Agenda 09/08/2020 Item #16E 5 (Florida EMS County Grant)09/08/2020
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to execute a Florida Emergency Medical
Services County Grant Application, Request for Grant Funds Distribution, and associated
Resolution in the amount of $63,731.
OBJECTIVE: To expand and improve pre-hospital emergency medical services utilizing State grant
money.
CONSIDERATIONS: The State of Florida established the Emergency Medical Services Grant Award
Program for the expansion and/or improvement of emergency medical services. A grant award notice was
recently received from the State of Florida indicating that Collier County’s grant allocation for fiscal year
2020 will be $63,731.00. A resolution is required to be included with the grant application stating that
funds will not be used to supplant the EMS budget and certifying that the grant funds will be used to
improve the County’s emergency medical services. Also included with the application is a Request for
Grant Fund Distribution, which directs the Florida Department of Health to remit the grant funds to
Collier County Board of Commissioners. Approval of these documents also constitutes acceptance of the
grant when awarded.
FISCAL IMPACT: There is no fiscal impact associated with applying for this grant. Should the grant
be awarded, staff will bring back budget amendments recognizing grant revenue and budgeting
expenditures and match in a dedicated project number.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: To approve and authorize the Chairman to execute a Florida Emergency
Medical Services County Grant Application, Request for Grant Fund Distribution, and associated
Resolution for the funding of Training and Medical/Rescue Equipment in the amount of $63,731.00.
Prepared by: Erin Page, Accounting Supervisor, Emergency Medical Services
ATTACHMENT(S)
1. county-grant-app-2020 (1) (PDF)
2. EMS Resolution 8.17.200001 (PDF)
3. fundsforcounties (PDF)
16.E.5
Packet Pg. 1773
09/08/2020
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.5
Doc ID: 13257
Item Summary: Recommendation to approve and authorize the Chairman to execute a Florida
Emergency Medical Services County Grant Application, Request for Grant Funds Distribution, and
associated Resolution in the amount of $63,731.
Meeting Date: 09/08/2020
Prepared by:
Title: Accounting Technician – Emergency Medical Services
Name: Erin Page
08/17/2020 1:48 PM
Submitted by:
Title: Division Director - EMS Operations – Emergency Medical Services
Name: Tabatha Butcher
08/17/2020 1:48 PM
Approved By:
Review:
Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 08/17/2020 2:45 PM
Administrative Services Department Paula Brethauer Level 1 Department Reviewer Completed 08/24/2020 10:04 AM
Grants Valerie Fleming Level 2 Grants Review Completed 08/25/2020 9:07 AM
Administrative Services Department Len Price Level 2 Department Head Review Completed 08/26/2020 5:05 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 08/27/2020 8:30 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 08/27/2020 11:28 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 08/27/2020 11:31 AM
Grants Therese Stanley Additional Reviewer Completed 08/28/2020 11:11 AM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 09/01/2020 12:45 PM
Board of County Commissioners MaryJo Brock Meeting Pending 09/08/2020 9:00 AM
16.E.5
Packet Pg. 1774
Instructions: County Government Application Form 2020-2021
The amount of your new grant is in the “Total” column of the county amount table accessible at the state EMS
website link.
The first application form page has five numbered items. The first three are self-explanatory.
However, note that item 2 on the first application page is where the county's authorized person must provide his/her
signature and date.
Item 4 describes the content of the “resolution.” Please provide this in your county’s customary format and approval
process. The resolution must be current; or if a previous resolution has continuing authority, include a message from
a lead county official stating that the resolution is still in-effect, with a copy of it.
Item 5 of the first page of the application form asks for the name of the organization(s) to which you decide to
allocate funds from your new county grant. The second page of the application form is the budget page. One of
these budget pages is needed for each organization listed in item 5.
The budget page for each organization must have on it specific and quantifiable items or services, with the cost for
each unit or type of item or service. However, all costs in your budget combined must total to the exact amount of
total new funds for your grant. You can request budget changes and add unexpended previous funds after the new
grant begins.
Your budget totals in the application should be added for you if you place your cursor over a subtotal or total field,
right click your mouse, then left click “Update Field” on the resulting menu.
You should copy this form on your computer to use it. If you place the application in restricted editing mode, you can
use your keyboard Tab key to go from field to field.
Request for Grant Fund Distribution Form
Request for Grant Fund Distribution Form: this is the last page herein and you must complete the top part of the
form. State EMS will complete the bottom part, as indicated on the form. Your address on this form must be an
address in the state MyFloridaMarketplace (MFMP) system. A mailing address you place on this form is not usable
by state finance if it is not in the MFMP system.
Ask a staff member of your organization who does cash transactions with the state for the organization name to use
on the top half of the Distribution Form, the corresponding address and its 9-digit federal tax ID plus its 3-digit
sequence code. Otherwise, no funds can be sent to you until this situation is resolved.
If needed, you can contact MFMP customer service at 1-866-352-3776, Monday to Friday, 8 a.m. to 6 p.m., or at the
website: MyFloridaMarketPlace@dms.myflorida.com.
16.E.5.a
Packet Pg. 1775 Attachment: county-grant-app-2020 (1) (13257 : EMS Grant Application)
FLORIDA DEPARTMENT OF HEALTH
Emergency Medical Services Section
EMS County Grant Application
ID Code (The State EMS Program will assign the ID Code – leave this blank) ______
1. County Name: Collier
Business Address: 3299 Tamiami Trail East, Suite 700
Naples, FL 34112-5747
Telephone: 239-252-3740
Federal Tax ID Number (Nine Digit Number): VF 59-6000558
2. Certification: (The applicant signatory who has authority to sign contracts, grants, and other legal
documents for the county) I certify that all information and data in this EMS county grant application and
its attachments are true and correct. My signature acknowledges and assures that the county shall comply
fully with the conditions outlined in the Florida EMS County Grant Application.
Signature: Date:
Printed Name: Burt L. Saunders
Position Title: Chairman
3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and has
responsibility for the implementation of the grant activities. This person is authorized to sign project reports
and may request project changes. The signer and the contact person may be the same.)
Name: Erin Page
Position Title: Accounting Supervisor
Address: 8075 Lely Cultural Parkway, Naples, FL 34113
Telephone: 239-252-3756 Fax Number: 239-252-3298
Email Address: Erin.Page@CollierCountyFL.gov
4. Resolution: Attach a resolution from the Board of County Commissioners certifying the grant funds will
improve and expand the county pre-hospital EMS system and will not be used to supplant current levels of
county expenditures. We cannot process for funds without this resolution.
5. Organization List: Complete a budget page(s) for each organization, which at your option you will
provide funds. List the organization(s) below. (Use additional pages if necessary)
Collier County Emergency Medical Services
DH 1684, December 2008 (Rev. July 2018) Rule 64J-1.015, Florida Administrative Code
1
16.E.5.a
Packet Pg. 1776 Attachment: county-grant-app-2020 (1) (13257 : EMS Grant Application)
BUDGET PAGE
A. Salaries and Benefits:
For each position title, provide the amount of salary per hour, FICA per
hour, other fringe benefits, and the total number of hours. Amount
TOTAL Salaries = $ 0.00
TOTAL FICA & Other Benefits =
Total Salaries & Benefits = $ 0.00
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 outlay (see next category).
List the item and, if applicable, the quantity Amount
Training $5,000.00
Tuition for Paramedic School $50,000.00
Total Expenses = $ 55,000.00
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 quantity Amount
Medical/Rescue Equipment $8,731.00
Total Vehicles & Equipment = $ 8,731.00
Grand Total =
$ 63,731.00
DH 1684, December 2008
2
16.E.5.a
Packet Pg. 1777 Attachment: county-grant-app-2020 (1) (13257 : EMS Grant Application)
FLORIDA DEPARTMENT OF HEALTH
EMERGENCY MEDICAL SERVICES (EMS) GRANT UNIT
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of section 401.113(2) (a), Florida Statutes, the undersigned hereby requests
an EMS grant fund distribution for the improvement and expansion of pre-hospital EMS.
DOH Remit Payment To:
The county name, address, and corresponding federal ID number must be in the state MyFloridaMarketPlace
(MFMP) system. A finance person in your organization who does business with the state must provide these.
Name of County: Collier County Board of County Comissioners
Mailing Address: 3299 Tamiami Trail East, Suite 700
Naples, FL 34112-5747
Federal 9-digit Identification number: 59-6000558 3-digit seq. code
Authorized County Official:
Signature Date
Burt L. Saunders, Chairman
Type or Print Name and Title
Sign and return this page with your application to:
Florida Department of Health
Emergency Medical Services Unit, Grants
4052 Bald Cypress Way, Bin A-22
Tallahassee, Florida 32399-1722
Do not write below this line. For use by State Emergency Medical Services Section
Grant Amount for State to Pay: $__________________ Grant ID: Code: __________
Approved By:
Signature of State EMS Unit Supervisor Date
Approved By:
Signature of Contract Manager Date
State Fiscal Year: 2020-2021
Organization Code E.O. OCA Object Code Category
64-61-70-30-000 05 SF005 751000 059998
Federal Tax ID: VF ___ ___ ___ ___ ___ ___ ___ ___ ___ Sequence Code: ___ ___ ___
Grant Beginning Date: ____________________ Grant Ending Date: ____________________
DH 1767P, December 2008 (rev. June 8, 2018), incorporated by reference in Rule 64J-1.015, Florida Administrative Code
3
16.E.5.a
Packet Pg. 1778 Attachment: county-grant-app-2020 (1) (13257 : EMS Grant Application)
16.E.5.b
Packet Pg. 1779 Attachment: EMS Resolution 8.17.200001 (13257 : EMS Grant Application)
Page 1 of 2
(a) County did not apply for previous award.
(b) County did not apply for previous two awards.
(c) County did not apply for previous three awards
(d) County did not apply for previous four awards.
Note that these payments return to each county 45 percent of the county’s annual deposits into the
state EMS Trust Fund for traffic surcharges specified by 401.113 (1), Florida Statutes.
2020-2021 Payments to County Governments Required
by 401.113 (2) (a), Florida Statutes
County Total Award New Funds
Previously
Not Paid
Alachua $31,811.00 $31,811.00
Baker $3,802.00 $3,802.00
Bay $17,595.00 $17,595.00
Bradford $17,459.00 $17,459.00
Brevard $38,463.00 $38,463.00
Broward $94,010.00 $94,010.00
Calhoun (b) $10,048.00 $8,581.00 $1,467.00
Charlotte $18,146.00 $18,146.00
Citrus $12,399.00 $12,399.00
Clay $25,393.00 $25,393.00
Collier $63,731.00 $63,731.00
Columbia $9,755.00 $9,755.00
Desoto (a) $10,352.00 $5,380.00 $4,972.00
Dixie (c) $5,153.00 $1,354.00 $3,799.00
Duval $79,491.00 $79,491.00
Escambia $29,561.00 $29,561.00
Flagler $8,738.00 $8,738.00
Franklin $813.00 $813.00
Gadsden $4,921.00 $4,921.00
Gilchrist $1,975.00 $1,975.00
Glades $9,208.00 $9,208.00
Gulf $3,429.00 $3,429.00
Hamilton (a) $7,022.00 $2,986.00 $4,036.00
Hardee $7,856.00 $7,856.00
Hendry $9,484.00 $9,484.00
Hernando $16,831.00 $16,831.00
Highlands $16,968.00 $16,968.00
Hillsborough $91,833.00 $91,833.00
Holmes $2,546.00 $2,546.00
Indian River $18,951.00 $18,951.00
Jackson $6,855.00 $6,855.00
Jefferson $5,432.00 $5,432.00
Lafayette (d) $7,741.00 $5,290.00 $2,451.00
Lake $38,376.00 $38,376.00
Lee $84,207.00 $84,207.00
Leon $26,821.00 $26,821.00
Levy $5,970.00 $5,970.00
Liberty (a) $2,850.00 $1,515.00 $1,335.00
Madison $7,504.00 $7,504.00
16.E.5.c
Packet Pg. 1780 Attachment: fundsforcounties (13257 : EMS Grant Application)
Page 2 of 2
(a) County did not apply for previous award.
(b) County did not apply for previous two awards.
(c) County did not apply for previous three awards
(d) County did not apply for previous four awards.
Note that these payments return to each county 45 percent of the county’s annual deposits into the
state EMS Trust Fund for traffic surcharges specified by 401.113 (1), Florida Statutes.
2020-2021 Payments to County Governments Required
by 401.113 (2) (a), Florida Statutes
County Total Award New Funds
Previously
Not Paid
Manatee $32,843.00 $32,843.00
Marion $26,655.00 $26,655.00
Martin $22,479.00 $22,479.00
Miami Dade $97,877.00 $97,877.00
Monroe $26,289.00 $26,289.00
Nassau $8,750.00 $8,750.00
Okaloosa $21,190.00 $21,190.00
Okeechobee (b) $12,089.00 $3,997.00 $8,092.00
Orange $168,948.00 $168,948.00
Osceola $55,824.00 $55,824.00
Palm Beach $147,932.00 $147,932.00
Pasco $34,607.00 $34,607.00
Pinellas $122,074.00 $122,074.00
Polk $84,148.00 $84,148.00
Putnam $4,533.00 $4,533.00
St. Johns $18,691.00 $18,691.00
St. Lucie $44,107.00 $44,107.00
Santa Rosa $20,554.00 $20,554.00
Sarasota $36,790.00 $36,790.00
Seminole $66,745.00 $66,745.00
Sumter $17,834.00 $17,834.00
Suwannee (a) $10,125.00 $5,026.00 $5,099.00
Taylor $2,475.00 $2,475.00
Union (a) $1,252.00 $536.00 $716.00
Volusia $55,292.00 $55,292.00
Wakulla $2,781.00 $2,781.00
Walton $6,064.00 $6,064.00
Washington (b) $5,473.00 $1,472.00 $4,001.00
Totals $2,007,921.00 $1,971,953.00 $35,968.00
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Packet Pg. 1781 Attachment: fundsforcounties (13257 : EMS Grant Application)