Item C04
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: December 17. 2003
Bulk Item: Yes X No
Division: County Administrator
Department: Fire Rescue
AGENDA ITEM WORDING: Resolution authorizing the Mayor to execute an EMS County Grant
Application and related Request for Grant Distribution to the State of Florida Department of Health,
Bureau of Emergency Medical Services,
ITEM BACKGROUND: The Department of Health, Bureau of Emergency Medical Services (EMS)
is authorized by Chapter 401, Part IT, Florida Statutes to distribute county grant funds, County grant
funds are derived from surcharges on the fines for various traffic violations, A portion of these funds
are made available to eligible county governments to improve and expand their pre-hospital emergency
medical services (EMS) systems. Local matching funds are not required.
On-going costs for EMS and replacement of equipment cannot be funded under this grant program.
They remain the responsibility of the counties and EMS agencies and organizations, Furthermore,
county grant funds cannot be used to supplant the existing county budget allocations,
The projected amount of Monroe County's award for FY 2004 is $87,800,72, The application being
submitted is a request for the purchase of electronic reporting tablets and software along with
respective training and salary reimbursement, This purchase will expand Monroe County Fire Rescue
field data collection and reporting to include area municipal fire rescue systems,
PREVIOUS RELEVANT BOCC ACTION: None.
CONTRACT/AGREEMENT CHANGES: This is not a contract,
STAFF RECOMMENDATIONS: Approval.
TOTAL COST: 0,00
BUDGETED: Yes
No
N/A
COST TO COUNTY: 0,00 SOURCE OF FUNDS: Grant
REVENUE PRODUCING: Yes No _ N/A AMOUNT PER MONTH _Year
DEPARTMENT HEAD APPROVAL:
APPROVED BY: County Atty YES OMB/Pur
DIVISION DIRECTOR APPROVAL:
Cl~O~~
7- ~
\
James L. Roberts
DOCUMENTATION: Included X
To Follow
Not Required _
AGENDAITEM#~
DISPOSITION:
Revised 1/03
Clark Martin
Fire Rescue
RESOLUTION NO. -2003
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA,
AUTHORIZING CHAIRMAN TO EXECUTE AN EMS COUNTY
GRANT APPLICATION AND RELATED REQUEST FOR
GRANT DISTRIBUTION TO THE STATE OF FLORIDA
DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY
MEDICAL SERVICES
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, as foHows:
1. The Chainnan is hereby authorized to execute an EMS County Grant
Application and related Request for Grant Distribution to the State of Florida Department of
Heal~ Bureau of Emergency Medical Services, and copies of same being attached hereto.
2, The monies from the EMS County Grant will improve and expand the
County's pre-hospital EMS system to include the area municipal fIre rescue systems,
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 day of _ -' 2003,
Mayor Nelson
Mayor Pro Tern Rice
Commissioner Spehar
Commissioner Neugent
Commissioner McCoy
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY FLORIDA
By:
Mayor/Chainnan
(SEAL)
Attest: DANNY L.KOLHAGE, Clerk
By:
5/1
Deputy Clerk
MONROE COUNTY ATTORNEY
~__M;
ROBE . OLFE
CHIEF ff~T~T.?-~TTORNEY
Date .
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9IS8~6~S08'aI 3~IddO ^~~'tt ^~NnO~ 30~NOW'WO~d 08'91 80-S~-^ON
se~t ~y: ~ u ~ ~i
EMS COUNTY GRANT ApPLICATION
FlORIDA DEPARTMENT OF HEAL TH
Bureau of Emergenr:y MediceJl Services
Complete all items
c..:.. 10. Code (the State Bureau of EMS will ~~Ign the ID(f.~8a!e this blan~ C . ']
. '~
,'1. County Name: ~onroe c~~nty (M.onroe ~~unr:y Board o~.~y CO~iS6_ioller)
B~s~essAddr~$: 490 63rd ~~reet. S~ite 160
Marathon. FL. 33050 . .
TeI8p~Ol'le: .. ." .. . " .-
F~d~ral Tax 10 ]'lumber (Nin~ Digit NUl!1ber). VF5 .!..~ 0 O' 0 7 4 9
2:- CertiflAtlon: (The applicant si(inatory who has authority to sign contracts, grants. and' other legsI'
documents for the county) I certify that aU information and data in this EMS county grant application and
its attachments are true and correct. My gjgnature acknowledges and assures that the County. shall
comply fully with the conditIons outlined in the Florida E,MS County Grant Application.
Signature: . ,.' Date:
Prlnt~d Name: _ MurraY ~. Ndson
position 1]119: Msvor
3. Contact Person: (The individual with direct knowledge-at the projcci' on a day-to-day basis ~nd 'has
responsibility for the rnplementation of the grant activities. This person jg authoriZed to sign project
reports $!nd may request project cttanges. The signer and ttle contact perSon may be the same.)
Name: Clark O. Martin. Jr.
Position TiUe: e
Address:
Telepho!1!: (305).. 289'::600~, '--U~~~,Number:' C~O'S) 289-633~
.S-meil Addrgs~: J1\cs~d~:,cl~rk@~nroeco\1nty-fl:..&Q...v
p
,,'
4. _olllii..n, Aft"""'; ClJfIll(l'....O'lIlion k.m the e.... of County Comm...i"';;'" c:er1lfytngu,e grant I
fundS will improve and expanO the COUltly pre-hospital EMS system and will not be used to supplant
current levels at county expendltures- '.
.. " ~. ... - .....- - ..-....-
's. Budget: Complete a budget paQe{s) tor each'organizatlOn to wh'ich You shall provide funds:'
List the organlzatlon(s) below. (Ust: addItional p~ges if necessary)
Ke.y ~ Largo Volunteer Am~ul.ance C?rps. (KLVA~2
Ocean Reef Public Safety (~~S)
lJH Fonn 1684, Rev. June 2002
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BUDGET PAGE 1 OF 2 (KLVAC)
A. SaIMI.II and Benefits'
For each position title, provide the &mount of salary per hour, FICA pe
hour, other fringe benefits, and the total numbsr of hours.
- .' -
- .., .
. ....-
.. . .. .. .........
~, - ..' u\" .,
J~>T AL Salaries. .- ..' .' ..
TOTAL FICA -- .. . , ~..
Grand lotal Salaries and FICA ,. . . .. 0
r
Amount
~-=
~E
I ,',
S. Expen&8s: These are travel <iO&ts and the usual. ordinary, and incidental expenditu~s by an .
agency, such as, commodities and supplies of a consumable nature cx.ClUdlnQ expend!t~res dassified as
o rall c ltal ouUa see next cateQotY). i ~
Usat the Item and, If applicable, th
... . Amount -.
. qUllntity
~
--.- --'-
J:l!l.Jabursement;
,....--- ...
12,600.00
-
.-.... ..,-- .-
....-.--. .u. . ,
--... --
TOTAL $ - 12.600.00
~'--'"
Training which wo~ld include .~alary
for ~ployees
C. Vehicle., equipment, and other operating capital oulay means equipment, fixtures, and other
tangible personal property of a non consumable and non expendable nature with 8 normal expected life
of aile (1) year or more.
.-- Lilt thelwm and. If applicable, the quanmy"---
1=2
-"-
Amount
..,. "-'
7"9tj;26
. ':~~-'.:,'=~-
--.
26
.. ---
**
.2p.n-h;ua~d F..H~ f l~ld ..uaf:.a ~o nee Hon and._r.ep.ol:tiP3..
6Y8um
DH Form 1684. ReY:'June 2002
, ,
..... ..
. . ,
.. . .. .. ~.
.. -, , -.
...... n . ".-".'
TOTAL $ 79~43J.
..' - "N'_'NO. ....., ~ ... .0'
." . ~_.. ....... --
Grand Total $ 92,033.26
... .. ..
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. 1
** $92.033.26 + 61,355.50 ~ $153.388.76; broke dovn as followJ: tncludes roll-ove~
funds of f63,007.63 with accrued interest of $2.5aO.41 through S,pte.ber 30. 2003, in
the amount of $65.588.04. and FY 2004 shAre of $87,800.72 - tOTAL: $153.388.76.
4 ===
Sent By: B 0 C Cj
1 305 289 6336j
Nov-25-03 14:18;
BUDGET PAGE 2 017 2 (ORPS)
A. Salarle. and SonatR8: .
For aan position.tiUe, ~ t1g.Sllbunl.oft_fY"per hour. FICA per
hdUrJ oth.... filnee-.Denetlts. .and ~_h"t~ Qf hours.
Amo"~
, )
i ,
,
_0___'_'--
,.
;
.---.--'-- .---
TOT At SaI3riO~
TOTAL RCA
Grand total Salaries and FICA
Amount
Training which would include salary re~mburs~ent
for employees
8.400.00
-1=.',
: - 1
TOTAL $ 8.400.00
C. Vehlel.. ~Ulpmenl, and other operaling c;apital outJay means equipment. fiXtures: ~nc/ other
tangible personal property of a non conuumable end non expendable nature with a normal G:tpected life
or one {1) year or more .
-
liet hjbnn,WId, if applfcalM., u.. cau.nttty Amount
_.'
Pen-based ENS data collection and --
lfyste'ID 52.955.50
-
-.
-.. --_.' -'- --_.-
r_.
..--.-..-- TOTAL $- '~.955..s0-
Grand Tobt S 6.1 ,355 .50
,-=. '- --
DH Form 1684, Rev. June 2002
Page 4/5
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s~nt By: B 0 C C;
__, ----..
1 305 289 6336;
Nov-25-03 14:1;9;
Page 5/5
FLORIDA DEPARTMENT OF HEAL TH
EMS GRANT PRooRAM
REQUEST FOR GRANT FUND DISTRIBUTION
-
In accordance with the provisions of Section 401.113(2)(a), F. S.. the undersigned hereby
requests an EMS grant fund dIstribution for the Improvement and t!xpansion of pre-ho$pital
EMS,
001:1 Remit Payment To:
Name of Agency: Board of County Cowmissioners. Monroe County, FL
Mailing Address: 490 63rd Street
Marathon. FL 33050
1
. )
f ,
Federalldentificatlon number 59-6000-749
Authorized Official:
Sionlrtul'e
Date
Murrav E. Nelson, Kayor
Typo Nl:1me ~d Title
Sign and return this page with your application 10:
Florida Departme(lt of Heanh
BEAlS Grant Program
4052 Bald Cypress Way, Bin 018
Tallaha$see, Florida 32399-1738
Do not write below this tine. Fat use by Bureau of Emergeney Medical Services personnel only
Grant Amount For State To Pay: $
Grant 10:
COOe~
,; . 1 Date
, '
Approlled By :
Signature of EMS Grant Officer
State Fiscal Year:
QrJIanlZation Code
64-25..s0-00-000
&.Q.
N
~
N2000
pbiect Code
7_._
Federal Tax ID:
VF_________
Grant Beginning Date: October 1,
Grant Ending Dale: September 30,
.' .'--'-
DH Form H67P, Rev. June 200~
MONROE COUNTY ATTORNEY
~ORM'
~ 08 T. FE
CHIEF ASSISTANLceUN.IJ ATTO~NEY
Ollte..:.LL:- '2 S_- t')
5
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