Item C09
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: January 15,2003
Division:
County Administrator
Bulk Item: Yes ~
No
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 40 I, Part II, Florida Statues 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 prehospital 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 2003 is $66,692.77. The application being
submitted is requesting for the funds to be used toward the purchase of a pen-based EMS field data
collection and reporting system and to pay for paramedic training.
PREVIOUS REVELANT BOCC ACTION: None.
CONTRACT/AGREEMENT CHANGES: This is not a contract.
ST AFF RECOMMENDATIONS: Approval.
TOTAL COST:
0.00
BUDGETED: Yes
No
COST TO COUNTY:
0.00
SOURCE OF FUNDS: Grant
REVENUE PRODUCING: Yes
No
N/A
FIRE CHIEF APPROVAL:
gement N/ A
APPROVED BY: County Arty YES
DIVISION DIRECTOR APPROVAL:
~ark Martin c.J.
~~ "-
James L. Roberts
DOCUMENTATION:
Included
x
To Follow
Not Required_
DISPOSITION:
AGENDA ITEM #
~r
/
Revised I/03
OEC~23-02 IS,17 FROM,MONROE COUNTY ATTY OFFICE 103052923516
PAGE
1/1
Clark Martin
Fire Rescue
RESOLUTION NO.
- 2003
A RESOLUTION OF TIIE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA AUTHORIZING THE CHAIR-
MA.\l TO EXECUTE AN EMS COUNTY GRANT APPLICA nON
AND RELATED REQUEST FOR GRANT DISTRIBUTION TO THE
STATE OF FLORlDA DEPARTMENT OF HEALTH, BUREAU OF
EMERGENCY MEDICAL SERVICES
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORlDA, as follows:
1. 1be Chainnan is hereby authorized 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, copies of same being attached hereto.
2. The monies from the EMS COWlty Grant will improve and expand the
County's pee-hospital EMS system.
3. The grant monies will not be used to supplant existing County EMS budget
allocations,
PASSED AND ADOPTED by the Board of County Commissioners ofMomoe
COWlty, Florida. at a regular meeting of said Board held on the _ day of
2003.
Mayor Spehar
Mayor Pro Tern Nelson
Commissioner Neugent
Commissioner McCoy
Commissioner Rice
BOARD OF COUNTY COMMISSIONERS
Of MONROE COUNTY, FLORIDA
By
(Seal)
Attest;
Mayor
~T<..
A I
8 .
Il Ell "
o,a.TE L? - '3 -tfZ,
Deputy Clerk
OEC-27-02 11,49 FROM,MONROE COUNTY ATTY OFFICE 10,3052923516
PAGE
1/2
Emergency Medical Services (EMS) County Grant Application
State of Florida
Department of Health
Bureau of Emergency Medic~~ Services
"
Grant No. C.
1. Board of County Commissioners (grantee) Identification:
Name of County:
Monroe County~ Florida
Business Address:
490 63rd Street
Marathon, FL 33050
Phone # (305) 289 - 6088
SunCom # (
2. Certification: I, the undersigned official of the previously named county, certify that to the best of
my knowl~dge and belief all information and data contained in this EMS County Award Application and
its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully with the
Florida EMS County Grant Manual.
Printed Name:
Trtle:
Signature:
Date Signed:
(Authorized County Official)
3. Authorized Contact Person: Person designated authority and responsibility to provide the
department with reports and documentation on all activities, services, and expenditures which involve this
grant.
Name:
Clark O. Martin. Jr.
Title: Fire Chief
Business Address:
490 63rd Street
Marathon
(City)
Phone # ( 305) 289
6088
FL
(State)
SunCom # (
33050
(Zip)
4. County's Federal Tax Identification Number: VF __.. __.59-6000-749
1
DH Form 1684, Jan, 98
-<
5. Resolution: Attach a resolution from the Board of County Commissioners certifying the monies
from the EMS County Grant will improve and expand the county's prehospital EMS system and that the
grant monies will not be used to supplant existing county EMS budget allocations.
6.
Work Plan:
, '.
l ~
Work Activities:
Time Frames:
Purchase pen-based Errs field data collection and reporting system
EMT-B and E}lT-P Training
2
OEC-27-02 13,56 FROM,MONROE COUNTY ATTY OFFICE 10,3052823516
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OEC~27-02 11,48 FROM,MONROE COUNTY ATTY OFFICE 10,3052823516
PAGE 2/2
8. APPLlCA nON (Requires Signature)
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMENT)
EMERGENCY MEDICAL SERVICES (EMS)
COUNTY GRANT PROGRAM
In accordance with the provisions of section 401.113(2)(a), F..S., the undersigned hereby
requests an EMS county grant distribution (advance payment) for the improvement and
expansion of prehospital EMS.
Payment To:
Board of County Commissioners. Monroe County, Florida
Name of Board of County Commissioners (Payee)
490 63rd Street:
Address
Marathon, FL 33050
(City) (State) (Zip)
Federal Tax 10 Number or County:..,L -2. -i....Q......Q.. JL ..L .L ..2.... _ _ _ _ _
Authorizing County Official
SIGNA TURE:
Printed Name:
Tit/e:
Date:
SIGN AND RETURN WITH YOUR GRANT APPLICA TION TO
Department of Health
Bureau of Emergency Medical Services
EMS County Grants
4052 Bald Cypress Way, Bin C-18
Tallahassee, Florida 32399--1738
For Use Only by Department of Health
Bureau of Emergency Medical Services
Amount: $
Grant Number:
Approved By:
Signature, State EMS Grant Officer
Fiscal Year:
Amount: $
Orqanization Code
64-25-60-00-000
. E.O.
-
NU
O. C.A.
N2000 .
Federal Tax I.D. VF _ _ _ _ _ _ _
Beginning Date:
4
Date:
Obiect Code
730060
Ending Date:
Append'ix 0
EMS County Grant General
Conditions and Requirements
12
EMS County Grant
General Conditions
1.
The qrantee herebv aqrees to:
a. improve the existing quality o~
prehospital EMS activities, services. or to
decrease patient mortality and morbidity: 2nd
b. to expand the extent, size or number
of existing prehospital EMS activities or services
The activities and services to be proviced 2re
described in the EMS county grant apciic3'ncn
and its department approved revisions en fiie in
the state of Florida, Department of Heaith. SureaL;
of EMS, Tallahassee, Florida.
2. Statute and Rule: Prehospita eJ\IS
activities will be rendered by the gramee in a
manner consistent with Chapter 401, F!or:ca
Statutes, Chapter 64E-2.030. F[orica
Administrative Code, and the work plan in the
grantee's EMS county grant application and its
department approved revisions on file with :he
department. Further, the grantee agrees to
implement provisions of this grant in accerdance
with federal, state, and local laws. anc rules.
regulations, and policies.
3. Confidentiality: The grantee shall not use
or disclose any c1ient'patient information under
this grant for any purpose not in conformity with
state regulations and federal regulations (45 CFi=;"
Part 205.50) except upon written consent of the
c1ienUpatient or his/her responsible parent or
guardian as authorized by law.
4, Incident Reoortinq:
a. Client Risk Prevention. If serlices
to clients will be provided under this grant the
grantee and any subcontractors shall, in
accordance with the client risk prevention system.
report those situations listed in Department of
Children and Familities 215-6, Paragraph 5. in
the manner prescribed in that regulation,
b. Abuse, Neglect and Exploitation
Reporting. In compliance with Chapter415. F,S..
an employee of the grantee who knows, or has
reasonable cause to suspect, that a child, aged
person or disabled adult is or has been abused,
neglected, or exploited, shall immediately repor:
such knowledge or suspicion to the central abuse
registry and tracking system of the department
on the single statewide toll-free telephone number
( 1-800-96ABUSE),
5. Availability of Funds: EMS county'grar.ts
are subject to the availability of funds. I tie
def:artment's performance and obligaticn to pay
under this grant is contingent upon a sufficient
annual ap~ropr:ation by the Florida Legislature
and adequate cash in the EMS Trust Fund.
6. Decals: The department may provide the
grantee DOH logos and decals. If so, the grantee
shall affix these. in a prominent location, to all
equipment purchased in whole or part with grant
funds.
'7. Co ~ 0 uter H a rdw a re/Softw a re: I ne
grar.!ee agrees that ail computer hardware ar.d
software s,~aIJ be approved in writing by the state
Bureau of =",15 Costs of computer equipment
and activities which co net :la'/e this precurchase
apcro'lai are (',Ot :=ilcw2cle.
8 _ CC~irilJnications: The grantee agrees that
all communications activities, services, and
equipment shail be approved in writing by the
Florida Decar:ment of Management Ser/ices,
Information Technology Program (ITP) as required
by chapter 401.024. F,S. The written apcroval
must be datee after the beginning date of the
gram and :::ricr to any commitment to pL;rchase
the requestec equipment and/or se!V'ices. This
aporoval is required in addition to any pre'lious
ITP recommencation, review, conceptual or other
approval cated prior to the beginning date of the
grant. Costs incurrec prior to the grant startir.g
date cannot be paid under the grant. For further
information contact:
Director
Information Technology Program
Depar:ment of Ivlanagement Services
4050 Esplanade \f'./ay, Building 4030
Tallahassee, Florida 32399-0950
(850)922-7415 or (SC)292-7415
9. Tra'/e/lcer diem: Travel and per diem
expenses shall be in compliance with secton
112.061, F.S. The grantee shall be sole!y
responsible for all costs:
a. which the grantee pays prior to the
beginning cate of the project;
b. which the grantee does not
encumber befere the grant ending date, and
c, which the grantee encumbered
berore the grant ending date but pays 41 or
more days after the ending date of the grant.
10. Purchasinq: A Vendor Ombudsman has
been established within the department of Banking
., .-,
and Finance. The duties of this individual induce
acting as an advocate for vendors who may be
experiencing problems in obtaining timely
payment(s) from the state agency. The Vendcr
Ombudsman may be contacted at (850) 438-2924
or the State Comptroller's Hotline, 1-800-343-
3792.
11, Ownershio/Assiqnment: The grantee shall
own all items including vehicles, buildings and
equipment purchased with state EMS county grant
funds unless otherwise described in the grant
application. The grantee shall clearly doc~mem
the assignment of equipment ownership and
usage, and maintain these documents so tre~1
are available during monitoring by the sta;:e, :;le
owner of vehicles and equipment purchasec wi~::
state EiV1S grant funds shall be responsicle ~or i;:s
proper insurance, licensing, permitting, anc
maintenance.
\,A/hen any state EMS grant funded equipmem
ceases to have any useful life it may be scid for
scrap or disposed of in the customary way that
the agency disposes of equipment which has nc
further functional use. The grantee must use the
resulting funds, if any, for prehospital EMS in
Florida.
If a private organization is the owner of any
equipment funded in whole or part by state EMS
grant funds, and purchased that equipment to
provide services for a municipality, county, or
other public agency, and the services cease
within five years after the grant ends. the
ownership of the equipment must be transferred
to that municipality, county or other public agency,
There shall be no cost to the recipient
organization. This is applicable even when
services cease due to a contract ending or for
any other reason.
12. Maintenance of Efforts: Any improvement
or expansion brought about in whole or part by
grant funds shall be maintained for five years
after the project ends. Reduction within the fi'/e
years which is not approved by the Bureau.
shall necessitate the return by the grantee or the
involved project's funds plus interest if any, as
specified by the department. The grantee must
send the funds within 40 days of written
notification by the department.
After the five years, all equipment purchased with
state EMS grant funds must continue to be used
for prehospital EMS in Florida throughout its useful
life, whether owned by the grantee or others. If
a violation is found at any time after the five years.
regardless of equipment ownership at that time.
one half 0;' C:.Jrient value of the items must be
returned to the state by the grantee who received
the grant unc:erwhich the original purchases were
made.
13. Lobbvinc: The grantee agrees to COmply
with the provisions of sections 11,062 and
216.3~7, F.s.., which prohibit the eX;Jenditure of
grant funds for the pur;Jose of lObbying the
Legislature. judicial branch, or a state agency_
14. iVlonitorir:c: T::e grantee agrees to assign
a oerson to maimain a file for each grant which
includes a coe'l of the Notice of Grant ,';ward
. , .
letter. Bureau aporaved application inciucing
approved budger and ail aopendixes. aepraved
.:hanges, a:;c lhis grant manual. The grantee
snail ensur2 :hc! 3n'l Trnanc:al cccuri1e~ts ~eiat2C:
to this activ;::1 are made availabie to the CL;reaL.:
or its desigr.ee upor. request. for a period of five
v~ars from the endinc date of the crant. The
~- - -
crantee, his subgrantee(s) or contractor(s) and
assignee(s~, shail provide during reasonable hours
whatever information is necessary for the
department to monitor the grant. including acoess
to ciient records related to the grant.
1S, Income. Fees. and Other Cash: If project
activity results in the payment to the grantee or
other party or income, fees, or cash of any other
kind, the total amount eithat cash shall be applied
to the costs of the project.
Before any state funds can be assigned as
allowable costs. the total amount of such caS;1
paid during the grant shall be applied to the total
activir! costs after the ending of the grant and al!
costs are final.
El'I1S County Grant
General Requirements
The EMS County grant general conditions and
requirements are an integral part of the county gram
aareement between the agency/organization (grantee)
and the state of Flcrida, Department of Health (grantcr
or department). In the event of a conflict, the foilcwing
requirements shall always be controlling:
1. Records: The grantee shall maintain financial
and other documents related to the crants to suppor:
ail revenue ard excenditures. The final expenditure
report shall inClude ail e:<penditures of the E:MS County
Grant funds fer the grant pericd.
Bills and payment records ror fees or other
compensation ;cr ser'/ic2s ;:lnd expenses shall be
maintained by :he 'jrantse in sufficient detail for :he
-~ I
'-
proper pre-audit. post-audit. and mcnitoring review cr
the grantee's records by the department.
2. Indemnification: If the grantee is a st3te
agency or subdivision as defined in section 768.28, F.S,
only the following paragraph "b" is applicable. Other
than state agencies or subdivisions only paragrach "3'
is applicable.
a. The grantee agrees to be liable fer ail
claims, suits. judgements, or damages, including coun:
costs and attorney's fees, arising aut of the negligent .Jr
intentional acts or omissions of the grantee and its
agents, subcontractors, and employees, in the COL.;rse
of the operation of this grant. Further, the grar:tee agrees
to indemnify the department agair:st ail claims, su::s.
judgements, or damages, inducing COL.;rt C:Jsts ar,e
attorney's fees, arising out of the negligent cr jme:~tjc~ai
acts or omissions of the grantee and its ag2:its,
Subcontractors, and employees, in the course cf the
ooeraticn of this crant. Also, the::rantee acrees te
cefend the department, upon recei~ing timely written
notification from the department. against all c:aims,
suits, judgements, or damages, including costs and
attorney fees, arising out of negligent or intentional
acts or omissions of the grantee and its agents,
subcontractors. and employees, in the course of
the operation of this grant. 'Nhere the grantee
and the department commit joint negligent ac:s,
the grantee shall not be liable for nor have any
obligation to defend the department with reSDect
to the part of the joint negligent act committed by
the department. In no event shall the grantee be
liable for or have obligation to defend the
department against such claims, suits. judgements.
or damages, including costs and attorney fees,
arising out of the sole negligent acts of the
department.
b, Any grantee who is a state agency
or subdivision, as defined in section 768,28, F.S..
agrees to be fully responsible for its negligent
acts or omissions or intentional tortious acts which
result in claims or suits against the department.
and agrees to be liable for any damages
proximately caused by said acts or omissions.
Nothing herein is intended to serle as a waiver
of sovereign immunity by any grantee to which
sovereign immunity applies. Nothing herein shall
be construed as consent by a state agency or
subdivision of the State of Florida to be sued by
their parties in any matter arising out of any grant.
The grantee agrees that it is independent of the
department and not an agent or employee, unless
it is organizationally within the department.
3. Notice of Grant Award: All EMS county grants
are made in accordance with section
401.113(2)(a), Florida Statutes, and are mace
by an Ei'vlS Notice or Grant Award letter. The
Notice of Grant ;-\ward letter (apcencix A) and
the contents of this manual contain by reference
all regulations. rules, and other conditions
governing this grant.
-+ Advance Distribution (Pavr.ientl: I ne
cepartment agrees to reC1uest advance distribution
:.::ayment) cf the full grant amount after the Notice
of Grant Award ietter is sent to the grantee. This
payment wiil be sent as cash flcw perTTlits.
..... Suooiantirc Furds: EiVlS County Gram
funds s~'lall not oe usee to supplantJreplace) any
:J a rc C i t n e g r.3 n l e 2 s reg u ! art:. i\,1 S b u C get
ailoc3ticr., ir.e Grantee shail nct use anv ccunt'1
, . - .,... . I ...
sr r7'1atC:-:lri~ gr2t:t :U~CS to SUp~12nt cr r2~lac2
3ny ether fu~ds :-lr.iess spec;Tie.j i~ the ap~r:J\jec
.3cplic3tion. COl..:rt'/ award funds dispensed under
section 4C'l.1 i 3\2)(a), FS., cannot be usee to
fulfill ,he ma!chir:g recuirement for any slate E:'vlS
matching grant under section 401.113(2)(b), F.S.
6. Reaffirmation of Terms and Conditior.s: All
terms, conditions. and provisions of this grant
and manual. and other aDplicabie docur.ients are
hereby reaffirmed. ilie grantee ad:nGwledges
acceptance of the gram terms and conditions
when the grantee draws mcney or ctherNise
cbtains fur.cs from the Slate grant payment system.
Financial
~ . Ei'vlS Count'l Fund Accountine: A.II state
EMS grant funes shall be ceposited by the
grantee in an account maintained by the grantee,
and assignee a uniC1ue accounting cede
designator for ail grant deposits and
disbursements er expenditures thereof, A.II state
EMS grant funds in the account maintained by
the grantee shall be accounted for separately from
all other grantee funds
2 Use of Count'! Grant Funds: A.lI state EMS
grant funds shall be used between the beginning
and ending sates of the grant sclely for activities
as outlined in the Notice of GrantAward letter, its
attachments if any. and the application including
its budget with ics revisions, if any, on file in the
state EiV1S office.
T;'le grantee is not restricted to staying within the
line item amounts within the approved grant
budget. However, the grantee must stay within
the aporcved total grant ::;'...:dget. Any expenditures
beyond this budget are the full responsibility of
the grantee.
3 The authGrit'j to 3per:c cr encumc.er grant
1 -
I::
funds expires on the ending date of the grant
time period, which is cited in the Notice of Grant
Award letter. Encumbered funds must be paid
within 40 days of the grant ending date.
Unencumbered EMS County
Grant Funds (RolIovers)
Any unemcumbered EMS county grant program
funds. including interest, remaining in the
assigned grantee account at the end of a grant
period shall be reported to the department. The
grantee will retain these funds in the EMS Count:/
Grant account and include them in the budget cf
the next county grant application.
Disallowed Expenditures
No expenditures are allowable as grant costs
unless they clearly are specified as a line item in
the approved grant budget, including approvec
change requests, or are clearly includec uncer
an existing line item.
Any disallowed EMS county grant expenditure
shall be returned to the EMS county grant account
maintained by the grantee within 40 days after
the department's notification. The costs of
disallowed items are the responsibility of the
county.
Revisions
The grantee shall obtain written approval from the
state EMS grant manager, on .the Grant Change
Request form (Appendix B) prior to any of the
following changes to the approved grant budget.
1, Adding a new line item to the
approved budget.
2. Increasing a salary rate of payor
other payment rate to an individual for serlices.
by more than ten percent.
3. Beginning a sub-grantee or
contractor relationship that is not specifically
identified in the approved budget or application.
Reports and Documentation
1. Due Oates: The grantee shall send to the
state EMS grant manager one original and one
copy of the required reports by the date specified
in the Notice of Award letter. Progam activity
and expenditure reports will be used to ensure
adequate monitoring and auditing cf the grantee.
2. Excenditure Reoorts: The Expenditure
Report (Aopendix C-1) indicates all agreed upon
budget expenditures and contains columns to be
completed for reports. Reports cover a six, nine
and twelve month period of activities (final report).
The expenqiture Plan (Item 7) in your approved
applicatiorl:.has a blank "expenditures year-to-
date" column to report expenditures and a place
to write the amount cf interest earned en the state
funds. Copy this page, complete it, and submit it
for your expenditure reports.
3 PreGram .~,ctjvit'/ Reccrt: The Pregram ;',c~ivit'!
R (DLl - 1 -~ '.\ J "8) .. ' .....
,e~crt r. ,or:ll ,cc"";-o.. an.::J mL:S, ce prCVil.,eC a1:
the enc by tre date sceciTled in the Netice of Grant Aware:
ierte: Rescr: ail program activities as c::esc:-ibec in the
apcr~ved gr3,;t 'Ncrk pi3n ane: subseqL:en'( amendmems
aepraved in Change Requests. The report must Cover
the entire gr31;1: ;::erioe:,
-4 vVitnne!d P3vmem: Any payments due the
gramee une:er the terms of this gram may be withheld
umil 1:he grantee provides ail reports that the grantee
owes '(0 the department. and the department has
approved ail or the grantee's reports and is satisTled the
grantee has met a'll ?bligaticns.
5, Earl'! Termination: if the project
accomplishes all of its objectives before the grant
ending date, the grantee may request that the
grant be c!osed, and send a final expenditure
and program activity report. If the state EMS
grant manager approves. the manager will close
the grant. Thereafter, because the grant has
ended, there can be no further activities or
expenditures under the grant.
Credit Statement
The grantee ensures that where activities supported by
this grant orcduce original writing, sound recording,
pictorial reproductions, drawings or other graphiC
representations and works of any other nature, notices,
informational pamphlets, press releases,
advertisements, cescriptions of the sponsorship of the
program, research reports, and similar public notices
prepared and released by the provider shall include the
statement:
"Sponsored by [Ycur Organization's Name] and the State
of Florida. D~pariment of Health, Office cf Emergency
Medical Ser/ices."
A-
!':J
If the sponsorship reference is in written or other visual
material, the word, "State of Florida, Department of
Health, Bureau of Emergency Medical Services" shall
appear in the same size letter or type as the name of
the grantee's organization.
One complimentary (free) copy of all such materials
shall be sent to the department within three weeks of
their reproduction and delivery to the grantee,
If the proper credit statement is not included, or if a cooy
of each item produced is not provided to the department
within three weeks, the cost for any such materials
produced shall be disallowed.
Where activities supported by this grant oroduce writing.
sound recordings, pictorial reproductions, drawings, or
other graphic representations and works of any similar
nature, the department has the right to use, duplicate
and disclose such materials in whole or in part. in any
manner, for any purpose whatsoever and to have others
acting on behalf of the department to do so. If the
materials so developed are subject to copyright,
trademark, or patent, legal title and every right. interest,
claim, or demand of any kind in and to any patent,
trademark or copyright, or application for the same, will
vest in the state of Florida, Department of State, for the
exclusive use and benefits of the state. Pursuant to
section 286.021, F.S" no person, firm or corporation,
including parties to this grant, shall be entitled to use
the copyright, patent or trademark without the prior
written consent of the Department of State.
Civil Rights Assurance
The grantee gives these assurances forfederal grams,
loans, contracts (except contracts of insurance or
guaranty), property, discounts, or other federal financial
assistance to programs or activities receiving or
benefiting from federal financial assistance.
The grantee agrees to complete the Civil Rights
Compliance questionnaire, HRS Forms 946A and B, if
requested by the department.
Although no federal funds are involved in this grant the
grantee ensures that helshe will comply with the
following the same as if federal funds were being
provided:
1, Title VI of the Civil Rights Act of 1964, as
amended, 42 U.S,C. 2000d et seq" which prohibits
discrimination on the basis of race, color, or national
origin in programs and activities receiving or benefiting
from federal financial assistance.
2. Section 504 of the Rehabilitative Act of
1973, as amended, 29 U,S,C. 794, which prohibits
discrimination on the basis of handicap in programs
and activities r~ceiving or benefiting from federal financial
assistance. '
3. Title XI of the EducationAmendments of
1972, as amended, 20 U.S.C, 1681 et seq" which
prohibits discrimination on the basis of sex in education
programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1 975, as
amended, 42 U,S.C. 6101 et seq., which prohibits
discrimination on the basis of age in programs or
activities receiving or benefiting from federal financial
assistance,
5. Section 654 of the Omnibus Budget
Reconciliation Act of 1981, as amended, 42 U,S.C,
9849, which prohibits discrimination on the basis of race.
creed, color, national origin, sex, handicaps, political
affiliation or belief.
6. The Americans with Disabilities Act of
1990, PL. 101-336, which prohibits discrimination on
the basis of disability and requires reasonable
accommodation for persons with disabilities.
7. U.S. Department of Health and Human
SeNices Regulations for Protection of Human Subjects
(45 CFR, as amended) regarding the protection of
human research subjects,
8. All regulations, guidelines, and standards
lawfully adopted under the preceding statutes,
The grantee agrees that compliance with this assurance
constitutes a condition of continued receipt of, or benefit
from state EMS funds, and that it is binding upon the
grantee, successors, transferors, and assignees for the
period during which such assistance is provided, The
grantee further ensures that all contractors,
subcontractors, sub-grantees or others with whom it
arranges to provide services or benefits to participants
or employees in connection with any of its programs
and activities are not discriminating against those
participants or employees in violation of the preceding
statutes, regulations, guidelines, and standards. In the
event of failure to comply, the grantee understands that
the department may, at its discretion, seek a court order
17
requiring compliance with the terms of this assurance
or seek other appropriate judicial or administrative relief.
to include this and other state EMS grants being
tenninated and further state EMS grants being denied.
The department shall not be liable for violations by
grantees of any of the federal laws, rules, regulations.
or guidelines outlined herein.
Audit Requirements
FINANCIAL AND
COMPLIANCE AUDIT
This attachment is applicable, if the provicer or
grantee, hereinafter referred to as provider, is any lecal
government entity, nonprofit organization, or fer-profit
organization, An audit performed by the Auditor General
shall satisfy the requirement of this attachment.
PART I: FEDERALLY FUNDED
This part is applicable if the provider is a iocal
government entity or nonprofit organization and expends
a total of $300,000 or more in federal funds passed
through the department during its fiscal year, The
determination of when a provider has "expended" federal
funds is based on when the activity related to the award
occurs.
Local governments shall comply with the audit
requirements contained in the Office of Management
and Budget (OMB) Circular A-128, Audits of State and
Local Governments, Nonprofit providers shall comply
with OMS Circular A-133, Audits of Institutions of Higher
Learning and other nonprofit institutions, except as
modified herein. Such audits shall cover the entire
organization for the organization's fiscal year. The
reporting package shall include a schedule that
discloses the amount of expenditures and/or receipts
by contract number for each contract with the
department in effect during the audit period.
Compliance findings related to contracts with the
department shall be based on the contract
requirements, including any rules, regulations, or
statutes referenced in the contract. The financial
statements shall disclose whether or not the matching
requirement was met for each applicable contract. All
questioned costs and liabilities due to the department
shall be fully disclosed in the audit report with reference
to the department contract involved.
If the provider has received any funds from a grants
and aids appropriation, the provider shall have an audit
or submit an attestation statement in accordance with
Section 216,349, Florida Statutes, and indicate on the
schedule of financial assistance which contracts are
funded from state grants and aids appropriations. The
provider has "received" funds when it has obtained the
cash from the' department or when it has incurred
reimbursable expenses,
The provider agrees to submit the required reports as
shown in Part IV.
PART J): STATE FUNDED
This part is applicable if the provider is a nonprofit
organization that expends a total of $100.000 or more
in funds from the department during its fiscal year, which
was not paid from a rate contract based on a set state
or area-wide fixed rate for service, and of which less
that 5300,000 is federally funded. The determination of
when a provider has "expended" funds is based on when
the activity related to the award occurs.
The provider agrees to have an annual financial audit
performed by independent auditors in accordance with
the current Government Auditing Standards issued by
the Comptroller General of the United States. Such
audits shall cover the entire organization for the
organization's fiscal year. The scope of the audit
performed shall cover the financial statements and
include reports on internal control and compliance. The
reporting package shall include a schedule that
discloses the amount of expenditures andlor receipts
by contract number for each contract with the
department in effect during the audit period.
Compliance findings related to contracts with the
department shall be based on the contract
requirements, including any rules, regulations, or
statutes referenced in the contract. The financial
statements shall disclose whether or not the matching
requirement was met for each applicable contract. All
questioned costs and liabilities due to the department
shall be fully disclosed in the audit report with reference
to the department contract involved.
If the proVider has received any funds from a grants
and aids appropriation, the provider shall have an audit,
or submit an attestation statement, in accordance with
Section 216.349, Florida Statutes, and indicate on the
schedule of financial assistance which contracts are
18
funded from state grants and aids appropriations. The
provider has "received" funds when it has obtained the
cash from the department or when it has incurred
reimbursable expenses.
The provider agrees to submit the required reports as
shown in Part IV.
PART III: SECTION 216.349,
FLORIDA STATUTES (GRANTS
AND AIDS APPROPRIATIONS)
This part is applicable if the provider is either (1) a for-
profit organization, (2) a local government entity
expending less than $300,000 in federal funds passed
through the department during its fiscal year, (3) a
nonprofit organization expending less than $100,000 in
funds from the department during its fiscal year, or (4)
a nonprofit organization expending a total of $1 00,000
or more in funds from the department paid from a rate
contract bas~d on a set state or area-wide fixed rate for
service, of which less than $300,000 is federal funded.
The determination of when a provider has "expended"
funds is based on when the activity related to the award
occurs.
If the provider receives funds from a grants and aids
appropriation, the provider shall have an audit, or submit
an attestation statement, in accordance with Section
216.349, Florida Statutes. The audit report shall include
a schedule of financial assistance which discloses each
state contract by number and indicates which contracts
are funded from state grants and aids appropriations.
The provider has "received" funds when it has obtained
cash from the department or when it has incurred
reimburseable expenses.
The provider agrees to submit the required reports as
shown in Part IV. Otherwise, if the provider does not
rece~ve funds from a grants and aids appropriation, the
provider has no audit or attestation requirement under
this statement.
PART IV: SUBMISSION OF
REPORTS
Copies of the audit report and any management letter
by the independent auditors, or attestation statement
required by this attachment shall be submitted withi~
180 days after the end of the provider's fiscal year to
the. following, unless otherwise required by Florida
Statutes:
A. Office of Inspector General
4052 Bald Cypress Way, A-03
Tallahassee, ,FJorida 32399-1704
"
B. Department of Health
Bureau of-Emergency Medical Services
County Grant Manager
4052 BafdCypress Way, Bin C18
Tallahassee, Florida 32399-1738
C. Submit to this address only those reports
prepared in accordance with OMS Circular A-133:
Federal Audit Clearinghouse
Bureau of the Census
1201 E. 10th Street
Jeffersonville, Indiana 47132
D. Submit to this address only those audits
performed or attestation statements prepared in
accordance with Section 216.349, Florida Stat-
utes:
Office of the Auditor General
Post Office box 1735
Tallahassee, Florida 32302
The provider shall ensure that audit working papers are
made available to the department, or its designee, upon
request for a period of five years from the date the audit
report is issued, unless extended in writing by the de-
partment.
19