HomeMy WebLinkAboutEMS Matching Grant ApplicationEMS MATCHING GRANT APPLICATION
FLORIDA DEPARTMENT OF HEALTH
Bureau of Emergency Medical Services
RECEIVED
DON - EMS
MOSFEB I1 P 1:51
Complete all items unless Instructed differently within the application
Type of Grant Requested: Rural XX Matchin
I— ;D. Code (The State Bureau of EMS will assign the ID Code — leave this blank)
1. Organization Name: City of Miami Fire -Rescue
2. Grant Signer: (The applicant signatory who has authority
to sign contracts, grants, and other legal
documents. This individual must also sign this application)
Name: Robert Ruano
Position Title: Grants Administrator
Address: City of Miami
444 SW 2 nd Ave, 51" Floor
City: Miami
County: Dade
State: Florida
Zip Code: 33130
Telephone: (305) 416-1532
Fax Number: (305) 416-2151
E-Mail Address: rruano@ci.miami.fl.us
3. Contact Person: (The individual
with direct knowledge of the project on a day-to-day basis and
of the grant activities. This person may sign project reports and
The signer and the contact person may be the same.)
Captain Allen Joyce
responsibility for the implementation
may request project changes.
Name:
Position Title:
Executive Assistant to the Fire Chief
Address:
1151 NW 7 St. 3ra Floor
City:
Miami
County
Dade
State:
Florida
Zip Code:
33136
Telephone:
(305) 416-5430
Fax Number:
(305) 400-5029
E-mail Address:
ajoyce@ci.mlaml.fl.us
DH Form 1767, Rev. June 2002
OR1GI NAL
1
1
a
Miami
18. Budget:
Salaries and Benefits: For each
position title, provide the amount
of salary per hour, FICA per hour,
fringe benefits, and the total
number of hours.
Costs
Justification: Provide a brief
justification why each of the positions
and the numbers of hours are necessary
for this project.
•
TOTAL:
$ 0.00
Expenses: These are travel
costs and the usual, ordinary,
and incidental expenditures by
an agency, such as,
commodities and supplies of a
consumable nature, excluding
Costs: List the
price and source(s)
of the price
identified.
Justification: Justify why each of the
expense items and quantities are
necessary to this project.
expenditures classified as
operating capital outlay (see
next category).
TOTAL:
$ 0.00
orm
, rev.
Miami M5092
Vehicles, equipment, and
other operating capital outlay
means equipment, fixtures, and
other tangible personal property
of a non consumable and non
expendable nature, and the
Costs: List the
price of the item
and the source(s)
used to identify the
price.
Justification: State why each of the
items and quantities listed is a
necessary component of this project.
normal expected life of which
is 1 year or more.
34 Tablet/Laptop PCRs 802.11
compatible with Edge Cards and 1
year of air time: 34 @ $6,100 each
$207,400.00
A quantity of 34 will provide a device for
23 ALS Rescues, I ALS Pumper, 4
Supervisors, 16 BLSIFI re Trucks and 10 ALS
Special Event units thus allowing system
wide implementation
34 Unit Docking Stations: 34 @ $500
each
$17,000.00
A quantity of 54 will provide a docking
station for 23 ALS Rescues, I ALS Pumper, 4
Supervisors, 16 BLSIFire Trucks and 10 ALS
Special Event units
24 Portable ink Jet Printers: 24 @
$150 each
$3,600.00
A quantity of 24 for ALS units, 6 hospitals and 5
spares to allow printing of patient care reports in
the field, to be delivered at jiransfer
A quantity of 20 will provide a point of data
upload/download "Access Points" at our 14 Fire
Stations and 6 area hospitals which will allow
continuous transfer/flow of data.
20 Wireless access points: 20 $600
each
$12,000.00
A quantity of 20 will provide a point of data
upload/download "Access Points" at our 14 Fire
Stations and 6 area hospitals which will allow
continuous transfer/flow of data.
TOTAL:
$240,000.00
State Amount
(Check applicable program)
® Matching: 75 Percent
❑ Rural: 90 Percent
Local Match Amount
(Check applicable program)
® Matching: 25 Percent
❑ Rural: 10 Percent
Grand Total
$180.000.00
$60,000.00
$240.000.00
DH Form 1767, Rev. 2002