Resolution 131-1991
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James R. Paros
Public Safety Division
RESOLUTION NO. 131 - 1991
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~~A ~SOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
;MONROE COUNTY, FLORIDA, AUTHORIZING THE SUBMISSION OF
cG~T APPLICATIONS TO THE FLORIDA DEPARTMENT OF HEALTH
>'AND:, REHABILITATIVE SERVICES, OFFICE OF EMERGENCY
MED:DCAL SERVICES, TO FUND AN EMERGENCY TRANSPORT
~J1EHI;CLE PROJECT AND DIRECTING THE EXECUTION OF SAME BY
:;T}m:2pROPER COUNTY AUTHORITIES.
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WHEREAS, The Florida Department of Health and Rehabilitative Services,
Office of Emergency Medical Services, is accepting applications
applications ~for Emergency Medical Services (EMS) Matching Grant funds, and
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WHEREAS, the grant is for the fiscal year beginning on October 1, 1991
and ending on September 31, 1992; and
WHEREAS, the total grant application is for $196,000.00, with a 50%
match requirement; and
WHEREAS, the $98,000.00 match requirement is included in the district
budget requests for Fiscal Year 1992, as follows, District 1 - $27,500.00;
District 5 - 70,500.00; and
WHEREAS, the emergency transport vehicle project will, if awarded and
accepted, will be used to purchase one (1) new ambulance for the Tavernier
Volunteer Ambulance Corps, and to re-chassis/refurbish one (1) Tavernier
ambulance and one ( 1) Lower and Middle Keys District ambulance; now
therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, AS FOLLOWS:
1. That said Board has been notified of the availability of matching
grant program funds from the Florida Department of Health and
Rehabilitative Services, Office of Emergency Medical Services.
2. That the Monroe County Department of Emergency Medical Services
is hereby authorized to submit applications for grant funds to the Florida
Department of Health and Rehabilitative Services, Office of Emergency
Medical Services, to improve and expand Monroe County's EMS systems.
3. That said Board hereby directs the execution of the grant
applications by the proper County Authorities.
4. That this Resolution shall become effective immediately upon
adoption by the Board and execution by the Presiding Officer and Clerk.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of said Board held on the ~ day
of April , A.D. 19 91.
Mayor Harvey
Mayor Pro Tern London
Commissioner Cheal
Commissioner Jones
Commissioner Stormont
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
Yes
Yes
Yes
Yes
Yes
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By '-'V .. - _~ - " \
Mayor
(Seal)
Attest: ~ANNY L. KOLHAGE, Clerk
./2L'.1f~1JJPL
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Approved as to form and legal
sufficiency.
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ill Code to be Assigned by State EMS Office: Ml_ _ _
Florida Department of Health and Rehabilitative Services
. Office of Emergency Medical Services (EMS)
MATCHING GRANT APPLICATION
1.
Legal Name of
Agency/Organization: BOARD OF caJNTY C(M.fiSSlOOERS
Name and Title of
Grant Signer:
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Wilhelmina Hal:Ve
Mailing
Address:
5192 Overseas Highway
Marathon Florida '33050
Telephone Number: (305) 289-6002
County: MONROE
SunCom Number: 472-6002
2.
Name and Title of
Contact Person:
Janes R. paros, Public Safet
5192 Overseas Highway
Marathon, Florida 33050
Director
Mailing
Address:
Telephone Number: (305) 289-6002
SunCom Number: 472-6002
3.
ugal Status of
Agency/Organization: (Check only one)
Private Not for Protit (you must provide copy of ccniticatc)
Your fiscal year:
10/01 09/30
BEGINS
ENDS
Private for Protit
x
Public
4. Agcllcy/Oi-ganization's Federal
Tax Idcntification Number nine digits VF 2 ---2 -2.. ~ L -2- L L-9-
5. Application Status: (Check only one)
This is the continuation of a project already funded by the state EMS matching grant program.
x
This is ~ the continuation of a project already funded by the sl3te EMS matching grant program,
Type of Project: (Che;k only one):
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COlllfnunicati0"S
Continuing Professional Education (medical direclor IlWst sign Item J 5a)
Public Education
X rlll":I'~":IlC)' Transpon V~hid~s
S):-.I~'llI Evalu.;;tion/Quality Assurance R":s~3n:h
~\1"".lh'-idd{..::-.:u.... E~l:ipl1l..:n! (sign..tur~s r~quir..:d ror J(~ms 15h and I~~)
:1:' .' "'., IJ,\ il'h:-;nkl....:i pf'....\.I\ltlS ~\Jililul!ot)
.
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6A. State Plan Goats, Objectives, and Improvement and E~pansion:
State EMS Plan Goal: Identify in the space below the specific goals and their page numbers in the FY 1991-93 state
EMS plan, which your project will help accomplish. Describe how your project iwill do this. and if possible, the
percentage of the goals you will accomplish. I I
EIrergency Medical Transportation Vehicle .Goal 1: ~rovide advanced life support
ground ambulance coverage for all of Florida's citizens and visitors (Page 29).
This project will allow lwbnroe County Emergency Medi~l Services am Tavernier
Volunteer Fire and Ambulance Corp, both being Florida I state licensed advanced life
. support providers, to inprove the services which they! currently provide to resident
and visitors by increasing the operational reliability of their ercergency rredical
transport vehicles.
State EMS Plan Objective: Identify in the space below the specific objectives and their page numbers in the state
plan, which your project will help accomplish. Describe how your project will do this, and if possible, the percentage of
the objectives you will accomplish.
EIrergency Medical Transportation Vehicle Objective 1.3: By March 1994, establish
advanced life support services in all counties not currently operating at that
level of service (Page 30) .
This project will allow lwbnroe County EMS and Tavernier Volunteer Fire and Ambu-
lance Corps to continue to provide advanced life support service in their respectiv
response areas. This will help accanplish the above referenced objective by
decreasing the possibility that these two particular service providers will have
to downgrade their ALS transport service level to ALS non-transport or BLS because
of unreliable errergency rredical transport vehicles.
"
Improvement and Expansion of Prehospital EMS. Describe as quantitatively as possible, how your project
\'. ill both improve and expand prehospital EMS in Florida.
This project l:::oth improves and expands emergency rredical services in l-bnroe
County. and therefore in Florida, by providing reliable errergency rredical trans-
r;x'rtat1on vehi,?les. In ~ current situation, when a primary transport vehicle
7s .O\}t of serv1ce. for repa1rs and a back-up tranSport vehicle is unavailable,
1n1~lal response 1S. by a BLS fire-rescue rredical ;first response vehicle, with
pat1ent transportat1on by a mutual aid response frClll an ALS provider in an
~djoining area. This project will reduce the frequency of occurence of such
1nstances.
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For. both the need .U1U uutcomc statements: include numeric (lata, the time frame for the data,
the data source.. and the tal'get population and geographic area.
7, Need Statement (use only the space below):
Tavernier Volunteer Fire Department and Ambulance Corp's vehicle maintenance
records show that their two primary transport vehicles were out of service for a
canbined total of 254 days, or 34% of the ti..ne, for major repairs during the
period fran March 1989 to March 1991. M:>nroe County EMS vehicle maintenance
records show that the maintenance costs of one of their primary transport vehicles,
the only remaining unit with a gasoline engine, was triple that of other units'
averaoe cost.
R, Outcome Statement (use only the space below):
This project will provide for two existing units to be refurbished and re-chassised
and for the purchase of a new emergency IOOdical transport vehicle. This will .
increase vehicle operational'. reliability and decrease the down ti..ne for repairs,
and thus reduce the number of. times initial response is made by a BLS fire-rescue
first response unit. Verification will be by review of providers' maintenance
records.
9. Research Projects Only:
If ),)u or" 1l,,1 conJuclin:: a research projecl. skip this ilem and go 10 hem 10.
If you arc cOllducling a resurch proj.:ct, a\tach at the end of the applicalion concise statement. of the hypothesis, dc.ianlmethod.lnltlUment., methods
to ;orOI"Cl hUII"n subjcclS, any limitalions involvina the study. research inslcuments, forms a,nd lislings of other r.:levanlltudie..
) 0, WOI'k Activities, Objectives and Ti.me Fl'ames (Use only the space below):
Research and develop specifications for new vehicle and to refurbish/re-chassis
vehicles - within 1 - 3 months after grant begins.
Bid, purchase and operate new and refurbished/re-chassised vehicles _ within
3 - 12 months after grant begins
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- - A PPLTCANT
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~lIsh JR-Kind ra:u TOTAL
CA TEGORIES 1\ a leh 1atch un
11. Snlnries and Benefits:
a. New positionS. Do Not Weile
In Thil Are.
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0.00 0.00 0.00
b. Existing/In-Kind Positions
Do NOI Weile Do Not Write
In Thil Arca In Thil Area
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0.00 0.00
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c. Total Salaries and Benefits
0.00 0.00 0.00 0.00
12. Expenses Do NOI Wrile
n. New Expenses In Thil Arca
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0.00 . 0.00 0.00
b. Existing/In-Kind Do NOI Wrile
Do Not Wril.
In Thil Arc. In Thil Area
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0.00 0.00
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C. '1'01:11 Expenses '.
- --- - - - -- -- - - 0.00 0.00 0.00 0.00
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dill( n.ll p.I!,(S If needed)
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r. - (I{ollnd III Nearesl Dullar,
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Sash In-Kind ranI TOTAL
CA TEGORIES 1\' alch 1\laldl Funds
13. Equipment:
a. Ncw equipmcnt. 00 Not Wrile
In This Area
Refurbish/re-chassis (2) ALS
permi tted errergency transport
vehicles
Purchase (1) ALS errergency trans-
PJrt vehicle
98,000.00 98,000.00 196,000.00
b. Existing/In-Kind Equipment
Do Not Write 00 Not Write
In This Area In This Area
.
.
0.00 0.00
c. Total Equipmcnt Costs
98,000.00 0.00 98,000.00 196,000.00
14. Financial Summary - Total of salaries
and benefits, expenses, and equipment,
all combined. .
S 98,000.00 s 0.00 S98,000.00 s196,000.00
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Cash The aboye ligure The aboye ligure The aboye ligure
Match must be equal must equal the must equal the
Grand 10 or less than the sum of the the sum of the
TOlal the cash malch two preee~ing preceding three
Grand Total columns three columns
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U\lltch ;!,!, ILiOl.:. pag.:~ t! nl~cdcd)
APPLICA TION ITEM 16 (signature required)
REQUEST FOR MA TCllING GRANT DISTRIBUTION (ADVANCE PA YMENl1
EMERGENCY MEDICAL SERVICES (EMS)
. Governmental Agency and Non-pl'ofit Entity ONLY
In acconlance with the provisions of paragraph 401. 1 13(2)(b), F.S., the undersigned hereby requests an EMS matching
grant distribution (advance payment) for the improvement and expansion of prehospital EMS.
Payment To: Board of County Camtissioners, r-bnroe County,
Florida
Legal Name of Agency/Organiz.ation
5192 Overseas Highway -
(City)
Address
Florida
(State)
33050
Marathon
(Zip)
SI
Printed Name: Wilhelmina
Authorized OffiC\'ll \
E: a..\ 3 q \
Harve Title: Mayor /Chainnan
SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO:
Department of Heallh and Rehabilitative Services
Office of Emergency Medical Services (HSTM)
EMS Matching Grants
1317 Winewood Boulevard
Tallahassee, Florida 32399-0700
For Usc Only by Departmcnt of Heallh and Rchabilitativc Services,
Office of Emergency Medical Services
Matching Grant Amount:$
Approved By:
Grant.ID Code:
Date:
" Signature, Tille, State EMS Grant Officer
State Fiscal Year:
Amount: $
Oroanization Code
60-20-60-30-100
E.O.
HS
Ob;ect Code
Federal Tax 10 V F:
Grant ,Beginning Date:
-----
Ending Date:
17. ,\SSURAi'\CES AND APPLICATION SIGNATUHE (Applications wilhout im lIppropl'iatc signature
for this item ,,'iUnot he cOll~idercd for funding):
Cl'rlilic.;!!ion or Slalldanls Slatt'nH'nl
I. the unuersigned. certify that if granted funds under Chapter 401, Purt II, F.S.; as amended, all applicable r~gulations and
~t..nd;lrlJs will be luJhcreu to including: Chapter 401, F.S,; Chapter 100-66, F.A.C.; Minimum Wage Act; Title VI of the
Civil Rights Act of 1964 (42 ISC 20000 el. seg,); DHEW Regulation (45 CFR Part 80); Rehabilitation Act (Sec 504);
Developmentally Disabled Assistance and Bill of Rights of 1975 (P.L. 95-602) as amended by Title V of the
Comprehensive Rehabilitative Services Amendments of 1978: Confidentiality; Human Rights; Habilitation Plans;
Employment of the Handicapped; Services for Persons Unable to Pay.
~!..a!('rnl'nt of Ca~h So: In-Kind Commitment
I. the undersigned, certify that cash arid in-kind match will be available during the grant period and used in direct support
of this grant project. Stale and federal funds'will not be used for matching requirements, unless specified by law. No costs
or third-party in-kind contributions count towards satisfying a matching requirement of a department grant if they are used
to ~atisf)' a matching requirement of another state or federal grant. Cash, salaries, fringe benefits, expenses, equipment,
and oth;;r expenses as listed on this application shall be committed and used for the department's final approved project
dUflng the grant period.
Acct'plance of' Terms and Conditions
Acc<:ptance of the grant terms and conditions in Appendix C of the booklet, "Florida Emergency Medial Services Matching
Cranl Program 1991', by the Department of Health and Rehabilitative Services is acknowledged by the grantee when funds
are drawn or otherwise obtainc;j from the grant payment system.
Di~cbimtr
I, the und<:rsigned, hereby certify that the facts and information contained in this application and any follow-up documents
are true and correct to the best of my knowledge, information, and belief. I further understand that if it is subsequently
dt:krmined that this i~ not correct, the grant funded under Chapter 401, PllJ't lI, F.S.; Chapter lOD-66, F.A.C.; as amended
hy Chapter 85-167. uws of Florida, may be revoked, and any monies erroneously paid and interest earned will be
refunded 10 the department with any penalties which may be imposed by law or applicable regulations.
NOlification or Award~
11InuerSland the availability of the notice of award wiII be advertised in the Florida Administrative Weekly, and thaI 30
cilt:nJ:H d:1YS afler thIS Florida Administrative Weekly advertisement I waive any right to challenge or protest in anyway
the declslon~ to award grants.
Signature 0 Authorized Grant Sinner
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(lnJlvidu:d Id;:ntified in Item I)
~
Date
NOTE:'
Please cli~ck to insure that all required signatures have been made for Items 15 16 d 17
. . an .