FY2001 02/21/2001
1Bannp I. ltolbage
BRANCH OFFICE
3117 OVERSEAS IDGHWA Y
MARAlHON, FLORIDA 330SO
TEL. (305) 289-6027
FAX (305) 289-1745
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
BRANCH OFFICE
88820 OVERSEAS IDGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
MEMORANDUM
DATE:
March 5,2001
TO:
Reggie Paros, Director
Public Safety Division
ATTN:
Stacy Devane
Executive Assistant
Pamela G. Han"~
Deputy Clerk 0
FROM:
At the February 21, 2001, Board of County Commissioners meeting the Board adopted
Resolution No. 052-2001 authorizing the 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.
Enclosed please find two duplicate originals of the Application executed on behalf of
Monroe County, as well as two certified copies of the subject Resolution, for your handling.
Please be sure that the fully executed "Clerk's Original" is returned to our office as soon as
possible. Should you have any questions please do not hesitate to contact this office.
Cc: County Administrator w/o document
County Attorney
Finance
File /
CLERK'S OP,'G;\AL
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Emergency Medical Services (EMS) County Grant Application
State of Florida
Department of Health
Bureau of Emergency Medical Services
Gr nt No. C.
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1. -! gaar~f ~unty Commissioners (grantee) Iden ,~
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Name of County: MONROE COUNTY, FLORIDA
Business Address: 490 63rd Street, Suite 140
Marathon, FL 33050
Phone # ( 305) 289 - 6002
Sun Com # ( )
472 - 6002
2. Certification: I, the undersigned official of the previously named county, certify that to the best of
my knowledge and belief all infonnation 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 Co un rant Manual.
Title: Mayor
./
DateSigned:J~ 2.'. .too,
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: James R. "Reggie" Paros Title: Public Safety Director
Business Address: 490 63rd Street, Suite 140
Marathon FL 33050
(City) (State) (Zip)
Phone # ( 305) 289 - 6002 SunCom # ( ) 472 6002
4. County's Federal Tax Identification Number: VF 59-6000-749
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.~ASTOFORM
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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:
Work Adivities: _
Time Frames:
Paramedic training for fifteen (15) emergency responders
Purchase of ten (10) Life Pak 12 Cardiac Monitor Defibrillators
Continued enhancements of the EMS UHF Radio Communications System
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APPLICATION (Rer 'fires 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 g<3I1t cflSfribution (advance payment) for the improvement and
, expansion of prehospital EMS.
Payment To:
Board of County Commissioners, Monroe County: Florida
Name of t30arcJ ot c.;ounty C;omm/ssloners (payee)
490 63rd Street, Sui~e 140
Address
Marathon, Fl.
ederal Tax 10 Number of county: -2- -2- ~ ~
rinted Name. George Neugent
Title:
Mayor
SIGN-AND RETURN WITH YOUR GRANT APPUCATION TO:
De-parlmentofHeafth
Bureau of Emergen~. Medical Services
EMS Coun Grants
2020 Capital Ci e SE Bin C18
Tallahassee, Florida 32399-1738
For Use Only by Department of Health,
Bureau of Einergency Medical Services
mount: $ 44J P?:?6, ':f.3 Grant Number: ~ C&ollLf
Approved By: V:J7v. (/ ~u.-v Date: 3-~t-ol
Slg;:t~St~;:n~ Officer
iscal Year: 00 - 2 ~
mount:$ 4+, ';;{~ . 3
E.o. .
Nt.{-lPI
ederal Tax 1.0. V F ~~k.J2..Q~:I.1:...:t
eginning Date: O~/. Do
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Obiect Code
730060
Ending Date: ~+3t))O I
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BY
~TATE OF FLORIDA 4-00 273 500
- OFFICE OF COMPTROLLER
.
: REMITTANCE ADVICE THIS IS NOT A PAYMENT OEVIC
FLAIR ACCOUNT CODE OLO SITE DOCUMENT NUMBER OBJECT DATE PAYMENT N,
64-202192002-64400200-00-05999800 640000 80 01000604185 7500 04/02/01 1827070
PAYMENT AMOUNT
$ 44,226.73
DO NOT CASH
1"111'111,11,,,,1,1,11"'111,11"11,,11.,,11,.1,,111,,,1'11,1
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
490 63RD ST STE 140
MARATHON FL 33050
AGENCY DOCUMENT NO
V029294
PLEASE DIRECT QUESTIONS TO: (850) 245-4502, HQ, ACCOUNTING - MIKE GRXFFIN
VENDORS NOW CAN VIEW PAYMENT INFORMATION AT HTTP://FLAIR.OBF.STATE.FL.US
INVOICE
NUMBER AMOUNT
COUNTY GR $
44,226.73
DETACH CAREFULLY AND RETAIN FOR YOUR RECORDS BEFORE CASHING OR DEP.OSITING THE WARRANT
. hW .. . ...: .~........, ,.,~. .. .. "~'''''''''''''''''~''''''''''''''''',,;o;;'ll.:~~'''''''''~~''''''''''''''~''~........,.,~:-..i.~'....~..!.~...~.~.~.~~d~::!...t.",::;.'.:...:...~o:.:....),~,....-.....'..~.2:...;.;..'-..!.'!.::...'....... po "I. ....'..............-,-..........
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PAY
FORTY-FOUR-THOUSAND-TWO-HUNDRED-TWENTY-SIX & 73/100 DOLLARS
STATE OF FLORIDA
OFFICE OF COMPTROLLER
DATE WARRANT NO 63-89
04/02/01 1827070"""630
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FLAIR ACCOUNT CODE SWDN ADN OBJECT
64-202192002-64400200-00-05999800 01000604185 V029294 7500
OLO 640000 SITE 80 CONTACT (850) 245-4502 FOR PAYMENT QUESTIONS
AMOUNT
1$****44,226.731
TO THE
ORDER
OF:
EXPENSE WARRANT
VENDOR 10 NUMBER
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1 j ,11,1,11,1111"111,1111,,11,11,1,1,,111,111,,11,111,,,1 " 1.1
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
490 63RD ST STE 140
MARATHON FL 33050
TO: TREASURER OF FLORIDA
TALLAHASSEE
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COMPTROLLER OF FLORIDA
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James R. Paros
Public Safety Division
RESOLUTION NO. 052 - 2001
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA AUTHORIZING THE CHAIR-
MAN 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 follows:
1. The Chairman 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 County Grant will improve and expand the County's
pre-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 o(Monroe
County, Florida, at a regular meeting of said Board held on the 21 s t day pf
February ,2001.
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Mayor Neugent
Mayor Pro Tern Williams
Commissioner Spehar
Commissioner McCoy
Commissioner Nelson
yes
yes
yes
yes
yes
BOARD OF COUNTY COMMISSIONERS
/.0 ~NROE COUNTY, FLORIDA
APPROVED AS TO FORM
AND LE.GAL SUFFICIEN
8