's Growth Management Plan to address affordable housing needs and issues; and WHEREAS, Section 163.01 (2), Florida Statutes, permits local governmental units to make the most efficient use of their resources by enabling them to cooperate with each other to provide services in a manner that will accord best with geographic, economic, population and other factors influencing the needs and development of local communities; and WHEREAS, the parties recognize that affordable housing is not only a county-wide concern but also a regional concern and that a consolidated approach presents a rational means to effectively address affordable housing needs both on Marco Island and throughout unincorporated Collier County; and WHEREAS, the County desires to assist the City and serve all of the citizens of Collier County by expanding the County's Housing Program, including but not limited to all operational, managerial and programmatic services, to encompass the City; and OR: 2692 PG: 0212 16 A 1 WHEREAS, by inclusion of the City in the County's Housing Program, such program shall serve as the primary source for affordable housing programs and services to address moderate, low and very low income household needs and opportunities both on and off Marco Island; and WHEREAS, the City has requested that the County provide assistance to the City by including the City in the County's Housing Program to address affordable housing issues both on and off Marco Island. NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties hereby agree as follows: 1 . The County will provide the services of the County Housing and Urban Improvement staff ("County Staff") to incorporate the City into the County's Housing Program, and to provide the citizens of Marco Island all the services, programs, and other benefits available to all other persons served by the Housing Program. 2. The City will provide adequate space for the public display of housing information and materials, and further will devote nominal staff time to assist in the dissemination of information related to the Housing Program. 3. The geographical boundaries of the City of Marco Island shall be included as part of the County's Urban Area Boundary (map attached), and such housing programs and activities contemplated by this agreement shall occur within such Urban Area Boundary. 4. That upon incorporation of the City into the County's Housing Program, all current and future estimates of affordable housing needs shall be calculated utilizing population data and economic conditions/factors that encompass the Urban Area Boundary covered by the Housing Program. Any future affordable housing needs or obligations that may be attributable to the City shall not be calculated independently, but rather shall be included in overall Housing Program area calculations. 5. The City shall defer to the County all decisions regarding the allocation and use of all sources of Housing Program funding. In return the County shall provide the City with monthly reports in a format mutually agreed upon. OR: 2692 PG: 0213 I! Ib A 6. That the County shall be able to utilize and include demographic figures for the City of Marco Island for any future funding or grant proposals prepared by County staff or designee to advance programs and/or services under the Housing Program. 7. That the expansion of the County's Housing Program to incorporate the City shall make the County's program the primary source for housing programs and opportunities, including affordable housing, on and off Marco Island. 8. TERMS OF AGREEMENT. This Agreement shall be for an initial term of thirty-six (36) months beginning October 1, 2000, and ending September 30, 2003. This initial term shall be automatically renewed for additional three-year terms commencing October 1 of the applicable year and terminating September 30 three years thereafter unless one party delivers a written notice of termination to the other party prior to April 1 of the applicable termination year. The parties further agree that this Agreement may be terminated upon a finding by the Florida Department of Community Affairs, in writing, of one or more of the following: (i) that the Agreement is contrary to the intent of Chapter 163, Florida Statutes, (ii) that the agreement is contrary to policies contained in the Southwest Regional Policy Plan, (iiil the agreement is not in the best interest of the County, City, and affected residents of Collier County. 9. NOTICES. All notices that are required hereunder, or which either party may desire to serve upon the other party, including but not limited to a change of address for either party, shall be in writing and shall be presumed served when delivered personally, or when deposited in the United States mail, postage prepaid, addressed in accordance with each party's current address of record. The initial address of record for each party is: Chairman, Marco Island City Council 950 N. Collier Boulevard, Suite 308 Marco Island, FL 34145 Chairman, Board of County Commissions 3301 East Tamiami Trail Naples, FL 34112 OR: 2692 PG: 0214 16 A 1 1 O. COMPENSATION. For the services rendered by the County pursuant to this Agreement the City shall provide compensation which the County must allocate to affordable housing activities. The compensation paid by the City will equal 10% of annual building permit fees collected by the City, or $50,000.00, whichever is greater. Calculation of annual City building permit fees collected shall not include any required impact fees or state mandated fees. Further, for any qualified project within the City which is eligible for building fee reduction or waiver, the amount of building fee reduction, waiver or deferment shall be deducted from the total amount of annual compensation. Said payments from the City to the County shall be made to the Board of County Commissioners. The payments by the City shall be paid in quarterly installments beginning January 1, 2001 or as governed by Chapter 218, Florida Statutes (The Florida Prompt Payment Actl. 11. INSURANCE. The County's liability coverages will extend to both the County and County's staff for this Agreement subject to normal exclusions. 12. RECORDING. This Agreement shall be recorded In the Official Records of Collier County, Florida. CITY OF MARCO ISLAND, FLORIDA BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY c:-; , ~~~ ~. / fVL By: . ~fr:" Ti onstantin, Chairma~ 0//3/iD By: /t~~lL-o~-- Harry Co In, Chairman Attest: Attest: \ \ , , " ., "'~' "1,. .,. ""'" " "", A'AJ~ A. William Moss, City Manager , bJ~i~, Clerk of Courts ~ ilk :&"L. _, t - '-.J . J. . .<,1:",,. :-, ,: Attest ~s..i6"f~\rlr~a~'$' .' Slglllltlll"g. 'onJ'y~.!: .} ,-- ," .', . ".., . '... ,:. , ; .,....' ',' ,...' "" ),'f. \\.\. .,' , ell _ . " ", ,I' 'I"'IF""\ Approved as to form and legal Sufficiency for the City of Marco Island, Florida: /~_.~ ~ /.J.~ Kenneth B. Cuyler, q. City Attorney OR: 2692 PG: 0215 Approved as to form and legal sufficiency for Collier County: ~~.)A~ DA 1/ 10 Wll&, [L, Esq. C. County Attorney fulL 16 A 1 *** OR: 2692 PG: 0216 *** ~I :; T 49 S T 50 S T tol S T 52 S T 46 S T 47 S T 49 S !n! ! I' II., l ' ~' 'l ' oCoO< ~ 1 i!! ~ ~ ." I ' '0' : , ~" "'.'. ;;!~ ~ Il a I! l ~ ~~ 0811 : I ~ 0 , II I Ii! ~ ~ It i " j l , a" ~ ~ 9 ~ 't l! ~ s l;!i I ! ',ii ; . ,. 'I' 1';. l ;,!,j i ! . ~.' . !!!l!!ll III ,ll~' ~ ~ ~ 15 ~i X 8p ~ ~n ',;'!';l ~ ~ ~ ~ ~ ~ ii' I' !' I . i , ~ ; ~ i ~ i ~ i ... i; ~r; j ~ ~! !lli! 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