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R-89-0239
t — t J-89-199 2/22/89 RESOLUTION NO'. 89-23ff A RESOLUTION AUTHORIZING THE CITY MANAGER TO ACCEPT TWO (2) GRANTS FROM THE STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES: EMERGENCY MEDICAL SERVICES (EMS) MATCHING GRANT PROGRAM AND FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE THE NECESSARY AGREEMENTS TO IMPLEMENT THE CITY'S PURCHASE UNDER THE GRANT PROGRAM OF ONE (1) FULLY EQUIPPED EMS TYPE III PARAMEDIC RESCUE VEHICLE AND THE CITY'S HIRING OF ONE (1) PART-TIME ACCIDENT AND FIRST AID RESOURCE TEACHER. i WHEREAS, the City has applied for grants from the State of Florida Department of Health and Rehabilitative Services under - the Emergency Medical Services (EMS) Matching Grant Program; and a WHEREAS, the matching grants are to support the purchase of the pre -hospital services and items associated with such activity; and WHEREAS, the City of Miami Department of Fire, Rescue and Inspection Services desires to Purchase one (1) ground transport s vehicle' consisting of an EMS Type III Paramedic Rescue Vehicle, utilizing a matching grant of $65,000; and to hire one (1) Part- xF Time Accident and First Aid Resource Teacher in the training of - Dade County teachers and students in accident prevention and first aid treatment, utilizing a matching grant of $26,539; and ,f. WHEREAS, the City of Miami has been designated as an eligible recipient of these funds; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: 77 Section 1. The City Manager is hereby authorized to _ As accept two (2) grants from the State of Florida, Department,,of ' r •J >ryp Health and Rehabilitative Services, Emergency Medical Services'' (EMSj Matching Grant Program. r-':k' f- CIZ'it' Ct?SSI - x: CE RESOtdlTION N4, �} �j . T • • Yet, .fi�x 1Z !ta41yE<ywI"r�sGf — Aft Section 2. The City Manager is hereby authorized to execute the necessary agreements to implement purchase of pre- - hospital services and items as outlined in the City,s matching grant proposals and in the Preamble to this Resolution. ` Section 3. This Resolution shall become effective immediately upon its adoption pursuant to law. PASSED AND ADOPTED this 3rd day of March , 1989. - XAVIER L S EZ, MAYOR ATTES - TTY HIRAI - CITY CLERK PREPARED AND APPROVED BY: ROBERT F. CLERK CHIEF DEPUTY CITY ATTORNEY APPROVED AS TO FORM AND CORRECTNESS: JO E L. FE DEZ CI ATTORNE RFC:dfh:M954` d, a ar°ta t) y^ w r. - ',: N Y - .•. d _ yam: 4Y 6 yj7 1 . ; _- i " - M. CITY OF MIAMI. FLORIDA° INTER -OFFICE MEMORANDUM ;= TO. DAM FEBZ 1 ��i RISE: Honorable Mayor and Members 89 of t City Commission SUBJECT: ` j Recommendation for Resolution; Acceptance ¢ of EMS Matching Grants, FROM: L G REFERENCES: & Companion Appropriations. "Cesar H. Odic Ordinance ENCLOSURES: ri City, Manager AkdbMMENDATiON: i it, is respectfully recommended that a resolution be passed 'G authorizing_.the ,City .;Manager to accept..two (2): grants; from_. the,, State 5 of Florida°'Department of Health and Rehabilitative Services under Eme.rgency:EMedical Services .(EMS),, Matching, -Grant Pr-ograw, respective amounts` of ,.$65, 000 -and` $2b_, 539 * And ;further that, fist . F mentioned grant fundii7g be, appropriated,, by amendment to the_ Cap.tai , r ,,.. Improvements ,Appropriations.Ordinance:-byr iner.easingthe Project-£ r entitled ,"Fine `Rescue New Apparatus Acquisition FY'8$" Prajeet} ia.4; 313223 'in the amount` of " $65., 000.. BACKGROUND:"i -The Department of.Fi�re, Rescue and Inspection'..Services has•been awarded two (2Y�'matching grants for -the purcha se, Pot one (1) `EMS Type III Paramedic Rescue vehicle and'to hire oneC1') part-time Accident s and .First Aid Resource Teacher.; The;.new,rescue vehicle is:;to beap3id ~ for under the WOO grant and is,on.e of siX'vehia es authorized for purchase :by the"City Commission at the February 9th City Commision= .Meeting.'. The`.part-time resource teacher,';together;with related; CountmeTeachers ant pStudents under'the-au spicesaof the Departmentes; g y d Public . Education and Information Service x x�� of R r 4x� ? 9✓ �1 5 �f f, •k Ez j ✓. F� SF —i rf•Cln Yn ; 11 ' 3 � �ST ' '.. Al —40 .. _ r ' STATE E OF FLORIDA DEPAi�T`MENT OF HEALTH AND REHAE I _rrxmvF_ SEFMC ES December 22, 1988' ... City of Miami Department of Fire? Rescue, and - Inspection Services 275 NW. 2nd Street Miami, Florida 33128 Dear Granteer It gives me great pleasure to inform you that you are being awarded: Emergency Medical Services (EMS) Matching Grant_No.9 in. the: amount`nf:$2�9_. This grant is contingent upon .your signature on this EMS Matching°Grant Agreement` and the Request for Matching Grant': Distribution (Appendix A), and return of both'to us. This: matching grant is to support the purchase of the.pre-hospital activities, services and items outlined. in your matching grant; 5S, Deal s and its department approved revisions :which. are Vrpp ( ) � eat of. Heath m on file; in;,. the tate of:. Florida;., Depaxtm Rehabilitative ,'Services,; Office of "Emergency Medical Services, ,Tallahassee,, Florida. The matching, grant mast executed within k the ; limits >of ; ahe _amount awarded to you. '. Any" costs above. the matching grant amount awarded under`secton '401.113(2):(b),`.Florida: Statutes (F S.), are the responsibility of the grantee (proposer011 . a The matching grant begins October 1, 1988, or the date ;this EMS Matching Grant Agreementissigned by both parties, whichevez is- biter This matching grant ends September 30; 1989. The purchase of any communications equipmentor services during the; grant period: must have the written: approval of: the' �iorid. Division` o .. Cui�ictio}? Department of General Services, We are required to'disaliow;_ Pa (DIVCQM), before the purchase is made. communications costs which do not meet DVCOM''steindard ; Please sign';and date both copies of this agreement and the Request' u for Matching Grant ' Distribution. Return one copy, of;thi�r,F<< ` Matching Grant Agreement and Request for Matching 0<rant�, .' Distribution .with original signatures to the Depart�ieat ofi,thp and Rehabilitative Services, EMS. Matching- Grants; Offiot .f Emergency Medical Services,1317.Winewood Spuievard, Tai.�4hma, r : 3} � j Florida' 32399�0700.: < Your ,signature :'certifies .that :you: have entered into e► _04 grant agreement and . ensures full coaapliance with the Y te;F conditions :of_.this,;agreement: a►nd .etch; of fixed : �►ppe D) : ;The appcndires contain specifica�pDaM .. R\ 11.'!f Rk�♦ hr r. your, .agency/organization as gr atgo - ,;? kLViSW� ; k�.�* *-=ir• �; ►; Mdt f�', ° F`c i{st ri3q, K'lNSWQOD BI�VQ. TAej.,A iASSS�:i x4;fry ;F yM F 1 c' Congratulations,,= receiving Your support in owing EMS Matching Grant and -for your and the ' pr®'hospital " continued .impr emergency medical services system. _ Sincerely, `. Larry S. Jordan ; Director EmergencyMedical Services official authorised to enter into an EMS Matching Grant agreement for agency/organization SIGNATURE: Name and Titles .. N Dates 4 Appendixes: 2 =-1..;, -:Request, , for Matching Grant }Distribution - 2. EMS Match inq Grant Conditions 3. EMS Request for Change in Matching Grant Budget 1y ' 4. SMS: Expenditure/Program Performance Reports. g t AN I i{{ r APPENDIX A REQQSST !i»t =T=w GRAW DISTRIBtTl'IPly) AG8' Or Alm NONVOP SN'1'I ry In accordance with the provision of section 401.113(2)(b)r F.S., _ the undersigned hereby requests an 8MS matching grant d stribution -hospital^. h (advance payment) for the improvement and expansion of pre $MS• T; Payment To: Name of Grantee Agency/Organization Address E: (City) =_x Grant Number: Federal Tax ID Numberl: s Total -Requested Matching Grant Amounts $ SIG�NATQRE: Dates Authorizing 0 ficia 1 E� f t- Name and Title: Department of Health and Rehabilitative.,-. Services EMS Matching , Grants _. y Office of Emergency Medical; Servicesr #` 1317 WinewoodBoulevard t § Tallababsea,,.,Florida,32399-0700 tir=fi£� U C' 5 t APpEMDIY a ass XATCRXXG GPJW COND*TIONS MW JMTCRINQ GRANT-M MMRAL FINANCIAL RaQoIREK MTs These requirements are an integral part of the Matching Grant Agreement between the agency/organization (grantee) ' and the -State of_ Florida, Department of Health and Rehabilitative 'sarviois (grantor or department) . ' In the event "of a conflict, the belog _ requirements shall always be controlling: 1. A final financial' report= shall be submitted detailing all expenditure's - of this, grant. Bills for'fees or: other compensation, for 'services or expenses shall be maintained by the <grant** in sufficient detail for a proper pre -audit and post -audit of the grantee's records. Records relating to the procurement of real or, other non -expendable; property should be retained for`the lifd< of the property and for *five years after. its disposal or. the completion of any pending matter. All other financial records and reports must be maintained by the grantee for a period of five years after the `completion of ,'an endin matter: - ,. y P .. s 2. The grantee hereby agrees to indemnify and hold the department harmless.from any and all claims or demands for any. personal injury or property damage resulting or occurring - in connection with :any activities conducted " under 'the Matching Grant;,,Agreement. and Y shall investigate° =all such claims 'of- f " avery ''nature at its expense. In addition, the grantee hereby agrees to be responsible.,for any injury --or -property damage resulting from., any�activittias conducted under this` grant agreement. 1 3 . The grantee ` agrees . to use capitali.� 'expenditure -items uch'r a buildings, vehicles "I and equipment purchased ,.in:,whole or ;partwith MS grant funds solely as described in the Ematching grant, propo8al' and its department approved revisions, throughout the,..item�s°;:use#ui: t life, K 4. The grantee agrees to provide a -contribution:. to .the. rojJsct equal' to the amount of the grant made by the � department. according to this agreement. The grantee agreas to provide 50% of the.,total project cost: At least 50% of - the' grantee s' total --:required match must be in cash. The grantee may - not, use state' and federal ftu�ds requirements' unless specified" by' w: No' cos for -match la ts or th3rd party in -kind contributions may count towatds'satisfyi:iq anmatchin €" � >h requirement o! ; a department grant if"',whey are used. -to satisfy f 4a 3 , z E` matching requirement -of another' -state di" `federal.grant .. ; 5. ,The grantee ag=eas ,atiiat cash and in -kind match` �wi�il `bs r cvailable during the gx�anf Period and' usedt`iz =direct* eftpporh k APpEMDIY a ass XATCRXXG GPJW COND*TIONS MW JMTCRINQ GRANT-M MMRAL FINANCIAL RaQoIREK MTs These requirements are an integral part of the Matching Grant Agreement between the agency/organization (grantee) ' and the -State of_ Florida, Department of Health and Rehabilitative 'sarviois (grantor or department) . ' In the event "of a conflict, the belog _ requirements shall always be controlling: 1. A final financial' report= shall be submitted detailing all expenditure's - of this, grant. Bills for'fees or: other compensation, for 'services or expenses shall be maintained by the <grant** in sufficient detail for a proper pre -audit and post -audit of the grantee's records. Records relating to the procurement of real or, other non -expendable; property should be retained for`the lifd< of the property and for *five years after. its disposal or. the completion of any pending matter. All other financial records and reports must be maintained by the grantee for a period of five years after the `completion of ,'an endin matter: - ,. y P .. s 2. The grantee hereby agrees to indemnify and hold the department harmless.from any and all claims or demands for any. personal injury or property damage resulting or occurring - in connection with :any activities conducted " under 'the Matching Grant;,,Agreement. and Y shall investigate° =all such claims 'of- f " avery ''nature at its expense. In addition, the grantee hereby agrees to be responsible.,for any injury --or -property damage resulting from., any�activittias conducted under this` grant agreement. 1 3 . The grantee ` agrees . to use capitali.� 'expenditure -items uch'r a buildings, vehicles "I and equipment purchased ,.in:,whole or ;partwith MS grant funds solely as described in the Ematching grant, propo8al' and its department approved revisions, throughout the,..item�s°;:use#ui: t life, K 4. The grantee agrees to provide a -contribution:. to .the. rojJsct equal' to the amount of the grant made by the � department. according to this agreement. The grantee agreas to provide 50% of the.,total project cost: At least 50% of - the' grantee s' total --:required match must be in cash. The grantee may - not, use state' and federal ftu�ds requirements' unless specified" by' w: No' cos for -match la ts or th3rd party in -kind contributions may count towatds'satisfyi:iq anmatchin €" � >h requirement o! ; a department grant if"',whey are used. -to satisfy f 4a 3 , z E` matching requirement -of another' -state di" `federal.grant .. ; 5. ,The grantee ag=eas ,atiiat cash and in -kind match` �wi�il `bs r cvailable during the gx�anf Period and' usedt`iz =direct* eftpporh k 4. All matching grants are made in accordance with suction 401.113(2)(b), F.S., and shall be made through an EMS Matching Grant Agreement. The EMS matching Grant Agreement shall contain by reference. all regulations, rules, and other conditions governing the grant award. 7. The department agrees to advance distribution of the ant amount to governmental agencies and non-profit organizations..witthiA 45 days after receipt and approval of a properly completed Matching Grant Agreement and Request for Matching ..Grant Distribution document. g. Any payments due the grantee under the terms of this grant may be withheld until all evaluation and financial reports.due,from the grantee, and necessary adjustment thereto, have.. been approved by the department. 96 All' terms, conditions, and :provisions of the EMS ,Matching Grant: Distribution Agreement and other applicable documents are hereby reaffirmed. ` EMS -MATCHING GRANT - BPECIAL CONDITIONS ' •APPLICABLE -TO PROFIT ORGANIZATION The. method of payment for profit •organizations is cost' reimbursement. The following is the method by which for profit organizations shall request reimbursement: grantee.., shall submit monthly'. reimbursement .:requests to .the department accompanied by signed invoices:., in ice must;. clearly indicate the, service or. product, delivered,w date delivered, date paid, item. cost, ,total -;._cost, condition or quality, . and identification of the person receiving the service or product., 2.` The grantee shall submit monthly reimbursement qu reests using the format. provided, Appendix*. D (may. ;;be - duplicated) ,,,; in: accordance. with an approved line item budget on file in the ::State: of: Florida, Department; of Health and Rehabilitatfva Services, Office of Emergency Medical Services, Tallahassee, Florida.. 3.. The grantee shall submit invoices.for- persannel:ssrvices and ,.,fees; on a time/rate basis. The., invoice must _'clearly,, ident..4 each individual by name,, a general statement of srvices,Rprovidsd�X the :time period,* covered by ' ..the invoice,' :and the hourly rate tiritss the number Of hours "worked .for . each : individual. Appropriate t�gge sheets or 'time r lomust accomp gs nny..the ;invoice::,, f,: i n Y`4:' Thai grantee must submit a final invoice for payment to , the department ,no latex than. 45 . days after the gr4'}tt eA+i$rorvs°F fcrrminated Z. an ee fails. to do, so all ri t o° 3 t f 9r, t � � �� � � �pa,MDt' * -� toit6d and .the -de a ant .:will.: net 'honor anl► es, � s m t w f after" the aforesaid"`time period.4,. ; r +ram+ E: ti s services, or to have a positive impact on patient mortality and morbidity: and (2) to expand the extent, size or number of existing: pre -hospital EMS activities or services. The activities and services to be provided are described in the EMS Matching Grant. Proposals) and its. department approved revisions, on file in, the State of Florida,,Department_of Health and Rehabilitative Services, Office of Emergency Medical Services, Tallahassee,.Florida., 2. 'Pro hospital EMS activities will be rendered by the grantee .in a -manner consistent with Chapter 401,`F.S., the work plan which is 5; included 'in the grantee's EMS Matching Grant Proposals arid, its department approved revisions which are on. file in the .State.,of Florida, Department of Health and Rehabilitative' Services, Office of'Emergency Medical services, Tallahassee, Florida. 3. The grantee agrees to implement provisions of this matching: grant in accordance with federal, state, and local laws, rules, regu lations, ations, and policies that.pertain to EMS.. 4. Funds and items purchased under section 401 113(2)(a), will not be used to fulfill. an state. EMS matching- requirements. Y grant program f g- - 5. The grantee agrees 'not to use or disclose any, client%`patie'n information undsr,this grant'for,any purpose not in conformity''with state regulations and federal regulations (45CFR, Part 205:50) except upon written consent of the client/.patient orhis responsible parent or guardian when authorized .,by law. 6.= The grantee and any subgrantee orcontractor shall report to the 'department unusual incidents in a manner prescribed in:HRSR D- is 10-1, if services to clients will be provided under , this . grant. - Please contact "your local department:` district 'office . or state,. E2.S grant officer if you need a copy of this regulation. 7The `grantee shall own all items including buildings, vehclas and equipment' purchased with... EMS matohinq grant funds .. Yunlass otherwise described` in the matching` grant proposal. The`Grates shall clearly. document the assignment of an item,':s ownersip�ianc3 y' usage, :and provide the documentation with:' -.the appropriate";Grants report. The owner shall be., responsib.e for the proper imurancy q, pii*itting, an maintenance 'of items < $urcha�ad liconsin$ wi ins matching ygrant funds:' 1 8 . The grantee agrees to stay within the .total approved ;budgets However, the . grantee is not restricted to :'staying '' within individual line item.amounts reflocted. nshe�ap roved budq sµ 9 . The grantee - shall be , responsi}�le, for any >amoua wh�.o# is° wry �, excess o! the' total matebtxtg . �jraAt awe d. r F ," r. i x . y rr ajvim i' a.. • 10. EMS matching grants are subject to the The department'S performance and obligation is contingent- upon a sufficient annual Legislature. 80 XATCRtNG - BY$CIAL ACCOMITO p OVBR PAYMENTS o AND REPV t $' 1. All EMS matching grant funds shall be deposited by the grantee in an account maintained. by the grantee, and shall be assigned an unique accounting code designator for `all matching grant 'deposits' and disbursements or expenditures thereof. All EMS matching grant funds in the, account maintained by the grantee shall be,aceounted for separately from all other grantee funds. All EMS matchin grant funds shall be used solely for pro -hospital activities as. outlined in the- EMS Matching Grant -Proposal and its department approved..revisions. 2. The grantee shall return to the department within 45,days- of s the grant ', and" ;or termination: a. Any. unused EMS matching grant funds remaining, in the assigned-giantee account at the and of the matching'grant period. b. Any'inta est earned on EMS 'matching grant lands deposited in the grantee's assigned .account shall be.: accounted .for and rotuzned' to the . department at `the` end "of the grant period'°or subjact _to -the department;�s advance approval, used for lourposest:; a` of 'the :grant'. n sb K c. 2n`' the event a -the- grantee`- does .not` provide ail of their iri-kind `or cash matching requirements s agreed' 'to�-,in the approved budget, state funds, equal to the match .deficiencies shall' be returned:" to the` department 3. to the `event°the department determines that the grantee has expended grant funds received from the department for, purposes:;not in accordance with this ,agreement, or has failed to -provide:: the:; agreed matching:�contribution ,.-the grantee agrees''' to deposit amount of the disallowed 'expenditure or deficiency in matching contribution into the grant fund if such determinaton':?is mdde j before the `'period is z closed t but ' if the. , dstarm nation 'is made thereafter, then the grantee agrees to refund to the department stat's proportionate share of the disa�.lowed expenditure. Ia either) case, the< grantee agrees t 'make. the appropriate depQsis the grant fund or refund the amount to he. department wthio;e5 £ days utter the issuance of the department's determination.' 24_14-, i < i �1.qx�y' /��yy,:AA �..,�� yy�� :M. r:- t }}fi�t, r , t ': I � � 4 lr.F'f'� •F�. Yj YC�, . is 'L ���AV �iYW;i t � ��11✓�� `�. c �+�yx a '.� .P r k PP.„„� �� �}��,�5 The< grantee 'shal- obtain..written approval ro :the ,<dn a otficsr Oh 1 th -I Matching Granter m esh " ApPendiM'? C r(znay< bs copied) prior to any of the,°: tp�.iowiug oNOW the approved .grant buigat; W h �t i i fslC si; E 7 y ■'r tP ��i jt'1. y t y) . , tI c. Equipment. If the matching grant includes purchase 6quipament, the grantee agrees to subol t a summary report to the department,. which individual instances where defibrillators. were utilized. of medical or rescue - brief one page written F includes the number Of, and power rescue tooig rt d. Public Education. If the matching grant includes public education activities' or - services j the grantee agrees to provide. the department with class rosters indicatings course title; beginning and ending dates; total, class hours;, name -and social securitynumber of participants; ands. indication of participants who successfully complete the course. e. Continuing Professional Education. If the matching grant involves .continuing professional education activities _ or =:; services,;; . the grantee ..agrees to provide . he. department with a syllabus :of training activities,";and class rost4r ;. indicating: title -,,of activity;_ . beginning, and ending,,; dates;" name ,mod signature of grantee's. medical"director; namet,.and signature of.' presenter; -certification ..-number of; ..all. if appropriate, participants; total class hours; and, an indication of 'those 'individuals -successfully completing,.the training. f f. Research and Evaluation. if the matching -grant involves research or evaluation, the. grantee,. A; `'agrees ,to ,aubmit a, brief one page written. summary which .describes ,how the EMS system has been improved and ' expanded ;by this grant'. 4. ;;.The: required'.deadlines`for providing the 'department with" :Program, Performance, Expenditure' and .Special Reports are as 'follows: A., April 30,,1989 for period=October 1, 1988 through March 3111989 b.. July 31, 1989 for period April 1, 1969 through June 30, 1989 ��'. • 1 AAf 1 AAA L .. ., ., ... l � , A8SUMCS OF COMPLIANCE CREDIT STATEMENT The grantee assures that any scientific or other report written about this project will contain a proper credit statement" ',that system funding for this project, in whole or part, whichever;tho case may bar was provided by the Florida Department of �Healtb `:and Rehabilitative Services, Office of Emergency Medical Services. COPYRIGHTS The grantee assures that'where activities supported by this grant produce original writing, sound recordings, pictorial. reproductions, drawings or other graphic representation and worlds of any similar "nature:, the 'department has the right to use,: duplicate and disclose such materials in whole or in part, in.any mannati for any -purpose whatsoever and to have others actin'4,116n, behalf of the department to do -.so. -If the materials to developed art : - subject to: copyright, trademark, or patent, ' ;legal title ; acid every right, interest, claim, or demand of any. kind in and" thy- - patent, trademark or copyright, or application forl'thesame will vest -`''in ` the ' State" of Florida,` Department -of State; for the exclusive 'use and < benefits- -`of the state': Pursuant 286:021,'F:S., no -person, !irA or�corporation;`'including= ttias4 ` this grant, shall. be, entitledi to use the: copyright, ;patent or trademark without the prior written consent of the Department 'o! State • _ p a CIVIL RIGHTS CERTIFICATION The _grantee gives; this 'assurance` in consideration- of and `for "thej i purpose of obtaining federal grants, loans, contracts (except contracts .of insurance or guaranty), property, discounts; or other federal financial assistanceto programso-or :activities receiving`;'or benefiting from federal financial assistance. The grantee agraea to complete the.Civil Rights Compliance :cpastiorinairei-MS Formsi* 46A• and -Bt if so requested, by the departmant. Although' no: federal funds are involved- in' this grantthe. grantae 1 assures that 11it-=dill:, comply with the following the same as il.ledaral funds Vera,rbairig provided': I. Title VI of the Civil Rights'' Act of 1964;�1, as, amended ' 42 U.S.C.`2000d at:seq.1, which' prohibits discrimination' on:=the basis.,__ o! vace` color, or national origin in programs and activities s receiving or, benefiting from federal financial assistance. k{` 9 .y 2.3 Section " SO4 ' of the `Rehabilitative _Act of p 1973;= gas `amend+9d h ;; U. S C. -94, Vhich prohibits discrimination "on ' .the bisia r:,Qf iiat�ci tp t4 % r B in programs sand activities receiving '' or barrel ,tiizg fram da �E�. ; �NYF 3. Tita XI- of the `�Educatior' Amendments .10 19721, V.S.G. r181vt sagprograms. which` "prohibits d#sariaination on they C' b s 0 SOX in` ;-educcition =. aril a�ct�.vities ` };receivinc ` tz31a � from yledaral financial assistance. xi= �'F �x ty5 .,�; _ .i 4. The Aga Discrimination Act of 1975, as amended, 42 U.S.C. 6101 at ssq., which prohibits discrimination on the basis of. age,.; in programs or activities receiving or benefiting from federal financial assistance. S. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-251 which prohibits discrimination on the basis of sex and religion in `- programs. and activities receiving or benefiting from federal financial assistance. 6. All regulations, guidelines, and standards lawfully-.adoptad under the preceding statutes. 7.. U.S. Department of Health and Human Services Regulations for Protection of Human Subjects., (45 CFR, as amended) regarding the protection of human research subjects. The,_ grantee agrees that compliance with this assurance constitutes:-,-,.. a condition of continued receipt of,, or benefit from state EMS funds,,. and that it-; is binding upon .the grantee, _.successors, transferers,, and..assfgnees for the period during which"such assistance is provided.,, The grantee further, assures, hatf,Y.all contractors,: ;subcontractors, sub -grantees or ;;others with ,,whom - it -arranges to ;provide; services or benefits to participants' : or. employees in connection with any'of its programs and activities'. are: not discriminating against those-, participants ors- .eJZplcyses : is violation of the preceding:.statutes, regulations,'.guidelines, -;and standards. In the event ;of failure to.: comply, -the gran, understands, ,.that the department :may.,: At. .its discretion, court 'order requiring compliance with the terms of s assurance ' or :seek:; -other appropriate judicial or administratiV+a: relief, Ito,. include assistance.�,b4inq terminated and further ;assistance being denied. 7XWWCIAL AND COMPLIANCE AUDITS This requirement ` is applicable, if the grantee is a state or local ` government, university, hospital or other nonprofit ,entity. It shall not apply if the total of ,. all funds received or earned from the department is less than S25,000'during the grantee Is' fiscal year. The grantee has "received" funds when it has obtainad cash-: from the department or when it has incurred expenses which,will be reimbursed by the department. Governmental grantees only, ma►y determine funds "received" in a manner consistent with their method;:: or accounting. F �y� The grantee agrees to have an annual financial and compliance audit performed by independent auditors in accordance with=ahe`curren Standards for Audit of Governmental organizations, Prograiau�� Activities and Functions (the "Yellow Hook") ' issued ;. Comptroller General of the United States: Stets and` locai':�ru� ,k t a , ._governments shall comply: with Office of Management `.and' Sude�et (Q� >, Circular_ A--128, '"Audits of State and Local , Govarnmehtes; Universities, hospitals, and other. nonprofit 'rt` p. , providers sha�.i� co�Ply; -���` , 7 with the audit re iremonts contaihed in A ppendi F of OM8 Cir=F „ A '11p, "Grants and Agreements with uststut�.otis -,, Education,.Hospitals, and Other Nonprofit 0 anizitioAs exceptl a k 11 _dg. Y x Y yI MIA ME • modified herein. Such audits shall cover the entire organization for the orgainization's fiscal year. The scope of audits performed need include only the financial and compliance requirements of the "Yellow Book", and may disregard those related solely to economy and efficiency or to program results. Compliance findings related to the department shall be based on requirements in the grant agreement, including any rules, regulations, or statutes referenced. Liabilities. due to the department because of unexpended funds or because funds were not expended in accordance with terms shall be calculated and fully disclosed in the report audit. This requirement does not expand the scope of the audit as prescribed by the "Yellow Book". In: addition to the basic financial statements, the report audit shall include: (1) a detailed schedule of all revenues identified by source, such as individual grants by grant numbero-'client fees,"and private donations; and, (2) a schedule of functional expenses which presents line item expenditures such as salaries, travel, and supplies by program services and supporting services, with- the portion: of total supporting services, allowable to programs presented as a single line item increasing program :services,: and decreasing supporting services. Where applicable':the'audit report shall include a computation showing whether cr not matching requirements were met. The grantee shall ensure that audit working papers are made available�to the department or its designee upon request for a»f period of dive years from the date the audit,,, -report is issued' unless.l.extended in writing by the department. a ' Unless otherwise required by Florida. Statutes, copies ofhhe financial and compliance audit report and management letter;}';if any, shall be submitted within 120 days after the and of the grantee fiscal year to: Office of Audit and Quality Control`Services Building 31 Room 219 1317 Wiflewood Boulevard Tallahassee, Florida 32399-0700 z kt. 4 ; • . x r I t, v a _. 12 J F 1 ���I�IIrI�I�IN�llill��ll�lllllllllllpll�IIIII�IhIIII��Illllllpu�llrlq�ll�IglRl�il������ll���II • GRANTEEs MATCHING GRANT GRANTONOMBERj' Nas „ CHANGE y ginal Chan ve To' SS wcnNTSS CASHNam STATE G r LIMB rTAIMS IN -RIND GRi,NT CAST _$ =` !•1 GRAND TOM Explain the need for any requested changes) using the back of this page. = Dates -------------------- Signature of Grantee,s`Authorized ------------------------------------------------------------- Officials _ DO HOT 1WTS BELOW THIS. _LINE,. -- ; _. . SPATS EdS-,.GRANT OFFICER Zilil� COMPLETE ' �.. ..: ...._� . Approved YES NO Date: _ ------ __ . ENS GRANT OFFICER • OVER IA uul■n�l�unn�w�l�!®Ile�lleleewe _ :. I�I!lll�I�lelll!�rll�!hJl���h,,.116�! I I AIIIIII911II 1111 ! !I Ilil II'l llll III .I �IIIIIII IIIII l�:I�I��.I�I�I����pl�llll�r'�111pr�1u111�111 nr 1111119�,I,ul�l� l I. drill..l�l�.11�. I III IIi111111i101�,1 � i THING ;RAI'87C!$QI[i$ gaRMNXNTAL AGENCY AND-HONPRQFIT..ORG�NISATIOI�S . GRANT88 SixNonths,RReport Nine:':Nonth Report ' o _ �_ Earned Interest to Date S r APPROVED BUDGET EBPENDIT_M THIS REPORT BRPBNDITt1RS -,, GRANTEE GRANTER STATE GRANTEE GRANTER STATE 'GRANT88_' GR CASH IN -RIND GRANT CASH IN -RIND GRANT CASH IN-ICIND GRAN'ir.:' �.... ........,.. v�.nnn v�nv.n trttane u�mnti unn+t+u 1TitUi1C >Wtl►Tf`R Ii�AT('�i villa©s= . . e ` jII III Rllll�llllll111111141UA1loll 111g111 iulili1l111111giliipll � y ` Six Report Nine Month Report Final GRANTEE -Months APPROVED ET S ND THI I 7 £�� • GRANTEE GRANTEE STATE GRANTEE! � GRANTEE STATE GRANTEE'; GRANTSB CASH IN -RIND GRANT CASH" ` IN=RIND ..GRANT CASH IN=RIND GRgN'1 FUNDSMDS TOTALS this I certify y the above report is true and correct reflection of this period's activities. Expenditures were made only.for.items allowed by -the above referenced. contract. Date: Signature of Grantee 's`Authorized``Representative Oate: Signature of State ENS Grant officer, ' w } — _..._ ���.�s�nnu■insuuin�iimrrurinrnsi�imuunMriuiui��uN�iu�l�ufillll!i1■II■Ilill�lllllllllllllllllllilllllll1111U�111�liilll� DEPARTMMNT ,.OF . RHCY ��S$RVICSS r r GRAW gencv/Organization/Name/Address} Grantee: - s r CHBCR`hONB: �' a '`Six-, Month Rpt. ro Nine ;Month Rpt. t s . F3sia1' Report - f - i IIIUp��l llllllllllll@I1llNIII dill 111111111111 VllUllu1llllglp11111111IgIIiI111Ul1I111111lll�I���iI111iU�'�i�����!ll�10��1 t 77� - • • • • 4 STATE OF FLORIDA MPARTMENT OF HEALTH AND REMARUTATIVE SERVICES ;� Detember 22, 1988 City of Miami: Department of Fire, Rescue, and Inspection Services' 275 MW. 2nd Street °y} Miami, Florida 33128 _ N Dear Grantee: T; It'' ives me.'great pleasure to inform you that you are being awarded: Emergency Medical Services (EMS) Matching Grant No. LPN49, in the amount of $ 2 C . 5 7. This grant is contingent upon your signature; w,TM ion F this BMS Matching - Grant. Agreement.711 and the Request for Matching 'g ix A and return of both to us . Grant Distribution (Append). This matching grant is to support the purchase of the pre -hospital% {z 'activities,_ services and items outlined in your.;matching great; ro sal(s).�. and its department approved revisions:athich are P Po nt of , Health sad on = 'file iri the State of Florida, Departsne Rehabilitative` Services, Office of.> Emergency Medical Services, r`r Tallahassee; Florida:" The matching grant must: be -executed �rith�.n'. the 'limits of the amount_awarded to You. Any' costs :above; matching grant' amount awarded iu�der section 401.113 (2) (b).' Florida '° Statutes (F.S.), are the responsibility of the grantee (proposer)* k' Th® matching "`grant 'begins October 1, 1988, or'date this $M.S y {_ both ies, whichever #.s Matching'Grant Agreement is signed by Part; later. This matching grant ends September 30, 1989. The purchase j of any communications equipment or ' services during they f grant period must have the written approval of ;the°- ForidT. Department of General Services, -Division of Coammi:iticationg (DIVCOM), befo=e the porches® is made. We are required to disallot communications costs which do not meet DIVCOM standards.' +4 r Please sign and date both copies of.this agreement and the Request tx for Matching Grant Distribution. Return one copy o this s�p', Matching Grant Agreement and, Request for Matching t Grant Distribution with original -signatures to .the Department of Aietal, t , and Rehabilitative', Services, EMS Matching Grants, Ofi.�caba Tal�.ahaaa+ t "< `§ Emergency Medical Services 1317 Winewogd ,,.:Boulevard ,, h� aor Flid32399=0700. r° - '. _fi `5 Your signature ; certifies that. yo>1' hauls, entered" intg a s -, grant . agreement "and ensures ful"1.. compli,aac$ with the m conditions': of ahias, agreen►nt and each afgixel°pnd.ac (►%'i� . D , T2ite a 'pendixes� contain. specific r�aquixementa ir cet�b� �. f your agency�organi�zation as . `granteQ + r r`1tdr 1317 WINEWOOD .B�.�iD."• TRI;I,.AHASSF.H: F�• ; �qp�� - _. PimsT PM - M-11 T I GIUT DX low (JUDV ICR pOyBRZ T]1L AGIMM AM 101 PROM MMITY in -accordance with the provision of section 401.113(2)(b), F.S., the.undersigned.hereby requests an ENS watching grant distribution (advance payment) for the improvement and expansion.of pre-h6npitil,, BLS. US xascRXNG GRANT CONDYTInNS MW MITCZXNCI tip ANT-GENIRAL FXNXNC"M RBQVXREl ZWB These requirements are an integral part of the Matching .Grant Agreement between the agency/organization (grantee) and the State of Florida, Department of Health and Rehabilitative Services { (grantor or department). in the event of a conflict, the below requirements shall always be controlling: 1. A"final _financial report shall'be submitted dataiing all a 'expenditures of this grant. Bills for fees or other compensation for services or expenses shall be maintained by the grantee in sufficient detail for a proper pre -audit and post -audit, of .the N grantees records.. Records relating to the procurement- of, reai..,or other non -expendable property should. be retained for 'the".,life"'°of the property and for five years utter its disposal or the completion of, any pending matter. All other financial records and reports must be maintained by, the., grantee for a period .,of: _five years after the completion of anp pending matter. 2i :'The grantee hereby agrees to indemnity and hold _the department ,_t z harmless from any and all.claims or,.demands..for any,personal injury `y or property damage < resulting. or .,occurring . in : <ccnnection with.'. activities conductedunderthe Matching Grant 'Agreement and shall`., investigate all such claims of every nature at its expense. =n,` ' -� addition,, the grantee hereby _ agrees ,. to be ," respons.ible . ;_for as:y , injury 'or property, damage, resulting from, any,_activities conducted r. F 6 f -cif N under, this grant agreement.',____; 3. The grantee agrees to use capital :expenditure items such as Awl buildings, vehicles and "equipment' ° purchaBad in 'whole or,, port with grant `funds solely as described in the :EMS matching grant proposal . :- . an& its department approved rev isions,`throughout:the item 'e uitfui. life.. _ -- 4. The grantee agrees to provide a contribution to ,the"poect _ equal to the amount of the grant made by .the �departmsnt according t to -this _agreement. The grantee agrees to, provide,_the t 1_ t 1 e project_cost. At least SOt of;the gran ee s, o a rqu re x must be ' in -cash., The granted '. may not. use: ""state ' and ,,a . eral' for match requirements unless specified by law, 'No costs or, t party, in -kind contributions may count towards satisfying,a mat+c requirementdepartment ~;grant , if .they are .use$ `to sane; matchimg; requirement :of anothor _state or federal cant. Tie; grantee agrees that cash and in -#rind �ro►axch r Ali available'.during.,',tlse.,grant peaciod and. "uded, is� . direct support of grant . p`ro j sat an provided in ` the *atchiug grant proposal and department approved .revisions and j%pPem�lixas;¢ o tb�w , Grantk.:A%r#emant. The grantees lai�u►re to con:let1k th t _�..Jii:i`�-s'. >.:• �.L��>'w�4w 'tww` witi�w*' '�wwsaiwswiia 6. All matching grants are made in accordance with section 401.113(2)(b), F.S., and shall be made through an EMS Matching Grant Agreement. The EMS Matching Grant Agreement shall eontain`by. reference all regulations, rules, and other conditions governinq` the grant award. 7. The department agrees to advance distribution cf•:the grant amount to.governmental agencies and non-profit organizations within 45 days after receipt and .approval of a properly ,completed SMS Matching Grant Agreement and Request for Matching Grant Distribution document. S. Any payments due the grantee under the terms of this grant may be withheld until all evaluation and financial reports due from the grantee, and,:.necessary adjustment thereto,, have been approved by, the department. 9. All terms, conditions, and provisions of the EMS Matching Grant Distribution Agreement_ and other applicable- documents::; are: hereby reaffirmed.. EMS MATCHING GRANT - SPECIAL CONDITIONS APPLICABLE TO PROFIT ORGANIZATION -' r The method of payment for profit organizations' i, cost reimbursement .i:The :following - is;: the; :method by which.: for J •profit organizaitions-shall request reimbursement t n { 1. The grantee' shall submit monthly reimbursement requester to the: department accompanied by, signed -;invoices. The invoices must clearly indicate the service or product delivered, datdeliverade and identification iof th pare n�.re eiving�thecservice or product ty, p item cost total- ' roduct. {- - 2. The grantee shall submit monthly reimbursement requeatsY using the, format provided, Appendix D ,(may be,,:duplicated), in accordance with an approved line item budget on file,. -in the State of Florida Department .of Health.: and. Rehabilitative ;Smrvicea,,. Office of.Emergency Medical.Services, Tallahassee, 3. The grantee; shall submit invoices for personnel sezr ces and... race::., on a: time/rate basis.., ,:The � : invoice .- must: ;clearly each, ..individual r. by name, a general statement• of � servi4es , the, .time: _period. ;covared by : the.. invoice, and . the_ . iou ly; rate tiffs -� the:.-numbor , of : hours ;worked for each .individual . Appropliate time ` ' k sheets or time logs must accompany the invoice. T g rtr n cgs ' 4 . T#!- grantee H must submit; a . f inal invo�.ce : f �+r Pay4Gt 9tJ� tt#p. dQp4rtmant...no dater .hen: ,45_ days altar, thegraRt�Qr` is 4 terminated;: f the grantee , fails to do; so, all right tQ, Santa,` foxleitsd,;tbo �:.d+�P�trt.en�.>: wih r after, ,the. a, pro aid, time. i { } ra =a MATCHING GRRNT - GENERAL CONDITIONS = 1. The grantee hereby agrees to (i) improve the existing cpi ality t - activities, of ppre-hospital emergency medical services (EMS) have a impact on patient mortality and { servicas, or to positive morbidity; and (2) to expand the extent, size or number of existing pre -hospital EMS activities or services. The activities and services to be provided are described in the EMS Matching Grant' tila in the Proposals) and its department approved revisions on` of Health and Rehabilitative Services, State of Florida, Department offieo�of Emergeney,Medieal Services, Tallahassee, Florida.. 2.., Pro -hospital EMS activities will be rendered by the grantee in 4 which ie a manner,consistant with Chapter 401,-F.S., the work plan ti included in the grantee's_ EMS Matching Grant:Progosal, and�Its - - department approved revisions which are on file in the State'of Services, Office Florida, Department of Health and Rahabilitative of Emergency Medical Services, Tallahassee, Florida.. } 3. The" grantee agrees to implement provisions of this matching - grant. in accordance with federal,, state, and local,. laws, ,rules,, regulations,: and policies. that pertain to.EMS. - VE 4 . Funds and items r: ;,section :ion,. 401.113 `(2) (a)., F. YS purchased unde will. not -be used to fulfill .any, state EMS matching grantprogram r sequiraments. ram; 5. The grantee agrees not to use or'disclose any client%patient information under this grant for any purpose not in conformity with' t{� state , ;regulations.. and :federal regulations (:45CFR,r -Part Y205_S,0) r , client/patient except; upon .written consent of the, err ;his responsible parent or guardian when authorizad;by ,law. r = S. The grantee and any subgrantee or contractor shall report the department unusual incidents,in a manner prescribed in KRS1 Q- s 10-1,, if services clients .will be ` provided. under =. this grunt. .to e.contact.,your local department district office or- Pleasstate _:EMS ;£ :grant officer if you need_a copy of this regulation. 7.,.: The grantee shall ,own all items., including buildings, veh%.,�s ' > and equipment,, : purchas®d... with EMS matching.; grant funds; ,unlesm ' 4 otherwise described ;in the matching, grant progoaal. -The erante tr All, CIea►rly-doaumant the assignment of an . ; item..! s ownership ;and .usago, and', provide ;the_. documentation: with the appropi i O;ant�,� . rsport•r. The - owner -shall be .,;responsible -for theC,�propiar, ir��urano�� licensing, pera�itting, and , maintenance :, =ot . items purchased ,tt, . ' matchin rant funds. ` q g 8 The grantee agrees to stay within the total approved, ;. i However, the grantee, is.~. not � ,restricted rvto,•; stay nq `. wh in N t ► ' m individual: line item amounts reflected in the appzoved budgait, . , The grantee, shall be rasp9n4jj0ie four aYt excess_.mf, the4 total matobing_, grant:, award, 9 n y 3r i A Itr � sS^� S _ . {.: ✓ 7 }. 7 h ,"sX+ _1�-i.�i'. �lCT,rt 3 lo. EMS matching grants are subject to the availability of funds. The department's performance and obligation to pay under this grant is contingent upon a sufficient annual appropriation by the Legislature. EM8 MATCHING SVZCIAL ACC0IINT8,,OVZR pAYMENT8, AND REIVNDS 1. All EMs matching grant funds shall be deposited by the grantee in an account maintained by the grantee, and shall be assigned an unique accounting code designator for all matching grant deposits and disbursements or expenditures thereof. All EMS matching grant funds in the account maintained by the grantee shall be. accounted. _ for, separately from ail other grantee funds. All EMS matching grant funds shall be used solely for pre -hospital activities as outlined in the EMs Matching Grant Proposal. and its department approved revisions. 2: The granteo', hall return to the department within 45 days of f` the grant's and or termination: a. Any unused EMS matching grant funds remaining in the assigned grantee„account at the and of the matching grant period. b. Any interest earned_on. ,EMS, matching grant funds' deposited in th® grantee's assigned'account shall -be accounted for and returned to the department, at., the -send . ,.of the .., grant period or subject 'to 'the department's advance. approval, used ;for the purposes of the grant: 3_ Pr ¢; r c. In the' _event the grantee-. does not. provide all < of their in -kind or cash 'matching requirements was ,agreed to:.; in .the t pprovad budget;' state funds ` equal; to the match . "deticieiciss shall , be returned to"the"department: _ 3 in the event the department determines that'' the .;'grantee *'has expended grant lands received from the department':to purposes not in accordance. with this agreement,. or has failed to provide the agreed matching contribution, the grantee agrees to ,,deposit the amount of the disallowed expenditure or deficiency "in hatching ¢ contribution into the grant fund if such determination#'js Dada before the, period 'is �closedt but it the determinatom is mach+ thereafter, then the -grantee agrees to refund- to tiffs department ahe itatIs' proportionate share °of the disallowed axpanditur®. xn 1 either case,' the grantee agrees to make the appropriate deposit to r the grant land"`or.` refund the amount` -to the department within 45 to t�fr days after the issuance of the departments notice of i s determinationRx . _s < irJ: - _.-c, A EHS �q►Tca�ta air - Rayse�o�e ' � s �ty��f ���k� The grntee shall obtain written approval°° troa�' the tl� ' ht�' +"X aer..Y ; gram olfiaer an the '=1�atehii:g Grarit i grian�a� li 3tequast°'ova, Appendix t C (m+ y 'be }copisd)prior ` o'`' any-,::af the' fQllowiag i i'+ e�t" A the'apprRVed Mc,{rant budgets f K L � C' u ��iti .J _ WS . _ a ,, - .. ..- , . _ ._ , ° ., .: w ., . x.�ti •C.<X R+.�i5v`Jn .. J _ M 1. Introducing a now line item. 2. Increasing any budgeted salary, unless such an�increasi was projected. 3 introducing a subgrantee or contractor relationship where none was specifically identified. i RNPORT S AND NTMON .. - The ; grantee shall file one original and two copies of each of...the po following } re its s { _ The Program Performance Report (Appendix D) indicating 1. - measurable progress toward meeting stated activities, services, objectives, actions, and time -frames. 2: The. Expenditure. Report (APP endix D)indicating all -agreed upon budget expenditures: Y . 3. Special Reports: s, a. Communications Equipment aSystems. . i The 'grantee 'agrees that all b6nbunications activities, services, e and equipment.; ,...shall be_ .. approved in writing by, the Department of General Services, Division of Communications:as y° -costs-'yt r required-� by ;:section : 401.024, F,S.._, Any: :,for., comq�uxiicat o s activities and, equipment' which:do not :receive,such approvah shall . be. disallowed. This; approval must .be. dated:: after ., thg effective date of the grant and prior to any commitment to purchase of..- f b w requested -equipment and/or services:': or ;< both. = This a ovalx is required -in addition to any. previous Division - of� -- LCommu icatioft i recosmnendation, conceptual review, or approval dated prior.; to he >> 7 effective date of the grant. if the matching grant includes the purchase of communications ^' activities, :services and equipment,,the grantee agrees toi$ubmit a brief one page written summary: report o the 'departm®sit ich ;+ describes how the grantee's SMS system has been improved and r _ expanded by his communications grant.:- b Emergency Transport vehicles`. 3 if .ahe.:`, ..matching , ,grant includes .: the ,purchaXs , Qf a{s � 9 ` ^ transport. sir. response vehicle; the grantesi` agrees,�a ht►' oxsea <page ,writte» . summary. rgpQrt CCt then depa t cl they following � in aim 4tioa ,.Xggard a q .4 lh� l ¢ tDCchasg groat; ..,.;awpb�r . 'of .. emergency and nom-emergeztcy resp roses f mileage accrued; number of days in .service = ntimbgr of _day °cat 3 0 `aezwice' +and atean rispostse t, :- : (mssuas ed d�tis�patcher istd'tified "until theF cr+a�w °.' arrivgs}os,Isc+sn h emergency C#�11s ! t q a f! r i L'wJ 3 r� j E r s p � 4 -, i +t.-fey YS 9A3dyy"iS �'vt.�y. —-- �'t .: a4, .-� _ .�. vN, .>. .,. .. _ n .. .. ,. - , . i .. .. _._. _, .G_. _,..er .,. .✓+55..c .S.t.i arifi=lJL•1'.ife� '4.. aiA iS"+jiit A j . c. Equipment. if the matching grant includes purchase of medical or rescue equipment,,' -the grantee agrees to submit a brief one page written' summary report to the department, which includes the number of individual instances where defibrillators and power rescue tools were utilized.' d Public Education. if the matching grant includes public education activities or services, the grantee agrees to provide the department with class. rosters indicating: course title; beginning and ending dates; total class hours; name and social security number -of participants; and, { indication of participants who successfully complete the course. at Continuing`IProfessional Education. If the matching grant "involves continuing professional education activities or services, the, grantee agrees- to provide the department with a syllabus of~training activities ,,"and class'- "i1a f; indicating: title of -activity; beginning and ending dates; -name and signature of "grantee's medical director;"' name"and agnaturefof presenter; 'certification" number of" all if appropriate; r anticipants; total ;clacset% the traan in,dication of thoswe 1 9. P �- individuals successfuil �0 M+�}r� g 3 1 'i. Research and Evaluation.'" � fr If the matching grant involves research or evaluation; the :grantee eigrees o ubmit a brief on page written summary, which describes how the, EMS system has been improved and expanded this grant. 4 The required deadlines for providing ; :the " department with Program -:-Performance, Expenditure, and. Special. .:Reports, rare follows: a.April for period October 1, 1988 through March 31, 1�69 b.. July, 31,_ 1989 for period April 1, T989 thr�gh June 30, '1989 n c: November 14, 1989 for period July 1,1989 through � September 30; 199 F X:h: t Paco ram'Per#ormsnce, :Expenditure, and; Special `Regorta will;'bQtusedY4'*'; antes. - to °ensure adequate monitoring and auditing ofh the antes : his' sub-grantee(p)Or, contractor (s) .and e�asiee = Provide' t aoces f `to, and. furnish whatever infos�mat;Lon#s - >or the' d�Partment to monttpr the 'great` iacludizigao�s',' Y client recordo. t Ai 1`iN The grantee agrees that a complete uo of .the EMa9 Mating gM►f.x b N fl{el } �igraeme>nt, - depart>ment approved =match grant changea�apatu 4,, grant' proposal, {-and a11:Appendixes will= be oa�<fiile`z,x;tW e responeibiet for adminstsring` th® mt�tcainq, qr+►t.� fi .... .'. .h. u.as •4. '.s.. r s F.?�-Fd..tq ,`" t x. 'ri Tft1�.` y lu�kh k 4 fr ASSURANCE Op COxph2ANC8 CREDIT STATEMENT The grantee assures that any scientific or. other ..report written about this. ;project will contain a proper credit statement: ;that system funding:.for this project, in whole or part, whichever the ease may. be, was -provided by the Florida' Department of Health and Rehabilitative Services, Office of Emergency Medical Services. COPYRIGHTS The grantee assures that where activities supported --by this- grant producs> original writing, sound recordings, pictorial reproductions, drawings::or' other - graphic representation and works of any similar nature, the department has the right to use; duplicate; and- tdisclose . such:: materials in whole -or: is part; in .any manner;.. � - for any purpose. whatsoever and to' have. others, - behalf of.. the department to . do ;so. If the materials so °:.developed area.. subject to:, copyright, trademark, or' patent,.. iegalty.title Rand every right;:,: interest; claim ..or :demand of. any, kind :.in and -,,to :ah ► patent; .,.trademark,-. or copyright,.. or application:. for u-the3 same, will s vest; ,An in the .:State of7 Florida,; - Department of --,State, for-. exclusive ruse and benefits _ of. the ' state.. Pursuant , to . ,:aaction 286.021 F S 'x, r.; no.: person;,; firm . or: corporation, t ;_including :parties; to this :.::grant,; .shall be ;; nentitied ':.to .use '..the copyright..:.patent :or Mz trademark without the prior written :,consent: of the Departmentto! State., _. f $N CIVIL RIGHTS: CERTIFICATION S The granteegives this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts -except contracts of insurance .,orguaranty)., ;.property,; ;;discounts, .or other _ federal financial assistance to programs or activities receiving or benefiting ; from �. federal _financials:' assistance The grantee a9r4s to .,complete the Civil; Rights ;:_Compliance ,questionnaire, 46A and; B, , it so .requested ,.by the depaxtmeant. Although: no..:;i"ac�era]t funds Rare involved in this ,grant the :grantee.; assures thht • it is . comply with :the following> -the: same as if. federal.; funds •were' being XA provided: x tz; �,. title vI of;,. the Civil : Rights Act . , of ; ;l f 54; as Amenoo U.S..C.;.200Qd::.et seq., which prohibits discrimination on the basis Az of , or national origin in : programs ; .and ati race, colorvitieaa ti x' receix .ng .,or; -,.ban efiting from federal financial as istante,� 4' r r-. t � '. . t_ ...» �• r .v' _`:, .. ;.- t ; �. �f' . } a .; %i i�. ,r ' �A.'�.�dK`��d'±t�E y'�, C `; of ,the : ehabilitativ Actof a9�, gas ama U, S C ,x 794, which prohibits discrimination aan -thy basis or rh�4� 7 programs; iad,iiz iviti•s raa®iving or beanefit .ng frost e e ;= tin ancial t essidt44..c•.1; 3.,. hitl oll o :a the t Wuomtion� A]Ilendnl}I�nt9 rof 3.97 �!pan! X.» at,od sex> inn adnamt.cn : progra�►s ,: Fund activities x�acair.cQr ,� Eton ':federal :li'ainci*l n uF;r t};�krt _ ....... .. ._ F . _ _ . , .. •. .. _... .. _. , Fi ,,,... � .; ,r? �v;,`.rka:".-�8�.in is .. _ wre p 4 The Aga.hiscrimination Act of 1975, as amended, 42,U.S.C. 6101 at!_seq., which prohibits discrimination on -the=.basis of age ,in programs or activities receiving or benefiting ,from federal. '= 4 financial assistance. F 5. The omnibus Budget Reconciliation Act of 1981, P.L...97-35V which prohibits discrimination on the basis of. sex .and ' religion programs ..and activities receiving or benefiting.' from federal financial- assistance: S. All regulations, guidelines, and standards. lawfully' adopted , under tha.,preceding statutes., n 7., U.S. Department of Health and Human Services,.Regulations+for, Protection'' of Human Subjects,,(45,CPR, as amended) regarding the _t- protection of human research. objects. 8 The .grantee agrees that compliance, 'with this assurance constitutes, rf a condition of continued;- receipt ; of, ..--,or benefit from state EMS w fund,"„and, that ; -it is upon the grant see, „successors, transferers, and=. assignees for the period during which' uahx- assistance -is, provided. The grantee further assures thatall e contractors,_ subcontra"ctors, sub -grantees .or, -others with _whom it arranges to provide services or benefits to participants or employees. -in connection with anY;.:of.its programs., and activities Fars f not, discriminating : against those -.:,participants or employ„ses,�'�i�} ;T i violation of the ,preceding..statutes,, requlations,..quid lines, " p standards. Sn ;the; event of !allure to. comply, the :grantee ; understands that the department may, at its • discretion, ..; saelt a `'. court order requiring compliance with the,>_tarms,;.;of this�hassuranae y . or. -seek other appropriate.judicial..or administrative relief 'to a inciuds,.assistance.being terminated and :further assistauce being: denied.' FINANCIAL JM COMPLIANCB AUDITS This requirement is applicable it the grantee is. a state or local government, university,.,: hospital: or, :other nonprofit entity. r, shall not apply it the total of all funds received or; earned from' the department- is less than $25,000 during the 'grantee's fiscal year. _ The grantee has "received" funds when it has obtained. cash from the department or when it has incurred.expanses which will: be reimbursed by the department. Governmental grantees :onlyr -.may "ITH . determine funds "received" in a manner consistent with ,their mathod of ' accountinq. _ The grantee agrees to have an annual financial .'and .. compliance altt�it{>1, Performed by independent ' auditors in : accordance with 'ah! Standards ' for Audit of. Governmental organizations;: pxo3k activities' and YFunctions (the "Ye3low Hook") issued bY,r Comptroller General of the United: States. $tote and,00,,� governments shall comply with Of f ice of Managemsnt : , and . Au+�gt'? ; circular .:A-128; "Audits. of State and ioaa GQv�srnm P- Universities, hospitals, ,:and other' nonpro,t providers witri the audit :raquirenenta.contained`in Appendix cF.•1 1 A.s A-ip0j. "Grants: and Agroements :with Institutions Education, Hospita3,s, and Other Nonprofit Orggnizatis+cs ,i sMcap x' n t% t , k a •� ilia. fj. d modified herain6 such audits shall cover the entire'_. organization for the organization's fiscal year. The scope of audits performed s need include only the financial and compliance requirements of the "Yellow Book", and may disregard those related solely to economy t4 - and efficiency or to program results. Compliance findings related to the department shall be based on requirements in the grant agreement, including any rules, regulations, or statutes referenced. Liabilities due to the >°{ department because of unexpended funds or because funds were not expanded in accordance with terms shall be calculated and fully disclosed in the report audit. This requirement does not expand -3 the scope of the audit as proscribed by the "Yellow Book".:.., In addition to the basic financial statements, the report audit shall include: (1) a detailed schedule of all revenues identified by t, source 'such as individual grants by grant number, client fees,,-and4 private donations; and, (2) a schedule of functional expenses which'. presents line item expenditures such as salaries,'.;traval,. and ''r: supplies by program; services and supporting �sarvices,, with the portion o!_ total supporting services allowable to programs 3- presented as a single line item increasing :program serviceg"' d ` = �. decreasing supporting services. Where applicable,, the=:audit report shall "include a computation showing whether or not matching,:r< requirements were met. The grantee, shall ensure that audit working papers are made available to the department or its designee ` upon request: fo a R period of live years from the date the aunt report is issued unless .extended in writing by the department. Unless..- _otherwise. required by Florida Statutes, copies of .the t" r financial and compliance audit report and management letter, ref any;, shall be submitted within 120 days after the and o! ahe { _ grantee" fiscal year to: Office of Audit and Quality Control Services �. Building 3, Room 219g 1317Winewood Boulevard 4_= Tallahassee, Florida 32399-0700 A{ h io - r t as F ! re t C-s qq ,'u�l t Vn . Mk r $ l �tx5.xiduh..�x�t-...... ? t„, i = ..,iz � t :i r" .'� . t :- i•,`. ''� r_a. ti,.�J;.xL.a._ .ar �u �=4fe`a��'r ^..9ti�.'x:��atdi`"�'+*X:E'r '_ _ -AP U XZDICAL SERVIM REQUEST AV'! FM id XATCHING.:GRANT�`NUMBZRu . .... . GRANTEE oridivial Chenae To` GRANTEE GRANTEE STATE GRANTER:pGR CASH CASH, mwm 1 .... ..Y,.. M'.:'ii!FVs#Y:,.YFa«=.AVYAI-.., .. ,..:. 1f1�f+RT\YS. /�f�A �'Dlnit;;a Z � DFW1D�., DC1De:( 1DQQW�tl�P�T_ .. � II�111NIIIIgI�l�llllllllll�lllllllll�pll Ipl��lllllllll��l��ll�lp��lll�ll!III 1Rt)FIT ORGAMISaTIF�HS AGB1iCY `` GRANT#_ r����raw- nths .Report . Nine Month Report Mo_ 'O'tebr('Sk GRANTBS .. , • E%PENDITURg APPRMW BUDGET BXP�I IS RHMT- � ' YS� � II�I�IINjINMIIIIIIIM�e111�I�IMIIIVIIglll�91111�1���llllll9lgl�ll�9�ll�lll�,I�IIIIIIIIiglli��lll!#I�Iq�Ili�l�!!E n. nR r 2 .Auency/Oraanization/Name/Address Sias' Wnth Rpt a `Nine ` Month 'Rpt. Final Aeport. h►• C 4 STATE OF FLOPJDA pFpAiTNEN'i' OF HEALTH AND REHABtL1TATtVE SiVLCS November 17, 1988 City of Miami 275 Northwest 2nd Street Miami, Florida 33128 8 Dear Grantees S u that youare being awarded It:gives me great pleasure to inform you Yo Emergency Medical Services: (INS) Matching Grant` No .-PLV,y�; in .the amount of $651000.00. This grant is contingent upon your signature.:: on this SMS Matching Grant Agreement and the Request for Matching _ Grant -Distribution (Appendix A)r and both to us.' ; This 'matching grant is to -support the. -purchase of the, pre hospital activities, services and items outlined: in your matching grant proposal(s):#063 and its department approved. revisions` hich are on file in the State of Floridar, Department of Health sad Rehabilitative Services, Office of Bmergenay Medical: Services, Tallahassee, Florida . The,'matching grant mast be. ex®cuted withintA the ''limits.`- of ._the amount. awarded to you. Any `costs above a amount awarded- under section 401 113 (2) (b) r:' Florida , -matching :grant Statutes -(F S.) are the'�responeibility of"-th`e. grantee, (proposer) • 4 The matching grant begins October 1, 1988, or the date this;BMSz` _ Matching Grant Agreement is signed by both, Parties r,whichever later. This; matching grant ends September 3_ } The purchase of any communications equipa►ent or services during; „ e' have the written, ' approval of the Flgke grant , period must h Cun,,cations: Department of- General Services, ,, Division ,, of its. to I. distill (DiVCOM) r bef ore the purchase is made. We aace recu communications costs which do not'.. meet DIVCaM etaiidards• Please sign and date both copies of this.agreement and the Request } Jx 3 r for Matching Grant Distribution. Return one . copy of this' $t,Sh Matching Grant Agreement and Request .,.for' Matchia�gant1 - Distribution with original signatures to:.the.: Department of and Rehabilitative Services; EMS. ; mmatching Grants; 0 �.c+� t Emergency Medical Services, 1317. Winewood Eoulevard,sTallalts4.1 e�= Florida 32399•=0700, ,r }t Your s gnatu=e certifies that 'you have entered' into, a x yff grant agre nt and ensures full compl,lance with tie x;l! . conditions :.of ahis ,ograement _and:; each affixedAppndix 0). The _:a pendixes certain epec fic rQquize nts apt your agency�Qxganisation as grantee,. Rr� ,r ;.� p 4 zCa 1a'f� ds sta Y At - ate t L AppaND=x e =a NAItCRING GRANT. CONDITIONS =8 3MTCR"1NG GRi1NT-GBNERAL pnmNCIAL REQQ2RZKZNT8 These requirements are an integral part of the Matching Grant Agreement between the agency/organization (grantee) and the State of Florida, Department of Health and Rehabilitative Services (grantor or department). to the event of a conflict, the below ' requirements shall always be controlling: 1. A final financial report shall be submitted detailing'. all, - expenditures of this grant. Bills for fees or other compensation } for services or expenses ---shall be maintained by the grantee in sufficient detail for a proper pre -audit- and post -audit :of•; he1 grantee's records. Records relating to the procurement of real or other non -expendable propertyshould be � retained for: the life, of the property and for five years after its disposal or the _ completion of any pending matter. All other financial records and reports must -be maintained by the grantee for a period of.;five., s } years: after the completion 'of any pending. matter. 2. The grantee._ hereby agrees to indemnify and hold the department injury, - harmless from any and all claims .or demands for any personal or property damage resulting'or occurring in "connection with any. a activities conducted under theMatchingGrant Agreement and shall;; ;- investigat®,, all such claims of every nature at its expense. addition; the grant'6 -hereby agrees to be responsible tort`kd? injury or, -property damage resulting -,from .any ,activities conduct i under this,4rant agreement. 3. The grantee' agrees" - to use capital -expenditure items buildings,, vehicles-, and equipment purchased in whole or:,part wig grant.. funds solely as described in the EMS matching graat..propos and its ',department approved revisions, throughout the items us6fi life. 4. The grantee agrees to provide a contribution .to the 0,0141 equal to the amount of the grant made by -the department:- acco.-d ` to`this agreement. The grantee agrees ta;provide '50%of.the tot; project cost. At least 50% of the grantee's; totati required m+t must be ` in cash. The grantee may not use state and federal 'fun !; for matchrequirementsunless specified by law. No.costs or thi party contributions may count towazds satislyinq a;match .requirement .'of' a department grant :if: _they ,are : uBed : to setis matching requirement of another state or federal grant. ;# x <5. The.' grants® agrees that cash and a: in -kind ma��t vi�� available`durinq�the grant period `and :used in direct supp4ztj'ofw grant project aRyprovided in tho:.matchiag grant proposal ands departm. nt si _approved nevi gns and . Appo sdixee=tp;;.t 4 5. All matching grants are made in accordance with section 401.113(3)(b), F.S., and shall be made through an. Ems Matching. Grant Agreement. The EMS ,Matching Grant Agreement shall contain by reference all regulations, rules, and. other conditions governing the grant award 7. The department" agrees to advance distribution of the grant asount togovernmental agencies and non-profit organizations within AS days after receipt and approval of a properly completed.,SMS Matching Grant Agreement and Request for Matching Grant Distribution document.' S. Any payments, due the grantee under the terms.of this grant may .be „withhold until all evaluation and, financial reports due from he" grantee, .and necessary' adjustment thereto, have been _approved by the department. 9. All terms, conditions, and provisions of the EMS Matching_ Grant „Distribution,,Agreement and other applicable documents are:,_,, hereby reaffirmed. EMS'MATCHING GRANT - SPECIAL CONDITIONS APPLICABLE TO PROFIT ORGANIZATION The method; of payment for profit organizations_, is cost reimbursement..,, The,, following is the- method, by, which;.for,;profit organizations.;shall request reimbursement:. 1. The grant be. shall "submit monthly. reimbursement requests to ths•department''accompanied by signed:inyoices.;,, The invoices must 'clearly indicate the service or product delivered, delivered,:date paid, item cost, total cost, conditiont:or.,quality, and identification.of the person receiving.the.,ssrvca.or•product. v Z. The grantee shall submit monthly, reimb. iiixent,requests using the format. provided, Appendix-D'.'(may be_ duplicated),' in accordance with an "approved 'line' item budget ion file In the.'State,,'; of Florida, Department of Health and Rehabilitative, Services' Office'of gmergancy Medical Services, Tallahassee, Florida.." 3. The_ grantee': shall submit` invoices for parsonx�el serris�ais S' and fees '-on-,"it., time/rate basis'. Tha invoice Faust clsatly ido}�ti�y 3 �d each "individual , by name, ; " a general statement o f services prided ��, ", the time period ;covered 'by" the • invoicai,. and thi .hourl y=ata� times f, � sheets or time logs musted: for h-'Andividu kaccompany cthe invoicsal. Appropriate im4 `}�jr 4, Thaantea must submit. a fr�a�. inv.irca 'for! ',�: } the 'de artm�sht nO t later ;.than, .45 days oft ? xa t, a,. r4r.. $P -. terminated; .. 1 if the �jrantes" fails to .do so, "all right to paYasnk a forfeited, and the deparpment Will:not hAn�r any roe, +�s#a � after the aforesaid tee period. i P - kv i'. t 1Ft1 r d �.'' ! E 3a t , .. . _ _ . , _ _1 ... ..,.. ,. , . {v,3.... 7 e .�Y7S;"...n.:'e.}A':a._... _ Ci3._�' .�+• _ axs x TC3[Xya QRANT - GaR$RAL CONDXTIOVs 1. The grantee hereby agrees to (1) improve the existing quality of pro -hospital emergency medical services (EMS) activities, services, or to have a positive impact on patient mortality and morbidity; and (2) to expand the extent, size or number of"existinq pre -hospital EMS activities or services. The activities and services to be provided are described in the EMS Matching -Grant Proposals) and its department approved revisions on file, in the State of Florida,. Department of Health and Rehabilitative Services,= F Office of Emergency Medical Services, Tallahassee, Florida.: t 2. Pre -hospital. EMS activities will be rendered by.the:grantes in ti a -.manner consistent with Chapter 401,-F.S , the work plan°which is included in the grantee's EMS Matching. Grant Proposal,,,and..:its department approved revisions which are on file in the State of Florida, Department of Health and Rehabilitative Services, Office t of Emergency Medical Services, Tallahassee, Florida.---,., 3. The grantee agrees to implement provisions of this matching grant in accordance:: with federal,. state, and- local .laws, rules,.,`. regulations, and policies that pertain to EMS..: 4. Funds.: and, -items purchased under section 401113_(2) (a) F:S., will not . be ,. _used to fulfill any state _ . EMS matching -. grant , program requirements. 5. The. -grantee agrees not to use or disclose any client/patient {; information under this grant for any purpose not in conformity with — state.-: regulations - -and federal _ _regulations . (45CFR •i Part . 205 ;5,0) except upon written consent of :the client/patient or his responsible,parent or guardian when authorized:bylaw.. -. 6. The grantee and any subgrantee or contractor shall report to the department unusual incidents -:in--,a manner prescribed;in,HRBR'0-� 10-1 if -services, to clients will be provided:: under : this> _. grant. Please ;contact your local department. district office or state=ESr grant officer it you need a;copy..of this. regulation. 7,: The grantee shall own all. items. including: -buildings, vehicles and,: equipment: purchased, with EMS matching;. -+grant funds:.unless otherwise.,. described- in the matchinggrant proposal. ;The.<.Gran*ee { shall-_ clearlydocument. the- assignment: of _ an. item's .ownership ` usage, and..povide .the :documentation,..,with: he !appropr at�i y,,Grs# t, re ort • 'shall,; r ipP'p p .:The ;�. owner shall � be responsible for the proper,, insur�►rfida�, s licensing, : permitting, - .: and maintenance of items =purchased" w matching; grant funds. a Y S. The .:.grantee : agrees to eta y, within - the total �ppxoved budget;:rr.. However, the grantee is not, restricted= ' toi Aw'stay.ng w.t�F� { z` individual line items amounts reflected :'in the approved t f ;fir;?f Ax kbdget: 4KI 4 5. `Th►e gran tee :shah be° responsibl.. , for - any. amout�t.�whirh�fi ' excess of the= total matching giant Award. f Y • lo. EMS matching grants are subject to the availability of funds. The department's performance and obligation to pay under this grant is contingent upon a sufficient annual appropriation by:,,,the p Legislature. EMS MATCHING - 81'ECIAL ACCOUNTS, OVER PAYMENTS, AND AEPMO :Y. 1. All EMS matching grant funds shall be deposited by the grantee in an account maintained by the grantee, and shall be assigned an unique accounting code designator for all matching grant deposits and disbursements or expenditures thereof. All. EMS matchinq.,grant funds in the account maintained by the grantee shall be accountsd for separately from all other grantee funds. All EMS matching grant funds shall be used solely for pro-hospital,.activities;.as i-} outlined in the EMS Matching. Grant .Proposal and its department approved revisions. 2. The grantee shall return to the .department within.45 days;^of the grant's and or termination: ,. a. Any _unused EMS matching grant funds remaining in the assigned -grantee account at the and of the matching grant."period F-g b: Ary' 'intarest earned. on EMS matahin'q, grant funds. deposited in the grantee's assigned account shall be accountedl`for and #! f returned to the'_`, department,-,. at the ;sad of the grant; .,period orrgj w ,.. . subject'to the department�s.advance.approval; used for the purposes of tho`the, grant. 4 ., c . in ` ,the : event 'the grantee does not provide all o the.r xx in -kind or cash matching.requiroman ts as_agreed'`to::in_the ;approved , budget, state funds' -.equal, to. the. ' match 4eficienciss shall be Y, returned to the department. 3. In `the event the department determines that the. grantee iias':,."_, expended grant funds received from the department for purposes not rr in accordance with this agreement, or has failed to.;provide the fi- agreed matching contribution, the grants® agrees , to , deposit ,the;_ amount of the disallowed'expenditure or deficiency in matching contribution`'fnto" the grant fund: i! such determination is made �. before ,� the' period is'' closed; but if the ' data rminat on ' ie made y thereafter, then the grantee agrees to refund to the departmant the* •;` stat's proportionate share of the disallowed expenditure. In either case, =`the`` grantee' -:agrees -to make the appropriate dap`osit;,to the grant fund or refund the amount to ,the department wit;p*t1$: days < = after "> the. issuance of the depa"rtment:I s r� . determination: zr k, EMS MATCHING 41L11NT A REDipI0N8 t ky ;' ¢ 4' 'y x' T27�e "grantee shall obtain written approtrai from the d+�arttaeta r F ,rl t grant' officer . onr, the "'Matching: Grant r Change e4uest' do, en ►k - Appendix C (may • be copied) prior to any of 'the "following;ia►geR trto the approved grant budget: rr .� u ) r a i 5A.�ySffir a I i i 1 Lev 3iz _ F ' ctTjF F rk J � 1C s6 , a�ie*y* F s ti r 1. introducing a new line item. 2. increasing any budgeted salary, unless such an increase was projected. 3. Introducing a subgrantee or contractor relitions4p,, 41iere none was !specifically identified. REPORTS AND DOC-----TATIOA The grantee shall file one original and two copies of each of :the . = folloVing'reports: ,, ,, 1. The Program Performance Report (Appendix . OI_ndicitinq . measurable progress .toward, meeting stated activities,> services,.' objectives',. actions, and time -frames. 2. The EXpenditure Report (Appendix �D).indicating all agreed upon budget „expenditures. 3`. -Special Reports a . a . Conuriunications Equipanent and Systems . " The cantee agrees that all ooizkunications activities; services;° and nt shall be a roved 13i writing ~ by . '°the Florae a Pam_: , ,. ,' pP; Department of General _Services, Division of Communications as < required by section 401.024, F.S. Any coats for coimnunicatione yap quipment°' which 'sdo not receive such approval:,: shall activities and e be disallowed. This a royal must be; dated after,: the: uffectidv PP darts `of .`the: grant _and prior' to any co�i=itment to .'purchase of Qt g requested' equipment and/or services or both. ;-:This approval.-.s required ' in addition `" to any' pr`evious "'Division of Conuiaunications recoaaasnendation, :conceptual. review, or approval =dated prior <<xo e1 of fective :date. -of , the grant. If the matching grant includes the purchase of cbrmunicatione activities,services,`and equipment, the grantee agrees to `submit a brief. one page written summary, report to the department' which describes how the grantee's EMS system has been improved and expanded by this coa®unications grant. b. Emergency Transport Vehicles. '.131,F i'F K AY a3, If.; the iaatchinq grant includes `the' ?:puschase of: an emerge transport; or repponse ,vehicle, : the..Qrantee aQreQp to sv�t �► br" Qne.P gp iwar.ttene�wm�ory tePgrt to the 'se?.. T. 4 A M ?vy r. they to-, ow Q , iAf t �!AM4.t,ion .,.� A ding Vt •...Cr�.eB C cN a �a h 3 nga4eileva`Cg: e ; noand r,' pGmi, . : etargenc{ Y'9 m4 Yrx 4e�tmac�e<ac!-rs.uaisw���Aar`x+aaiaa. ianteo ei1i4erotirtJ.I,fioQepn �a>► ,ry t�mew edrespons®ives ses �patifiduildi�steosrithr s . � �111 timer v.►R � M4� ir .; .Y �i.`r-`i.3 #t , tF 2 ASSURR ICE OF COMPLIANCE h CREMIr STATEMEMI` The grantee assure* that any scientific or other report written about this project will contain a proper credit statement —that:' system funding for this project, in whole or part, whichever ,tha case may be` was provided by the Florida Department of Health and Rehabilitative Services, office of Emergency Medical Services. COPYRIGHTS The, granteeassures that -where activities supported by this grant produci original writing, sound "recordings,: piote5rial',' _ reproductions; drawings or�other� graphic representation and .works of any similar nature, the department has the. right to use, duplicate .`and disclose such materials in whole-: or •' in part, ins aizyy manner; for any purpose whatsoever and to have othe=e acting 'oih$ behalf. of the -department to, -'do so. If' the materials : so developed are :subject. to copyright '`trademark,`or patent, legal title :and( 3' every right, I interest; ' claim, or _'demand of} ariy' ' kind 'in- and to any. patent, trademark,' or' copyright, or application for the same,till vest:'' ia' the State of Florida, ' Department of Statia, 'for exclusive use and -benefits of the <state : Pursuant to secti0M ,y no >peraon, :'firm; or 'corporation, a`inciuding �azties -to j this '`grant, ' shall =be entitled to use the _ copyright;2Fatentor trademark without the prior written consent of tho � Department:of� t State. f ,. CIV ,L'` RIGHTS: `CERTIFICATION `. r The grantee gives this assurance in consideration of and for;`the- purpose of obtaining federal grants, loans, contracts (except } contracts of insurance or, guarantyj', property,, discounts, or.,` oth�ar ®, federal financial assistance to programs or`activities.receiving _or benefiting' from- federal-,: financial :assistance. - The'gr to "dotiplete the . Civil Rights ;Compliance questionnaire; HRS:= Forms `;9; 46A. and 8, if so requested 'by the department. � �Althcugh, no 14"tali r funds are- involved in this grant, the grantee .assured, Ghat it:will comply. with the'followinq the same as,if federal funds were being r> provided: ,7 1J i. Title V2 'of ' the `Civil `- Rights Act . of 1964, 4 . `as ameiidsd�4s ' r4kf, U.S C. 2000d::et:seq.,:which prohibits discrimination on the b sia of. race, color, or: national, origin in programs azsd activitiea are'ceiving or beneiti:ng from fsderai financial assiatauco,���6. �� r q t} K fikx# • 2. Section - 04 of the .Rehabilitative d' �k V' S"C.4794, which 'prohibits dscrimibation ontti�` basisssf r' in programs afid activities receiving or ' benetitinq,�f=omf #,nanpinl f assistance, 3`. r . Title Xl Qf t�1B :YLducatiOn a Aaendmenta y,Q9�1y1Sf v • 8: �'. 1 --� ! " selq! , rWh.�Cb Rprohib�;�s disariminatt#R4a� obi '�h{+� t � p aax nx sduca t ,Qrt prvgr�ims d Iactiloitl_s a 4r�+� ►Vti' ► may} l fzom.4led�tra�,'i'i iallcial 3¢ssistaTice!t�# x } `, i s hC t;9X y t h t 4 .The Age Discrimination Act of 1975, as amended 42 V,S'.C. 610-1 at seq'.,; which prohibits discrimination on the basis. of: age_: rt programs or activities receiving or benefiting from federal financial assistance. S. The, Omnibus Budget Reconciliation Act of 1981, P.L► 97-35� which prohibits discrimination on the basis of sox_and.religion in y programs ..and activities receiving or benefiting. from federal,, financial' -assistance. C All- regulations, guidelines, and standards lawfully adopted under the preceding. statutes.4-1 .. = 7. V.,S. Department of Health and Human Services Regulations. for Protection .of.Human.,Subjects (45 CFR,..-as amended)..,regardinci the ; protection ;of human research.,subjects. The grantee. agrees, that, compliance with this ;assurance, constitutes a .conditionof continued receipt. of.,.,or benefit from. i, stite-SEMS funds, :and: that; it: is,.bindinq 'upon the grantee, ;successorsy period durin transferees, , ;.; and %..:,assignees .. ;.for--,, ; :the p g '�whf eh � such _ assistance is. prov,ided...:: The grantee further. assures,,,-,.that+M al.j, oontractors, : ubcontractors, sub -grantees or others with whom it arranges tc provide services or benefits to participants .or amp ^;in contraction: with any. of ,its: programs and ; activitas are l not discriminating against,_ :those` -_participants or : empioyoes violation, of ;the :;preceding. statutes,.: regulations,..-gudelines,i'��and � `.t ' staidards. Sn the event ',: of : lailure...to. =,comply, the grantee r understands that the department may, at its discretion, seek: a' v -court order requiring, compliance:; with they terms ,a;of' this, assurance or ,seek :other appropriate judicial . or 'administrative °_relief includo. assistance_ being, terminated.: and further, assistance being denied. r,. FIHANCM: JWD COMMANCD AUDITS This raquirement: is applicable if etha grantee is a. state or local . government,: university, hospital or other, nonprofit entity. It shall not apply if 'the total of all funds received or:, earned from the department is less than $23,000 during .the grapteials'fiscal year. The grantee has received funds when it has obtained cash "received" , from the department or when it has incurred, expenses which.. will b® reimbursed by the department. Governmental grantees`'a-1y, determine funds "received" in a manner consistent ''with their + meod S,Y of accounting, 4 b K2 P The .grantee agrees to have an annual financial and compliance e4�dl�t,z� r performed by independent :,auditors in-aacordanca with the <au'",' Standards for Audit of:Governmental brgmn�ations, hP`" Activities and Functions (the �'Xellow Sook Comptzollsr General=. of the Unit4d States. state and , r. i governments shn11 `:comply with Offioe of lanag9ment andudcy " Circular , ]�-28, "Audits, of state and Lacal Gore j s tlnivsrsitiaa, : hospital. s, and other 'non rofit rcviderB sehai with- the audit re'qu remen H °t .? is contained �►ppend,r off K A-110, "Grants and Agr4eiae}ts vita Instiutior ;a f - Educetioan, Hospitals, and 'ether .Non�orit Crgani �et:oniij'etcta 4 t r �i}.K�^',cu', r...i .. .�, . P•- ", .:..:.. .. .. .. .. _., `'.; ._ ,,. .. _. .{ , a F•_,d .f�Sw JCS .. ..:4.. _. x r� h 2 x modified herein. Such audits shall cover the entire organization for the organization's fiscal year. The scope of audits performed need include only the financial and compliance requirements of the "Yellow Book", and may disregard those related solely to economy, and efficiency or to program results. Compliance findings related to the department shall be based on requirements in the grant agreement, including any rules, regulations, or statutes referenced. Liabilities due to the department because of unexpended funds or because funds were not expanded in accordance with terms shall be calculated and fully, disclosed 1in the report audit. This requirement. does not expand the scope of the audit as prescribed by the "Yalltmr- Book". In addition to the :basic financial statements, the report audit shall include: (1) a detailed schedule of all revenues°identified by sources: such as individual grants by grant number, client fees., and private donations; and, (2) a schedule of functional expenses which presents line item expenditures such as salaries, travel,. ;'and supplies by program, services and supporting services, with the ' portion of total=;supporting services allowable to programs • presented as a ;,single line item ,increasing program services and decreasing. supporting services. Where applicibla,;the,audit-report ., shall include It computation showing whether, or not matchih' x r requirements' were met. The grantee shall ensure that audit working,papers are,mads; : available'to the department or its- designee upon rsquest: period of;- ;five years from the. -date the audit report'' •is - issued s unless -extended 1n writing by the department. a; ' s Unless otherwise required _-by Florida Statutes,: copies of the financial,and .compliance audit report and management letter,'if any.., shall be submitted within 120 days after he end.'of the grantee fiscal year to: Office. of Audit and Quality Control Services Building 3, Room 219 1317 Winewood Boulevard ' Tallahassee, Florida 32399-0700 r v+ —�v t d i} a*kvt f e � :RROOM GBANTSSt law - 1�ATCHING GRANT NUNBBRt C.i�ANGR, OriQi isl Ch Gual"RR GRANTSS .rSTATS GRANTBB pft-,N, GRANTER poo - six J461it6Report -Nine M, 7 Earned Interest to Date 6FRI, ql� V HT APPROVED' up a JaNg ITENS MGaTCH RANTEE NINAT-CJaHNDIm R7STATE RANTS " � -RESTATE,QRANCAM GRANT CAJN INDGANT. y whip I DS inmnq !L-M � � 4 Y — � 1 ar ir��rd±f!d11� services, which are allowable nn ec p re a Dates . Signature of G,rantee'a AuthosiZed Off.cials_ e of .State -SMS r Grant Officers Datet Signat ur 1 Ir i 11�IA.II�1I�IIIlFIR �9,111111 11 �1411111111 I I I II I� f III IIV'gplll VIII I. j II I'l11 Ii IIIIUI �II�pIIIIIIIIIIIIMI I I��IIS�III I � I VIII ' I � ° III � I � I T YS! I 1 , ;. F-a5.xxt 34 h �`YlunC4k WNt WSI:.R'5.�a*Y'e•r, tr STATE OF FLORIDA DEPARTMENT OF. HEALTH AND REH,LBIL1'T'A` W5 S November 17,1988: ME City of Miami 275 Northwest 2nd Street Miami, Florida 33128 Dear Grantee: It ,gives me great'pleasure;to inform .you that you are being awarded Emergency Medical Services (MIS) Matching ;Grant No. � in -the 9; amount of $65,000.00. This -grant is contingent upon your signature. on this EMS Matching Grant- Agreement and the Request for. Matching; ':Grant.Distribution (Appendix A), and return of both to us. This . n►atchin rant is to support the purchase of the pre=hospital g : g.. v,.. :. activities, services and items outlined in your., matching gran , proposal(s)063 and its department approved revisions'tahioh are on; `.. file in the Stete of Florida, Department of Health and` Rehabilitative Services, Office of Emergency ,Medical Servicesi; Tallahass®e Florida, The matching>.grant must be. executed within . thew„,limits : of the .. amount , -awarded to you. Any costs .above the J s g : . Florida matehn grant emount,.awarded under section 401 113(2);(b)" Statutes.. (F.S.: ), ,are, the: responsibility of:, the grantee. ;(proposers The matching grant begins October 1, 19881 or the.date 'this"EMS Matching Grant -Agreement is signed by, both ;.arties,.whichever pis later. This.maichinggrant ends September; 3,0, 1989. .d. The purchase of any communications equipment or servicos,during_theYx; grant period must have the written= approval bf the,i110rid s. DepartmenGeneral Services, - Division: of Comxnw�icat.ot�t {DIVCOM�,; before the purchase is made:,.We are required to`disa3lc communications 'costs which do not meet DIVCOM'standards. Please sign and; date both copies of this., agreement and the Request,"} ' istribution. Return one for :Matching GrantDcopy of this;ryMSy Matching Grant Agreement and Request for Matchingaxit% It Y (q Distribution With-. original ,, signatures to; the Department of Me, and Rehabilitative Services,. EMs ;Matching; Grants; Officd� Ewer en Medical Services, .1317 Winewood .Boulevard, ` Tallahasia g cy �r Your s.gnature cea�tifies that you. have:` . enteredx intc an an ..,ngreiement and . ensures fNU ull. �compllance with f the y conditi+�tts,' Af this ;agr+sement:, and each affixed App+�ndiry {fir►_ �) The►ppendixes contain . pacific requirements # your agenclo"rganizatioa as graiatee .: �r , h; ". 1 i• ,r; ' AZN 'x. iP!Yi • u � 7. :, l �l.-�Ci1N.�FiS►ffAD BL\'D '_!. i"ALL:e,HA►�;S_E,�, R ry 6r +/t •' ! + , !4; Congratulations on receiving your MIS Matching Grant and for your continued support in improving and.. a:panding_ the pre-hoepital emAergency medical s rvices systems. Sincerely, t. A. H. Baldwin - Assistant Health Officer for Technical Health Services Official authorised to enter into an 314S Matching Grant Agrreement.for agency/organization SIGNATURE: Name and Title: Dates 4 APPendiaes: t 1. Request for Matching Grant .,Distribution EU y 2. ,,Mjs ;Matching; Grant Conditions' y� 3. MIS Request for Change in Matching -Grant Budget °r 4 EMS Expenditure/Program Performance Reports ■ 1 i P Ma IMTOtI N iiPUM CONDITIONS 3MTCMG dPjM-t EIQS AL Fx3wCM UQIIIUlawB These requirements are an integral part of the Hatching Grant Agreement between the .agency/organization, (grantee) and the State ` of Florida, Department. of Health and Rehabilitative Services i (grantor ;or department) , In the event of a conflict,tie bo requirements shall always ba controlling: 1. A final financial report shall be submitted detailing all expenditures of this grant. Sills for-:fees,or.other compensation for services or expenses, shall be maintained by the, grants® ,in sufficient_ detail for a; proper pre -audit and; post -audit of the grantee's records. Records relating to the procurement 'of 'real or s other non -expendable property should be retained for the :life;'Of the property., and for ; : five . , years after. , its disposal -.,,or a the tter. All . other f innncial records ` and ing ma. completion ;of . any -,pend =s reports ;must be maintained by the grantee f,r aperiod d fire a years after the completion of any pending matter. 4.2. The grantee hereby. agrees to :indemnify ,and hold the ,'departmment harmless from any and all claims or demands for any personal in ury } a or property damage resulting or'occurring.in:connection with any, . -activities ;conducted:: under the Matching Grant,..Agreement and shall investgste a , al1' such `e`re=y nature .at its expsAse. wzn T, s addition, the,;, .hereby _agrQes..,�to be. °responsible :lor ury or Prof®rtY damage resultingI-Irom any activities conductedl under this grant agraement. R ; The. grantee, agrees to.use^capital expenditure itemsrsu Y 3 .. . buildings, -'vehicles and_; equipnierit purchased in� whole Vor park w ' — grant. rfunds :solely as described in the. -HMS mat�hinq t grantt proposal and its department approved "revisions, throughout the item a usr�ful life: 4 . The .grantee agrees to provide ..:a contribution to the `.' proj e41 '; t equa�l.:;to the amount ;at_, the grant made by, the .department accprdng to this agreement.' The grantee ,agrees to: providethe total project cost. At least 50% of the granteefs total required match must ;;b® in cash.::, The -;;.grantee, .may not ; uBe state ;as}dr„fodera�.A%tnds y; for °match requirements unless _ specif lad ;by law. 5 No oosts o� � �bi ti z party.-:in-kind,.,contributioms may douat towards xsat stying a ►td g P e szi:ykk 1 requiremez�t...of, a de artn nt grant i®yare used to*t y ° matching ; raquiremen f ;:another state or tadear+l g t • `j T t j o .. 4rx3�'!-#•"tea 1 S . 'S.n-kind matc#� `=-wThe grantee agrees andcashthat l. he - t availableduring Ttha, q�cant P.triQd and. 4�ssd in dire tc e grant>, pro j ect +ass provide+ in is g?�ntr «, depnrt�aent epprQved , rsYsioms . and #?see to `�� Grant :Agreement the9cau1»e�e"s r fa.�.;uxg., Ito coedit o�na °'Qf _.this match nq =_%want ac, eemsnt" Niue to i +t _ o r cash or. in -kited., match will xssult in -; the : 'ksa.nati n. 4t ! Z" mat31, ch�.ng ,grant agreement for ;cause. F{ 1'"'�f�'T�r' _64�� its _a G! N 4. Jt �v a ' 6. All matching grants are made in accordance with section 401.113(2)(b), F.s., and shall be made through an EMS Matching Grant Agreement. The MS Matching Grant Agreement shall contain by reference all regulations, rules, and other conditions governing, the grant award. f, 7. The department agrees to advance distribution of the grant amount to governmental aganoies and hon-profit organizationsthn & 43.days- after receipt and approval of a properly completed , i Matching `Grant 'Agreement and Request for Matching �ra:rit k Distribution document. 8. Any payments due the -grantee under'the'terms of"thus grant may, be withheld until all evaluation and financial reports due from,,tbe grantee and -necessary adjustment thereto, have, been,'approved'. by the department: terms; conditions,.`' and provisions of 'the. EMS Matclirig Grant Distribution -Agreement` andother "applicable documents are hereby reaffirmed. WCO MATCRIMG GRANT', = SPECIAL' CONDIT,IONB {� G APPLIC7IHLL TOIPROFIT "ORGANISATION for profit ` organizations.. is cost The method of payment}: reia�burs'anent. The following is the `'method `by°°'which for pYofi organizations shall.request reimbursement: �^ The antes" shall submit montly.,rembursemant reciuess 1. qr to, the ~department accompanied by,` r`s, gned 'invoices: The .invoices ' r must clearly indicate the service ..or " `product, ,` delive�sed`,E { :dates t delivered, dat® paid," item' � cost, total' cost, ',condition or. quality, and "identification " of the' person' reCAivinq' tha° service or product. — Z. The grantee .shah 'wabm t monthly eimbt rsams zt trequesta using th®` format provided,, ppend,ix D_... may . be ;' duplicated) ; in accordance with an approved Tina, r item budget on ,tile : in tb+eStata of,: Florida, Department of ' Health And- ,_,Rehab�aitatve Sstvicts, I Gftie'e of Emergenci-xedical Services, Tallahassee,rFlorida. 3. The grantee shall submit :,invoices for persanr}el° sai^v` and :� fees on "`a time/rate` basis: The invoice Ynust clearly , d��t •f ` -; each' .individual by name; , a general statement of se1°sricss �i #'1 the :time period covered by ,the inVaice, and fih:3 hour3, xy the `:number of hours worked for each` indivdua, App,apr� Xe sheets or time logs must accompany the invoice. s ;s 4. .Ths grantee must submit a,final inv0i66 t4r,: pay e r —� the ;department no Teter than 43 daXs: attr they taY ;. term.nated; `if ` the grant4a fails to ado' so,;;` lorfa�.ted, ynsd tla department wii not donor acy �racues► t after: the r afore®aid time ;'pinrioil. Nf_ .F.. Y .7.. , ✓ w i> N �' J'r •may }� v{ $_`� G'Y {� ,•��� L j ii t iir,. MMJ 7ra PON Y` y x 1 S ' '- `^1n,dh,r - . � wc�ur nt,>..i<,i :3'3^'• - r i S i P 7 z 1 services quality 1. The graital hereby reby aqy es to (1) improve the existinga, sepp medics rvices, or -to have a positive impact on patient mortality and morbidity;.and (2) to expand..the extant, size or Wombat of ;existing pre -hospital EMS: activities" or. services. The.; activities and services to be provided are described in the so Matching or Proposal (a), . and, its. department approved revisions ; on; "ails. in the r Stets of Florida;•apartment of Health and Rehabilitative Ssrrvices, Office of Emarqency Medical Services,Tallahassee, Florida. antserin }� 2rarer consists EMS act ivities will be. rendered by the q=. a nt with chapter 401, F.S , the work plan which, is ,. . included in the grantee's EMS Matching Grant Proposal, and .its department approved. revisions which: are- -:on file,-. in State + ;the :of ; Florida, -Department of ;Health and Rehabilitative "Services, Office S of'Emergency`Medical"Servicase Tallahassee, Florida. 3Tha graagrees to implement provisions . ntee of tis,a►atciYing grant in accordainca _with' federal; state, an local lawn, rules, regulations,`, and, policies•:.:.that, pertain to EMS.. i ,. t Funds ..and., items purchased under 'section '.'401..3( �,,a•,$. 4. k mill .,not be ;,used to fulfill. any,;.. state . EMd thing .gran ,;;program mat . t s Et i' raqui=ements. g . The grantee agrees .:not .. to use or disclon se ay x clisntJPata t Y E . !r: inform ation.:under,..this,grint for.,any,.purpose not,;in conform ty r ations ;and ,federal requlatioins (. 5CFR, Pain C5.g�0) b state requl }: except upon: written: consent of the" clientJpaI i or, f.; responsible parent or guardian when authorized by law. _) grantee` . and any, subgrantee or contractor -shah report y o thedepartment unusual incidents.' "in a; marine=:.prescribed irryRSR�r 10-1, if hservices toclients will be provided" .under this; ;grant please contact`"your local department., -district. -office ar state �.. graiit.officer if you need a copy of this regu�.at.on. �. 7The, ,grantae,shall own all .items; including buildinga� vehieX�as s and . ; equip ; urchased . with EMS matching grant funs �, uilss F p r0 Oral The,; yt#e yt j Bs g t gof'; an.r q otherwis�.dsscr bed in• the matchin rant p, p ' shall clearlydocument the ignm� omarah.' { usage, and :provide the <documentat,on.: withe 4t approjpr!.atsGant ;g <4• cif 5a rsport� h w The owner" be shall ''respoiisble-'for xhe proper ir;ur+acs,q _, ` ermittin and maintenance of items. �uzcl�asad$j jr cans ng, p gi t _ matching grant funds: The 'grantee agacaes" to shay ' within �a t�ot�al "a ptQv Mowevex ths�� ,grantat e� not re z 4d= t�h s? X %W, iAnd ividual i,ae atemTaaoun*a refiac�tsl is ja4¢e 4. 4• M S ad b lbl* M ' ¢ 7f 9. `e r�tr�tao �� .. a raspons fear►,, _ k '` ixcess� of ti}® ttQtal ma►tah.�nq grant award s'` t !` 1 f 1 E kf✓j � �� .. F i .. iO Ar 1C . EMS sate, inggrant ants are subject to the availability h funds der The department's performancesufficient ation tappropriationhiby the is contingent upon t Legislature. t �. TCS�ta 8p$CIAL AOCOIIpTB OVEiL., pAYXZNTB r ; AND RL:AIlDB EM8 IAA :1. All EMS matching grant funds shall be deposited by the grantee in an account maintained by the granteer and shall be assigned an' code designator: for all matching grant unique accountingAll deposits 4 and disbursements or expenditures thereof. an se shall matching acco t tad funds =in the:account:maintained by the grant**., All EXS- matching for.,. separately- from all other grantee funds. grant funds shall be used solely for pre -hospital activities as outlined in the EMS Matching Grant Proposal and its department ,approved-rovisiOns. Y 2. The grantee shall return to the department within 45 days` of the grants and,or termination:.' a. Any unused EMS matching grant funds remaining, in ahe assigned..grantea account at the and of the matching grant. period. ' b . ; Any..•interest -earned'_ on .EMS., : matching grant ,funds dapos ited in the grantee's assigned account shall .be accounted ;for and, : setuicsied to ..-the. ' .depart': ,the and .. ,of z :the ,gran ment at.,t period r , Y ;, r sub jsct:. tothe department's , ' advance . approval, ;."ad-:jfar z the purp►gses t E x { ofthe grant. In .:the event : the grantee . doesdo,at11 Hof htheir ' J. in -kind: flr,:.cash matching ;;r���irements: as;;agreed�to.: inthe fapPt k,a budget, :.' atats _. rands equal o ;the _ :;match deficiencies , shall Abe - Et .. returned to , the ; department • } 7 rat _ t j�X ,_.E:..:. tea.:.Hh f. . - In the; event the ,department determines ,r that , tha , gr e GNP* grant,:funds received from the .departmsnt_for purposesT�ot in accordance with this agreement, or has tailed to provide the :agreed matching contribution, . the , , grant,ea .agrees to bdep+asit bra: amount.; :of the. ,disallowed ..expenditure. or d fi�i enc ' in ptchir c� contribution.;.:into.. ;the;; grant .fund if such determination is ts�ade r }�stQre,. the -,,'Period -is closed; but if ', the datsxminatir�,?,iBy m,�icer5 thereafter,,,.,.,.hen the:: grants*. ; Agrees- to refund to the 8epartment:` thj, stet s proportionate share. of the disallowed expenditure. , either cash, ,the, grants*. a rasa ;t4,_?e the appropriate ds ost toy the grant" `fund or `. refund al amount to the department thief �> 4 days : ,; after; the issuance ;Qf ahe deartmerl's noicsr�' anion. dste-:aim 3 =r x as .a tG e Ym# at � ante . a s all obtaa} written aPP;�ye fxQ�#fibs+ - 1+tatchiri gran, r Ghs�tge {��e eB r sgantQfcar , on;t etoit3anf . be" `copied) parlor Q X of r f�Y' ud et x' the .approved grant b 9.. r r c ftf x� rt t {' k i Y t V La t 7 7 i���tr. - _ wa*#' ",+'y �-•h�8`,-aki'icW.�-FT` , h 16 introducing a new line item. ' increasing any budgeted salary, unless such an increase was projected. 3. int=ducLnq a subgranteg or contractor relations hip, where none was specifically identified. n RBpWD TMI =$ The grantee. shall file one original . and ,.two copies of each of the following reports_ i St 5 1 The Program Performance -:,Report (AppendixD) indicating meeting measurable progress. towar<stated activities, -.services, r` objectives, actions, and time -frames. Z. The ExpenditureReport (Appendix D) indicating all agreed upon • i t i V4 budget expenditures i 3. Special (Reports: _ ^yx Comc mimications \ gqu#mPAt :and Systems . y k The .grantee agrees that .all ,comamunicationg, .. activities f� sery ces�V en't .:shall be approved i n , Wit. by -the ; .Florida' ; j and equ pm en of General Services, Division of Com�awn3catons as _ '{ required ;by section.-401.024, .. T.S. Any costs for conmtunicatiossJr >: k activities and equipment which do no receive such approval° eha;: be,. disallowed. ; 'This ;approval must be dated after rthefiscxv date of _the giant and�; Vrior -to, A say ,; comonitment to 'pnrcliase requested; . gqupmaent and/or services or both. °- This approval is`' a evious Division of ' Ci�catins¢ required in, to. any Pr recoaaaendation, conceptua3 review, or approval . dates pr�.orc�th effective date of the: grant. E f _ { If ` the matching grant includes t1}e. ;.purchase of coiaamau�}icetions activities, services, and equipment, the gran es agrees to:submi a - brief one page written summary eport to the department whohl f describes how the -grantee's 6 System has .been'°iinprov®dx and 's expanded by` this comtaunications. gralat r i b r ( 'TranMort Vehicle$. If the matchin grant includes ~ the purchase of a g .r, { tr�3a x 'xesppnse ;vehicle :r,, the grantee k,e. ee�so"sv�bm.t`a�r. pQ. o .. me Psg t ,.. Sport_ �t �- ep___ a • � l a , x PON _r �' -_ gguoaent. ant includes purchase of medical or rescue ii the matching -grant Vritten i mot, the grantee agreed - to submit a brief One ., page ant, which includes the .,nwmber ":of re rt to th® departm *escue tools -_ summary -report individual instances where defibrillators and power =e utilized. _ d. : public educatione if, the matching` grant includes public education activities..ror sevices; the grantee agrees to provide the g tea .total rusts=a'indcating: course title; beginning c class hours;' name and'social`security number of"�participants;,and, ici ants Who successfully complete the course.$ i indication of part p 8• Coatinuinq Professional Education: rofessional educat ion the matching `grant involves co agrees to provide SFthi activities, os Sesvices the activities, and;,-.-class:�Yos"crsrr a llabus of training department with 87, r. and ending, dates;. m® mind s'title of activity inning indicating b name and ai ext signature of grantees ,medical director,< x ! certification rium it of :m all ,. i epp a preaemnr, r, participants; ` total '`` class hours f arid, ; an indication ofo�e z individuals successfully.completinq the training. Lt a f and evaluation. Research rant, involves r®search-,,.or.' evaluation, h d grans ; t� j if the matching ..q a w�citten sum nary whic , escr a t agrees to' submit: a brief one5.paq,s grant.;. , how' the EMS system 'has been improved and expanded u . ' The ' required deadlines for pr,ov3ding the dep�aent Performance, expenditnr®, and Special Repot are 4- $ Program' 1 ' foljda rs: = s a. April 30, - 1989 for period 4ctpber 1,;. 198.6 throug2i3 rk March 31, 1989 o -period Aprill,, 1989 through $. b. July 31, 1989 for 198�' i; June /_ 4i a November 1, 1989 for.-.peripd duly 1,, 19$9z��ghI September'"30`, '989 and` $ cial Report�rrI f r program: Perk a ante `� �nitorii a an a s'�-oxtaoatrsctor(aj' end to 1 ` p ov3,d aocess ` to ,' d gu�s'nish ':: what aysr LA' WON, oo:}#e yd at t� mos}itbr "Iran iticlu�iiaq y aeCmlm�lFs3 7 1 orr 7u•f'�� `x� �Cll®fit 'red rds 1 d j+%i�� grate agreed that; �e OQmphste c pY� o fr e�� Agreem �t-1 -department approveRi, 'aru�tchhinq; �i � ' rent propo04X,,i sand ail APPG 44*espr�`�yrLili rKQrL` ,y respbneibler f9 ° administering y eSf ' Y t}'Jr�rtls - 1'- Eiv ., 9 CP • e x r'{ b � �,' { . " ABSGMCS OF COMPLIUC$ ��D�T gT�►T The grantee assuras that any scientific or other report writt about this project will contain a proper credit statement that system funding- for. this project, in whole or part, whichever cast may be, was provided by the Florida Department_ of ;Hsl�lth .and case may a Services, office of Emergency Medical Services.,.;:; COPYRIGHT$ r The grahtae assures that where activities support od by thistgrant produce or; writing, sound recordings, pictorial reproductions; drawings or other graphic. representation and works of: any similar nature, the department has.: he right to uie,� duplicate''and disclose such materials in whole or in part, in any manner,. for any purpose whatsoever and to have others ,nctingon behalf 'of the 'department to do,,, so. ''If the materials : ao. dovolopsd are subject to copyright, trademark;: or.pntant, legal title at}d every, right, 'interest, _claim,- or demand of.. any:,.kind�_ in,, and-,Fto any Pat trademark or copyright,- or":.application tor; the ,same, w vist in the State of Florida, Department ; of . Statp, fiat tf�s e ' exclusive use `-and,-, benefits of ..the �: state.,.... Pursuant 'w to section , 286021 F:S.,.,'no person,:firm.:or;corporation,"includinq�partiss to, y this :grant,', shall" ':be entitlsd_� to. "-uso .. she , aopyrght,,: ; Patent#or trademark .' .the ; prior written :;:Consent without . of the D�partmsnt r o titx ':State. �; ,`nTRIGHTS CERTIFICATION { �- l,:.. '.:yid rc' +:.-, ( " •;, ;- ., ... etl •,' d '�A�`�+, '�,� ( r; t= hb The -granteegives,, this assurance " in consideration . of and tort the xfi. purpose -of obtaining federal- grants,.., loans .contracts {gxcapt contracts of insurance or guaranty), property, discounts,. or oie= federal financial assistance to programs or activities' roe benefiting from federal financial, ass stacce. " .::Tie: grantee.:agress to Complete the Civil Rights Compliance questionnaire, RRS Forme 9, `. 46A' and B, } if so requested by .the- department. Altho A:.no #edarA . s funds are' involved, in this. grant the grantee . assurai�t it Fwi11 comply with the following the sams:as i#.federal funds were b�inq; provided:".. 1. Titls =VI -of' the Civil � '.Rights :Act ':of 1964, as ammndady " V. S: C.' <2000d et ' seq. ; ' which prohibits di, ■crim anon eon > tho bs `' color;': or:: national. , origin i.It: Xuip syai ` , receiving or,; benefiting from federal financial "assistance. " 't =f x, 2 .. Section 544.. of .'the =: Rehabilitative Aot Ot."�7.. rda _!` discrimination:On,;the`, Q. Sy C. 704, , `Which �.p7COhibits' Programs ;activities =`.receiving or b4f,n9=�µro►� �, d � r . •: ` ' ,.- ., .:_ 3. "Title4 XI of du;cati ow "Amen, en 97 2 V.oh pzohi?a#s disataiat.D Q3�1 �:. sex' iz� ad ication PrPgrams AL actiN tied rids Y, g d Q0A stanc 74 from federaltinanCial assie, t� x,n((,"y� JF�tyy{yt ��;�f' Y Y! F Y Y Y Ai 4. Vhe"Age�Diseriminaticn Act .of 1975, as amended, 42.t.S.C} s101 et:, eq.,, which prohibits ; : discrimination on _ .the basis ; of age Y,;jin programs or activities.. receiving or benefiting from fadaral A financial:assistance. 5..; The omnibus Budget Reconciliation Act .of 981, P.L.__,97rMi which prohibits discrimination on.the.basis of sex and r�ligiona<in programs: -and activities receiving or benefiting from federal financial assistance. 6. All requlationsi, guidelines, and standards lawfully- adopt it under -the, preceding. statutes. 7v V.B. Department of :Health.. and Human ServicesRequlatiopa for Protection of. Human Subjects;(45 CFR, as amended) regarding the :. protection of,, human; research subjects. The :grantee agrees.that_compliance with :.this..assuranee constitutes a condition of continued- : receipt: of or benefit, from: stator -EMS funds.i and that it. is binding upon the grantee, -successok0-- transferers r,. ; , ands:.:: assfgneas :, for the period . during :;which � such : assistance; is.` provided.., ,,The grantee further assures . that�hall contractors, subcontractors, :sub -grantees or others"with.whom it >, e arranges to :provide services or benefits to participants err employees -, in connection,. with any, of its,' programs and activities-iare , z = not-.-rdiscriminating :µagainst thosem -"Ipartiopants or , amploee�s, `in Violation' of ;the preceding statutes,. regulations, }-guidelined��and standards. In the ::. event ._f of ;- - failure. = to comply, the granteel - understands that the department may, at its discretion, _ court:,, order.; requiring": compliance;~with.-;the.:,aerms of :.ahis-°asaurax�ca, :. ore ;:seek 'other :<.appropriate.. Judicial or administrative :relief, include -,,assistance being terminated, and -further assistance being -rr — denied. J .This requirement: is applfcablo , if -the grantee fs a state or local. government, university -hospital. other;)°nonprofit entity, It shall not apply if the total of all funds received or earned from the department is less than $25,000 during the grantee's fiscal year. The grantee has "received" funds when It. hasr,: obtained cash rK from the department or when it has.incurred expenses whfch;will'b$ °< : reimbursed - . by the -department. Govern�aental " grantees determine funds "received" in a manner consistent with their °metrgd�4; of 'accounting' a } _. - The grantee agrees to have an annual financial and aomplien"ate performed by,independent .auditors'in;;a'Coo rdance with the t y Standards for Audit: '.of .Governmental Organisat.on;5- Activities and"".Functions (the "Yallaw Saok"j* issu d 1: Compt�roiler-. General,': of the United State Static nyd governments shall, comply with" Office af: Management, and �udg+4t x Circular A- 28, "Audits of State .an Local. Goys VniVora ities" hosPit:►1a, :. and othern Qn refit $rovid+aa;�chai, ; with: the audit requirements contafnod :.► append,x v < :f pi n -A- 110, "Grants " `and Agreem4ata withzatituti0aG,f Educetticn, "Hospitals, and other NonprQlit +Dr�ania�►tii"; , s, 11` yet #4bt 4xyy E!f L F Y a {?+ R S 3 ' . modified herein. such audits shall cover that entire organisation _ s for; the organization I a fiscal year. The scope of ;audits performed.. need include only the financial and compliance requirements of the "Yellow Book", and may disregard those related solely to eeonmW and efficiency or to program results. Compliance ,findings related to the department shall be based on. d requirements in the grant agreement, including any rules, regulations, or statutes referenced. Liabilities due to the f' department because of unexpended funds or because funds were not expended in accordance with terms shall be calculated and fully .. disclosed in the, report audit. This requirement does not expand the scope of the audit as prescribed by the "Yellow Book". In addition to the basic financial statements, the report audit shall include_:_ (1) a detailed schedule of all revenues identified .by source, such as individual grants by grant number. -'client fees, ,and private donations; and, (2) a schedule of functional oxpensas which presents line item expenditures such as salaries, :travel, and supplies by, program services and supporting services, with the portion.. of total supporting services allowable to programs as s a single line item increasing program .� servicssand . decreasing supportinc`;services. Where applicable, the audit rieo shall -include a' computation showing whether ors not matctiinq - requirements: were net. The grantee shall > ensure that audit working ,gapers, are made ' available ,to. the' department or its designee ,,upon request : toad° a M'" f period.'*='of ; five years from the date the audit: x, ar_t, is unless extended in writing by the ' department. �- Unless, -.-,otherwise, required by Florida Statutes, ':,copies financial and compliance audit report and: management letter,=if —' any, shall be submitted within 120 days, after the, and of `';*ttie grantee -.fiscal year to: office of Audit and Quality Control Services° Building 3, Room 219 13.17 Winewood Boulevard Tallahassee, Florida 32399-0700 > f - ✓ 6 icy �. _ y I . {r i ii r 4h x R 3 i # I Sf X2 V a 77!T p. �- ✓' r yro y h ° 7 -'r 'ri9 A" > M'! u Y� t 1 GRANTEES - MATCHING "GRANT INUNBERt r` CHAN GRANTER, GRA CASH IN- avc matp `_N 1�IAT ;STAY$: GRANTS � ._GRA11Tr E -3d CASH FONDS' 1111191 1 at F;ix +er , �d -�.t; .dhry� ��t./,,p-:.... '� �;:v/;�=��"�r.I„".-y.�''/�-�"g'�`q.r�'��a�r•.y�wr�"!!'� �"��.ra+��4w+aipis�F4 ry � � `'i'L�-f � '�J.i�„�Kr° �'$ �`�'�� Y '�'� r t s - Six 'on the Report, Nine77 z 8arned Interest to -Date a�' .aye : ;,_ .. ; i , .i°' • � � r 7 �itr � t4.�Y����% {��e}g� � j,%a � �'�{ t� � i�! s GRANTBS STA = ���ANTS r� TS GRANTB$; :CASH ZN-KIND u , .. � G'RA I FT s� IETND LI�1S w �� IdAT['N 1i411�1f1Q '' '�n►1n/m v�N mn*r . 'SUBTOTAL h , i .a ' A17bi7Vi .IlAY, �Vi1ri�Vii.l: ViW�LfiO4ZiVA�• `` ��_ .. ;: _. ,: ,. -. ,' ., .. <. ., _ .: ... ., .:, -< �. .x .� ,. t: . k..:: -a. s� � � i e�;, � `o- .� ... - .: ■ 11 -.. .. . . .e' _l i':.tuti!i`\ F. �iii`.P..���"�itli:.�7!=.•Th"!'�C�✓'?aY��i�7L:ffeTFY�`�' �.+f'�. � '�"" , �'��""����"�'''�', .'�'"'�"��°'����� , � Ill 1111111111111�I�f■IIIIII I I I I i �. ;,w _,. ' I'I�AU1�E!!kllSl�illlhiio�p �C�llpnpPnu M�ui�iu am�nn�niwn� �u� ,i� '.,� i'�,. '� `�' �: '". ;� F � a� . ,. � r „ + y .d; .�� ,: ,�, ,: .., ,: r. ... d �, t�A`