Resolution 1999-35116G7
RESOLUTION NO. 99 - 35~
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS CERTIFYING TtIAT
TH~ APPLICATION FOR AND USE OF EMS TRUST FUND MONIES WILL IMPROVE AND
EXPAND PRE-HOSPITAL EMS DEPARTMENT ACTIVITIES AND SERVICES AND WILL
NOT SUPPLANT ALL LOCATIONS.
WHEREAS, EMS Department Paramedics provide basic and advanced life support care: a uniquc 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
THAT the $70,120.88 in the EMS Trust Fund will be used to purchase equipment and these monies
will
not be used to supplant existing EMS Department budget allocations.
This Resolution adopted this ~ day ot~~~,,~.~ , 1999 after motion, second and majority
VOte
favoring same.
A~:' '
m.. ',,
BOARD OF COUNTY COMMISSIONE~S/-
BT: //P:mela S. l lac,Le,tC(alL ' In/a n
State of FLORIDA
County of COLLIER
I HE~~TIFY THAT this is a
tru,a~nlt..eo''~'~'' ':W~'t:t~, i~y of a document on
~e ~ ~~d~d R~ords of
Co~e'~Cou~, ~ my hand
~d o'ffi~ s~ thh~/~ day of
~/~ . Ap~~ and l~al sumclency
~ght ~i~ Oe~ of Coum
Emergency Medical Services (EMS! County Gran~
State of Flonda .I. Obi/tiOn
Department of Health
Bureau of Emergency Medical Services
Grant No. C.
Board of County Commisslonem (grantee)Identtfimtion:
Name of Coun~ Collier
BusinessAddress: Building "H" - 3rd floor - 3301 East Tamiami Tr.
Naples, Florida, 34112
Phone#(941 ) 774-8459 ,. SunCom#( ) -
2. '" Certification: i, the 'undersigned"offtctai'of the previously named county, certify that to the best of
my knowledge and belief ali information and data contained in this EMS County Award Application and
its attachments am true and correct.
My signature acknowledges and ensures that l have read, understood, and v~l~~ith the
Florida EMS County Grant Manual. Att l${
I Pflnted Name: eia s ._~ae' K_t · ',~ T~Je:
/Signatu~Oate Signed:~~'" I
3. Authorized Con[act Per, on: Person designs!ed auth0rtty and ~e~Ts~o~ to 6mvld~ the~'
department with reports and documentation on all aclMfies, services, and expend~~u~~
grant.
Chief
Name: Diane B. Flagg
BuslnessAddress: Collier Count;y EMS, Building "H" - ,3rd
3301 East; Tamiami Trail, Naples, Florida, 34112
(c~y) (state)
Phone#(941 ). 774-8A59 SunCorn#(
"4'. C°~n't~sFederalTaxldenflficationNumber. VF. 59, 6000558
floor,
(ZIp)
DH Form 1684, Jan. 98
Resolution: Attach a resolution from the Board of County Commissbners certifying the monies
the EMS County Grant will Improve and expand the counts prehospital EMS system and that the
grant monies will not be used to supplant existing county EMS budget allocations.
6. Work Plan:
Work ActMties:
Bid, purchase and distribute equipment
Provide specialized medical/rescue
educational courses.
~meFmrnes:
Six (6) months after contract
begins.
Six (6) months after contract
begins.
3
16G7
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
COUNTY GRANT PROGRAM
expen~ton of prehospltal EMS.
Payment To:
co~.zsa cou~?Y SOAaD OF CO~ZSSZO~S
.... ~vame or ~ro ot c;oun~ c;orrfm/"ss/bn§rs (~a~/~e)
3301 ~.as~ Tamiami Trail
...... Adcfms$
Naples, Florida 34112
n 5 9 6 0 0 0 5 5 8
:ederal Tax ID Number of cou ty:. ...........
I Authorizing C/aunty Official
I GNA TU Date :~~ / ,~ ,~,~
.' - · .?,"~Ba~ela S. Hac'Kte / ~-~,_. Chairwoman
· pda.t~l~krame~ ............. ~ ~e: ...............
.i.-~ ..' ', .,./.-o/.
ATTE .1;f,- .;,.. :.' .. - ' .
..,,;~,t ,'m o~'v . , t'~,~lGN AND RETURN WITH YOUR ORANT'APPLICATION TO.
it, est~ It ,~ I Ta//ahassee, ~)~'n~aa 32301-4881
sl/aature oar~.
BFOur Uae O.n_ly by Department of Health,
reau or eme~cy Medical Serwces
~nount:. $ , Grant Number.
Approved By:. ~gna ure, a ran r Date:
Ciscal Year:
amount:$ .....
eginning Date: , ....
Ieginning Date: ,,
Ending Date: