Resolution 390-1999
James R. Paros
Public Safety Division
RESOLUTION NO.390 1999
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERfi
OF MONROE COUNTY, FLORIDA AUTHORIZING THE CHAIR- ~ ~
MAN TO EXECUTE AN EMS COUNTY GRANT APPLICATION ~p~
AND RELATED REQUEST FOR GRANT DISTRIBUTION TO THIg~:
STATE OF FLORIDA DEPARTMENT OF HEALTH, BUREAU OF~?08
EMERGENCY MEDICAL SERVICES ;igS; ~
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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 of Monroe
County, Florida, at a regular meeting of said Board held on the 8th day of
September , 1999.
Mayor Harvey yes
Mayor Pro Tern Freeman yes
Commissioner Neugent yes
Commissioner Williams yes
Commissioner Reich yes
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
"~"'^ .. '" ~\
By ~~Ilfv.-...' "~-'\~~
"
Chairman
Attest:
1.
~e.~ l-c. A)6~
Deputy Clerk -
Emergen.cy Medical Services (EMS) County Grant Application
State of Florida
Department of Health
Bureau of Emergency Medical Services
Grant No. C.
1, Board of Cou nty Commissioners (grantee) Identification:;, ';<)!~';:~:~
(;:-:' -:.\ <;~\
Name of County: MONROE COUNTY, FLORIDA ";;(~S .r.'J~:..-:";\('\\
Marathon, FL 33050
Business Address: 490 63rd Street, Suite 140
Phone # ( 305 ) 289 - 6002
SunCom # ( )
472 - 6002
2. Certification: I, the undersigned official of the previously named county, certify that to the best of
my knowledge 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:
Wilhelmina Harvey
Mayor
Signature:
9- 8 - ~ 9
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" Paras 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
DH Form 1684, Jan. 98
1
APPROVED AS TO FORM
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5. Resolution: Attach a resolution from the Board of County Commissioners certifying the monies
from the EMS Cbunty 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 Activities:
Time Frames:
Continued enhancements of the EMS D.H.F. Radio Communications System
Purchase of twenty (20) Automated External Defibrillators
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, . APPLICATION (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 g-ant distnbution (advance payment) for the improvement and
expansion of prehospital EMS. -
PaymenfTo: Board of County Commissioners, Monroe County, Florida
Name Of !:jOarC1 Of C;ounty c;ommlssloners (f-1ayee)
490 63rd Street, Suite 140
Address
Marathon,
FL 33050
(City) (State) (Zip)
ederal Tax ID Number of county: 2-
9 600
- - --
9
Tinted Name: Wilhelmina Harvey
Title: Mayor
SIGN AND RETURN WITH YOUR GRANT APPLICATION TO:
DgpanmentofHeafth
Bureau of Emergency Medical Services
EMS County Grants
2002D Old St. Augustine Road
Tallahassee, Florida 32301-4881
mount: $
For Use Only by Department of Health,
Bur!!.!!l of Emergency Medical Services
Grant Number:
Approved By: Date:
Signature, State EMS Grant Officer
E.O.
gu-
ederal Tax I.D. V F _________
Obbect Code
73 060
Ending Date:
4