Resolution 146-2007
0
D In UJ <<
L: .. ':':J -'
0 - <( u_
<-) ~~~ ~~ ~
l.'~,: 2:
(~: CL -~J ,_,,:':::':::
i.-.._ - -..:::=;,
c:.::. In .(..)0
(.,_. N .-1 .0
~ ':l:::W
c;, Cr:: "---1
W Cl... ::,0::(.)0
<C Z ex:
-, ,... <::( Z
u_ <:0 Cl 0
=0 ::c
.....
James K. CaDahan
Fire Rescue
RESOLUTION NO. 146 -2007
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA
AUTHORIZING MAYOR TO EXECUTE AN EMS COUNTY
GRANT APPLICATION AND RELATED REQUEST FOR
GRANT FUND DISTRIBUTION TO THE STATE OF FLORIDA
DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY
MEDICAL SERVICES
WHEREAS, an EMS County Grant will continue to upgrade and enhance Monroe
County Fire Rescue's reporting system; will continue education to staff to improve the
County's fire rescue services; and will improve the County's fire rescue services and
area municipal fife rescue systems with updated medical equipment; and therefore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, as follows:
I. The Mayor is hereby authorized to execute an EMS County Grant
Application and related Request for Grant Fund Distribution to the State of Florida Department
of Health, Bureau of Emergency Medical Services, and copies ofsarne being attached hereto.
2. The monies from the EMS County Grant will continue to upgrade and
enhance Monroe County Fire Rescue's reporting system; will continue education to staff to
improve the County's fife rescue services; and will improve the County's fire rescue services
and area municipal fire rescue systems with updated medical equipment.
3. The grant monies will not be used to supplant existing County EMS
budget allocations.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 18th day of April ,2007.
Mayor Di Gennaro Yes
Mayor Pro Tern Spehar Yes
Commissioner Neugent Yes
Commissioner McCoy Yes
Commissioner Murphy Yes
/;::;-::;:-!.:,-~, r~~':..
~.;;<::"".!.:'.'~/~~
,:,j/.,O'_;',.'''- \\_ -:-\1~-- ~}>:~'~
// / C 1'\13' ;"Il
i' "I. \. l>.';,. .,C,t
. '. . '~{: · ~~ -l
.,(SE~A( ".;}
'.~ #L.
"',,~---;~:-::f .~~>~:~jfl"
B.
By:
ERS
MONROE COUNTY ATTORNEY
A~SI~~jt
THIA L. HAL
ASSISTANT COUNTY ATTORNEY
Date 3-a3-o+
Mcm~ COODIty Oarilt' 1!"Mm__
fl v.,,~ Origb~?
FLORIDA DEPARTMENT OF'
HEALT
FLORIDA DEPARTMENT OF HEALTH
BUREAU OF EMERGENCY MEDICAL SERVICES
EMS COUNTY GRANT PROGRAM
APPLICATION PACKET
3:: ~
0 <:::> = :::!
::: :l> --
:0 ;}': <:- 1-
o\)-..~ ~ iT!
r"l-
fTlA-< c;;
(""). l~ -"
On. N C)
fi ?C;?; :0
;! ~H~~ ". ;J,)
:x j"tl
-" .,.c.. '9 c')
r- c;. a
:l> rq .&:- ::::J
0 0
Revised: June 2002
TABLE OF CONTENTS
Description of Program
County Grant Process
Application
Request for Grant Fund Distribution
EMS Grant Program Change Request
EMS Grant Program Expenditure Report
General Conditions and Requirements
Financial
Rollovers
Disallowed Expenditures
Vehicles and Equipment
Transfer of Property
Requests for Change
Supplanting Funds
Deposit of Funds
Reports
Grant Signature
Records
Final Reports
Communications Equipment
Expenditures
Credit Statement
Financial and Compliance Audit Requirements
State Funded
Submission of Audit Reports
Records Retention
1
1
3
5
6
7
8
8
8
9
9
9
9
9
10
10
10
10
10
10
11
11
11
11
12
13
DESCRIPTION OF PROGRAM
OVERVIEW:
The Department of Health, Bureau of Emergency Medical Services (EMS) is authorized by
Chapter 401, Part II, F. S., to dispense grant funds. Forty-five (45) percent of these funds are
made available to the 67 boards of county commissioners (BCCs) to improve and expand
prehospital EMS systems in their county.
On-going costs for EMS and replacement of equipment cannot be funded under this grant
program. These costs remain the responsibility of the counties and EMS agencies and
organizations.
ELIGIBILITY:
EMS County grants are awarded only to BCCs. However, each BCCs is encouraged to
assess its countywide EMS needs and establish priorities before submitting a grant
application. The assessment should be coordinated with area EMS councils, when available.
COUNTY GRANT PROCESS
APPLICATION FORM:
BCCs must copv and complete the form titled "EMS County Grant Application, DH Form 1684,
June 2002". The BCCs will return the county grant application and resolution ( item 5 on the
application) to the department.
NOTICE OF GRANT AWARD:
The Department shall send a Notice of Grant Award letter to the BCCs. This is the BCCs
official notice that its grant application has been approved for funding. The letter and its
attachments will include the amount of the award, the beginning and ending dates of the grant,
due dates for required reports, the approved budget, and additional grant conditions, if any.
APPLICATION SUBMISSION:
The BCCs must submit:
1. A completed application (DH Form 1684, June 2002) with original signatures of the
authorized county official.
2. A county resolution certifying the EMS county grant funds received shall be used to
improve and expand prehospital EMS and that the funds will not be used to supplant
existing county EMS budget allocations (item 4 in the application).
A complete EMS County Grant packet consists of the above two items. No cODies are
required.
Mail the application to:
County Grant
Emergency Medical Services
4052 Bald Cypress Way, Bin C18
Tallahassee, Florida 32399-1738
Retain this application packet because it contains the grant conditions and requirements, and
other information and forms needed.
2
EMS COUNTY GRANT ApPLlCA TlON
RECEIVED
DOH - EMS
FLORIDA DEPARTMENT OF HEAL TH
Bureau of Emergency Medical Services
2001 APR 21 P 3: 05
Complete all items
ID. Code (The State Bureau of EMS will assign the ID Code -leave this blank) c6o&.l'i
140
VF~
749
2. Certification: (The applicant signatory who has authority to sign contracts, grants, and other legal
documents for the county) I certify that ail information and data in this EMS county grant application and
its attachments are tr e and correct. My sig ure ackn edgl;!sat"jd assures that the County shail
comply fuily with t 0 s outlined in lo'dCounty.G~ant Application. "PR 1 8 2007
&~ I ~~
Printed me:
Position Title:
ay-to-day basis and has
rson is authorized to sign project
contact person may be the same.)
3. Contact Person: (The individual with dired.khQWili
responsibility for the implementation of the grant~. ~
reports and may request project changes. The sigrtej,;
Name: James K. Callahan
Position Title: ct1ng 1re 1e D1v1s1on
Address: 9 3rd St., Suite 1
Marathon, FL 33050
Dlrector
Tele hone: (000)000.0000305-289-6004
E-mail Address: abcdefg@Zyx.coreallahan
Fax Number: (000) ODD-DODO 305-289-6336
fl. ov
4. Resolution: Attach a current 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.
5. Budget: Complete a budget page(s) for each organization to which you shail provide funds.
List the organization(s) below. (Use additional pages if necessary)
Monroe County Fire Rescue (MCFR)
DH Form 1684, Rev. June 2002
3
MONROE CI iUNTY ATTORNEY
Af~A~T~:
CYNTHIA L. ALL
ASSISTANT C,SWNTY ATTORNEY
Date ~_::.iL..Of-
BUDGET PAGE
MCFR
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
TOTAL FICA
Grand total Salaries and FICA
B. Expenses: These are travei costs and the usual, ordinary, and incidental expenditures by an
agency, such as, commodities and supplies of a consumable nature excludinq expenditures classified
as 0 eratin ca ital outla see next cate 0
List the item and, if applicable, the quantity Amount
to Rural EMS Provider Meetings and State DOH
ee ngs $ 6,585.25
0 umrnl s
for electronic re ort-
9,540.00
Travel and misc. ex enditure for
u rade of & new 0 OTAL $
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.
Listthe item and, if applicable, the quantity Amount
Enhancements & replacement equip. for pen-based EMS
paClenc care reporting system WhlCh includes but is
.. ,. . , . . ~ ,
"0 ,
software, Toughbook CF19 Notebook computers vehicl
power adaptors, batteries, wireless adaptors $68,347.52
'0 t' "J-.- .cue ma1' auu 5rlu uOOKS lO"UU.uu
"Braslow" Bags for each rescue unit for MCFR &
couney Wlue 12,600.00
TOTAL $ Q7847.')}
Grand Total $124,622.77
**
DH Form 1684, Rev. June 2002
** $124,622.77; Break down is as follows: Includes roll-over funds in the
amount of $67,504.77 ($64,782.38 with accrued interest of $2,722.39 through
Sept. 30, 2006), and FY2007 anticipated share of $57,118.00 which equals a
TOTAL OF $124,622.77.
4
FLORIDA DEPARTMENT OF HEAL TH
EMS GRANT PROGRAM
DOli - EMS
ZOOl APR 2l P 3: 05
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of Section 401.113(2)(a), F. S., the undersigned hereby
requests an EMS grant fund distribution for the improvement and expansion of pre-hospital
EMS.
DOH Remit Pavment To:
Name of Agency: Board of County Commissioners, Monroe County, FL
Mailing Address: 490 63rd St., Suite 140
Marathon, FL 33050
Federalldentific~~D ~oo-~
Authorized Offici : ~
Signature '
APR 1 8 Z007
Date
Mario Di Gennaro. M,gyor ':'=:':::':.::;;.-:.:.~,."
Type Name and TitlE("--,':~~::~:~>~.'_"_"~~
Sign and return this page with your applicaUori to: .\ .>}.;?\,:4,.
\, \ ,;:~~~ 1\, '- :',:, :-
Florida Department of Health . .
BEMS Grant Program .
4052 Bald Cypress Way, Bin C18"-
Tallahassee, Florida 32399-1738 .
Do not write below this line. For use by Bureau of Emergency Medical Services personnel only
Grant Amount For State To Pay: $ 57. Ill!, ()7J
ApprovedBy: ~/~/~
Signature of EMS Grant Officer
Grant 10: Code: C'OL/ L{
~~to/
State Fiscal Year: 2c '"
l.c 0 7
Oraanization Code
64,2&-80-00-000
IIl-Je
Federal Tax 10:
E.O. OCA
oN:: 05 ~J2QQQ Sf6aS
VF x...!'_C!..t:?.~Z'f....1
O~ct Code
7 ""()(>
Grant Beginning Date: October 1, 20eG Grant Ending Date: September 30, 2. Oc 7
DH Form 1767P. Rev. June 2002
5
Charlie Crist
Governor
Ana M. Viamonte Ros, M.D., M.P.H.
Secretary of Health
May 14, 2007
The Honorable Mario Di Gennaro
Mayor
Monroe County Board
of County Commissioners
490 63rd Street, Suite 140
Marathon, FL 33050
Dear Mayor Di Gennaro:
It gives me great pleasure to inform you the Monroe County has been awarded an emergency
medical services (EMS) county grant, number C6044, in the amount of $57,118.00. The grant
is for improving and enhancing prehospital emergency medical services. We have submitted a
request for the release of these funds to our disbursements office. The funds should be
received within the next 30 days.
The grant ends September 30, 2007. The first expenditure and activity reports are due by
July 1, 2007. The final expenditure and activity reports are due by December 1, 2007.
Your signed grant application acknowledges that you have read, understand, and will comply
fully with the terms and conditions as outlined in the "Florida EMS County Grant Program
Application Packet, June 2002."
Thank you for your continued support and involvement in improving and expanding the
prehospital EMS system. If you need assistance, please feel free to contact Mr. Ed Wilson,
Program Administrator in the Bureau of EMS, at (850) 245-4440, extension 2737, or Mr. Alan
Van Lewen, Health Services and Facilities Consultant in the Bureau of EMS, at (850) 245-4440,
extension 2734.
Sincerely,
dpO--.,.) ~
L6"'1
aM. Viamonte Ros, M.D., M.P.H.
ecretary of Health
AMVR/ew
cc: Mr. James K. Callahan, Director
Office of the Secretary
4052 Bald Cypress Way, Bin AOO. Tallahassee, FL 32399-1701
FLAIR ACCOUNT CODE OLD SITE DOCUMENT NUMBER OBJECT DATE PAYMENT NO
64-202192002-64200800-00-05999800 640000 80 D7000750403 7500 05/31/07 1487310
PAYMENT AMOUNT
$ 57,118.00
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
REMITTANCE ADVICE
THIS IS NOT A PAYMENT OEVICE
DO NOT CASH
I"II",II,II""I,I,II"",II,I,I",JJ"",II"I,I,I,1",11,1
MONROE COUNTY
490 63RD ST OCEAN STE 150
MARATHON FL 33050
AGENCY DOCUMENT NO
V025157
PLEASE OIRECT QUESTIONS TO: (85D) 245-4502, HQ, ACCOUNTING - LYNN ROBINSON
VENOORS NOW CAN VIEW PAYMENT INFORMATION AT HTTP://FLAIR.OBF.STATE.FL.US
INVOICE
NUMBER AMOUNT
C6044 $
57.118.00
GO~~
DETACH CAREFULLY AND RETAIN FOR YOUR RECORDS BEFORE CASHING OR DEPOSITING THE WARRANT
II: I,. ::1'......,. .I::A III: I.......H.J 1<1, I. .I::t ,'a.:,- ,,__.w I<IH. .,.1::2.. ;,.., Ii ~<j,jj 'lil,' i. ......'lI;J IIltJ.;1 fJ 1110] I,' [0.. ',I' 1_.:11..' ~ ~ ::r'1'..;1.~ 111.1 . . .II.. :1"'111111: 1::1 ,'111111
FLAIR ACCOUNT CODE SWaN ADN OBJECT DATE WARRANT NO 63-1012
a"" "d.''- 64-202192oo2-642009oo-00-05B998oo 07000750403 V025157 7500 05/31/07 74-1487310-0 .",-
alJ~J~\\~(;:s\j OLO 640000 SITE 80 CONTACT (850) 241".02 FOR PAYMENT QUESTIONS VOID AFTER 12 MONTHS
STATE OF FLORIDA 4-03 E' ;,
DEPARTMENT OF FINANCIAL SERVICES
PAY
FIFTY-SEVEN-THOUSAND-ONE-HUNDRED-EIGHTEEN & 00/100 DOLLARS
AMOUNT
1'****57,118.00 I
EXPENSE WARRANT
TO THE
ORDER OF
MONROE COUNTY
490 63RD ST OCEAN STE 150
MARATHON FL 33050
1"11",11,11,..,1,1,11"",11,1,1".11",,,11..1.1,1.1",11.1
TO: DIVISION OF TREASURY
~ ~"AHASSEE
ALEX SINK, CHIEF FINANCIAL OFFICER
II' 7.. ~"8 7:1 ~OOIl' ':01:.:12 ~O ~ 251: 207"1"1005" 5 2 2 511'