Item C07 } C.7
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County of Monroe
�y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor Michelle Coldiron,District 2
�1 nff `ll Mayor Pro Tem David Rice,District 4
-Ile Florida.Keys Craig Cates,District 1
Eddie Martinez,District 3
w Mike Forster,District 5
County Commission Meeting
June 16, 2021
Agenda Item Number: C.7
Agenda Item Summary #8286
BULK ITEM: Yes DEPARTMENT: Emergency Management
TIME APPROXIMATE: STAFF CONTACT: Jeff Manning (305)289-6325
NA
AGENDA ITEM WORDING: Approval to accept a Florida Department of Health Emergency
Medical Services Matching Grant in the amount of$15,000, with a cost share of 75%/25%.
ITEM BACKGROUND: The Florida Department of Health has awarded Monroe County an
Emergency Medical Services Matching Grant in the amount of$15,000.00. The cost share is 75%
State, 25% County. The grant is to procure video laryngoscopes to improve and expand advance
care management for patients, especially infant and pediatric patients.
PREVIOUS RELEVANT BOCC ACTION: N/A
CONTRACT/AGREEMENT CHANGES:
NA
STAFF RECOMMENDATION: Approve
DOCUMENTATION:
EMS MATCH AWARD LETTER
EMS MATCHING GRANT 2021 SIGNED FINAL
Grant Resolution 267-2007 - Granting authority to County Administrator to accept grants
FINANCIAL IMPACT:
Effective Date: June 16th, 2021
Expiration Date: June 30th, 2022
Total Dollar Value of Contract: 15,000.00
Total Cost to County: 3750.00
Current Year Portion:
Budgeted: No
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C.7
Source of Funds: Grant
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: NO If yes, amount:
Grant: 11,250.00
County Match: 3750.00
Insurance Required: no
Additional Details:
TBD
06/16/21 NOT BUDGETED $3,750.00
Max of 25% match required
REVIEWED BY:
Shannon Weiner Completed 05/20/2021 4:16 PM
Steven Hudson Completed 05/25/2021 9:12 AM
Pedro Mercado Completed 05/26/2021 11:02 AM
Purchasing Completed 05/26/2021 11:03 AM
Budget and Finance Completed 06/01/2021 11:08 AM
Maria Slavik Completed 06/01/2021 11:14 AM
Liz Yongue Completed 06/01/2021 12:32 PM
Board of County Commissioners Pending 06/16/2021 9:00 AM
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Mission: Ron antic
Govemor
To protect,promote&improve the health
of all people In Florida through integrated € � °"� Scoft A. Rivkeea,MD
state,counly&=munq eftorls,
HEALTHStets Surgeon General
Vision:To be the Heatthlest State In the Nation
May 5, 2021
Roman Gastesi, County Administrator
Monroe County Board of County Commissioners
1100 Simonton Street
Key West, Florida 33040
ns
Dear Mr. Gastesi:
The Florida Department of Health (DOH) is pleased to award an Emergency Medical Services (EMS)
Matching Grant, ID Code M9037 in the amount of$11,250.00 to Monroe County Board of County
Commissioners. This grant program is funded by the DOH, EMS Trust Fund. There are no federal
funds involved. The purpose of this grant is to improve and expand EMS by assisting your organization
to purchase ten AirTraq video laryngoscopes with advance management for pediatric and infant
patients.
The grant begins the date of this letter and ends June 30, 2022. Your required local cash match is
$3,750.00 with a total budget of$15,000.00. You are required to report grant activities and purchases
to the state pursuant to section 401.113 (2) (b), Florida Statutes, and in compliance with the Florida LU
Catalog of State Financial Assistance, program number 64.003. The reports are due the third week of
October 2021, February 2022, and the final report by the grant ending date of June 30, 2022. LU
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Your signed grant application affirms you have read, understand, and will comply with the conditions
and requirements in the "Florida EMS Matching Grant Program Application Packet, December 2008."
You may obtain a copy of the grant application packet from your identified state contact person.
Thank you for your participation in this state EMS grant. If you need assistance, please contact the
Bureau of Emergency Medical Oversight, EMS Section, Health Services and Facilities Consultant, Alan
Van Lewen at (850) 558-9550.
Sincerely,
Douglas H. Woodlief
Division Director
Emergency Preparedness and Community Support
DHWlavl
cc: Jeff Manning, Senior Emergency Management Planner
Florida Department of Health
Division of Emergency Preparedness and Community Support
Bureau of Emergency Medical Oversight Accredited Heafth Department
4052 Bali Cypress Way,Bin A-22-Tallahassee,FL 32399-1722 Im
RibiiC Heab AccredRation Board
PHONE:85012454440•FAX:8501488-9408
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Applicant Information
Special Note: Section 401.111, Florida Statutes, requires the state to assist private nonprofit
youth athletic organizations that work in conjunction with local EMS with costs for automated
external defibrillators. We intend to fund grant requests of this type.
Optional: In your application package cover letter you may request to be, or recommend a
person to be, a reviewer of matching grant applications during this grant cycle.
Request for Grant Fund Distribution Page: This page is the last page of the grant application.
You must complete the top part of the form and state EMS staff will complete the bottom
portion, as indicated on the form.
Ask a staff member of your organization who does cash transactions with the state for the
organization name to use on the Distribution Form and the exact corresponding address of its 9-
digit federal tax ID plus its 3-digit sequence code.
Number of Pages: Each application must be no more than 15 one-sided pages, including the
form and all content. However, you may submit a one-page cover letter and letters of
recommendation. These pages will not count against the total page limit. Please note, reviewers
are not required to read anything over 15 one-sided pages. a
Fastening. If you send a paper application, do not use a booklet cover. Simply staple it in the
upper left corner, with the first page of the application form the first of the stapled pages.
While preparing the application, you may contact state EMS staff for assistance.
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EMS MATCHING GRANT APPLICATION
FLORIDA DEPARTMENT OF HEALTH
Emergency Medical Services Section
HEALIM (Complete all items unless instructed differently within the application)
Type of Grant Requested: X❑ Rural X❑ Matching
ID Code The State EMS Section will assign the ID Code— leave this blank
1. Organization Name: Monroe County BOCC
490 63rd St Ocean
Marathon, FL 33050
2. Grant Signer: (The applicant signatory who has authority to sign contracts, grants, and other
legal documents. This individual must also sign this application.)
Name: Roman Gastesi
Position Title: County Administrator
Address: 1100 Simonton St
Cit KeyWest FL 33040 County: Monroe
State: Florida Zio Code: 33044
Tele hone: 305 292-4441 Fax Number: 305 292-4544
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Email Address: gastesi-roman@monroecounty-fl.gov
3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis
and responsibility for the implementation of the grant activities. This person may sign project
reports and may request project changes. The signer and the contact person may be the
same.)
Name: Jeff Manning
Position Title: Senior Emergency Management Planner
Address:
490 631 ST Ocean LU
City: Marathon County: Monroe
State: Florida Zip Code: 33050
Telephone: 305 747-0690 Fax Number: 305 289-6333
Email Address: manning-jeff@monroecounty-fl.gov
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4_ Legal Status of Applicant Organization (Check only one response}.
(1) [❑ Private Not for Profit[Attach documentation-501 (3) ®]
(2) ❑ Private for Profit
(3) ❑ City/Municipality/Town/Village
(4) XX County
(5) ❑ State
(6) ❑ Other (specify
5. Federal Tax I D Number (Nine Digit Number) VE 51-6 09Z49
6. EMS License Number: 4403 Type: X Transport ❑Non-transport Both
7. Number of Permitted Vehicles by Type: BLS 15 ALS Transport 12 ALS non-
transport y
8. Type of Service (check one): ❑ Rescue ❑ Fire ❑ Third Service (County or City
Government, non-fire) ❑ Air Ambulance ❑ Fixed Wing ❑ Rotor Wing X Both ❑ Other
(specify)
9. Medical Director of Licensed EMS Provider: If this project is approved, i agree by signing
below that I will affirm my authority and responsibility for the use of all medical equipment
and/or the provision Ilontinuin EMS education in this project. [No signature is needed
if medical equipme d pr essional EMS education are not in this project.]
Signature. i �� v v —�`` Date:
Print/Type:Name of Director Sandra Schwemmer. D.O.
Florida License Number OS 4022
Note: AII.organizations that are not licensed EMS providers must obtain the signature of the
medical director of the licensed EMS provider responsible for EMS services in their area of
o eration for projects that involve medical equipment and/or continuin EMS education. N
10. Justification Bummai v: Provide on no more than three one-sided, double-spaced pages, a
summary addressing this project covering each topic listed below.
A) Problem description (Provide a narrative of the problem or need);
B) Present situation (Describe how the situation is being handled now);
C) The proposed solution (Present your proposed solution);
D) Consequences if not funded (Explain what will happen if this project is not funded);
E) The geographic area to be addressed (Provide a narrative description of the geographicLU
area);
F) The proposed time frames (Provide a list of the time frame(s) for completing this project);
G) Data sources (Provide a complete description of data source(s) you cite);
H) Statement attesting that the proposal is not a duplication of a previous effort (State that this
project doesn't duplicate what you've done on other grant projects under this grant
program).
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Next, oiMy compl te one of the f0 wing: Items 11, 12, 13 or 14. Read all four and then
select and complete the one that pertains the most to the preceding Justification
Summary. Note that on all, that credible before-after differences for emergency victim
data are the highest scoring items on the Matching Grants Evaluation Worksheet used
by reviewers to evaluate your application form.
11. Outcornefor PrcIects that Provide or Effect Direct Services to Ernergencv `ictirns, This
may include vehicles, medical and rescue equipment, communications, navigation, dispatch,
and all other things that impact upon on-site treatment, rescue, and benefit of emergency
victims at the emergency scene. Use no more than two additional one-sided, double-spaced
pages for your response. Include the following.
A) Quantify what the situation has been in the most recent 12 months for which you have data
(include the dates). The strongest data will include numbers of deaths and injuries during
this time.
B) In the 12 months after this project's resources are on-line, estimate what the numbers you
provided under the preceding "(A)" should become.
C) Justify and explain how you derived the numbers in (A) and (B), above. 2
D) What other outcome of this project do you expect? Be quantitative and explain the
derivation of your figures.
E) How does this integrate into your agency's five-year plan?
12. Outcome for Training Projects: This includes training of all types for the public, first
responders, law enforcement personnel, EMS and other healthcare staff. Use no more than two
additional one-sided, double-spaced pages for your response. Include the following:
A) How many people received the training this project proposes in the most recent 12-month
time period for which you have data (include the dates)? LU
B) How many people do you estimate will successfully complete this training in the 12 months
after training begins?
C) If this training is designed to have an impact on injuries, deaths, or other emergency victim
data, provide the impact data for the 12 months before the training and project what the
data should be in the 12 months after the training. z
D) Explain the derivation of all figures.
E) How does this integrate into your agency's five-year plan?
13. Outcome for Other Projects: This includes quality assurance, management, administrative,
and other. Provide numeric data in your responses, if possible, that bear directly upon the
project and emergency victim deaths, injuries, and/or other data. Use no more than two
additional one-sided, double-spaced pages for your response. Include the following
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A) What has the situation been in the most recent 12 months for which you have data (include
the dates)?
B) What will the situation be in the 12 months after the project services are on-line?
C) If this project is designed to have an impact on injuries, deaths, or other emergency victim
data, provide the impact data for the 12 months before the project and what the data should
be in the 12 months after the project.
D) Explain the derivation of all numbers.
E) How does this integrate into your agency's five-year plan?
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10. Justification Summary- Provide on no more than three one-sided, double-spaced pages,
surr m rat addressing this project covering each topic Ii,;tech below.
Problem description: Monroe County Fire Rescue (MCFR) currently faces a capability gap in dealing
with airway issues for pediatric patients. Equipment currently available and deployed on ALS Transports
rely upon direct laryngoscopy and supraglottic airways for all pediatric patients, resulting an overall
delay in obtaining a secure, definitive airway. Additionally, this equipment requires specific techniques
and practices which pose challenges for use even with adult patients. To mitigate this challenge,we are CD
requesting funding to place Video Laryngoscopes on all of our ALS transport units.The addition of the
AirTraqtools will allow our providers to establish a definitive airway faster and more accurate) with
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minimal staffing.
The AirTraq is unique in a couple of different features.The first is that it offers multiple blade sizes to
accommodate the placement of advanced airways in patients ranging from infant to adult. Infant and
pediatric patients are notoriously difficult for airway management due to the natural anatomy of these
smaller patients.The second feature is that the screen can be attached to the blades from different
directions which allows the user to intubate more easily from non-traditional orientations.With the
current emphasis on aggressive airway management in critical patients, this tool would be priceless for
our organization.
The AirTraq also provides additional training and reporting possibilities through its ability to record and
capture images. Personnel will be able to upload an image of the proper placement of ET tubes to our
reporting software and videos can be taken and utilized in training and quality management to improve
our service to the community.
Present situation: Monroe County Fire Rescue currently relies upon older equipment that presents less
flexibility and technological capability than the new equipment being sought under this matching grant
program. The equipment requires that the patient be intubated from one specific orientation, posing
often unnecessary challenges to the responding providers. cv
Consequences if not funded: As noted above,the current equipment simply cannot be utilized for
infant and pediatric patients. Given the unique geography of the Florida Keys, (approximately 50 miles
between each of the three hospitals along the 120-mile island chain) both of these conditions may result
in a delay in providing aggressive airway management, threatening positive outcomes for patients, even
potentially resulting in loss of life that may have been prevented with the newer equipment.
The geographic area to be addressed: Monroe County Fire Rescue's first area of responsibility includes
all of unincorporated Monroe County: From the northern boundary of the City of Key West to the
southern boundary of the City of Marathon, approximately 45 linear miles, from the northern boundary
of Marathon to the southern boundary of the Village of Islamorada, approximately 16 linear miles, and m
from the northern boundary of Islamorada to the Key Largo Fire and Ambulance District, approximately
10 linear miles. Additionally, Monroe County Fire Rescue is the primary response agency for Key West
International Airport, located within the City of Key West. The location of the three hospitals, as stated
above, mean that transport of ALS sometimes takes longer than desired, especially if there are traffic
problems on the single highway running through the Keys. Trauma patients are flown by air ambulance
to hospitals on the mainland in Miami-Dade County.
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The proposed time frames: If funding is approved, the equipment will be purchased immediately. In
accordance with Monroe County purchasing policy, after delivery, we will schedule training on the use,
maintenance, and care of the devices. As part of our commitment, we will continue to supply all the
necessary equipment to keep the project sustained after the initial purchase is made. We believe
procurement could be completed within three months of an award; training of personnel completed
within one month; and equipment deployed on all Rescue units within the following month; meaning
the complete project would be operational within no more than six months.
Data sources: In developing this application, we utilized ESO Analytics and Operative IQ. ESO is where
call and intervention statistics were derived from. Operative IQ is where we retrieved the usage report
for specific airway equipment. Both are in-house software programs.
Statement attesting that the proposal is not a duplication of a previous effort: This proposal will not
duplicate efforts of current or previous grant activities. This application seeks to replace older
equipment with enhanced capability, and to fill a current gap in service as relates to infant and pediatric
patients.
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11. utco"rne for Pro,lects that Provide r Effect Direct Services to Em r nc,/ irr s: This
may include vehicles, medical and rescue equipment, communications, navigation, dispatch,
and all other things that impact upon on-site treatment, rescue, and benefit of emergency
victims at the emergency scene. Use no more than two additional one-sided, double-spaced
pages for your response. Include the following.
A) Quantify what the situation has been in the most recent 12 months for which you have data
(include the dates). The strongest data will include numbers of deaths and injuries during
this time. To date, MCFR has performed 0 out-of-hospital advanced airways in infant and
pediatric patients. This is due to lack in visualization of the anatomy needed to perform
direct laryngoscopy. All airway management of infant and pediatric airways has been
accomplished through BLS intervention or supraglottic airway. y
B) In the 12 months after this project's resources are on-line, estimate what the numbers you
provided under the preceding "(A)" should become. It is difficult to predict the frequency of
intubation for the coming 12 months after this project is funded, however considering our
complete lack of video assisted Iaryngoscopy for infant and pediatric patients it is
reasonable to infer that there will be an increase over the previous 12 months.
C) Justify and explain how you derived the numbers in (A) and (B), above. The above statistics
were found by reviewing agency EMS reports for interventions and examining equipment
usage reports.
D) What other outcome of this project do you expect? Be quantitative and explain the
derivation of your figures. The AirTraq is also expected to improve the first pass intubation E
rate of adult patients. Current statistics show a first pass success rate above 80%, with the
addition of easier use from multiple angles the first pass rate can be expected to improve
above 90%.
E) How does this integrate into your agency's five-year plan? This device will keep with
MCFR's plan to provide quality AILS care to the residents of our communities and
continuously improve as new technology and techniques become available.
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Skip Item 14 and go to Item 15, unless your project is research and evaluation and you
have not completed the preceding Justification Summary and one outcome item.
14. Research and Evaluation Justification Summary and Outcome: You may use no more than
three additional one-sided, double-spaced pages for this item.
A) Justify the need for this project as it relates to EMS.
B) Identify (1) location and (2) population to which this research pertains. 2
C) Among population identified in 14(B) above, specify a past time frame, and provide the
number of deaths, injuries, or other adverse conditions during this time that you estimate the
practical application of this research will reduce (or positive effect that it will increase).
D) (1) Provide the expected numeric change when the anticipated findings of this project are
placed into practical use.
(2) Explain the basis for your estimates.
E) State your hypothesis.
F) Provide the method and design for this project.
G) Attach any questionnaires or involved documents that will be used.
H) If human or other living subjects are involved in this research, provide documentation that
you will comply with all applicable federal and state laws regarding research subjects.
1) Describe how you will collect and analyze the data.
ALL APPLICANTSMUST COMPLETE ITEM 5.
15. Statutory Considerations and Criteria: The following are based on s. 401.113(2)(b) and
401.117, F.S. Use no more than one additional double-spaced page to complete this item.
Write N/A for those things in this section that do not pertain to this project. Respond to all
others.
Justify that this project will:
A) Serve the requirements of the population upon which it will impact.
B) Enable emergency vehicles and their staff to conform to state standards established by law
or rule of the department.
C) Enable the vehicles of your organization to contain at least the minimum equipment and
supplies as required by law, rule or regulation of the department.
D) Enable the vehicles of your organization to have, at a minimum, a direct communications
linkup with the operating base and hospital designated as the primary receiving facility.
E) Enable your organization to improve or expand the provision of:
1) EMS services on a county, multi county, or area wide basis.
2) Single EMS provider or coordinated methods of delivering services.
3) Coordination of all EMS communication links with police, fire, emergency vehicles, and
other related services.
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15. Statutory Considerations and Criteria: The following are based on s. 401.113(2)(b) and �
401.117, F.S. Use no more than one additional double-spaced page to complete this item.
Write N/A for those things in this section that do not pertain to this project. Respond to all ru
others.
Justify that this project will:
A) Serve the requirements of the population upon which it will impact. Currently, Monroe a
County Fire Rescue cannot meet potential needs for infant and pediatric direct laryngoscopy. All
airway management of infant and pediatric airways has been accomplished through BLS intervention or
supraglottic airway. This project seeks to remove a gap by providing that capability to provide
potentially life-saving care to the residents and thousands of visitors to Monroe County every year.
B) Enable emergency vehicles and their staff to conform to state standards established by law
or rule of the department. N/A
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C) Enable the vehicles of your organization to contain at least the minimum equipment and
supplies as required by law, rule or regulation of the department. N/A
D) Enable the vehicles of your organization to have, at a minimum, a direct communications
linkup with the operating base and hospital designated as the primary receiving facility. N/A
E) Enable your organization to improve or expand the provision of:
1) EMS services on a county, multi county, or area wide basis. N/A
2) Single EMS provider or coordinated methods of delivering services. N/A
3) Coordination of all EMS communication links with police, fire, emergency vehicles, and
other related services. N/A
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16. Work Activities and Time Frames: Indicate the major activities for completing the project
(use only the space provided). Be reasonable, most projects cannot be completed in less than
six months and if it is a communications project, it will take about a year. Also, if you are
purchasing certain makes of ambulances, it takes at least nine months for them to be delivered
after the bid is let.
Work Activity Number of Months After Grant Starts
Begin End
Complete Procurement Upon Award Less than 3 months
Train personnel Fourth month Fifth to sixth month
Deploy Equipment Fifth Month Sixth to Seventh Month
17. County Governments: If this application is being submitted by a county agency, describe in !i,
the space below why this request cannot be paid for out of funds awarded under the state EMS
county grant program. Include in the explanation why any unspent county grant funds, which
are now in your county accounts, cannot be allocated in whole or part for the costs herein.
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Current EMS Grant funds have been approved and allocated to complete procurement of needed monitor
defibrillator units to equip ALS Transports .
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18. Budget:
Salaries and Benefits: For Costs Justification: Provide a brief
each position title, provide the justification why each of the positions
amount of salary per hour, and the numbers of hours are
FICA per hour, fringe benefits, necessary for this project.
and the total number of hours.
TOTAL: 0.00 Right click on 0.00 then left click on
"Update Field" to calculate Total
Expenses: These are travel Costs: List the Justification: Justify why each of the
costs and the usual, ordinary, price and source(s) expense items and quantities are
and incidental expenditures by of the price necessary to this project.
an agency, such as, identified.
commodities and supplies of a LU
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consumable nature, excluding
expenditures classified as
operating capital outlay (see
next category).
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TOTAL: 0.00 Right click on 0.00 then left click on
"Update Field" to calculate Total
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Vehicles, Equipment, and Costs: List the Justification: State why each of the
Other: Operating capital outlay price of the item items and quantities listed is a
means equipment, fixtures, and and the source(s) necessary component of this project.
other tangible personal used to identify the
property of a non-consumable price.
and non-expendable nature,
and the normal expected life of,
which is 1 year or more.
Provides one complete piece of equipment to
AirTraq Video Laryngoscopes $1500.00 Each (x10) outfit ten ALS transports with advance airway CD
management for infant and pediatric patients.
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TOTAL: $ 15,000 .00 Right click on 0.00 then left click on
"Update Field" to calculate Total
State Amount
(Check applicable program) Right click on 0.00 then left click on
❑ Matching: 75 Percent 0.00 "Update Field" to calculate Total z
® Rural: 90 Percent Right click on 0.00 then left click on
$13,500.00 "Update Field" to calculate Total
Local Match Amount
(Check applicable program) Right click on 0.00 then left click on <
❑ Matching: 25 Percent 0.00 "Update Field" to calculate Total
® Rural: 10 Percent Right click on 0.00 then left click on ..
$ 1500.00 "Update Field" to calculate Total
Grand Total
Right click on 0.00 then left click on
$ 15,000.00 "Update Field" to calculate Total
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19. Certification:
My signature below certifies the following:
I am aware that any omissions, falsifications, misstatements, or misrepresentations in this
application may disqualify me for this grant and, if funded, may be grounds for termination later. I
understand that any information I give may be investigated as allowed by law. I certify that to the
best of my knowledge and belief all the statements contained herein and, on any attachments,
are true, correct, complete, and made in good faith.
1 agree that all information submitted in this application will become a public document pursuant
to Section 119.07, F.S., when received by the Florida Bureau of Emergency Medical Oversight.
This includes material that the applicant might consider to be confidential or a trade secret. Any
claim of confidentiality is waived by the applicant upon submission of this application pursuant to
section 119.07, F.S., effective after opening by the Florida Bureau of Emergency Medical
Oversight.
I accept that in the best interests of the state, the Florida Bureau of Emergency Medical Oversight 2
reserves the right to reject or revise any and all grant proposals or waive any minor irregularity or
technicality in proposals received and can exercise that right.
1, the undersigned, understand and accept that the Notice of Matching Grant Awards will be
advertised in the Florida Administrative Weekly, and that 21 days after this advertisement is
published I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S.
I certify that the cash match will be expended between the beginning and ending dates of the
grant and will be used in strict accordance with the content of the application and approved
budget for the activities identified. In addition, the budget shall not exceed the department
approved funds for those activities identified in the notification letter. No funds count towardLU
satisfying this grant if the funds were also used to satisfy a matching requirement of another state _
grant. All cash, salaries, fringe benefits, expenses, equipment, and other expenses as listed in U)
this application shall be committed and used for the activities approved as a part of this grant.
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Acceptance of Terms and Conditions: If awarded a grant, I certify that I will comply with all the
above and also accept any attached grant terms and conditions and acknowledge this by signing
below.
02 /04 /2021
Signature'of Authorized Grant Signer MM / DD /YY
(Individual Identified in Item 2) v)
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THE TOP PART OF THE FOLLOW1NG PAGE (MUST ALSO BE COMPLETED ETED AND SIIGI( Eib �
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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:
Ask a finance person in your organization who does business with the state to provide the information to
complete the top part of this form, but it should be signed by the person identified in Item 2, 1st application
page.
Name of Agency: Monroe County Fire Rescue (Monroe County BOCC)
Mailing Address: 490 631 ST Ocean
Marathon, FL 33050
Federal 9-digit Identification Number: 59-6000749 3-digit Seq. Code
Authorized County Official: 02.04.2021
Signature Date
Roman Gastesi, County Administrator
Type or Print Name and Title W
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 T_
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Do not wriRe Callow tlhih; Iliine„ For use by State Emergency Il ediic 11 SerAces Secfiion
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
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State Fiscal Year: 2019 - 2020
Organization Code EO OCA Object Code Category
64-61-70-30-000 03 SF003 751000 059999
Federal Tax ID: VF _________ Seq. Code:
Grant Beginning Date: Grant Ending Date:
DH 1767P, December 2008 (rev. June 8, 2018), incorporated by reference in F.A.C. 64J-1.015
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C.7.c
Administration
RESOLUTION NO. 267 -2007
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA. DIRECTING STAFF TO ORGANIZE
EFFORTS TO SEEK OUT AND APPLY FOR APPROPRIATE GRANTS
TO OFFSET COSTS; WAIVING THE. EXISTING REQUIREMENTS
THAT EACH GRANT APPLICATION BE INDIVIDUALLY APPROVED
BY THE BOARD PRIOR TO SUBMISSION AND AGAIN PRIOR TO
ACCEPTANCE OF THE AWARD WHEN THE AWARD DOES NOT
REQUIRE A MATCH BY MONROE COUNTY; AND MAINTAINING
ALL EXISTING REQUIREMENTS FOR GRANT APPLICATIONS AND
.ACCEPTANCE OF GRANT AWARDS THAT DO REQUIRE A MATCH
BY MONROE COUNTY.
WHEREAS,Monroe County has been impacted by recent legislature and the subsequent
need to significantly cut budgets, and
WHEREAS, it is our desire to continue to provide outstanding public service responsive
to the needs of our citizens, community. and environment despite the impact of these budget
cuts, and
WHEREAS, currently, the Board must approve all applications for grants prior to
submission, which can cause a delay of up to six weeks, at times delaying the grant application
until the next submission cycle, as well as adding unnecessarily to the Board agenda, and
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WHEREAS, it is unnecessary to delay acceptance of grants awarded to the County that B
do not require any matching funds, again adding unnecessarily to the Board agenda, and
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WHEREAS, our heightened focus on pursuing a wider variety of grant opportunities
requires improved coordination between Divisions and will result in a significantly increased
number of grant applications, now, therefore,
BE IT RESOLVED THAT THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, HEREBY:
N
1 Directs Division staff to coordinate grant opportunity research and application
submission voth the Project Manager to the Countv Administrator
2 Waives the requirement that grant applications be approved by the Board before y
submission, and authorizes the County Administrator to manage grant application
submission approval and execution of related documents
3 Authorizes the County Administrator to accept award of grants that have no match
criteria. and to c\ecute related documents
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C.7.c
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida. at a meeting of said Board held on the 18th day of July, 2007
Mayor DiGennaro Yes
'.Mayor Pro Tem Spehar Yes
Commissioner Neugent Yes
Commissioner McCoy Yes
Commissioner Murphy Yes
`^ z BOARD OF COUNTY COMMISSIONERS _
OF MONROE COUNTY. ORIDA N
Attest: DAN'NY L OLHAGE,Clerk
' BY:
Mayor/Chairman
Depu Clerk
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