Resolution 2011-033
RESOLUTION NO. 2011 - 33
RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
CERTIFYING THAT THE APPLICATION FOR AND USE
OF EMS COUNTY GRANT FUNDS WILL IMPROVE AND
EXPAND PRE-HOSPITAL EMS DEPARTMENT
ACTMTIES AND WILL NOT SUPPLANT EXISTING
COUNTY EMS BUDGET ALLOCATIONS.
WHEREAS, EMS Department Paramedics and Paramedic/Firefighters provide
basic and advanced life support care and highly technical service to the citizens and
visitors of Collier County; and
WHEREAS, the purchase of equipment and provision of training classes shall
greatly enhance the effectiveness of pre-hospital emergency medical care.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
The $39,565 in the EMS County Grant will be used to purchase medicaVrescue
supplies/equipment and training classes and these funds will not be used to supplant
existing EMS Department budget allocations.
PASSED AND DUL Y ADOPTED by the Board of County Commissioners of Collier
~
County, Florida, this~~ day of li.l:>r~a ry ,2011.
A TIEST:
DWIGflj~:BYi~JS,Clerk
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BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA
..
BY: ~W. ~
FRED W. COYLE, Chainn
Approved as to form and
legal su cie
EMS COUNTY GRANT ApPLICATION
FLORIDA DEPARTMENT OF HEALTH
Bureau of Emergency Medical Services
Complete all/terns
10. Code (The State Bureau of EMS will assign the 10 Code - leave this blank) C
1. Cou ame: Collier
Business Address: 3299 Tamlami Tral
a
Date: Q)~
Fax Number: 239-252-3298
4. esolutlon: Attach a current resolution from the Board of County Commissioners ng the grant
funds win Improve and expand the county pre-hospital EMS system and will not be used to supplant
current levels of county expenditures.
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D~SJT ~.BR6CK;C~RK'~.
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5. BUdget: Complete a budget page(s) for each organization to which you shall provide funds. List
the organlzatlon(s) below. (Use additional pages if necessary)
CoUier County Emergency Medical Services
;',
'0 Ob' ..n
.'. .....
D Forin 684. December 2008 64J-1.015 FAC.
3
Appr
formlll1d legal sufficiency:
<' . '~Depuiv Cia
Attest:. _ .
. ttNtwe'. ..
BUDGET PAGE
per
Amount
as
-GraildlotarSalarieSan<fFICA
B. Expenses: These are travel costs and the usual, ordinary, and incidental expenditures by an
agency, such as, commodities and supplies of a consumable nature excluding expenditures classified as
operating capital ouUay (see next category).
L st e Item and, app Icable, the quantity ount
C. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other
tangible personal property of a non consumable and non expendable nature with a normal expected life
of one (1) year or more.
List the Item and, If applicable; the quantlty' Amount
~MiKtiCi'lIRescueEqulpmen{.-"'-~"._~--~--"-"~.~--~--~---------..~----,._-- -$29';005.------.-----------..'-
_.4_:._._.__._._._.,_"____ -_-_'"'-"'.....>--..'._._~_~,~__..__"_~.__,~..'_.. '_.___."',___'__,"_" '~--_-" .....-__..__._____. -.-<...-,..,.....;_.._...._.,._._...___.,..._,_c__,_. __ ,--.-,.'-0'",,-,.,.._,...-,-.-...,---_.--.-. "_'..____._,_.,__.__..____. __..__'_._A....________.._._~._'.__._..__.___._.___._.__,.,.__.____'_n'V
TOTAL $29,565
~----'-"'--'<~'. - ,.~.~. -.. - --- - '--'- ".-" -... ..-., ... '.'-." -,_~,..-_.--,.-O'--_ .- --.-,'..-.-- ----- .. -"-"
Grand Total $39.565
DH Form 1684, December 2008
4
FLORIDA DEPARTMENT OF HEALTH
EMS GRANT PROGRAM
~UEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of Section 401.113(2)(a), F. S., the undersigned hereby
requests an EMS grant fund distribution for the improvement and expansion of pre-hospital
EMS.
DOH Remit Payment To:
Name of Agency: Collier County Board of County Commissioners
Mailing Address: 3299 Tamiami Trail East. Suite 303
Naples, FL 34112
Authorized Official:
Federal Identification number _59-6000558
~ .J_W
nature
G-d'"
Fred W. Coyle, Chairman
Type Name and Title
&}~) lL
Date
Sign and return this page with your application to:
Florida Department of Health
BEMS Grant Program
4052 Bald Cypress Way, Bin C18
Tallahassee, Florida 32399-1738
00 not write below this line. For use by Bureau of Emergency MedIcal Services personnel only
Grant Amount For State To Pay: $
Approved By
Grant 10: Code:
Signature of EMS Grant OffICer
Date
State Fiscal Year.
Oraanlzation Code
64-42-10-00-000
.E.Q"
~
OblectCode
750000
Federal Tax 10: VF
Grant Beginning Date:
Grant Ending Date:
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ATTEST . .'W",'. . .." .'1
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DWJG~E. BRO~ClEft<
\j)e~Cfe~~ " ,
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Attllt:. " ...... .
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I 5utrlclencv
64J-1.015. FAC.