Resolution 2000-273
16F3
RESOLUTION NO. 2000 - 273
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS CERTIFYING THAT THE
APPLICATION FOR AND USE OF EMS COUNTY GRANT FUNDS WILL IMPROVE AND
EXPAND PRE-HOSPITAL EMS DEPARTMENT ACTIVITIES AND SERVICES AND WILL NOT
SUPPLANT EXISTING COUNTY EMS BUDGET ALLOCATIONS.
WHEREAS, EMS Department Paramedics and ParamedicfFirefighters provide basic and advanced life
support care and highly technical sCl'.'ice to the citizens and visilors of Collicr Counly~ and
WHEREAS, the purchase of equipmcnt and provision of training classes shall greatly
enhance the effectiveness of prc-hospital emergcncy medical care.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS
THAT the $83,946.38 in the EMS County Grant will be used to purchase medicalfreseuc equipment and
training classes and these funds will
1,:.
not be used to supplant existing EMS Department budget allocations.
This Resolution adopted this~ay Of~~ 200n after motioll, second and majority vote
favoririgsame.
:~.~~~E:~~~ ~/-f~
ATTESt::
Dwight E. lIrock, Clcrl.
._, By: r;,~~4rL
... Mte~t IS to thai naan . s
'lJt'~~dml/A
Cuunty of COLLIER
I~
; .
...:;
By:
Timo
I HEREBY CERTIFY THAT this is II
truc and corrcct COI)Y uf II document un
file in Board Minutes llnd Records of
Collicr County. WITNESS m:)' hand
and official seal this day or
Datc:_
AI)llrcn'cd liS to fonn l\1}d Ic~nl sufficicncy
. ....-----::::,,---:-'"
.---- './ -- .~
(<-- ~ ,~'1 .-
Rubcrt Zllchll ". /
Assistllnt County Attorney
Dwight E. Brock, Clcrk of Courts
BY:
Emergency Medical Services (EMS) County Grant Application
State of Florida 'J 0 F' ~
Department of Health
Bureau of Emergency Medical Services
Grant No. C.
Name of County: Collier
Business Address: Building "H" - 3rd
Naples,
Board of County Commissioners (grantee) Identification:
floor - 3301 East Tamiami Trail
Florida, 34112
Phone#(941) 774-8459
Suntom#(
2. Certificetion: I, the undersigned official of the previously named county, certify that to the best of
my knowledge and belief all information and data contained in this EMS County Award Application and
its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully with the
Florida EMS County Grant Manual.
Printed Name: ' mo~nstant ine
·
Signature:
Title: Chairman
Date Signed:
3. Authorized Contact Person: Person designated authority and responsibility to jSr0vide the
department with reports and documentation on all activities, sen, ices, and expenditures which involve this
grant.
Name: Diane B. Flagg
Title: Chief
BusinessAddress:Collier County EMS Building "H" 3rd floor
3301 East Tamiami Trail, Naples, Florida, 34112
(City) (State) (Zip)
Phone#(941), 774 ' R459 SunCorn#( ) -
4. County's Federal Tax Identification Number: VF
59 600G558
DH Form 1684, Jan. g8
1
County
5. Resolution: Attach a resolution from the Board of County Commissioners certifying the monies
from the EMS County Grant will improve and expand the county's prehospital EMS syste~ add thalL[be
grant monies will not be used to supplant existing county EMS ~udget allocations. 1 b F 3
6. Work Plan:
Work Activities:
Bid, purchase
and distribute
equipment
~meFrames:
six months (6) after
contract begins.
Provide specialized medicallrescue
educational courses.
~ix months (6) after
contract begins.
2
16F3
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
COUNTY GRANT PROGRAM
In acco~ance with the provisions of sec~on 401.113(2)(a), F.S., the undersigned hereby
requests an EMS county grant dis~ribMion (advance payment) for the improvement and
expansion of prehospital EM$.
PaymentTo: COLLIER COUNTY BOARD OF COMMISSIONERS
Name ot~oa~ ot~oun~ ~ommisslone~ (~aye~
3301 East Tamiami Trail,
Address
Naples,Florida, 34112
(City) (~tate) (z;p)
:ederal Tax ID Number of county:
SIGNATURE:
=tinted Name*
9 6 0 0 0 5 5 8 ~
ATTE S'I':
~ 2 DW I GH'T
thorizing County Official·
~ Date: 9//~
~ ~ Attest as to Chairman's
SIGN AND RETURN IIVlTH YOUR GRANT APPUCATION TO:
Department of Health
Bureau of Emeroencv Medical Services
EMS CouMy Grants
2020 Cap/tal Circle SE, Bin Cf8
Tallahassee, Flodda 32399-f738
BFuOr Use On.ly by Department of Health,
reau of Einergency Medical Services
qmount: $ ~ 3, q ~ ~ , '~ ~ Grant Number:
Signature, $tate~EMS Grant Officer
:iscal Year:
Amount:$
:ederal Tax I.D. VF__5__9__6_.o 0 __0 __~ ~____8
3eginning Date: f)c,,~- I, ~o ~ ~
Ending' Date: ~._~_.~
4
Jeb Bush
Governor
~r~s, M.D.
Secretars. '
October 10, 2000
Timothy J. Constantine, Chairman
Collier County Board of County Commissioners
3301 East Tamiami Trail, Building H
Naptes FL 34112
Dear Chairman Constantine:
It gives me great pleasure to inform you that Collier County has received an Emergency Medical Services
County Grant in the amount of $83,946.38. The grant number is C001 I. The grant is for the purchase of
the pregospiral activities, services, and other items contained in the grant application submitted to us by
tt~e Board of County Commissioners. We have submitted a request for the release of funds to the
comptrollers office, and the checks should be mailed within the next four to six weeks. //
The grant's beginning date is October !. 2000, and it ends on September 30, 2001. One requirement of
the grant is to submit four expenditure repor[s. Report one covers the receipt date of the check through
January 31, 2001, and is due March, 1,200:,. Report two covers the receipt date of the check through
April 28. 2001, and is due June I~ 200t. Repo~ three covers the receipt date of gae check through Ju~y
3!. 2001, and is due September !. 2001. The finai expenditure and activity report is due no iater than
November 1, 2001. We are sending your court .tys grant contact person extra co~es of the Proposed
Expenditure Plan Program Change Request, and Program Acbvity Repo~
You acknowledge acceptance of the grant terms and conditions when you draw or otherwise obtain funds
from the grant payment system. Your signed grant ap~ication acknowledges that you have read,
understana, and will com,[~iy fully with Appendix D of the Florida EMS County Grant Prog. rarn Manual
Januaot 1998 by the Department of Health.
You must execute this grant within the limits of the amount awarded to you. Any costs above the grant
amount that we award in accordance with section 401.113(2)(a), Flonda Statutes, is the sole
responsibility of the county.
Thank you for your continued support and involvement in improving and expanding the prehospitai
emergency medical services system. If you need assistance, please contact Dave Jacobsen at
(850) 245-4440, extension 2724.
Sincerely, ~-, f. ~ ..
/" " "~- ' i'
Ro~ G. Brooks, M.D. A~ Cla~n, Divimon Dire~or
Secreta~, Depa~ent of Health Emergency M~i~l Se~ices and
Community Health R~urces
RGBIACtdj
cc: Diane Flagg, Chief
Collier County Emergency Medical Services
4052 Bald Cypress Way · Tallahassee, FL 32399-1701