Resolution 496-1991
James R. Paros
Public Safety Division
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RESOLUTION NO.
496
- 1991
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AUTHORIZING THE SUBMISSION OF
GRANT APPLICATIONS TO THE FLORIDA DEPARTMENT OF HEALTH
AND REHABILITATIVE SERVICES, OFFICE OF EMERGENCY
MEDICAL SERVICES, TO FUND AN EMERGENCY TRANSPORT
VEHICLE PROJECT AND DIRECTING THE EXECUTION OF SAME BY
THE PROPER COUNTY AUTHORITIES.
WHEREAS, The Florida Department of Health and Rehabilitative
Services, Office of Emergency Medical Services is accepting
applications for Emergency Medical Services (EMS) Matching Grant
funds, and
WHEREAS, the grant is for the period beginning on January 1, 1992
and ending on June 30, 1993; and
WHEREAS, the total grant application is for $ 227,000.00, with a
50% match requirement; and
WHEREAS, the $ 113,500.00 match requirement would be included in
the district budget requests for Fiscal Year 1993, as follows, Lower
and Middle Keys District - $58,000.00; District 6 - $ 55,500.00; and
WHEREAS, the emergency transport vehicle project if awarded and
accepted, will be used to purchase one ALS ambulance for District 6
and to re-chassisjrefurbish two (2) ambulances for the Lower and
Middle Keys District; 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 Rehabilitatiye 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.
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PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida at a regular meeting of said Board held on the
20th day of November, A.D. 1991.
Mayor Harvey
Mayor Pro Tern London
Commissioner Cheal
Commissioner Jones
Commissioner Stormont
YES
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YES
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YES
(Seal)
Attest D.ANNY L. XOWAGE, Clerk
~4#Jfj)~
Clerk
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
... ..... .
By \.U. t>~AJ ~N' ..~ '---" \ - ~
Mayor
Approved as to form and legal
sufficiency.
ID Code to be Assigned by State EMS Office: MZ _ _ _
Florida Department of Health and Rehabilitative Services
Office of Emergency Medical Services (EMS)
MATCHING GRANT APPLICATION
1. Legal Name of Board of County Commissioners, Monroe County,
Agency/Organization: Florida
Name and Title of Wilhelmina Harvey, Mayor/Chairman
Grant Signer:
Mailing 5192 Overseas Highway
Address: Marathon, Fl 33050 County: Monroe
Telephone Number: (305) 289-6002 SunCom Number: 472 - 6 0 0 2
2. Name and Title of James R. Paros, Director, Public Safety Division
Contact Person:
Mailing 5192 Overseas Highway
Address: Marathon, Florida 33050
Telephone Number: (305) 289-6002 SunCom Number: 472 - 6 002
3.
Legal Status of
Agency/Organization: (Check only one)
Private Not for Profit (you must provide copy of certificate)
X
Your rJSCal year:
10/1 9/30
BEGINS
ENDS
Private for Profit
Public
4. Agency/Organization's Federal
Tax Identification Number nine digits VF 2- ~ ~ ~ ~ ~ -2 -=:. ~
5. Application Status: (Check only one)
Thia ia the continuation of a project already funded by the alate EMS matching grant program.
X
Thia ia !!2! the continuation of a project already funded by the atate EMS matching grant program.
6. Type of Project: (Check only one):
Communicationa Continum, Profel8ional Education (medical director mull sip Item ISa)
X' Emel'iency Tranaport Vehiclea Public Education
Syatem Evaluation/Quality Asaurance Reaearch
- MedicallRelCue Equipment (aignaturea requ.ired for ItemJ ISb and ISc)
Doea your project include the purchalC of any communicationa equipment?
yes
No
HRS Fonn 1767, March 89
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6A. Sta~e Plan Goal, Objective, and Improvement and Expansion:
State EMS Plan Goal: Identify in the space below the specific goal and its page number in the FY 1991-93 state
EMS plan, which your project will help accomplish. Describe how your project addresses this goal.
Emergency Medical Transportation Vehicle Goal 1: Provide advanced life support
ground ambulance coverage for all of Florida's citizens and visitors (Page 29).
This project will allow Monroe County Emergency Medical Services and Key Largo
Volunteer Ambulance Corp, both being Florida State licensed advanced life support
providers, to improve the services which they currently provide to residents and
visitors by increasing the operational reliability of their emergency medical
transport vehicles.
State EMS Plan Objective: Identify in the space below the specific objective and its page number in the state plan,
which your project will help accomplish. Describe how your project will address this objective.
Emergency 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 Monroe County EMS and Key Largo Volunteer Ambulance Corp.
to continue to provide advanced life support service in their respective response
areas. This will help accomplish 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
emergency medical transport vehicles.
!mprovement and Expansion of Prehospital EMS. Describe in measurable terms, how your project will both
Improve and expand prehospital EMS.
This project both improves and expands emergency medical services in Monroe County
and therefore in Florida, by providing reliable emergency medical transportation
vehicles. In the current situation, when a primary transport vehicle is out of
service for repairs and a back-up transport vehicle is unavailable, initial response
is by an ALS shift supervisor first response vehicle with patient transportation
by a mutual aid response from an ALS provider in an adjoining area. This project
will reduce the frequency of occurence of such instances.
A dedicated transfer unit will enable Key Largo Ambulance to have an available back
up unit at all times barring vehicular failure. This will eliminate extended respons~
times due to mutual aid coverage and will free up the other vehicles for primary and
back up coverage within the service area.
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For both the need and outcome statements: include numeric data, the time frame for the data,
the data source, and the target population and geographic area.
7. Need Statement (use only the space below): Monroe County EMS vehicle maintenance
records indicate that approximately 35% of the entire maintenance budget was expended
to keep these two vehicles on the road (for the last fiscal year). Since the fleet
consists of nine (9) vehicles, this represents a significant impact on the budget.
The Key Largo Volun. Amb. Corp. makes approximately 300 ALS interfacility transfers
annually and are forced to pull a primary vehicle from service for this. This vehicle
will be dedicated to such ALS transfers.
8. 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 medical transport vehicle. This will
increase vehicle operational reliability and decrease the down time for repairs.
Verification will be by review of providers' maintenance records.
A dedicated transfer unit will decrease by about 95% the number of instances a prima
from service for inter-hospital transfers.
9. Research Projects Only:
If you are not conducting a relCarch project, skip this item and go to Item 10.
If you are conducting a relCarch project, attach at the end of the application concilC statements of the hypotheaia, deaign/method, inattuments, method.
to protect human aubjects, any limitationa involving the study, relCarch instruments, forma and liatinga of other relevant atudiea.
10. Work Activities, Objectives and Time Frames (Use only the space below):
Research and develop specifications for new vehicle and to refurbish/re-chassis
vehicles - within - one (1) to three (3) months after grant begins.
Bid, purchase and operate new and refurbished/re-chassised vehicles - within
three (3) - twelve (12) months after grant begins.
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APPLICANT ~tate
CATEGORIES ~8fc'J. ~tctd = TOTAL
11. Salaries and Benefits:
a. New positions. Do Not Write
In Thil Area
b. Existing/In-Kind Positions
Do Not Write Do Not Write
In Thi. Area In Thi. Area
TOTALSAL~andBENEBTS
12. Expenses Do Not Write
a. New Expenses In Thi. Area
b. Existing/In-Kind Do Not Write Do Not Write
In Thi. Area In Thi. Area
TOTAL EXPENSES
. .
(Attach addItIonal pages if needed)
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A:PPLlCANT ~tate
a:tJt ~Ki~d ~:g TOTAL
CATEGORIES ate
,
13. Equipment:
a. New equipment. Do Not Write
In This Area
Rcfurbish/re-chassis (2) ALS
permitted emergency transport
vehicles @$58,OOO.00 each
(Total: $116,000.00)
Purchase (1) ALS emergency Trans- $113,500.00 $113,500.00 $227,000.00
port vehicle. @$111,000.00
b. Existing/In-Kind Equipment
Do Not Write Do Not Write
In This Area In This Area
TOTAL EQUIPMENT COSTS $113,500.00 $113 , 500. 00 ~227,000.00
14. Financial Summ'ary - Total of salaries
and benefits, expenses, and equipment,
all combined.
$ 113, 500 . OC $ $113,500.00 <i!-27,OOO.00
========== -======= ======== =========
Cash The above figure The above figure The above figure
Match must be equal must equal the must equal the
Grand to or less than the sum of the the sum of the
Total the cash match two preceding preceding three
Grand Total columna columns
. .
(Attach additional pages if needed)
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APPLICATION ITEM 16 (signature required)
REQUEST FOR MATCHING GRANT DISTRIBUTION (AnV ANCE PAYMEN'I)
EMERGENCY MEDICAL SERVICES (EMS)
Governmental Agency and Non-profit Entity ONLY
In accordance with the provisions of paragraph 401. 113(2)(b), F.S., the undersigned hereby requests an EMS matching
grant distribution (advance payment) for the improvement and expansion of prehospital EMS.
PaynnentTo: Board of County Commissioners, Monroe County, Florida
Legal Name of Agency/Organization
5192 Overseas Highway .
Address
Marathon, Florida
33050
(City)
(State)
(Zip)
ATTEST: DANNY L. KOLHAGE, CLERK
Authorized Official By
ATE: November 20, 1991
Title: Mayor/Chairman
Deputy Clerk
SIGN AND RETURN WITH YOUR MATCHING GRANT APPLICATION TO:
Department of Health and Rehabilitative Services
Office of Emergency Medical Services (HSTM)
EMS Matching Grants
1317 Winewood Boulevard
Tallahassee, Florida 32399-0700
For U Ie Only by Department of Health and Rehabilitative Service.,
Office of Emergency Medical Service.
Matching Grant Amount:$
Approved By:
Grant ID Code:
Date:
Signature, Title, State EMS Grant Officer
state Fiscal Year:
Amount: $
Orqanization Code
60-20-60-30-100
E.O.
HS
Obiect Code
Federal Tax ID V F:
Grant Beginning Date:
---------
Ending Date:
18
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17. ASSURANCFS AND APPLICATION SIGNATURE (Applications without an appropriate signature
for this item will not be considered for funding):
Certification of Standards Statement
I, the undersigned, certify that if granted funds under Chapter 401, Part II, F.S.; as amended, all applicable regulations and
standards will be adhered to including: Chapter 401, F.S.; Chapter 10D-66, F.A.C.; Minimum Wage Act; Title VI of the
Civil Rights Act of 1964 (42 ISC 2000D et. 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.
Statement of Cash & In-Kind Commitment
I, the undersigned, certify that cash and in-kind match will be available during the grant period and used in direct support
of this grant project. State 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 satisfy a matching requirement of another state or federal grant. Cash, salaries, fringe benefits, expenses, equipment,
and other expenses as listed on this application shall be committed and used for the department's final approved project
during the grant period.
Acceotance of Tenns and Conditions
Acceptance of the grant terms and conditions in Appendix C of the booklet, "Florida Emergency Medial Services Matching
Grant Program 1992-93", by the Department of Health and Rehabilitative Services is acknowledged by the grantee when
funds are drawn or otherwise obtained from the grant payment system.
Disclaimer
I, the undersigned, 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
determined that this is not correct, the grant funded under Chapter 401, Part II, F.S.; Chapter 10D-66, F.A.C.; as amended
by Chapter 85-167, Laws of Florida, may be revoked, and any monies erroneously paid and interest earned will be
refunded to the department with any penalties which may be imposed by law or applicable regulations.
Notification of Awards
I understand the availability of the notice of award will be advertised in the Florida Administrative Weekly, and that 30
calendar days after this Florida Administrative Weekly advertisement I waive any right to challenge or protest in anyway
the decisions to award grants.
Signature of Authorized Grant Signer
(Individual Identified in Item 1)
November 20, 1991
Date
ATTEST: DANNY L. KOLHAGE, CLERK
By:
NOTE: .
Please check to insure that all required signatures have been J'!lade for Items 15, 16, and 17.
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APPROVED AS TO FORM
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