Resolution 317-1993
_ --'lueS R. Paros
Public Safety Division
RESOLUTION NO. 317 -1993
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AUTHORIZING THE CHAIRMAN TO
EXECUTE AN E. M . S . COUNTY GRANT APPLICATION AND RELATED
REQUEST FOR GRANT DISTRIBUTION TO THE DEPARTMENT OF
HEALTH AND REHABILITATIVE SERVICES OF THE STATE OF
FLORIDA
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, as follows:
1. The Chairman is hereby authorized to execute an E.M.S. County
Grant Application and related Request for Grant Distribution to the
Department of Health and Rehabilitative Services of the State of Florida,
copies of same being attached hereto.
2. The monies from the E.M.S. County Grant will improve and expand
the County's pre-hospital E.M.S. system.
3. The grant monies will not be used to supplant existing County
E.M.S. 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 , A.D. 1993.
Mayor London
Mayor Pro Tern Cheal
Commissioner Harvey
Commissioner Freeman
Commissioner Reich
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BOARD OF COUNrri-'COMMIssi~NERS ,.
OF MONROE COUNT:'f, FLORIDA
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APPLICATION
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
OFFICE OF EMERGENCY MEDICAL SERVICES
EMERGENCY MEDICAL SERVICES COUNTY GRANT APPLICATION
GRANT NO.
1. Board of County Commissioners (grantee) Identification:
Name of County: MJnroe County, Florida
Business Address: 490 63rd Street, Suite 140
Marathon ~ FL 33050
Phone # (305) 289 - 6002 Suncom # 472 - 6002
2. Certification: I, the undersigned official of the previously named county, cenify that to
the best of my knowledge and belief all information and data contained in this EMS County
Grant Application and its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully
with Appendix D of the Florida EMS County Grant Program booklet.ATrEST: DANNY L. KOIlIAGE ClERK
By
Title: Mayor Deputy
Date Signed:Xp!. 5/ 11') S
3. Authorized Contact Person: Person designated authority and responsibility to provide
the depanment with repons 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, PI.. 33050
Telephone:(305) 289-6002
Sun Com: 472-6002
4. County's Federal Tax Identification Number: 59-6000-749
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5. \ Resolution: Attach a resolution from the Board of County Commissioners cenifying 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. WorkPlan:
Work Activities: Time Frames:
Continued enhancements of'the EMS U.H.F. Radio Carmunication System to a
County-wide simulcasting capability.
7. Proposed Expenditure Plan: Prepare a line item budget.
Recipient of
Line Item
Line
Item
Unit
Price
Ouantity
Total
Cost
r-bnore County EMS Carmunication Engineering and Equiprent
$102,467.92
* Figure includes roll-over and interest accrued fran FY 93 in the a:n:ount of
$48,034.30
Attach additional pages if necessary for item 7.
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D.
ArrLll.,A.l1Ui"
(AequUf:;) ,.:ugnmUrej
REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMEN1)
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 pre hospital EMS.
Payment To: B
Florida
Marathon, FL 33050
(City) (State) (ZIp)
Federal Tax ID Number of county:_ 59-6000-749
ATTEST: DANNY L. KOLHAGE, CLERK
By
Deputy Clerk
Date: ,Y 2+. '>>: ,I)':) ,:;
. . j I
Printed Name:
Title: Mayor
SIGN AND RETURN WITH YOUR GRANT APPLICATION TO:
Department of Health and Rehabilitative
Services
Office of Emer~ency Medical Services
EMS Counry Grants
1317 Winewodd Boulevard
Tallahassee, Florida 32399-0700
Amount: $
For Use Only bl Deparlment of Health and Rehabilitative Services,
Office of Emergency Medical Services
Grant Number:
Approved By:
Signature, State EMS Grant Officer
Date:
Fiscal Year:
Amount:$
~ff:.an~ation Code
20- 0-30-100
E.O.
HR
Ob~ect Code
'30060
Federal Tax I.D. V F
Beginning Date:
Ending Date:
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Appendix D
:..
r~;/vJS CYJU1VTY GIMNT -
(;E1VEI~A,L CONDITIONS
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In compliance with Chapter 415, F.S., an employee of
the grantee who knows, ar het rea
sonable le ectaso to COUNTY GRANT
GENERAL CONDITIONS suspect, that a child, aged person or elisc ,led adult is
or has been abused, neglected, or exploited, .s/uall
immediately report such knowledge or.su.sl•icion to tie
central abuse registry and tracking sy:,rent of bit'
department on the single statewide toll free telepho,:e
1. The grantee hereby agrees to: (a) improve the number (1-800-96A 11 USE).
existing quality of prehospital EMS activities, sersi,-es,
or to decrease patient mortality'and morbidity; and (b) 7. EMS county grants are .sah/,.c I to HI,
1.e errand the extent, size or number of existing availability of funds. The department'.1 1•ee1,vm,„,..
lrehospital EMS activities or services. The activities and obligation to Ivry under this ;:runt I. „01,1e1,c ,;,t
,u:,! services to be provided are described in the EMS upon a .sufficient annual app,op,cutn,e, by de /1,,,,, ,,
c uu ty. grant application and its department approved Legislature.
res i v ions on file in the state of Florida, Department of
Iu'e::ah and Rehabilitative Services, Office e EMS, 8.
_ .f� The grantee is not restricted to st,t,•i:t,g ss•rtbiv
T.:;:laiucssee, Florida. the line item amounts reflected in the ,tppro.•,•,1
budget. However, the grantee must stay within the
2. Prehospital EMS activities will be rendered approved total grant budget and not exceed any
by the grantee in a manner consistent with Chapter budgeted individual salary more than 10 percent.
401, Florida Statutes, Chapter IOD-66 Florida
Administrative Code and the work plan in the 9. Travel and per diem expenses shall be in
grantee's EMS county grant application and its compliance with section 112.061, F.S.
department approved revisions on file in the state's
Office of EMS. 10. ' The grantee shall be responsible for any
amount reflected in the approved budget which is in
3. The grantee agrees to implement provisions of excess of the grant award. The grantee shall be
rh.s grant in accordance with federal, state, and local responsible for all expenses and cost which occur
laws, and rules, regulations, and policies. before and after the grant begins or ends.
4. The grantee ensures that EMS county grant 11. The department shall
finals will not be used to supplant or replace any other HRS logos and decals. The grantee tshall de ho�x, ie grantee
funds. The EMS county grant funds will not be used prominent location, the HRS logos and decals to all
for any state EMS matching grant requirements. items purchased as part of the approved budget line
items designated by the department as requiring them.
5. The grantee shall not use or disclose any
information concerning a recipient of prehospital 12. All computer equipment (hardv.•are awl
- activities under this grant for any purpose not in software) must be compatible with the state Office of
conformity with state regulations and federal EMS computer stems. Costs
sy fir computer equipment
regulations (45CFR, Part 205.50) except upon written and activities which are not compatible with the stare
consent of the recipient or his responsible parent or Office of EMS computer system shall be disallowed.
guardian when authorized by law. For technical assistance to determine system
compatibility, contact:
6. Incident Reporting:
a. Client Risk Prevention Bob Smith
Office of EMS
If services to clients will be provided under this grant 1317 Winewooc!Boulevard
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the provider and any .subcontractors shall, in Tallahassee, Florida
accordance with the client risk prevention system, 32399-0700
report those reportable situations listed in (904) 487-1911.
HRSR 215-6, Paragraph 5, in the.manner prescribed
in 1/RSR 215-6 or district operating procedures.
b. Abuse, Neglect and Exploitation Reportingy
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crar:tec a real that all communications 19. The grantee agrees to comply widriu the
. rind equipment shall he apprt ved in writing provisions of section 216.347, Florida Statutes, which
rar:,la Department of Management Seance:, prohibits the expenditure of grant fends !or the
f Communications as required by section purpose of lobbying the Legislature or a.crate agency.
Any carts fur• communications activities
„t which do not receive such approval
e d?isallowed. This approval must be dated
iectire date of the grant and prior to any EMS COUNTY GRANT
to purchase the requested _equipment
i GENERAL REQUIREMENTS
r�.ices or both. This approval is required n
any prec•iouc Division of Conununi;ati-r,I5
r('.-i'i••, conceptual or tune r
tinted prior to the effective date of the grant.
These requirements are an integral part of tl:.-:? EMS
grantee l own all items includirt, county grant. In the event of a conflict, the following
the ranee shall .
•ehiCles, ana` equipment purchased by EMS
requirements shall always be controlling:
finds ur.-F c; otherwise described in the
rn� cation and:or award. The grantee sh.: l 1. A final financial report shall be sta)m ttetl
detailing all expenditures of this grant. Bills,n•fefeard,,, .meat the assiglinlent of f lcilities, vehicles.
:;uu:malt ownership and usage, and maintain
other compensation for services or espertces shall
be maintained by the grantee in sufficient (fetal for a
ha.i re motion, so it is available during any audit. proper re audit and post-audit ofthe gi traee's
or.ocr shall he responsible for the proper p /'
licensing, permitting, and maintenance c records.
,f
`airs, vehicles, and equipment purchased with 2 To the extent provided by law, the ;ranee
EMS grant funds.
hereby agrees to indemnify and hold the department
he grantee must ensure facilities, vehicles, harmless from any and all claims or demands.!'.or ar_v
personal injury or property damage resulting equipment purchased by EMS county grant funds
_or
ll he used solely for improving and expanding pre- occurring in connection with any activities conducted
EMS throughout their useful life whether under the grant agreement and shall investigate all
,ned b the grantee or other recipients.
such claims of every nature at its expense. In
addition, to the extent provided by law, the grantee
?^. The grantee agrees that a complete copy of hereby agrees to be responsible for any injury or
rt:r EMS Notice of Grant Award, department approved property damage resulting from any activities
rudgct, approved grant changes if any, and grant
conducted under this EMS grant.
. ,-lication, must be on file with the county person
ciio;a.sihle for directly administering the grant. 3. The grantee agrees to use the facilities,
vehicles, and equipment purchased under tittis grant,
The grantee, his sub-grantee(s) orsolely for EMS throughout their useful life, or the
:nactorls) and assignees shall provide access to, grantee must return to the department funds equav,.tient
to the remaining value of the facilities, vehicles and
r<c,:furnish whatever information is necessary for the
.c-% ertnaent to monitor the grant including access to equipment.
all client records.
4. All county grants are made in accordance
A vendor ombudsman has been established with section 401.113(2)(a), F.S., and shall be ma '
li:i►I the Department of Banking and Finance. The through an EMS Notice c f Grant Award. The .V►tice
iu;ics of this individual include acting as an advocate of Grant Award and Appendix D of this booklet
f. end ors who may be experiencing problems incontain by reference all regulations, rules, and other
()blaming timely payments)from a state agency. The conditions governing this grant. The department
:.f:rr ombudsman may be contacted at (904) agrees to request advance distribution (pavmn 'nr) of
or by calling the State Comptrollers the grant amount when the Notice of Grant Award is
11,t rile, 1 800 848 3792. sent to the grantee. This payment is usually sent to
the grantee by the Department of Bankin. and
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. . ,,:nce, Office of-the C'ontpn•oller, after the noti. 1. Introducing a new line item in du appro,.
. . :ri is mailed. hlultet.
Any payments due the grantee under the ewer, _• Increasing any budgeted individual s-rletr.
r :%;i:: grant need: be withheld until all specie! e, rr,n'ethan 10 percent.
report, eluc f on: the grantee,, ,tie re;, •
,rhent thereto, have been c;'l�r:we.! h,
1. Introducing r sub-grantee or ortnvrr •r
relationship where none is specifrcally ident,Cted ,gin the
apnrnred budget.
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A:1 term.:, conditions, and provisions-
.. .' l other applicable documents in this ho,
-_ ,e,eb;, reaffirmed. Acceptance of the gran; lee,.:, REPORTS AND
nr'ttons is ac nUssledgec, b, the grantee DOCUMENTATION
.,, .: e drawn sr otherwise obtained f'otti fete
o stem.
:i E.,1S ,r,
t.. The grantee shall set::! to the dett)art;ii 14 or ort,5rrr
), the jr: e In an Occo..a, L:' a ,
.;r-,.tcte, and hall be assigned unique ac.o.: .:
and two copies of each required report as f i :ale •
designator for all grant ,:;epo.sir' :u:! 1. The Expenditure Report (4n'r n fix
emerns• or e_i enditures thereof A,: in..:iectes all agreed ,inun budget expenditrres.
am`, ;rant funds in the account maintained br required deadlines fit'- providing the depanment
.ratae^e shall be accounted for separately from .!'! Expenditure Reports cover a six, nine and fvelee
other grantee limas. month period of activities (final report) 17:'e exec
All EMS county grant funds shall be u:erl dates reverts are due appear in the department's ;e:te
of'award.
!less for preho.cpital activities as outlined in rl;.
,.:o:danents to the Notice of Grant Award. AnyThe Program Activity Report is due written
unused EMS county grant funds remaining in the days of the end of the grant time period. It must
assigned grantee account at the end of the grant contain a vvritten summary indicating the degree to
tterind, including accrued interest, shall be reported to x•hic/t the EMS system was improved and ecpendea
• tiro department, remain in the grantee's account and through this grant as f,flows:
hail he applied toward the next year's EMS county
-ant funding requirements. Any disallowed cotinti a. Communications Equipment and Systems
4 r int expenditure shall be returned to the county grant
account maintained by the grantee within 45 days If the county grant includes comer enicrtions
after the issuance of the department's notice of equipment and systems, the grantee agrees to submit a
,de.'ernrination. The cost of the disallowed itern(s r brief one page report to the department describing the
he the responsibility of the county. improvement and expansion brought abo;t by the
purchase of communications activities, ser.ices, and
equipment purchased with grant fluids and identified
in the grantee's original application.
REVISIONS TO EMS b. Emergency Transport Vehicles
COUNTY GRANT
If the county grant i ieludes the purchase, 'iron.;ire.•,
basic life support (BLS) or advanced liir. support
(ALS)permitting of an emergency transport elite;e, r,r
The grantee shall obtain written approval from the the refurbishing of an existing BLS or ALS permitted
''nartment's EMS grant officer on the EMS County emergency transport vehicle, the grantee agrees to
;aunt Change Request document (Appendix B) in this provide the department the following be:imitation
booklet prior to any of the following changes to the, about vehicles purchased with grant funds: eurther c f
rant budget: emergency and nonemergency responses; tot,11 mi'ern,'e
accrued; number of days in service; number cif days
out of service; mean response time (measurea'from the
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.0 art 1_''IS dispatcher is to ti/'id until the crew CREDIT STATEMENT
•evu') for emergency calk.
,,r-arttce c'r,:ures that where activities supported
c. Medical/Rescue Equipment
,'dint produce original writing, sound reccr'i1:
iii, y grata includes pur-clutsc• card use of any pictorial reproductions, drawings-, or other ,aril.%.i.
L'�l".)lilt"nt ttlitch meets standaids in Chapter ;e1'r, ,entations and works Of any Similar nature,
approcid by the provider's
t/ltc,r m:typal! ptT hie,s, press rr.1
,lt;,`l;t_n, descriptions of the sponsorship
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�Ir:r;tor, the .grantee .,r<•es to provide rite'
ll< ;i the fallowing information about equipment i research reports, and similar public r r,rr
: zcl iitit grant funds: the r nttb,°r of individual ,
e; :u:-J and released by the provider shalt ir.cll. i,
t.time defibrillators anc< power rescue tools
`". ;:cured by —_.--
Grantee Organization
d. Public Education :'tr° Mate of Florida, Department of' fleait
iiabilltative Services, 0/lice of Emergency hledi-
.;':i;t' grant includes public education activities If the sponsorship reference is in t'.'rittr-:
Hi:r the I,rantee u;rrev to provide the rictl the words ".crate of Florida, Dctxii i t rt
r:-llot''irt,g info IJ, idtio 1 about activities ,�1, clad Rehabilitative Service's, 0;ice
r-) '•;c.•c on:_1'tcled with grant 1'ta,1,.. the number of ! ;,;.'I P�'rH1'Medical Services"shall anpear in the same
rti' It.7i.: clrt,i 'lumber of participants who s;_,, Leiters or or I_,1'e as the name of the _:y.''Cl':ic i'
lr . Il' completed the trainir,;' course.
e. Continuing Professional Education t coo, of any such materials will he sent to ti.
:ie':rrrtrrtent.
coil.-!t1 t 7ant involves continuing professional
,,:rra'ioa ,'ctivities or services, the grantee agrees to COPYRIGHTS
r:,,•o e tat' department the frllowing irfornuaion
r•i a •rtilie:s or services conducted with grant The grantee ensures that where activities supported
type if training conducted; number of this grant produce original writing, sound recurdn:gs_
','rticipc.n: and the number of individuals pictorial reproductions, drawings or other grn_pea
.it,',•e+sft'i; corrlpl"ting any training course. representation and works of any similar nature, (;:c
department department has the right to use, duplicate and discicot
f. System Evaluation/Quality Assurance such materials in whole or in part, in any manner, . r
any purpose whatsoever and to have others acting ott
if the cc.ul+ty grant involves system evaluation/quality behalf of the department to do so. If the materials so
assurance.. the grantee agrees to submit a brief one o,llopFd are subject to copyright, trademark, or
page ,-epor• describing the improvement and expansion patent, legal title and every right, interest, claim. or
brought a''out by any quality assurance or evaluation demand of any kind in and to any patent, treulentarh or
activities l,utducted with grant funds. copyright, or application for the same, will vest in the
r'ro, nln: Activity and Expenditure reports will he used
gore c f•Florida, Department of State,for the exclus tt o
to ensure adequate monitoring and auditing of the l.,e arul benefit of the state. Pursuant to :,eon ,r:
grantee. These reports must be submitted within the 236.021, F.S., no person, f rm or corparo:o a,
tine inciuding parties to this grant, shall be entitled to u.se
fraa; c specified. The grantee, his.cub gruntee(s)
n,- :oatracrur(s), and assignee(s) shall provide access
.the copyright, patent or trademark without the prior
it, a1:,1�urnisii whatever information is necessary for
written consent of the Department of State. •
r d,pc;r"meat to monitor this „rant including access
r
c.rc;:r records.
ASSURANCE OF
. COMPLIANCE •
CIVIL RIGHTS CERTIFICATION
The ,grantee agrees that compliance It„h thi:r
T h< i,•rantee ordinarily gives this assurance in assurance constitutes a condition of continue(! receipt
consideration of and for the purpose of obtaining of, or benefit from state EMS funds, and ti.,at it is
tide ral grants, loans, contracts (except contracts of birdling upon the grantee, successors, transfers, and
Insurance or guaranty), property, discounts, or other assignees for the period during which such assistance
_rderal financial assistance to programs or activities is provided. The grantee further ensures that al!
receiving or benefiting from federal financial contractors, subcontractors, sub-grantees, or others
«,si_sranee. with whom it arranges to provide services or benefits
to participants or employees in connection with any of
:':o federal funds are provided by this state ,{grant its programs and activities are not discriminating
program, but compliance with civil rights legislation against those participants or employees in violation of
rea tired. The grantee assures that it will comply the preceding statutes, regulations, guidelines, and
standards. In the event of failure to comply, the
1. Title VI of the Civil Rights Act of 1964, as grantee understands that the department may, at its
amended, 42 U.S.C. 2000d et seq., which prohibits discretion, seek a court order requiring compliance
ri :i;ration on the basis cf race, color, or national with the terms of tlu.s assurance or see!. other
;igtn in programs and activities receiving or appropriate judicial or administrative revel, to
t,er::lying from federal financial assistance.
include assistance being terminated and _further
assistance being denied.
Section 504 of the Rehabilitative Act of 1973,
as amended, 29 U.S.C. 794, which prohibits FINANCIAL AND OTHER DOCUMENTS
discrimination on the basis of handicap in programs
and activities receiving or benefiting from federal The grantee shall ensure that any financial working
%rancial assistance. papers or other official documents related to this
I project are made available to the department or its
.3. Title XI of the Education Amendments of designee upon request,for a period of f ve years,front
1972, as amended, 20 U.S.C. 1681 et seq., which the ending date of the grant.
prohibits discrimination on the basis of sex in
education programs and activities receiving or
benefiting from federal financial assistance.
AUDIT REQUIREMENT
4. The Age Discrimination Act of 1975, as
amended, 42 U.S.C. 6101 et seq., which prohibits Part I: Single Audit
discrimination on the basis of age in programs or
activities receiving or benefiting from federal financial This part is applicable if the provider is a local
assistance. government entity or nonprofit organization and
5. Section 654 of the Omnibus Budget receives a total of $25,000 or more from the
Reconciliation Act of 1981, as amended, 42 U.S.C. department during its fiscal year. The provider has
98'549, which prohibits discrimination on the basis of "received"funds when it has obtained cash from the
race, creed, color, national origin, sex, handicap, department or when it has incurred ex enses which
political affiliation or beliefs. P
will be reimbursed by the department.
6. The Americans with Disabilities Act of 1990,
P.L. 101-336, which prohibits discrimination on the The provider agrees to have an annual financial and
basis of disability and requires reasonable
acc•omrodation for persons with disabilities. compliance audit performed by independent ar.ditors
in accordance with the current Government Ap.liting
7 U.S. Department of Health and Human Standards ("Yellow Book") issued by the Comptroller
Services Regulations for Protection of Human Subjects General of the United States. Local government,shall
(45 CFR, as amended) regarding the protection of comply with Office of Management and Budget r 0M1J
human research subjects. Circular A-128, Audits of State and Local
Government. Nonprofit providers receiving f rderal
8. All regulations, guidelines, and standards as funds passed through the department shall comply
are now or may be lawfully adopted under the above with the audit requirements contained in OMB
statutes. Circular A-I33, Audits of Institutions of Higher
•
74
tionsi
r
1.earnins. and Other Nonprofit Institutions, except as D. Submit to this address only those
modified herein. Such audits shall cover the entire reports prepared in accordance with the rules of the
o,c'ntizariort for the organization's fiscal year, not to Auditor General, chapter 10.600:
exceed 1.' months. The scope of the audit performed
shall :nc:'ude the financial audit requirements of.the Jim Dwyer
"Yellow ;look," and must include reports on internal Office of the Auditor General
control and compliance. The audit report shall Post Office Box 1735
include a schedule of financial assistance that Tallahassee, Florida 32302
disc;o.ces each state contract by number. An audit
pt rf ur'a<,1 by the Auditor General shall satisfy the The provider shall ensure that audit working papers
requiredr, vir.a of this attachment. are made available to the department, or its designee,
upon request for a period of five years from the date
C'or,plica .ce findings related to contracts with the the audit report is issued, unless extended in writing
d,p.'truncat shall be based on the contract by the department.
rcq;siren ents, including any rules, regulations, or
rrtutc: ;,ferencecl in the contract. Where applicable, Pan II: Grunts and Aids Audit/Attestation
rh •n:cli' report shall include a computation showing
:v- not snatching requirements were met. All This part is applicable if the provider is awarded
quekti.:;n i costs and liabilities due to the department funds from a grants and aids appropriation, and is
ci;all be calculated and fully disclosed in the audit either (1) a local government entity or nonprofit
reps rt with reference to the department contract organization receiving a total of less than $25,000
involved. These requirements do not expand the scope from the department during its fiscal year or (2) a for-
of theaudit as prescribed by the "Yellow Book. " profit organization receiving any amount from the
department. The provider has "received"funds when
If the provider has received any funds from a grants it has obtained cash from the department or when it
and aids appropriation, the provider will also submit has incurred expenses which will be reimbursed by the
a compliance report(s) in accordance with the rules of department.
the Audit General, chapter 10.600, and indicate on
the schedule of financial assistance which contracts If the amount received from grants and aids
are funded from state grants and aids appropriations. appropriation award exceeds $100,000, the provider
agrees to have an audit performed by an independent
Copies of the financial and compliance audit report, certified public accountant and submit a compliance
management letter, and all other correspondence, if report(s) in accordance with the rules of the Auditor
any, related to audits performed by independent General, chapter 10.600. The audit report shall
auditors, other than the Auditor General, shall be include a schedule of financial assistance that
auhmitte,.' within 120 days after the end of the discloses each state contract by number and indicates
provider's fiscal year, unless otherwise required by which contracts are funded from state grants and aids
Florida Statutes, to the following: appropriation.
.1. Office of Audit and Control Services; Compliance findings related to contracts with the
1317 Winewood Boulevard, Building 5, Room 116; department shall be based on the contract
Tallahas>ee, Florida 32399-0700 requirements, including any rules, regulations, or
statutes referenced in the contract. Where applicable,
B. Contract Manager for the the audit report shall include a computation showing
era pctr!Trrr7tr whether or not matching requirements were met. All
questioned costs and liabilities due to the department
C. Submit to this address only those shall be calculated and fully disclosed in the audit
reports prepared in accordance with OMB Circular A- report with reference to the department contract
133.. involved.
Federal Audit Clearinghouse If the amount received from grants and aids
U.S. Bureau of the Census appropriation aivards exceeds $25,000, hut does not
Jc(fersonville, Indiana 47132 exceed $100,000, the provider may have an audit as
described above or have a statement prepared by an
25
EMS COUNTY GRANT
GENERAL CONDITIONS
1, The grantl'e hereby agras to: (a) improve the
n:istinx quality of prehospital EMS activitit,s, s('/'Iien,
L'r to decrease patiem mortality and mo;'hidity; alld (h)
I,) npand the ertent, size or number of existing
/,rt)l!'spiral EMS acti\'ities or services. The activities
iI';"! sen'iCt's to be provided are descriLed in the EMS
'~)Ul;ty grant application and its departmem approved
rt-'\'isiUlis on file in the state of Florida, Departmellt (if
llealth mul Rehabilitative Senices, O/fice of EA1S,
T:i!!lIhassee, Florida,
2, Prehospital EMS activities will be rendered
hy The grantee in a manner consistent with Chapter
401, Florida Statutes, Chapter 1OD-66 Florida
Administrative Code and the work plan in the
gmmee '.I' EMS county grant application and its
dEpartment approved revisions on file in the state's
Office of EMS,
], The grantee agrees to implement provisions of
this grant in accordance with federal, state, and local
laws, and rules, regulations, and policies.
4, The grantee ensures that EMS county grant
funds will not be used to supplant or replace any other
funds, The EMS county grant funds will not be used
for any state EMS matching gram requiremellls.
5, The grantee shall not use or disclose any
infonnation concerning a recipient of prehospital
activities under this grant for any purpose not in
confonnity with state regulations and federal
regulations (45CFR, Part 205,50) except upon writlen
consent of the recipient or his responsible parent or
guardian ~'hen authorized by law.
6, 1ncidelll Reporting:
a, Cliem Risk Prevention
if sen-ices to cliems will be provided under this gram
the provider and any subcolllractors shall, in
accordance with the client risk prevention system,
report those repo'rtable situatio!!'I' listed in
HRSR 215-6, Paragraph 5, in themam/a prescrihed
III llRSR 215-6 or district operating pruecdures,
b, Ahuse, Neglect and Exploitlltioll Reporting
III cumpliance with Chapter 415, F.s., an e1l1plo\'i't' of
the foirantl'e who kIlIJWS, or lilLI' rC{LI'ona/,le cauI( to
sU-lpect, that a chiL-J, aged person or di,\'{/olt-d adult i.1
or has heen lJbused, nefoilected, or exploit('(l, sh(//I
immn!iately l'l'lJOrt slIch knowledge or .I'//sl'ic iun t'! t'-I(>
central abuse registry and trackinK ,I)',\tf'm 0/ f'II'
department on the single statewide tollfr,e rtlE'/'h,I'/"
numher (1-8oo-96An USE),
7. EMS COUl/ty K 1'1111 t,\ ""' ,111"1"1/ to II"
availability (if jinull' 771l' "I'fl/II/II/('II/" Inli'"IIIIII"
and obli;.;ation to fillY WII"'I' thil 1.-"1l11 I' (I'I/tll"." "Ii
upon a .\ujjicicl/( fIlII/IW/ (/I'/'''I/'I/ul,n" /1.' ,I,r 11""/,,
Legislature.
8, The grantee is not restrictl'd to ShI ,'ill;': \\'/:il"1
the line item amounts reflected in rIll '/1,/1'1\.""/
hudget. However, the gralltee must sfay I~irhil/ th/'
approved total grant budget and not l'xU'I'd (//11'
budgeted individual salary more than 10 pacl'lj(,
9. Travel and per diem expenses shall be 111
compliance with section 112,061, F. S.
10. 'The grantee shall be responsibh' for allY
amount reflected in the approved budget '>'.-hi(-h is in
excess of the grant award, The gralltl'(' shall he
responsible for all etpenses and cost which OCCI/I'
before and after the grant begins or ends,
11. The department shall provide the gralltel'
HRS logos and decals. The gramee shall aJJh:, in a
prominem location, the HRS logos mul dl?cals to all
items purchased as part of the approved budgl?t line
items designated by the departmem as requiring them,
12. All computer equipment (hardf'.'am alld
software) must be compatible with the st'ilte Office of
EMS computer systems, Costs for computer equipmem
and activities which are not compatible with the state
Office of EMS computer system shall be dim llo lI'ed,
For technical ll.uis/ance to determinl' S}Stl'lII
compatihility, contact.'
Bob Smith
011/ce of EMS
1317 Winell'ood Boulevard
Tallahassee, Florida
32399-0700
(904) 487-1911,
20
~i.iit' .: rat: U't' ar:,fI'I'S Ihal all communic(/{io!H
:;.,,'/ ,;,'ul equipment ,\hall he appn;,'cd in writin~
,'" r>,,-;,lil Depurt:nellf of ,Managemenr SCI"I'ic(":,
:nll /1 Communicarions as required by seelion
:';, FS, An\' COI"rsfOl' communication\' aClil'iries
'I ',::'.'I:C':t w'llleh do nul receivc ,Ii/eh af!pro"iCl
.., ! C 'r/!Sd!OIH'd, This approl'Il1 musr be dart:'d
". .. :hp "-ifeelil'e da:e of rhe gram and prior 10 any
',':11,<'1:: /0 purchase rhe reques/ed. efluiplllem
,>' 'i n'let's or horh, This approl'al is re'juired in
",; :" am prcI'ioUl' Dil'l\'ion of Comllllll/icmions
,:":' :u':'!;' nT/el", conuptual or ur!!: r
:; d:i/ed prior:o Ihe effectil'e date of the gram,
('he grantee ,',hat! own (ill itPlns incllidin~
"'" , '..chides, and equipmell! purchr.sed ~y E",,!S
~'.'iil!t J'ci,.,ds ;mlcl\ crhen,'ise descnbt!lJ III tne
'" ,itJ.7iicarion and.'",- award, The gra'l/ce sh;/!
~!;}C"/!jellt the {luignment of facilitio', vchicln,
, . ,/[n;mlCIlI OIt'llcrsnljJ and usage, (lnd lIIaiwai!1
,li.:C,';!:<.'ltarioll so i! is al'ailable during (lny audi/,
.. OI',liU shall h" rc!'pollsible for the proper
'I' ':,IUIIC[', licensing, pennitting, and maintenance ff
'(.iiCS, \'ehicles, and equipmem purchased with
'i.:, EMS ;;rantfunds.
'I'll(' grantee mUH ensure facilities, vehicles,
" ... tY.Jipment purchased by EMS county grail! fund~
'.'i..ll he used solely for improving aOO expanding pre-
"','pilal EMS throughout their useful life whether
"',I!t'd h,\! rhe xrantee or other recipients.
! h, nil' grantee agrees that a complete copy of
iF: EMS Notice of Grant Award, department approved
t.;d:.;et, approved grant changes if any, ll1uJ grant
,;:'plicalion, must be on file with the county person
'il/JO, !Sihle for directly administering the grant.
lhe grantee, his sub-graJjfee(.~) or
. uractor(s) and assignees shall provide acceH to,
:;,:,,' (urnish whatever information is necessary for the
:1, ;;~rtmell! to monitor the grant including access to
n[/ client records,
.' A vendor ombudsman has been estahlished
;'.'lIi.in the Departmem of Banking and Finance. Tht'
dU.NS of this iOOividual include acting as an advocate
1;;1' ""Cfu/ors who mav be experiencing problems in
o/;i';/IlinR timl'ly pay';enJ(s) from a state agency. Tht~
',,,:'/,11' ombudsman may be contacted at (904)
;:,';,2924 or by calling the State Comptroller's
11 '::/111', 1-800-848-3792.
19. Ihe graflfee agrees 10 comply lI'itOlin lht'
provision\' of section 216,347, Florida ,)'tmUll's, which
prohibit,\, the expenditure of grant funds }in' lilt'
purpose of lobbying tht' LeKislature or a state agency,
EMS COUNTY GRANT
GENERAL REQUIREMENTS
These requirements are 111/ integral part (if tl,,'! EM,)'
county grail!. In the evem of a COl!tlict, IIIi' follmvillg
requirements shall always be controlling:
1. A filial financial I"t'port shall he su "mitt!'.!
detailing all npe1uJitures of this grant, Bills /Jr fi.-'s
or other compensation for sen'ices or expt'llSt" sht;!!
he mainrained by the grantee in su.fticiujf der(d for a
proper pre-audit and post-audit of the g/ :ll.lee ',\
records.
2. To the extent prm'ided by law, the ,.;ran!ce
hereby ag~'ees to indemn!(y and hold the depdrtmet/t
harmless from any and all claims or demands f:Jr G.'IY
personal injury or property damage result:''lg :1/'
occurring in connection with any activities co/dueted
uOOer the gram agreemem and shall inVl'stigate all
such claims of every nature at its expe/lSe. III
addition, to the extem provided by law, the ~rall1t'e
hereby agrees to be responsible for any injilry or
property damage resulting from any activities
c01uJucted under this EMS gram.
3, The gramee agrees to use the fad lilies,
vehicles, aOO equipmem purchased uOOer /'his graM,
solelv for EMS throughout their useful life, or tht'
gran~ee must return to the departmem funds t~qulVolle'jf
to the remaining value of the facilities, vehicles and
equipment .
4. All county grams are made in accordan,:-t'
with section 401.1l3(2)(1l), F.S., and shall hI !nmie
through an EMS Notice of Gram Award. The .V'JriCt'
of Grant Award muJ AppeOOu D of this /Jo,Jklet
contain by reference all regulations, rules, am! other
conditions governing this grant. The departmem
agrees to request advance distribution (payml'nt) I:if
the grant amount when the Notice of Grant AI,'ard is
sellt to the gramee. 1711'S payment is usually sen: ro
the gralltee hy the Departmem of Ballkin:.;' m:d
21
'"Inc,', OJ)icc of tht' CO/llf"rolla, (~/(cr the I/,ni,
2r,! 1\ mlliled,
Any payments due the gral/tee ul/der the tali!'
.r ";1, grant may hi' \,'ilhhc!d ul/til dl spcci!!! ,:
:1;; 1,;1 rfportr.,' [file' .{(l/nt fhe ;.;rd/dt'e, dIU! tiei. (
':!nlf'flt [hereft), ha\'c h...-;Cli approved In'
'<ir.~!.'it'tl!.
.
An tcnnr;, condi:io!!s, and pro\'isiolls ft. .....
, ,,'i, ud other applin/hIe documellls i!l this hoo:,
,. ;", rhy reaffinned. Acceptallu: of the grwli it'I'I'"
.~::,/ c )!..;/itiDns is ac;,'lloH'ledged h.v the' grtillrrC '.,.'It('!:
';::'" ,:~(' drawn or I)lher\\'ise obtained ji'om the g, ,J',
!t>l~: .1)'Heln.
.~ " r
shaiJ
E' f'~
.)J...-
... ~n!'.'
l'nUl! Ju.n!.,
/ b;: tJu' ;;n~;~!{ e ill an ([('count n;lii/!i:li,::f<.:
!.~ ..:'~;!l:t"e, and .slltdl be assigned unitjue aC~'O!1/d:',';,~:
" ,r":,ignator for all grr:nr ,:<'POSiIS (iI:,i
,,' ,,};.' 'i'meIllS or l'.Xpf'ndiwres thcrn:f AI! r' IS
;".:', grant funds ill the accolin! lIIa/l/!ained h\'
,",;fi!" ,;,hail he Ilccuumed for separately from ;ill
(f:her ~~nuuee jUIl{.ls.
. All EMS county gran: funds shall he II,\P/!
,,!fel\' fir prehospitol activities as outlifwd in r/;,"
,;f";chmenty to the Notice of Gran: Award. ,,1m'
ulUued EMS county gran: funds remaining ill rhc
auigl/f'd grantee accolin: at the end of the grant
')criod, induding accrued in:erest, shall he reported I"
i iu' department, remain in the grantee '.I' accoum ((}id
,hail he applied toward the next year's EMS C'O'm!\'
;.; "a!ll funding requirements. Any disallowed CO'lIIt\'
,r il/tl'xperuliture shall be rerurned to tht, coumy grant
ac:ount maintained by the grantee within 45 days
{~ijer the issuance of the departmem's 1/otice c{
,ie'emlinatiol/. The cost of the disallowed iton(,j
:iili! be the responsibility of the county,
REVISIONS TO EMS
COUNTY GRANT
The grantee shall obtain ~'Tit1en approml from fhe
':'~'!7Ilrtmen: '.I' EMS gram officer on the EMS COIIliIY
, ;r,:nt Change Request documem (Appendi.x B) iI/ Ihi\
!Juoklet prior to any of the following changes to (he
,,"ant budget:
I, II/troducing a Ilew line ilem ill thl IIf'PI'".
hudgl't,
2, Increasing (!IIY budgeted indi\'idu{/I ,\liw',
1Ii!,.-e thllll 10 percent,
J, Introducillg:1 sub-grantCf' or CO/.'II</I'!f'
rclatioll,hip where nOliI' is specifically idC!ii.Jinl ,II li,(
appro II,d budget,
REPORTS AND
DOCUMENTATION
171e ;;/'iint<'e shall su;:/ to thl' dcpartii;('/I[ 01" (,!'IXi!!,',
ilnd tll'O copies ()f 1'([,,'/ [,f'quir('d repo'f ii" II 'm'.',,"
], TIle E.rpenJ,'wr,-' Reporr (.1.11:1 '/J,lix
illdi('{:t()~ al! agre!'rl 'IDon hudger crpt'ndiu '0 7'
required deadlines fu" pr()vidillg the d(,p'lnl/ll~llf ,qr.;
EX[l('fulirure Report I' cover a six, nine (j'!(l t,\'c'""
mDllth period of aui\'itif!S (filial rcpo['r) D!e n:',f
datt's reports are due (/!'!'ear ill the dcpartm"1If 's ,'I':ln
(>/(/\\'ard,
2. 711e Program Acti~'ity Repurt is Jlle 11'/ill."!1 ,i_'
days of rhe elld of the grant time period, It 1I/IJ..t
cOlltain a written summary iluficatillg the ,kgr!'" 10
which the Et.fS ,\ystem was improvn/ alld e.(puid,"
through this grant a.lfollows:
a. Communications Equipment and Systems
!f the county grail! ill eludes comm,micc<:iolis
equipmellt and ,f)'s[('ms, the gramee agrees l<l suhmit a
hrief olle page repon to thl~ departmellt d'es< (ihi!lg tht,
improvemell! amf e:rpansion brought abo,;/ hy lhi
purchlLl'e of commulllcariollS activities, ser.';(f'.I', W;,!
equipment purchased with grant flllufs ami ic.'cmUic.!
in Ihe f'rantee '.I' origi"al applicatioll,
b.
Emergency Transport Vehicles
If rhe cuunty gralll i!!dudes the purcha,\e, 'i,'ell",'Il',:,
!lILlic l[le support (11L5) or adwlIlCl'd Ii).' su/'p,m
(ALS) pamittillg of all emergency tran.lport~h.'(''',-" (,I
the re,furbishillg of all existing BLS or ALS P,"?lliltl"1
eml'rgellcy transporr "ehide, the grantee IIgl'<'<'.\' to
provide the departmelll the followillf.: itJormarinl1
ahout vt'hides purchlLlcd with grant fund.\': ';ut'/her ('./
clIler;.;ellcy alld lIollemergency responses; tot,1! mi!cflge
{/ccruNl; !lumber of days ill service; IlIlmb<1 of '/11.1'"
out of sl'l'I'ice; mea!l response lime (measure'J from 11U'
22
.1, .In CIS dl.lf!atchcr is n..ti/it'd unlil Ihe crew
.11' '.c:, 'W: 'f'Ill'J.l'or e/l1('/';:f'nC\' <'I1'lI'.
c. Medical/Rescue Equipment
" l" Ill, )' ;.:ra!/l includes punhasc (lnd U.lt' (fany
""J Ii' JIIl";t ~l/;ich /lie('{S ,\i.lIldards in Cht/Jltt'r
I 11)_ '), j: ,i. C.,. t.'t is 1lI'P"(i~.td hy rhe p,()\'idl'r'J
I.' ,'(, ',I ,/ir t:'tOl, the grantel' 'i,';IC('S to prol'i.!c the
ir. 'Ik 'Il thl' jollml'lng informal/OfJ about ('{jllipllll'nt
I',.,!;",(',/ . it!: gr,lIlt funds: the l,mliNr of. indhidual
'Ii' 'i>;, ,'i ., ;nre Jefibrillators un>:! {iC)W('r re,\cu(' t,'ols
:;\ "
d. Public Education
," ,i " ," :/Ii, \' grallt includes puNic er!U('ati011 ac:ivirics
,"nl:'I" the r;m1/tce lI.:!I!'P" 10 prO\'h/p the
"1'1: ' '!!e t:,iloll'inl; infi'.'7/(itioll ahout actil'ities
. ,I' ,'" ",','," "owiUefl'd \lith gralir(-IIl,1\. the nUlIlber of
:, rn,,"'1/., (/Iuf dUII/ber of participants ll'ho
il <i,ll, "i'mpleted the trainin,>' course.
e.
Continuing Professional Education
}, i'li' ((Oil. !r\,\;rant involves continuing professional
(.<:Illl:U',l ,'Uil'lties or services, the gnllltl'e agrees to
: 'r, ,,'!,,'e !nO! departmem th(' j;Jllowillg information
.:.. '1'1 II 'ti ,'itic, or services cO//dutted with grant
:~i:~.\.. : t'j)f' cj' training conducted; !lUln~er of
/'I'lIicip(,IlI;, wl<l the numb". of individuals
,\(I<'I'""lfd," comp/~,ting any trainillg course.
j. System Evaluation/Quality Assurance
if tht' C(,u",y grant inmh'es SYStUll emluation/quality
(I.I'l'Urrlmt', the grantee agrees TO submit a brief one
I'a~e i'epo" do'aibillg the imprOl'('fllelll and expansion
/lroughl {l/OUl by any quality assurance or evaluation
aerin/it,., c mlducted with grmltfwuls.
l'n'g,'{l/l! ,"crility and Etpenditure rl'ports will be used
tl' {,!~fU1(' adequate monitoring and auditing of the
gralllee. 17/ese reports must he submitted within the
I i:/le /WII;t\ .l'peciJit'd. The grantee, his sub-gramee(s)
",. ~O:"ltra("or(~), mul assigllee(s) shall provide access
j,' !/I:d /w l/i,l/z whatever information is necessary for
I! " ,J,P[T "'1'1lf to monitor this :;/alll including llCCl'S,1
iI' Ii!' dic,:t r('cords,
ASSURANCE OF
COMPLIANCE
CREDIT STATEMENT
l/il' <nlntcl' cli.wres that \I'here aui\'l'tics ,\ui'POl!cj!""
t!u.. p.11If produce original \lIiting, sound rI'co,"di;".,
!,i<l'iri<ll reproductions, drll\\'ings, or orhert;rur;ii.
/i.!'n'c/lfurioll.... /llId works of 1111.... ,Iimilar liiltUlf,
I: ('1', i'!/(."lnar:ona! p(unph!('rs, press rer~'i:" \
"",:':i,,':nellfs, desaiprions (f;he sponsorship If i<'
,nr, ",",1"1, !'e.l'l'ilrch reports, Ilndl'imilar public fin!;,.
j" {'i!'lI": and released by the provider shall i"d/.j,
:/;'1.' :~:;.":t'fllelll:
",'r' ,nsurcd hy
(;rt;l:ff.'f' Orga!JiZ<llioJ;
", iiI" s!are of Florida, Depa(t/lit'nf of lhaM' Ut!"
,""'"i!,i:itatil'(' Savices, Office (f Emerfie,uy Ale:;'
~\(':\i('cs, If the sponsorship rtfer~'lIce is in .','ill":
'i.'-:;:,'rial, the ll'ords "stare of FlOrida, Departmcn; '::
,-ith and Rehahilitative SerTiccs, Q{!!ce
I iil~"":"'IICY Aledical Ser\'ices" shaii appear in t!z," If:"'''
.\l'~-e !t1tcrs or lj]"U! as the f1aJ;le oJ~ the gr(l!;Zt'~.'
".'!" <'! rJ~ i:~{ll iU11.
(}'.'!' ('(I!'Y (If allY such moterials Hill he selll to :i:.
:! {-il)t I rlffle/JT.
COPYRIGHTS
'[fII' p-alllee ensures that where activities supporr('tf
:11/1 glallt produce original writing, sound ra'urL!iI:'~'"
piCfurial reproductions, dral'.'ings or other graphiC
reprcsentation wul works of any similar nature, t,;:,
dCp,lfffllent has the right to use, duplicate and disc!c;"t
slich IIw{crials in \\'hole or in par!, in GllY l1Wllll<'l',f,r
(/II)' purpose whatsoever mul to ha\'e others acri!H; 1;,'/
;'dwif of the departmem to do so. If the materIals so
dn'doped are subject to copyright, traaemll."k, or
piltolt, legal title mul every right, interest, claim, !II'
dcmand oj a/lY kind in mul to any patellt, tnulemarf.. ~I:
copyright. or applicatiollfor the same, will vest in ihL'
',t!lte of Florida, Departmellt of State, for the e.xclu\!',IO
:;,\(' (/nd benefit of the sJate. Pursuant 10 .'>f'c:i",;
236,021, F.S" 'IV person, finn or curporL::i,;;,
If/eluding partics to this grant, shall be emitled to US!
file copyright, patem or trademark without the prior
H.,.i,~rcn consellf of The Departmem of State,
2:'
CIVIL RIGHTS CERTIFICATION
,
'!i:, ,;.:ranfee ordinarily gives this a\'surancl' in
c,}!l\idaation of and for the purpose of obtaining
J~'dl'Tal grants, loans, contracts (except contracts of
:r:sumnce or guaranty), propeny, discoums, or other
,:;('<leral financial assistance to programl' or actil'ities
rI'Ceil'lf/g or benefiting from federal financial
iL;sistance,
:\0 federal funds are provided by this state grant
program, but compliance with civil rights legislation
: required, The grantee assures that it will comply
;. !':r.:
j, TItle VI of the Civil Rights Act of 1964, aI'
,,"'ended, 42 US. C. 2fXJOd et seq, , which prohibits
,;':','rilr':nmiofl Oli the basis (~f race, color, or natiolll1!
,;!i;.: in hI programs and activities receiving or
henejiling from federal financial assistance,
2 Section 504 of the Rehabilitative Act of 1973,
1/.1' amended, 29 US, C. 794, "1'hich prohibits
dIScrimination on the basis of handicap in programs
and activities receiving or benefiting from federal
Ii nancial assistance.
3, Title Xl of the Education Amendments of
1972, a~ amended, 20 US,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 1975, (L~
amended, 42 U.S. C. 6101 et seq., which prohibits
discrimination on the basis of age in programs or
aCTivilies receiving or benefiting from federal financial
aHistllnce,
5, Section 654 of the Omnibus Budget
Reconciliation Act 0/19S1, as amended, 42 US, C.
Y849, which prohibits discrimination on the basis of
race, creed, color, national origin, sex, handicap,
poiitieal affiliation or beliefs.
6, The Americans with Disabilities Act of 1990,
P,L, .'01-336, which prohibits discrimination on the
besis of disability and reljuires reasonable
accommodation for persons with disabilities,
7. C. S. Depanment of Health and Human
Services Regulations for Protection of Human Subjects
(45 CFR, a~ amended) regarding the protection of
human research subjects"
8. All regulations, guidelines, and standards (IS
are now or may be la....fully adopted wuler the ahol't'
statutes,
The grantee agrees that compliance \\,,:11 Ihi,';
(LI",l'UrllnCe con~titutes 11 condition of continun! ftC/'il't
of, or benefit from state EMS fUfuL~, and tf!m it i,\
bifuling upon the grafltee, successors, transji'r.I, lInd
a<;signecs for the period during which such Il.I \'isw!1cl'
is provided. The grafl{ec funher ef/.\urt'S rh,1I Ill!
contractors, subcontractors, sub-grantees, or o!hrr,I'
with whom it arranges [() provide sen'ices or bcnejits
to panicipants or emplovees in connection H'irh any of
its programs and activities are not discri/l!if!alin~
against those participants or employees in \'iol,ltion (~f
the preceding statutes, regulations, guidelill.'s, an.!
standards. In the ew'nt of failure to com) ,I}, the
grantee wuler.l't{lfuis that the depal1ment may, at it,\
discretion, seek a court order requiring (0n:p!i.1ncc
with the terms of this assurance Uf seel, olher
appropriate judicial or administrative rei 'ej: ru
inelude assistance being tennilllltcd and JI.nha
(L~,dstance being denied,
FINANCIAL AND OTHER DOCUMENTS
The grantee shall ensure that any financial .., orkiflg
papers or other official documems relatl'd to this
project are made available to the departmeflt or its
designee upon request, for a period of fi\'e years from
the nuling date of the grant.
AUDIT REQUIREMENT
Part I: Single Audit
This part is applicable if the provider i,l (; local
government efltiry or nonprofit organization an.1.
receives a total of $25,000 or more .,[rom .the
depanmeflt during its fiscal year. The provider has
"received" funds when it ha~ obtained cash from the
depanment or when it has incurred expenses which
will be reimbursed by the depanmem,
The provider agrees to have an annual financial and
compliance audit peiformcd by ifulependcm (/l,ditors
in accordance with the current Government Auiit;flI;.
Standards (HYellow Book") issued by the Comptroller
General of the United States. Local government. shall
comply with Office of Mana r: em ent and Budflet tr2!.~!Jll
Circular A-128, Audits of State {lfU] I:.!.~f!_lj
Governmem. Nonprofit providers receiving Ji'deral
funds passed through the depanment shall ("f'/p!y
with the audit requirements cofltained in Ql1!l
Circular A-133, Audits of Institutions of /ljglLIT
?4
L!:.UJ.!.UIll. S!!..ul Other Nonprofit --'/I,ltirutiorlS, except as
fIIodiJiul hert'in, Such audits shall cm'er the nuire
org,.-ni;il1 ;on j()r the organization '.I' fiscal year, not to
('.tead 1," months, 17ze scope of the audit perfonned
sha/l ,;lIc:ude the ji/l{l/Icial audit requirements of. the
'Tt'!lm,' /look," and must include rt'pons 011 illfemal
wfllrol .Inti compliance, the audit repon shall
i/le/IUff II schedule of fimUlcial a.ssi,Hllnct' that
di,I'( :0,,1''\ tach state contraC( by number. An audit
/,11);)1"11(,/ by the Auditor General sha{l sati.~fy the
, ';llIiro,'/,[,,' /ifthis attachment,
C(!'.-:pha.',('f .findings relmed to camracts with the
Ii, parr"l, ''If shall he based on the cOllfract
n'I" i rUT, ,'lIlS, including any rules, regulations, or
IIOflli'l':',' "'Je"enced in the contract. Where applicable,
l!i,' ,ndi: 'etof'! shall include a computation showing
\,!i, ,i; ,'r "I' !lut matching requiremems were met. All
'jlll,\ti,'!Il' d costs and liabilities due to the depanmem
l!ia.'! lot, calculated and fully disclosed in the audit
IIP'Tt with reference to the departmellf collfract
1I/I'oil'fJ 1hese requiremellf.l' do not expand the scope
,'ft/1I' au,/it as prescrihed by the' "Yellow Book, ..
(( the jJltl\'ider has received any funds from a grams
ami aids appropriation, the provider will also submit
a compliance report(s) in accordance with the rules of
the Audit General, chapter 10.600, and ind~cate on
the schedule of financial assistance which contracts
lire fu,uhd from state grams and aids appropriations.
COl,in (~r the fillancial and compliance audit report,
mllnagement letter, and all other correJpondence, if
III1Y. It'/.lled to audits performed by independent
lIudih'rs. other than the Auditor General, shall be
,Iuhmirtt',f I\'ithill 120 days after the end of the
pWI'/d,'r S Ji,\CllI year, unless otherwise required by
Florida Staflltes, to the following:
. t Office of Audit and Control Services;
JJ /7 "i11lt'H'ood Boulevard, Building 5, Room 116;
lilllah.L\\ ee. Florida 32399-0700
R,
Contract
Manager
for
(ttpa rtmort
C. Submit to this address only those
repul'ls l'rtpart'd in accordance with OMB Circular A-
/33,'
Federal Audit Clearinghouse
U. S. Bureau of the Census
,/t'fJersonville, Indiana "7/32
the
D, Submit to this address only thme
reports prepared in accordance with the rules of tht'
Auditor General, chapter 10,600:
Jim DI~}'er
Office (if the Auditor General
Post Office Box 1735
Tallahassee, Florida 32302
17le provider shall ensure that audit working papen
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 writin,
by the department.
Part Il- Grants and Aids Audit/Attestation
17lis part is applicable if the provider is awarded
funds from a grams and aids appropriation, alld is
either (1) a local governmem emity or nonprojir
organization receiving a total of less than $25 ,(XX)
from the departmem during its fiscal year or (2) a for-
profit organization receiving any amount from the
depanmem. The provider has "received" funds when
it has obtained cash from the department or when it
has incurred expenses which will be reimbursed by the
department.
if the amount received from grants and aids
appropriation award exceeds $100,000, the provider
agrees to have an audit performed by an independem
certified public accountant and submit a compliance
report(s) in accordance with the rules of the Auditor
General, chapter 10.600. The audit report shall
include a schedule of financial assistance that
discloses each state contract by number and indicates
which contracts are funded from state grants and aid~
appropriation.
Compliance findings related to contracts with the
departmem shall be based on the contract
requirements, including any rules, regulations, or
star utes referenced in the contract. Where applicable,
the audit report shall include a computation showin&
whether or not matching requirements were met, All
questioned costs and liabilities due to the departmem
shall be calculated and fully disclosed in the audit
report with reference to the department co1ltract
involved.
If the amount received from grams and aid.1
appropriation aivards exceeds $25,000, but does nOI
exceed $100,000, the provider may have WI audit as
described above or have a statement prepared b.v all
25
i)t'I,Jent aniJied p/;,hlic accoulllant which afrC,I!
: ..hi' ;;ruI'ida hal' cumplied with rhe, provision I (It
,"J:."L1C!\' jundt',} h.... a Rrants and aidl
" .~"'.,')."'UHi{)'J.
,'j<' ~lm('lmt rt'ceiled from r;rallls and Iud,
: .rO':",';Z:;Oll awards does not excCl'd $25/XXJ, rhl'
"'-",:a \\'ill have the head of the entit\' or
',,'.i!ii;:,"!ion arrest, under penalties or perjury, thut
ur,.;,;ni::ation has complied with the provisions (if
COIlIraeH funded hy a '{rants and aid,
:' r~ i;' r/ i,{ i'()tZ.
"10", (:( the audit report and all Oflier
','"f 'i'v1idt'lIce, if any, re!!1ted jO audits performed hv
.r :r..<:tpendelll auditor, or the attestation statemem,
" i- "[itHl!ir:ed H'i!hin ] 20 days after tht. pro\'ider '.\
,( ;,r f:nd to the fulloh'ing:
A, Office of Audit and Control Services;
/ ",' /' H'i;.c\\'ood Boulevard, Building 5, Room 116:
j,," :.;:.'I.,\('e, Florida 32399-0700
8,
COlllract
MallaJ;er
j{Jr
the
c!' :':lrrment
C. Jim D"'''yer
Office of the Auditor Gelleral
Post Office Box 1735
Tallaha<:see, Florida 32302
.'0 prol'ider .shall ensure that audit workill!; papers
w,- made available to the department, or its designee,
11,"".11 request for a period of five years from the date
rhe audit report was iHued, unless e.xtended in writing
,''. lile department.
Part Ill: No Audit Requirement
Thi,[ part is applicable if the provider is not awarded
fmd\" from a grants mul aids appropriation, mul is
Criner 0) a local government entity or nonprofit
,jt., 'imzarion receiving a total of less than $25,000
J("!'l the department during its fiscal year or (2) afor-
!,r,~,i;: orr:anization receiving any amount from the
,i,;'.'uiment, The provider has "received" funds when
if i:fH obtained cash from the department or when it
h.i incurred expenses which will be reimbursed by the
:.'(i,,;.:zrrmt'lll.
7);'-' provider has no audit or attestatio/l statement
rq!lirpd by this attachmellt,
26