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Resolution 276-1986
James R. Paros, Director Emergency Services RESOLUTION NO. 276 -1986 A RESOLUTION PROVIDING THAT MONROE COUNTY APPLY FOR STATE FUNDS FOR EMERGENCY MEDICAL SERVICES CONSULTANT SERVICES AND AUTHORIZING THE MAYOR AND CHAIRMAN OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, TO EXECUTE THE STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES GRANT APPLICATION AND ALL APPLICABLE DOCUMENTATION. WHEREAS, Monroe County is in need of consultant services to study the County's Emergency Medical Services, and WHEREAS, such services will improve and expand Monroe County's pre-hospital Emergency Medical Services system, and WHEREAS, the State has made funds available for such consultant services, and WHEREAS, use of the State funds will not be used to supplant the existing Monroe County Emergency Medical Services budget allocation, now, therefore, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, as follows: 1. Monroe County shall apply for State funds for Emergency Medical Services consultant services, and 2. The Mayor and Chairman of the Board of County Commissioners of Monroe County, Florida, is hereby authorized to execute the State of Florida Department of Health and Rehabilita- tive Services grant application, a copy of same being attached hereto, and all other applicable documentation. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Florida, at a regular meeting of said Board held on the 5th day of September, A.D. 1986. BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA BY, ~"'~~R';C~~ ---~ (SEAL) Attest: ~..L/~~L Ci[,ERK BY " 1. County Identi ~ion: Give county identification inlorlllation,asit appears on contracts. Name: Business Address: M:>nroe County Board of County Carnnissione.rs P.O. Box 1980 Key West, Fl. 33040 (CITY) Phone: (305 ) 294-4641 (AREA CODE) (ZIP CODE) 472-9000 (SUNCOM) 2. County Official(s) Authorized to Sign Contract: Attach a copy of official county documents that clearly authorize individual{s) to sign contracts for the county. Name: Wilhelmina Harvey Mayor /Chainnan of Board of County Coomissioners . Title: Name: . Alison Fahrer Title: Mayor Pro tan Name: 'Pi tIe: 3. Authorized Contact Person: This is the person who has full authority and responsibility for providing us with information and documentation ~n all activities, services and expenditures involving county EMS award monies. '-. Name: James R. (Reggie) Paros Title: i Director, Em2rgency Sexvices Business Address: Monroe County Emergency Services 10600 Aviation Blvd. Marathon, F~. 33050 I (CITY) Phone: -1. 305 .) 743-6619 (AREA CODE) (ZIP CODE) HRS Form 1684, Jul,86 472-9155 ( SUNCOM) " ro r-l .. <V 0 ~ 11-1 .. <1J <V /U (J) .c..-4 0 0 fJ).c ro c= Cl) .u 11-1 <V .u c= 0:> '.-4 c= 0 :l ..... ..... 11-1 CJ :>t 0..... ~ 11-1 .u .u 0 (l) .j.J..... l> 0 ' '.-4 0 0..': .u Ll.c <V '0 <V (J) '.... <V <V .a '0 'n 00 '.-4 r-l fJ) 11-1 /U .a .u /U ,oW 0... 0 o Oe: O,E .u 11-1 <V (J) /U 0 .. H .. ~ ....., O. ~ 6 en 00 .,IJ e: ..-{ ..-{ <V <V ((j I: <V <V .u .u o .O.u OJ :> r-l..-4 /U ..... <V'.-4 (J) :>'.-4.a :> e: :> 0:> '.-4 01 /U..... ttl \.l..... ~ ~J e: .u r-l (l):>('])r-lo <voo.. (J)4{f}1TJ(l)<V ttl~ (1)' ~'n.c.u <V '0 (J) .. (1) .a .u ttl r.: en~o .c::.ce: /U \.l.~ 01:: <V oW.~ ttl en 0 .,IJ e::> .Co <V ..... (l) ~ (l) en ~ (l) ..... :>t:> ~ ..... l<v \.l .u .u..-4 /U .c:: en /U ..... '.-4 .u . 0 en e: :> :> o. 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'd 0 ;j '0 ~ .D g] ~ (j)JJ ~ b ~ tl (ll ~~ ~:S ~ ~-tJ'g 8' r~ 6 .j.1 ~ oJ 8 ~ ~ (/) ~ ti E-i Ul E=i'~ l-l S ~ 6 J ah~~~ I I ~~U Ul ~ & ,~ E-i '<:l' 5 -r-! +J ~ ~~1J U 8 5J'~ '"Cl ~ :5~m m ~ -r-! ~ ~ ~.s ~ -.0 ~ SQ l-l ~. ~ Ul ~~~1l~.p.-{5J mO {/}::>Ul~h .jJ rI ~ ~ tl ~ M-8 .-{ rd ro -r-! rlf .i:l Ul ~ ~ H~~~~:i m ~ S ~ ~ [~~ 0 P11~8~~Q)~O 'fij ~ ~ ~ .~ -~ ~ g -i-l .r-! 'td'r-! 9 ~ ~ U ~ &~~&8~6::'tj ~ lli.ciurO Q)I.!-l . r-l [J} OJ ,~ -i-l o Q) B . ~ .~ 9 --(I) 0 ~8 ~~ ~ 'gtS -i-l ro ~ g.~ ~ ~ +J P4Ul ~~ Q) ~~ . M ~ t. " 5. Proposed County Expenditure Plan: Attach a line item budget that ident if ies prov ider s, des igna ted rec ipients, subcontractor s, serv ice s, equipment to be purchased, and other expenditures involving county EMS award monies. 6. Total Amount of County Award Funds Requested: $ 25,878.15 Note: You are not eligible for more than the amount generated when we apply the allocation formula specified in 40l.ll3(2((a) (F.S.) The County award funds requested will not cover the total cost of this project. M:mroe County will allocate additional county funds for this project. 7. Resolution: Attach a signed resolution from the Board of County Commissioners certifying that monies from the county EMS award will improve and expand the county's prehospital EMS system and that the funds will not be used to supplant existing county EMS budget allocations. B. Certification: i, the undersigned representative of the above named county, certify that to the best of my knowledge all statements contained in this application and in the attachments thereto are true and correct. Printed Name: Signature: ... (Person named in *2, County Official Authorized to Sign . Contract) Date Signed: ....- NotarYr Seal APPR VED AS TO FORM AN 'L GilL SUrFICfEfvCY. , flY Notary Signature Date . " , IvONroEj' CO?N'~ EMS A~' PRO:;RAM "'I . ....... '... _. .. , , I , . rWlct10ri/ Act1 VJ. t:y " Amount Account Dc1'artm~lt,No. - I- I . Executive S~laries~glected_affic1als) .._~ SalarJ.es. ' tf \'lages ,0 er emps., ' I Other ::>n.lar1es Q Wages . , - FICA 'taxes , --:- - ~etJ.reme~ntrlbutlons - , Group Insurance ~ orJonenrsCo:[EensatJ.on' - - asofme, Or & Lubricants . . " lssellan~o~ Su:pe}leS& ExPe!,l.:>..;S -- Offlce SllPJ?ifei~ ?Jlc!~aing Pr~t~ - 10015 & Sn~ " mplements;~ '. Medlclne & "..'!!f.uss .' ':'" .", ,\_' , , -- Mechcal '& Sllrglcnl S~PIJ.es & EXpenses - ~lot 1.. &B' &-~~aring Ap arel , ' ~~ __.. --- F'ood lctarj " , Auto AITowance & travel LUes ~}Fmbersh~ - ~ Tnsurance ,& Bon . Rentals Subscrlbers . -- MvertJ.smR . Con~1ss10~~ 4 Fees ,- CorrnmwrrJ.catJ.onS;-~' ...- ~ ,Mc'1l.Ut. of J!ldgs .. Improvements &-Grounds -- ...... Maintenanceof EQuipment '1'i'anspOrta t10ns - Utl11tl.es . I C6ntractuaI Services/ConsUltant -S-erv1.ces (Master P .lan} $25,878.15 ~U11dl~~ Other Structures - . cap1.!..~"~~lPment cnPJ. tj' ~: ..and , --- -, . , --, -- -. h - ---. "-m , - .. --- Jar AI.. RF..QUEST _ $25,878.15 "