Resolution 429-1992
R. Paras
~lblic Safety Division
RESOLUTION NO. 429 -1992
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 J'''''~day
of SlfItetfl!.L, A.D. 1992.
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Mayor Harvey
Mayor Pro Tern London
Commissioner Cheal
Commissioner Jones
Commissioner Stormont
Yes
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BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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By \.....:> .~.. --. - .~~
Mayor/Chairman
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1992
FLORIDA EMS COUNTY GRANT PROGRAM
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Florida
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Depanment of Health and Rehabi(itative Services
Office of Emergency Medical Services
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STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABIUTATIVE SERVICES
OFFICE OF EME'RGENCY MEDICAL SERVICES
1992 EMERGENCY MEDICAL iERVlCES COUNTY GRANT APPUCATlON
GRANT NO. . .
1. Board of County Commissioners (grantee) Identification:
Name of County: M:1nroe Couni:3, Florida
Business Address:. 4QO 63rd strP.et, suite 140
Maratron, Fl. 33050
Phone # (.JQ.SI~-6002 Suncom #472 ~ 6002
2. CertificaJion: I, the undersigned official of the previously named county, certify that to
the best of my knowledge and belief all iriformarion and data contained in this EMS County
Grant Application and its attachments are true and correct.
Printed Name: Wilhelmina Harvey Title: Mayor
SignatUre:~ ~~ ~"t\ .....::~"..~~~.~ate Signed: q - d-5 -, ~
(Aut~OUnty ~d:V · t
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: Janes R. "Reggie" paros Title: Public Safety Director
Business Address: 490 63rd street, suite 140, MaratOOn, FI. 33050
Telephone:( 305) 289-6002
Sun Com: 472-6002
4. County's Federal Tat Identification Number: 59-6000-749
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S. 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. WorkPlan:
Work Activities:
TIme Frames:
Bid am purchase radio cannuni.cations equiJ;Jl'eIlt wi thin six (6) rconths
after grant begins.
Install and have all cannuni.cations equiptelt, operational, within ten' (10)
rconths after grant begins.
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7. Proposed Expenditure Plan: Prepare a line item budget.
Recipient of Line Unit Total
Line Item Item Price Ouantity Cost
nroe County Transnitter-Re- $23,992.00 .6 $143,952.00
ceiver, UHF, 225W,
Continuous Duty
Satellite Receiver, 4,847.00 5 24,235.00
UHF
Anterma System, UHF 4,489.00 11 49,379.00
Receiver Voter 7,312.00 3 21,936.00
Catparator
Tone Rarote Control- 2,551.00 3 7,653.00
ler and Encoder
Mise. Related Hard- 2,294.33 1 lot 2,294.33
ware & Accessories
Engineering 20,000.00 20,000.00
$269,449.33*
Figure incltrles roll-over am interest accrued fran FY 92 in the artDlU'lt of
$215,319.48.
Attach additional pages if necessary for item 7.
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REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PAYMEN1)
EMERGENCY MEDICAL SERVICES (EMS)
---" .", '-. COUNTYGRANTPROGRAM __ "_
~ro ?,l\~I'" "'Ii' ('~ , i" \i\')","" ,! . . ''In>'
',~M.:\' J" ~ wilh tMprrwi.rIoIU Of8.ct~401.113(2)(a),F.S.,IM lUltknigMd Mrwby .1\ "
" : ' requau "" EMS COIIIfIy grtUII distributioll, (adWln" payrMnt) for 1M impro.".nt and .
..3..,-' . "". GJHJnSioll qf~pilal EMS.' . , ','
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Paymem To: Board of Co\m Camdssioners M>nroe Com Florida
ame 0 a 0 WIly ommlSSloners -ayee I
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490 63rd Street, Suite 140 .
Aaaress
Marathon, Florida 33050
fUry) (~ttl1e) (~IP)
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SIGNATURE: ~ I 'l..1l~ ~ . .... , ~'.~DOIe: 'f - ~ 5" _ ~ ~
Primed Name: Wilhelmina Harvey Title: Mayor
SIGN AND RETURN WITH YOUR GRANT APPLICATION TO:
Department of Health and Rehabilitative
Services
Office of Emergency Medical Services By
EMS Cou1ilY. Grants
1317 Winewooil Boulevard Date
Tallahassee, Florida 32399-0700
For USI Only bI Department of Heahh and Rehabilitative Services,
Olficl of Emergency Medical Services
Amount: $ I Grant'Number:
Approved By:
Signature, State EMS Gram Officer
Date:
Fiscal Year:
AmoUTll:$
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Federal Tat J.D. V F
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Btginning Dale:
Ending Dale:
RS F_ 1684
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Appendix D
EMS COUNTY GRAN _
GENERAL CONDITIO S
AND REQUlREMEN 'S
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EMS COUNTY GRANT
GENERAL CONDITIONS
1. ~ gl'tWH hn'my dg1'ftG 10: (a) imptYI..,. tl"
ulllin, fUllllty olprehospital EMS activities,lUlIlcu,
or 10 uendS' pIIIlMllflDnaUty lInd morbidity: and (b)
to C%pQIId 1M GUIlt. Ilu or number of airtln,
prtlwlpitaJ EMS Qaivillu or '""" 1M der/w,;"
wluvlca to 1M provldd IUW dacrlb<<l 111 thH EMS
CO""'Y IrQlt/ appUauion W lu dqtznnwu approved
revilioM onflk In tM Slm, of Fli1rIdQ, D,ptUtm,nl of
Hullh twl RehabililmlYl SrfIca, OJIIce of EMS,
TallaJuusu, FIorldG.
2. PnhospllaJ EMS activitl" will bl nntl~rtd
I1y 1M gl'dlflM in a ntaIIMr ccnuill,,,, With Chapt,r
401, Florida Statutu, Chap", 10D-66 F",rlda
Admillisl,ativc Cod, and 1M work plan in ,Ih,
,ranl"'1 EMS county grant applicatiolt dnd ill
d.pannu!nt appro"tled "vi,iolll on jf~ In Ihe Ilate's
OJIIc. of EMS.
3. 7M grillll.. dl"u 10 ,,,,,,IIm.nl prOlll,lo," of
Ih/s grillll ill dccorddnc. wilh fld.rld, SIal', and local
laws, and rula, ~'uUu;on.r, and pol/au thDJ penain
10 EMS.
4. 1M grant_ .nsura IIuu EMS county granl
fund.r willltOl N used 10 IUpplant Dr r'p14<< any OIh,r
pndl. 1M EMS CDIUUy grant /finds will nol ", usNl
lor any stal' EMS ,"",chin, granl r~ui'nn.ntl.
5. 'lhc gTdlllet IluUI not lIS. Dr dlsclo" IIny
Inlomtdlloll co"",,,,'n, d "c/pilnl of pnhaspilal
(letlvitia liNk, t/aU ,ranI for any purpos. nOl in
conformt,>, wilh Itatll r.guI4lI0111 and I,d,ral
"fulaliolll (45CFR, Part 205.50) UC.pl upDn wrlll,n
COlli"" of the T<<ipi~'" or his ruponzib" par~nl or
gU4l'd11l1l wMn dUlhoriud by kJw.
cs. llldUnt Rtporti,.,:
G. cu.", RlM PM1MlitM
II s.weer 10 diau wlU be fN'OVId<</lIItiUI' litis Irant
1M pl'OWtkr d1td IUIY lubt:tJnmu:rOTf ,hall, In
atXO~ wilh 1M ell.. 1'Wc pNYCitIlon I)III.m, '
rqKIrt IhDu nponClbIl '"lUll/OM IUltIiI in
HIUR 213-6, I'di'd'''''' 5, lit lit_ ntQIt1I., prumlHd
ill HRSR 215-60' distrlCl optlrGli"l FOrM",.,.
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b. Abust, N",-CI and Exploltal;on Rrrtllll
In complian~ with Chapt.r 415, "'.$., an aI/{ltJ)W 0/
Ih. granIte who know" 0,. has nta.rolUlble muse 10
IIUPfer. thai a child, 41f!d penon or dlsClbl<<Jiadull1l
or hili "III MUlM, n.gkct<<l. or uploited, slJllll
ImmMiat~ly tYport .ruch knowl<</g. or 'lUpic;~,. to IhI
Clmral abus. r.gill"1 and I,acldng 31Sl..! 011114
"an""nl an Iht s;,.gl, "lJIewid, toll-Jr.t l,kphoM
numb., (J-800-96A.BUSE). !
7. EMS county Irantl dr~ subj,ct ! 10 tla.
dvailability of funds, 771. dtpan""nt'l perf~rmanc.
and obl',mio" 10 pay IInd,,. Ihis granl is con,lngfmt
llpoll a suJ!1c1.", allnual approprimion by Ih, :Florida
LlglslalfU"e. .' I
I. . 'In. granlell it not resrrlct&:l 10 Ilayln~ within
Ih. lill' 111m amounts ","crtd. in Ih, approwd
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budget. How~v.r. ,h, ,rani., musl Ilay w,~hln Ih,
apprt)ved 1010.1 Iram blULg,t 11M not exc<<d any
bud",ed illdlvidual salary mort ,hlln 10 percenl.
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9. Tral't!fl and p'" diem Upl1UU shall be in
complltJnce wllh s,etion 112.061, F.S. i
/0, ,771, gra'II', ,hall be rupoIlSibl. j", any
IIMOllnt nfl'et~d in Ih, approv.d budg~I whle,. is in
UCtIl of Ih, Irani dward. Th, granl., I~all b.
rnponsibl, for all "peMU and cost Whl1 occu,
IHfort muJ qfter lhe grant begllU or tnds.
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11. Th, departm.nt shall ptYIYid. Ih, ,rant~.
HRS 10103 QJK/ d,cals. 'nr. 8TQIII.e shall qf(1!1l, in a
prominem/t)clltion, the HRS logos and detail to all
1"1nt purmtul" lU part of lh~ approved bud~et JiM
11MU dNignaftd by Ihe depanIMnt M "qUirin'i them.
J 2. All C()mput.r equipfMnI (hard~ dnd
lojtwarf!) mUSI be C()mpalibl, wilh Ih, stall O.(1l<< of
EMS compuler syslems. Costs for compUlflr lNluipmtnt
and actlvili" which {u'e not comparibl. with t~ Ilale
O.Q1~1! of EMS compUlIT $Yllem Ihall be disallowed.
For t<<hllical tusi,lanCl 10 MlenniM ~/.m
CDmpatibility, coli/act: I .
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Bob Smilh
OJliCl 01 EMS
IJJ 7 W/~ Bou~vard
TallllJuvlH, Florida
32J99-0700
(904) ~7.1911.
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1 J. 77N ,raItl~~ a,,., ,lull dU t:OIMflUllcaJlo#v
tlctlvlll., and equlpIMlfI .U H appro'" In wrltln,
by ,~ F'IDri4Il DqaffIrN.lII oj' CkMrGl ~mcu,
DlvI6km of O:Hnmunictll/Olll aI nqulrflld by slI",lo"
401.tn4, ".$. Any <<MIl/or tommumCGIiOlll actlWlilS
ad <</fIIpmiIIII which t/Q If<< I'fMW lueA tlpproWlI
IMIl N dlsl.llJot4,wJ. '17U.r tIpfH'OWJl m"", H dtllld
qftll" 1M ,g.ctive d41il of tM ,rani and prior 10 any
commillMnI 10 pw-chtue ,hil nqWllld .qu;pmilm
and/or uMc:a Dr boIh. 'DUI tlpprowd u r'fu;r. lit
MliJiJioll to tuty plWViDUI Dlvilloll of CoIMIIUl/CGlioAl
n~ltM, twWew, t>>1U:qI1NIl or othw
.proWll dDud priO/' 10 1M ~",iw dIIl~ o/tM ,rant,
u. 1M ,rtmlU ,hall OWII all IIfnU Includin,
fadlilla, 'MIUcUs, tIIId ilqulpntlnl purduued by EMS
county ,NN /Mnds UnWl OIMrwU' dacrilHtd III thil
,ralll appUCtlt/OIl lIIfd/or tIWtII'd. '171, 'Ttlllt. shall
clearly rI<<um.,., ,Iw till/glUM'" qf fadlilia, .....hic/n,
tIItd equlpmitIJI owMl'lhip G1fd lUa,., and mailllain
,his d<<umenlallolllO II U dWlilab" durin, any audit.
1M 0WMr .rMll H I'Cfpt'IIIlbl4 fol' th~ prop'"
wunuac., l/C'OUIIII, ,.""Inl"" tmtl mmntillUUl<< of
facil/lia, whI., GIld ilfulpm.nI plll'f:haJM with
coUNy EMS ,rtIIII fiwb.
J,. 11Y II'tUII.. musl ilMlUe/tlciliIiU, ""hicl~I,
and ilqulpmilnt pul"dwld by EMS county ,ranl/uMI
shall H "". sol illy /01' improvln, and upanding prt-
hospilGI EMS Ih,ou,holU 1M/I' usqul life wh"h.r
owMd by lhil gl'tVUil. or OIM,. ,.<<ipi.lUl.
J6. Th. ,rtW.. a,nu iluu a contpkt. topy of
1M EMS NOI;CI of GrtUII AIIlftIfd, dqxlTflMnt approvM
bud,tt, IIpprov<<l gnw cluing.., if any, IUtd ,mhI
appUCdlitm, mlASl be 011 fil4 wilh Ih6 CO""" person
re.sp<Jnsibk for dlIYctly 4dmln/s,.;n, 1M ,,.anl.
17. 1M ,rruu., hu sub-'I'tlnI6.(I) or
contracto,.(I} iUUJ iU.JilMeI ,lulU provldll IICCUI 10,
W fumish wIHu.vn" (lI/omtlllIOll is neceullry for Ih,
departrrral to moll/IOl' 1M ,rtIIII Includlnl CI"",, 10
all mMl ncords.
18. A V'Mor ()",bud.rnum haJ Iu#n "'abll,,lt..
wilhln Ih. DepanlMnl of BaNd1e, tWJ ,/1ItUI<<. Th.
dlUiu of Ihis IndlvilJlMIllllcludc IIttll., (I.f an GdVOCQl6
for ~ wM mtry IH ~'ncin, probkms In
obtaining lilMly fXIY'1Iillll(s) from a SitU. Ilg'''", Th,
...,NIor ombutbman IM1 N colllact<<l III (904)
~2924 01' by callin, 1M Slat' Complroll,,',
HOIliM. 1..at>>Sf8.J792.
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19. 7'11. Grrw.. G,Ner 10 comply ~thln 'M
proWslOM of'~ctltHf 216.347, Florida S!II/~Ia, which
prohlblt.r th~ a~ndituN o/gf'tlltl funds fo,. ,'''
PU1'p()I. ollobbylng ,he u,lslal~ 01' tI Slali ag.ney.
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EMS COUNTY GRANT
GENERAL REQUlREM~NTS
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na. ,yqu;"menu an Gn I"t"ral part ~ 1M EMS'
COUnly 8mnt. In Ih, ,wm of a co'flllct, 1M foUowln,
1Yqulnm,,,,sshall alway.r h. conlmllin,... ' i
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1. A final financial "Pon sMIl b, lubmlllH
detailin, all ufUndllure.s of thu 'I'QII/. Bills lor I,u
or orh" compt!Malion /01' 111",1", or expe,un shall
N maill/ailllld by 1M ,ranlct. In .ruJJld'nl d"allfor a
profH" p,,-audil Qnd posl-tludlt of Ih. ~TtIIII" 's
,..cords. i
~. To Ih, UI~n1 pmvithd by law, lh,; ,l"tUIJe~
h,nby a,rm 10 indemnfh and hold ,,,, depatf1Mnl
hnrmws from GIIY and all clalm.r 0,. thmandi/or any
,fHrsollal ;/fjUry 0,. propnTy Jamag, resullin, or
occurring In CO"'ltfctlon wllh any at:livil;~J' conduafJd
und., th~ ,rnlll a,r~vnent and shall in~sl;'(U. tAll
such claims of eVt!ry natu" tII ;1' IXpensll. In
addilion, to Ih~ MI.nt proYidM/ by law, th. _ranl_.
h,,.,by a,rm to b6 rup"'lIlbt. for any IlfiUIY or
ProfHrI1 damag, ruul1illB from any a"Ivi,iu
conduct'" under Ihls EMS grant.
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J.. 771. ,ralll'4 a,rus 10 ru. 'h. fGcllillR,
whJcw, and lqulpm,nI purchased under thu:'MIIl,
'o/~ly jor EMS Ihrou,hoU/ 1Mir IUqul lif" '0,. ,hil
,m",,, mlloSl r~/urn 10 Ihe depantnilnt fwJds 6qulWll,n,
to Ih.. remalllill, Yalu_ oflh, facililles, V(!hlclu and
~uip",'m . I
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4. All (:0111'11 grams GI', mad, In acco;""ce
wllh IIIClioll 401.113(2)(a), ".S., and Ihllll H!nu:uJ,
Ihl'OUlh all EMS NOlie. Df Cr."t Award. 1M NoII<<
01 Oral" AWQrd and ApJHndlx D oJlhu b9oId#
contain by rqenll" aU rlt,uUuions. rvl&s, GntiOlhilr
condil/OM ,ow"'i"g Ihis ,mN. 'the Dilptl~
agn. 10 reque.sl advan" dUlribution (paym.IU) of
Ih. ,ran, amoulII whltn Ih~ Noti<< oj GI'tIIJI Aw~ U
s.", to Ih, ,ram", 7hh paym,nt ;., usually 8.'" 10
,h. ,rt"'''~ by ,hI Dt!porrm'nI of &nldn, anJ
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FIIf/IM6. 0/11'10/ tIN ~. qfter 1M MIl" qf
fIWIU'r/ II MIMI.
s. AIty ~1tU dw 1M ,rrw.. UN/.,. th. It,.""
o/IIW IrtIIU may k wilhMltI IUIIIl all Iplc/III and ,
JlNmdGl NpOI'II "'".from 1M ,rant", tmd Mct.muy
<<4ill8mtM1 1MrwD. ltaw ".,. dpProVWI by Ih,
Mpanmat.
6. Allllm11. CONl/'WM. and provillon.r DI thiS
'rani dNJ otMr tlppNcflbk tIot:Ii1Mnu lit Ih" b001cJM
au he1Vy uqfffrrud. A~ 0/ 1M ,rant "mu
and C9ffd/lloM U tK'knowllldgllll by 'M IrlUll. wMn
.ftw.U ar, tITawn Dr otMrw/J, obta/Md /rom tII. IrtUII
paymInl syst-.
7. All EMS COfWy ,rtW jiwb zhdll "
dqo.Jiled by Ih, ,ranle, In an d<<OlInt mainla;nlt! by
1M IraNft. GIld shlllJ 1M IUllg. IInlq". aC'CQM",I"g
code dalgNUDr lor all ,rani d'poIi" Glut
dl4b~ or ~nditura Ih,r,o/. AU EMS
colIIIIy grant.ftwb lit 1M am11U11 mII/nlaI_ by Ih,
,rtUIIH IhtUJ H tlRl)unt<</ lor Ilpd,dI,ly /rom all
Dlh. grant" fundi.
8. AU EMS county grtllll jiw/s IhtJll hi lIS. ,
IDkly lor P~pilGl tleliwl;. ill oIllN,._ lit ,h,
allac:htMnu 101M Noll<< of 0mnI Award. Any
l1li118<<1 EMS coUlJty ,rdlll fundi ,."alni", In Ih,
QSS;11IId Inwu at:W1UII aI 1M ,nd Dllh, ,ronl
period, includ;ng aCCl"lMld INtlWl, shall be rqH)rrld 10
th, dq"mm'nt. ,."ain ;n th. grant"" Decoll'" a,1d
shaU II. appll<<l lOWdrd 1M nGI "ar', EMS collnty
g'DIII funding 1WJ"'fWnllUl. by disallowed C9unry
lrant apendilulY sluJU H ,"111'MitJ 10 ,h, county granl
DCCOIUII IMIIlla/MiI by ,h, grtJlltt, wilh;n 45 dttyl
qft". 1M U.rU4n~ of th, dlpalTlMnI', nollc, 0/
tkt,rminaz;on. TIt, COIl of 1M dilalloWld Ilmt(l)
shall H 1M r.ponsibilily of ,''' COUlUy.
REVISIONS TO EMS
COUNTY GRANT
1M II'tWU 6JuUl oblain wrin", tIflproVtll /rom thl
1qannwu'6 EMS ''''''' oJllmo 011 1M EMS CoUnty
"JnIIII auu." &qUSI dD~ (Ap"ndix B) In Ihi,
,1OOICkt priOT 10 Gny of IhllDUtnWng chdn,., to Ih,
ITiW blMig<<: '
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1. IntrotUlclnl a ItIW lin, II"" In tM "1pro"'"
6wJ,.. I
2. InCfWUing any budgeted indivldual/, Itlltuy
, mort Ihan /0 'If"'''.
J. Introducing a Iub-granl~~ Dr CO~,.aClor
''''UuloMhlp wh.r. 110M /.r specifically lden/(fiItJ '" 1M
approvtJd I
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REPORTS AND I
DOCUMENTATION I
Th, ,ra"'.' shall s~nd 10 Ih~ d.partmenl onll ~rl",",1
and IWO cople3 o/tach rtquirtd rtport atIOllj'l:
1. Thil ExPflndilur. Rllport (Appe, ~ C)
IndlCalln, all agnld upon bud,<< apendilur-f. 1M
IYqlllrm d.ad/lnll/or providing Ih. department with
Explndllur, "pOrtl an (II followl" I
do April 30, 1991,/or a",lvlllu Oerob.,.~. 1992
th/'Ou,h March 31, 1993 I
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b. July J/, ]993, lor a"'iv/liu April J ~ 1993
through Jun. 30, 1993 I
c. October J/, 199J,/or aer/vilies July II, 1993
through S.plemlMr 30, 1993 (final report) I
2. '17J1I Program ACllvity R~port ~ dw
OctDbIt' J]. /993. II mllSl coNaln a wrlltltn lummQl)'
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Indlcdling Ih. de,,... 10 which th, EMS system wa.rNimprolWl and expandedlhrough Ihil gram G.lIOfIoWI:
a. Commun/tGftDI" Equlp""nt 11M SY81''''' I
II Iht county II'tUIl InclutUs COmmunif.aliolll
Iqu;pnNnt and .ry"""". m. g1'tUJlu a,lYn to IlIbmll tI
briq OM pa,. r.porr 10 Ih, dltpanmt!nI dacribJ,., Ih,
Impro"Yment and uptInIlon brou,1u about ~ 1M
purdlall 0/ CYJmmunlevulDIU activitlu, s.mew. , dJtd
equipment pu,chllled wilh 1m", funds and itJ i/itld
in th. IN"'.. 'I orig/nill appliCQ/;OIt.
b. Em.,."ney Transport V,hickS
1/ Ihl COilfit)' Irani lncludu 1M p",chas" I/CMrlng,
basic IV' support (BLS) or adwmcrtd life If.'Ppon
(AL$) pmnlllln, 0/ an "".,.gency lranspon YIIt/Ck, or
1M IYj'urbllhlng 0/ dn aUlin,1JU or ALS pmnlll<<l
~',
:2'ffF
'\'.."~~:
~
~ INItIptIrI will., IIw fI'tI/fI- IIIIW1 to
prov4M 1M ~ tIN folk1wl,., hrfomttulon
dbofII wlUcIa ~ whit ,MIII,/IJNb: IUlmHr of
tJmQIMq GIld IftMMWfIMCy 1Wpt>>I.M,. t",al mllH,~
G<<IWd,. 1IlIIIIMr' of." ill InCl,' nlllllbu 0./ dql
0111 t( HniCf,. "...,. 1Qp01U' ttnw (m<<IIfII'fd /rtHII th,
t. GII EM3 tlllpMdw b NIIIJI. "",11 1M trt1W
.mVCI Oil lCM6)ftw """""1 Mill. .
C. MIllU:tlJ/R"". Eq~1II
If 1M NWIly ~rQllt IncludG purdw. MJ "". oJ MY
Dr all ~"ipIMlII which mftIl $tandGl'd.r In Chdpt".
JOO-66, F.A.f:., Dr Is approWld by tIN provid.r's
tMdlcczl dir,aor, Ih. ,mill" alTWI 10 proVl'd~, ,h.
d~panm'n1IM follow;ng IIfIomt4lion aboUl *luipm.nt
p"rchas_ with ,rant juNb,. th. II"",,,,, o/lndlv/(/ual
il&Stan~u wh,,.. drJibrilltuon 4nd poWlf rac~ 100U
were usld.
d. Pub/k EtlIlCOIIJI"
I
ASSURANCE OF I
COMPLIANCE
CREDIT STA.TEM~N.X I
1M Irant" MIura tJuu wh.r, tICIMllu 'Ilppon<<l by
,his gl'll'" produc~ original wriling, 10Und re<<JrtJJllg,
piCtorial rl!produaiDlU, drawings, or olh., lraphic
npra'n1alIOIlJ and works of any limil4r lUJJun,
notica, ilflomuuJollal pamphlels, prUl'lrtkases,.
I
Cldwnis,mtfnll, dumptiDM 0/ the spolllorshlp of Ih,
program, '",arch nporu, and similar pubfic /wli",
p"pared a,1d r,l,asU by Ihe provider 1.1 Indude
th, lIalmtent:
"SpollJor. by ..
Oranl" Organif,tUIOII
and th, SldI. of Florida, D,pcmm,,,, Df1i~alth and
R.J,abilllalive S~rviCfS, Offic, 0/ Emerg,ncy, Medical
S,rvit:U. If Ihe sponsorship rtt/.r~nce il I,. written
malerial, th, words .Stal. of Florida, Department of
Hltl/lh (md RehabililatiVtl Stf'Vicu, di/ice 01
Em,rgency Mt!dJcal S,rvlcu. shall apfHar in :/M sam.
lit. I."." or typ, III Ih, naIM ollhe frame,'s
, orgaluf,tU/on, I
0", copy 0/ any such mal,rials will be "iII 10 the
dlJHlnm.",.
1/ Ih, Nun" gram /IIc1udu public "'uCtUion aalvitits
or swvlca. Ih, granu, a,rl!" to prov;d, Ihe
d~panm,,,, Ih.followin, informallo" aboUl (laiv;ll,s
or s.rvicu COMUt:r<<l wilh ,r~1Il funtU.' Ih, "limber 0/
p4I1iclptuIU GIld nwnb., 0/ partlcipGlIll wIIo
S"~1y completed ,I., IN/IIi", cou,.,..
I. Cow..,I'1o/,ulIJNJl UII<<ItWII
If lh. county grant IIIlIOlva coN;nuln, pro!&fIlfJltal
MIICQlloft actlvltia or Invlcu, th, II"tUIIU Dlnu to
pNvid. 1M Upanm,1U 1M 1011owin, /lfIormalion
abollt actlviliu or luvltW conduct. wllh ,rtlnt
ftutJs.' ty~ 0/ trtUnin, "'MilaM,. n","blr 01
pdniclpanll,. and 1M nllllfHr of Indlviduau
IUCCOSfuJly compl.ling any lrainin, COurlt.
/. Syst,m EraluadolllQUlIIJJy Allurrmc,
1/ Ihe colUtly gralll 'nvolver system 'valuClfionlqualiry
Q.fIUrant:<<, Ih, gl'lu,u. a,nu 10 submll a britt/ onl!
palt report d&cribln, Ih, improllmt,,,, anIl apal",iOll
brou,h! QbOIll by any quality Ulllr(ln~ 01' eWlluat;on
act;viliu conduct <<I with granlJunds.
Progrczm AClivlt'j D1&d ExfHIlt/ilun npont will b, used
U~ ~IU"NI -_qufII. mon/forin, altd audltin, oJ Ih,
,rtWu. 'lMN rqHHU mlUt H lUbin/11M wllhin Ih.
Ilnut./rtJnNs .r~t:f/l-. Th, 11'tIIIl<<, hlJ SlIbe,raIflll(l)
or COIIll'tlctor(s), and tWlg""(I) Ihall provld. acru.r
to and ,/'unaish whtUnw infofmdliOtl Is ".eusary lor
us to monitor Ihis granl ineludlll' aCCUI 10 all "li'"1
ncord.l.
""'.":'
t";"
C.OPYRIGHTS
771, gTdntu assureslhat wher~ actiwties supponed by
I
mil ITIUIl produ" original writing, sound r~cprdJng.r,
pictorial "product/OM, drawings or olher :graphic
l"p"'s~/"atio" and works of any similar ndl~rt, th.
dqHlnm~nl has th, righl to US~, duplicatl and 'dildo"
lueh malerlau in whok or In part, in any nuJIg",,!or
any purpol~ whaJ$~wr al", to ha~ olherl Q41ln, on
behalf oJ Ih, d~pa"'ment to do so. (f Ih, mat~rial.r so
d~VtI/qp'" are subject 10 C'Opyrlghl, IrCld4Wlflrlc, or
paten/, legal Iltle and evt'Y right, Interest, clpim, Or
thmalld oflUly kind In and 10 any paltnl, tratklnark or
ropyright, or appllcallon/o,.,he sam., will \IUI in th.
$Int. oj' FIDI"iJa, D~nm~," 0/ oSla/e,/or,he ~clu.tl...
we and Hllejll of th, ,tat,. Pursuanl tOIt!ct/on
Z86,02J. F.S., IU1 "'''011, Jlnn or <<JrpO,a,iOIl,
Including parties 10 Ihillrallt, lhall H e",1t1.J 10 lISt
Ih. copyr;ghl, pat,nl or lrademark witholll Ih# prior
wrlll,,, COIJI,nt o/Ih, D,partmelU qf $1m,.
..
CTYJL RIGIlTS CERTlFlCAIJJll:/.
7h_ ,rtIIII<< orrJiMrlIy glva Ihis IISSlU'ance in
consitUraJion oj and for Ihe plUpOse oj "blallll",
/.J,ral ,nuw, 1tHut.r. contracts (CiC"pt Ctlnrrc2CfS of
Insuran" or gu.aranry). propmy. dlscolUlU. or olh.r
f<<JRal jflUUl"'al a,rlislaltc. 10 programl or aCflvltlu
receiving or beMfiling from /lderal financial
allln""",.
No fed.ral Jundt an provided by this IICUI grant
pro,ram, bw complian" with civil righls k,lsltuloll
is nquired. 1M ,rant_ auurel tlull II wlU comply
with:
1. rul6 VI of tM Civil Rights Act 0/ 1964. (U
amend_. 42 U. S. c. 2()()I)d<< IMJ., will"" prohibill
discrimlNllion Oil thl HIli oj Mef. color. or IUJtlo"al
origin In programs and aaiviliu ,,"Mn, or
bfMjflill' from federdJjl1UJllCial4Ulstan<<.
2. ~CflDlt 504 OJIM RMabillltJIiWl Aa oj 1973.
III tJ1IIDId<<I. 29 V.S.C. 794, which prohlbll$
discrimination on 1M basis of handiCdp In pro,rlllftS
and aCllvitlu ncelving or be""";n, .from federal
ftnancUll tUllllanCl.
J. 'ntJ. Xl of 1M Edlu:t#10II ~I' of
1972, u tJJ*ndIJ, 20 V.S.C. 1681 ,II uf., whldt
prohiblU dUCI'IIItINIlIOll 011"" basil of sa In
_lICtIIkM prof""" iIIId IICIIMlII.I rw<<lWn, (1r
kMJflllll from f-JmIl jllJlJlldal t1UUlan<<.
4. 7Jw Ag' DLrcrlmlllGlion Aa 011975. a.r
lIIMndU. 42 V.S.C. 6101 It uq.. whla. prohiblu
dilt:rlmIMlll1n .0" 1M balls of 11" In progrlllM or
IICtlvitl411 melvin, or NMfttln, from fliim1.l jlMnclal
IIIIUtiI/U.W.
5. 2M OnuIibar Bud,_ RtcollclllDllOll Act of
1981. P.L. 97-", Mllt/tlt prolllblt.l discrlmllllUlon on
1M bozis of IG and Mlglon In prv,ranu and actlvIJla
n~lvIn, 01' beMJIll", from 1<<1.,."., jflllUlAtll
QUutlUlt'L
6. All ",ultultHu, ,uidltUMI. IUId Itandlutb
/4n4fuUy _pl. """'Ih" plWtitltlln, luuwa.
7. U.S. Depal'tlMnI of H.tlllh and Human
SUVlCG bgulDliou for l"roIilCflon 0/ Hunum SUbJ.al
(45 CFR, tU tIIItmd<<l) n,onJi", tM prot<<:llon oj
IuIman NMU'ch ,ubjecu.
1M granl_ dgIWI IJust tomplian~ with Ihl.r
4U~ ~rutl'w" II ~ndltlOll of coNinu<<J r~/p'
of, or beMJil from stat" EMS fun4s, and ,h(ll il l.t
~{~.
I
I
I
blndin, "PO" Ihe gram.. IUC<<UOrl. tran.tfj, and
a..igMfll/or Ihe pD'Iod during which such IIISir"Gn"
1I provid<<1. 7h, gralll.e junh.r (UIUru tlfaJ till
conlracrors. subconlraaon. 'IIb-granteu, or fothen
w;lh whom It an-all'lS 10 provide suvlCG or ~nq1I.f
10 participanu tJI" ,mplO)WI in connection with 'fUJY of
ill progrQlltS and aalvltlu an nOl discrlmlfUUlng
agallllllhOle panlclpants or employea In violation of
,''' pM.Ydlng lIalU"', re,"lculoIJI, ,uid~Ii~, ond
Ilandardl. III the ,vat of lallury 10 comply. "'-
,ranle, undu,tandr that Ih, d,panmtnl may. at III
discretion. suk a coun ord.r requiring compllcVIe.
wl,h Ih. l.mII of mls Q.UUftlnc. or ,uk; other
approprlall Judicial or odmlnlstrculvtt r.lI", to
Includ. tWillan~ ""n, lennlnaled and ft;nher
lUluttln" "'Ing unlM. ,
FlNANCldL AND "OTHER DOCUME~TS
711. ,raI".' shall ensu,.. tJust any jinc2ncial .1rldn,
pap.rl or DIM' oJfIclal docum,nts ,,1aJ,d ~o ,his
proj,a ar, mad,. availabl, to the depanm.nt: or lis
dulgn" upon nquat, for a plfiod of five ytc2U from
Ih. ,ndln, dati of ,h, granl. I
I
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I
I
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24
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