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HomeMy WebLinkAboutGrant ApplicationDepartment of Health EMS GRANT PROGRAM EXPENDITURE REPORT Organization Name: Time Period Covered: Beginning Date: Ending Date: Earned interest: Amount $ as of: Day Month Year Final Report (Check one): LJYes - No Major Line Items Approved Budget by Major Line item(s) TOTAL BUDGETED EXPENDITURES Grant ID Code Approved Expendture to Date by Major Line TOTAL EXPENDITURES TOTAL $ 0,00 0.00 BALANCE (Budgeted Less Actual Expenditures) $ 0.00 Include with the progress- hates an explanation or how project personnel, equipment, and any problems or barriers may impact on the grant progress, I certify the above reports are true and correct. Expenditures were made only for items allowed by the above referenced grant. Signature of Authorized Grantee Official Printed Name Date DH 1684A, December 2008 64J-1.015, F.A.C. REPORTS Both the interim reports and final repQrt must begin with a summary page: of the budget and costs using the state EMS Expenditure Form or its equivalent, Tha form follows this page. INTERIM REPORTS Each grantee shall submit two reports to the department. The due dates for the required reports are specified in the award letter from the department notifying the grantee of the grant award. These reports shall Include, at a minimum, a narrative of the activities completed ar the progress of grant activities during the reporting period. A report shall be submitted by the due date whether ar not any action or expenditures have occurred. FINAL REPORTS A final report shall be submitted to the department by its due date. The find report shall at a minimum contain a narrative describing the activities conducted including any bid or purchasing process and a copy of all invoices, canceled checks or other payment documentation relating to the purchase of any equipment, services, expenses, and supplies if the activity funded was for training a list of all individuals receiving the training shall be submitted along with the dates, times and location of the training, if the grant was for training to be obtained by staff then a copy of all invoices and payment documents for the training shall also be submitted. if any refund is due to the state, the paper check will need to be sent tows. Also, please briefly :summarize a description of the impact of the project, DH 1684A, Deoember2008 64J-1.o15 F,A,C. EMS MATCHING GRANT APPLICATION FLORIDA DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Complete all items untess instructed differently within the application Type of Grant Requested: L Rural a, Matching 10..1,..cLxle (The State Bureau of EMS will assign the ID Code — leave this blank) 1. Organization Name: Cityof Miami Department of Fire -Rescue 2, Grant Siciner: (The applic,ant signatory who has authority to sign contracts, grants, and other legal documents. This individual must also sign this application) Name: Lillian Biondet Position Title: Director of Grants Administration tr, Address: 444 S.W. 2na Avenue, 5 Floor City; Miami County: Mierni4Oade County State: Florida Zip Code: 33130 Telephone: 305-416-1536 Fax Number: 305416-2151 E-Mail Address: iblondetOrniamigov.00rn 3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and This person may sign project reports and may person may be the same.) responsibility for the implementation of the grant activities. request project changes. The signer and the contact Name: CaptittLi Adrian Plasencia Position Title: Fire Captain Address: 1151 NW 7th Street City: Miami County: Miami -Dade _ State: Florida ZipCode: 33136 Telephone: 3 5-416-5450 Fax Number: 305-400-5354 E-Mail Address: a lasencia la i ov.co DH FORM 1767 (2013) 64J-1,015, F.A.C. Legal Status of Applicant Organization (Check only one response) (1) ❑ Private Not for Profit [Attach documentation-501 (3) 0] (2) ❑ Private For Profit (3) ►/ .City/Munioipallty/Town/Viflage (4) ❑ County (5) ❑ State (6) 0 Other (specify): Federal Tax ID Number (Nine Digit Number).. VF 0t4. 378_ 6. EMS License Number 2276 Type: ►1Transport :Non -transport DBotl 7. Number of permitted vehicles by type: BLS 24 ALS Transport 3 ALS non -transport; Type of Service (check one): ORescue OFire ❑Third Service (County or City Government nonftre) 0Air ambulance: aFixed wing DRotowing ❑Both .[=other (specify). Medical Director of licensed EMS provider: if this project is approved, I agree by signing below that I will affirm my authority and responsibility for the use of all medical equipment and/or the provision. of all coOuting EMS education in this project. [Na signature is needed if medical equipment and professional EMS education are not in this project.] Signature: Date: Print/Type Name of Director Kathleen S. Schrank, MD, FACEP, FACP FL Med. tic. No, ME 39896 Note: All organizations that are not licensed EMS providers must obtain the signature of the medical director of the licensed EMS provider responsible for EMS services in their area of operation fot projects that involve medical equipment and/or continuing EMS}education, LIf your activity is a research or evaluation project, omit Itemstt1, l 1, �1 3, ; nd skipto Item umber 14, Otherwise, proceed to Item 10 and the following items. your activity is a research or evaluation project, omit Items 10, 11, 12, 13, and skip to Item Number 14. Otherwise, proceed to !tern 10 and the following items. 10,. Justification Summary Provide on no more than three one sided, double spaced pages a summary addressing this project, covering each topic listed below. A) Problem description (Provide a narrative of the problem or need); S) Present situation (Describe how the situation is being handed now); C) The proposed solution (Present your proposed solution); D) Consequences if not funded (Explain what will happen if this project is not funded); E) The geographic area to be addressed (Provide a narrative description of the geographic area); F) The proposed time frames (Provide a list of the time frame(s) for completing this project); G) Data Sources (Provide a complete description of data source(s) you cite); H) Statement attesting that the proposal Is not a duplication of a previous effort (State that this• project doesn't duplicate what you've done on other grant projects under this grant program). DH FORM 1707 [20131 ITEM 10, Justification Summary 3 Pages A) Problem Description: Miami Fire Rescue (MFR) is currently utilizing cardiac• monitors that do not meet the increasing needs of the community. They are deteriorated, in need of repair, outdated and lack patient vital monitoring functions (including heart attack detection) which prohibit MFR from providing the highest level of care and life saving measures, They lack enhanced lifesaving capabilities such as carbon monoxide (CO) monitoring to proteot residents and firefighters, real time CPR tracking, current EKG interpretation algorithms to determine the origin of heart attacks and the outdated screen is difficult to read. In 14 months the vendor will discontinue servicing these units. We need equipment which will be reliable, can be maintained, and which has the necessary advanced capabilities to effeetively provide EMS, Due to budget digs, we do not have the funds to jeumhese this equipment. without state assistance. In 2012, there were 1,255,000 heart attacks in the U.S., representing 46% of cardiovascular disease occurrences., Tragically, about 50% of these victims die from heart aftacks.2 In surviving a cardiac emergency, experts agree time is the single most important critical factor. A plethora of heart attacks were identified in the City of Miami in 2012. MFR has responded to numerous calls where its monitors could not evaluate CO levels to prevent death from CO poisoning; annually, more than 400 Americans die from unintentional CO poisoning. Today's cardiac monitors have sensors which will allow MFR to continuously monitor CO levels to save the lives of residents and firefighters (as recommended by NFPA 15849. EMS responders are frequently the first line of defense in treating the aforementioned incidents. The use of cardiac monitors increases the chances of survival by allowing for more effective treatment of a patient before arrival at a treatment facility and reducing the time it takes to treat patients on arrival at the facility .3 MFR's cardiac monitors were used in about 40,000 calls in 2012. MFR is dedicated to continuous quality improvement of its services for residents, inclusive of rapid on -scene arrival. MFR is charged with responding to all emergency tails within its jurisdiction and to provide mutual aid in four other municipalities and automatic aid in another. Miami has a disturbingly high mortality rate, many 'cardiac events and is in need of new cardiac monitors to respond to the over 95,000 calls it receives annually and to increase the probability of patient survival. 4 I3). Present Situation: MFR uses obsolete cardiac monitors which limit and decrease the efficiency in MFR's care of residents. They are difficult to maintain and require costly repairs which divert funding away from other critical EMS supplies and equipment. When they are undergoing repairs, MFR's, two spare monitors are utilized. When these are in use and other monitors malfunction, EMS units lose their EKG capabilities and are at risk of being placed out of service until a working EKG is available. This impedes MFR's ability to assess patients and respond to emergencies, it extends the door to math time, increases the risk of cardiac damage and increases chances of death. MFR provides both fire and EMS services, consisting clf 27 fully staffed ALS rescue units and 28 fire response BLS non -transport units. Its cardiac monitors are outdated, deteriorated, malfunction frequently and require extensive servicing In the last two Years, they were placed out of service due to repairs over 60 :Imes and repair will be unavailable in 14 months, when the vendor discontinues servicing. They also lack the capability to •evaluate the effectiveness of CPR and to more accurately detect heart attacks. In over 10,000 calls involving smoke, fire or other respiratory distress, MFR was not able to check the CO levels for the majority of the patients. The same was true for its personnel involved in over 2000 smoke and/or fire related incidents. C) Proposed Solution: It is imperative that MFR provide effective treatment and improve its ability to care for the More than 1 million people transiting through Miami daily. We are requesting financial assistance to purchase 28 cardiac monitors to ensure EMS units do not lose their EKG abilities and are not at risk of being placed out of service until a working EKG is available. Without all 28 monitors, many of the emergency victims treated during MFR's 95,000 plus calls will not have the lifesaving assistance they require. These cardiac monitors will Include CO monitoring capabilities, as well as improved EKG algorithms and functionality to assure effective service to our residents, visitors, and members, In addition, the cardiac monitors will have biphasic defibrillation capabilities, improved display visibility, end tidal carbon dioxide technology for intubated and non-intubated patients, oxygen saturation monitoring, non-invasive blood pressure rmnitoring, continuous 12-lead monitoring, 12- lead transmission capabilities, the ability to store and upload data into patient care reporting systems, and the ability to extract data for training and qua* improvement. These monitors will allow for increased chances of survival for victims by providing enhanced lifesaving capabilities and adequate equipment to perform EMS duties. In addition, maintenance and repair services will be available for this equipment. 5 0) Consequences if Not Funded: Without this grant, MFR will not be able to fund this project. As previously stated, its current cardiac monitors are continuously taken out of service for repairs. The current vendor will be unable to support these monitors in 14 months, hindering ALS capabilities significantly and endangering lives, Furthermore, current cardiac monitors lack the technology and functionality that can facilitate the effective treatment and survival of residents, visitors and members. These monitors are the difference between life and death and in our financial condition; MFR does not have the funds to purchase them without state assistance, E) The geographic area to be addressed: The City of Miami is comprised of 34 sq. miles with about 408,750 residents. Daily, the population swells to nearly 1 million during working hours. Current vulnerabilities are: 1) High rate of ill -health due to poverty: Miami has a 27.7% poverty rate and is one of the FIVE MOST IMPOVERISHED CITIES IN THE U.S. ; 2) High rate of elders: The City has the nation's 7th largest elderly population (over age 65) comprising 16%• of the total population; 3) High rate of ethnic diversity and rates of cardiac individuals; 4) Mutual All Obligations. MFR provides automatic aid to the Village of Key Biscayne, and mutual aid to Miami -Dade County, the cities of Miami Beach, Coral Gables and Hialeah, F) The proposed time frames: Months •1 to 5: present award to the city commissioners for approval, research supply and purchase equipment. MFR anticipates units will arrive two to four weeks from the date ordered; Months 6 to 8:training of 600 plus firefighters/ paramedics and; Month 9: implementation of units into service and records and evaluate the positive effects of the newly acquired monitors. G) Data Sources: National Heart, Lung & Blood institute, http://www.nhibi,nih.gov I; National Institute of Health, www,nih.gov2 ; A Guide to Our Emergency Medical Equipment, http://westchesterems,orq/eouloment.htrn13, Miami Department of Fire Rescue4.; NFPA 15845; H) Statement of Non -Duplication: This funding will enable MFR to obtain reliable cardiac monitors with necessary advanced capabilities and establish new respoose capacity in MFR facilities. The City of Miami has not received funding for cardiac monitors from the Florida EMS matching grant program before and does not duplicate the work of any other grant funded initiative. Next, only complete one of .the following. Items 11,12, or 13. Read all three and then select and complete the one that pertainsthe most to the preceding Justification Summary. Note that on all three, that before -after differences for emergency victim data are the highest scoring items on the Matching Grants Evaluation tNorksheet used by reviewers to evaluate your application form. 11 0utc9me For: Projects That Provide or Effect Direct Services To Emergency Victims: This may include vehicles, medical and rescue equipment, communications, navigation, dispatch, and all other things that impact upon on -site treatment, rescue, and benefit of emergency victims at the emergency scene. Use no more than two additional one sided, double-spaced pages for your response. Include the following: A) Quantify what the situation has been in the most recent 12 months for which you have data (include the dates). The strongest data will' Include numbers of deaths and injuries during this time. B) In the 12 months after this project's resources are on -line, -estimate what the numbers you provided under the preceding "(A)" should become. C) Justify and explain how you derived the numbers in (A) and (E), above. D) What other outcome of this project do you expect? Be quantitative and explain the derivation' of your figures. E) Horn dogs this integrate into your agency's five year plan? ITEM 11, Outcome For Proiects That Provide or Effect Direct Services To Emergency Victims&GES A) .Quantify Situation in Last 12 Months: From January 1, 2012 through December 31, 2012, MFR responded to over 95,000 incidents. Of those, 75,935 calls were EMS responses, during which cardiac monitors were employed in the assessment and treatment of over 40,000 patients, In addition, over 10,000 of those calls involved either smoke, fire and/ or some type of respiratory distress., where MFR was unable to check the majority of the patients for elevated CO levels. Miami also has a high level of obesity as well as a high percentage of poverty and elderly. This exponentially Increases our population's risk of death from heart attacks and other cardiac events, MFR has had several issues with its current cardiac monitors, where they are constantly removed from service to undergo repairs and have become unreliable. In many documented instances, our current cardiac monitors have actually exhibited asystole on viable patients, therefore further increasing our need for functional and reliable cardiac monitors that have been beyondMFR's reach due to its current fiscal state. The City of Miami has a large, over 1,000,000 daily population, significant number of high risk patients, plethora of EMS responses, array of calls necessitating CO monitors, and impending obsoleteness of the monitors in a few months. These critical issues make it imperative that MFR acquires functional and reliable cardiao monitors to effectkely serve and decrease the risk of mortality of our residents, visitors and firefighters. B) Data of Change with Project Implementation: Implementation of the cardiac monitors in all City of Miami Fire Rescue Department ALS vehicles will ensure that MFR can effectively and efficiently perform lifesaving measures, quickly identify heart attaoks and other lethal arrhythmias and monitor CO levels. The 10,000 calls on which we could not effectively check for elevated CO levels in the previous 12 months will be eliminated in the 12 months after implementation of and staff training on using the monitors. Alse, MFR will no longer lack reliability, real time CPR tracking and the ability to determine the origin of heart attacks which it lacked in 40,000 calls in 2012. Therefore, MFR expects to see Improvement ire a ) save rates; b) identification of STEMIls; c) door to catherization times in heart attacks; d) identification of patients with elevated CO levels; e)overall efficiency in EKG interpretation; and f) improvement in cardiac and other treatments. MFR has exhibited a significant increase in responses and population served each year. This project is critical to MFR's efforts and will decrease morbidity and mortality in Miami for years to come, Residents, visitors, and 8 members of the City of Miami will be better protected and receive an extensive increase in quality of care and better service and the •health of firefighters wili be better protected and monitored at fire incidents. C) Justification and Explanation of Above Data: Information given in question (A) and (B) was obtained using data from the Miami FireAescue Department data collection system and other outside resources. D) Additional Outcomes: The funding of this project will result in the improved well-being of firefighters through early Monitoring and recognition of the early symptoms of CO poisoning, as well as cardiac monitoring at fire and other events. MFR will also be able to provide citizens and visitors with consistent state of the art treatment. The new monitors are extremely durable, have longer battery lives, enhanced screen visibility, improved functionality, will have a tonger lifespan and require fewer repairs. E} Integration into Agency's Five Year Plan: Miami Fire -Rescue's five year plan includes a complete review of our current treatment protocols and equipment needs, and the impact of AHA guidelines. This project integrates seamlessly into the achievement of MFR's goals. In addition, our plan includes improving the wellness and health of our members. These monitors will effectuate this by effectively monitoring CO levels in our personnel's blood, as well as performing cardiac assessments on our members. These assessments clearly save lives as was the case when one of our member's experienced a heart attack at a recent drill and a cardiac monitor was used to quickly identify the heart attack and save his life, as well as an array of other instances where cardiac monitors have identified dangerous antythrnias on our members. 9 kip 14 and -go to 15, unless your project is research and evaluation and you h completed the preceding us cation ALt. APPLICANTS MUST COMPLETE ITEM 5. 15. Statutory Considerations and Criteria: The following are based on s. 401.113(2)(b) and 401.117, F.S. Use ne More than one additional doubie spaced page to complete this item. Write N/A for those things In this sectiottthat do not pertain to this project. Respond to all others. Justify that this project will: A) Serve the requirements of the population upon which it wtCl impact. S) Enable emergency vehicles and their staff to conform to state standards established by law or rule of the department. C) Enable the vehicles of your organization to contain at least the minimum equipment and supplies as required by law, rule or regulation of the department. C) Enable the vehicles of your organization to have, at a,minimum, a direct communications linkup with the operating base and hospital designated as the primary receiving facility. E) Enable your organization to improve or expand the provision of: 1) EMS services on a county, multi county, or area wide basis, 2) Single EMS provider or coordinated methods of delivering services, 3) Coordination of all EMS communication links, with police, fire, emergency vehicles, and other related services. 10 15, Statutory Considerations and Criteria (1 PAGE): A) Serving the Requirements of the Population of Miami.: The purchase of cardiac monitors would serve the needs of the over 1,000,000 people in Miami daily by providing effective treatment for cardiac related events and CO level monitoring, Miami has a critical need for the monitors due• to its enormous number of middle aged to elderly oitizens, and others at risk of cardiac emergencies. Also, potential CO poisoning stemming from the increased use of generators during hurricane and thunderstorm power outages, increase the need forthese cardiac monitors, B) Enabling of Emergency Vehicles to Conform to Standards This funding will enable MFR to meet state standards. It will also meet NFPA 1584 startdards which recommend the presence of both pulse oximetry and CO monitoring on the firegound and in certain training situations. In addition, MFR will be equipped to continue to conform to Al -IA guidelines and standard of care by offering biphasic defibrillation, infant/pediatric defibrillation, and 3-lead ECG capability in all our advanced life support vehicles. C) Enable vehicles to contain minimum equipment and supplies: MFR requires that Its vehicles contain cardiac monitors es a part of its minimum equipment requirement. The requested funding would allow MFR to Purchase 28 cardiac monitors to meet this obligation. D) Enable vehicles communications: This equipment will allow for increased communication and data transfer of 12 leads during and after events and allow for a Continuous Quality Improvement (COI) process to be implemented by MFR The improved communications will also allow MFR to provide the highest standard of care. E) Enable your organization to improve or expand the provision of services: The acquisition of the cardiac monitors will exponentially improve MFR's ability to serve populations in the City of Miami and throughout the county. Increased technology will allow MFR to acquire and analyze data to improve service. The addition of CO monitoring oapabilities will allow MFR to bettor:protect its residents and firefighters. The ability to upgrade a newer technology is developed will allow MFR to ensure a long and reliable useful life for the cardiac monitors. 11 16. Work activities and time frames: Indicate the major activities for completing the project (use only the space Provided). Be reasonable, mostprojects cannot be completed in less than six months and if it is a communications project, it will take about a year. Also, if you are purchasing certain makes of ambulances, it takes at least nine months for them to be delivered after the bid is let. Work Activity Grant Acceptance (commission approval) Number of Months after Grant Starts BeIrt End (MM/DONYYNO. (IVIM/DDNYYY) Bid Issuance and vendor selection Purchase unit Training 6 Unit Deployment 9 6 9 17. County Governments: if this application is being submitted by a county agency, -describe in the space below why this request cannot be paid for out of funds awarded under the state EMS county grant program. Include in the explanation why any unspent county grant funds, which are now in your county aocounts, cannot be allocated in whole or part for the costs herein. &A. DH FORM 1767 [2013 12 1 : Bud et Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per hour, (tinge 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. t' TOTAL.: $ 0.00 Right click on 0.00 then left click on "Update Field" to. calculate Total 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 expenditures classified as operating capital outlay (see next Cate e o DM FORM 1767 [2O13] Costs: List tine price and source(s) of the price identified. ,Justification: Justify why each of the expense Items and quantities are necessary to this project. Right click on 0.00 then left click on °Update Meld" to calculate Total 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 normal expected life of which is 1 year or more. 28 — Cardiac monitors Costs: List the price of the itern and the source(s) used to identify the price. $72 000 $728,OOii,O0 Justification: State why each of the items and quantities listed is a necessary component of this project. The units are sold at $26,000 each and are all necessary to facilitate The goals of this grant and reduce mortality in the City of Miami. Cardiac monitor SA02 Capability CO Capability 3 & 12 lead capability ETCO2 capability Bp capability Cables Batteries' Wifi "f Bluetooth capabilities Clinical training included Data Management "package Biphasic defribillation capabilities Right click on 000 then eft "(iodate Field" to calculate Total Mate Amount (Check applicable program) Matching: 75 Percent Rural: 90 Percent Local Match Amount (Check applicable program) Matching: 25 Percent 0 Rural: 10 Percent Grand Total OH FORM 1707 [2913] $546,O00 OO. $182,Ot)t1.0 14 0.0 Right click on 0.00 then left click on. "Llpdate Field" to calculate Total Right click on 0,00 then left click on "Update Field" to calculate Total Right click on 000 then left click on "Update Field".to calculate Total Right click on 0.00 then left click on Update Field" to calculate Total 'Right click on 0.00 then Ieft click on 19 Certification: My signature below certifies the following. I am aware that any omissions, falsifications, misstatements, or misrepresentations in this application may disqualify me for this grant and, if funded, may be grounds for termination at a later date. 1 understand that any information I give may be investigated as allowed by law, I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete and made in good faith. I agree that any and all information submitted in this application will become a public document pursuant to Section 119.07, F.S. when received by the Florida Bureau of EMS. This includes material which the applicant might consider to be confidential or a trade secret. Any claim of confidentiality is waived by the applicant upon submission of this application pursuant to aectio. 119.07,F.S, effective after opening by the Florida bureau of EMS. accept that in the best interests of the Stage, heFloridaBureau of EMS reserves the right to ject or revise any and all grant proposals or waive any minor irregularity or technicality in proposals received, and can exercise that right. , the undersigned, understand and accept that the Notice of Matching Grant. Awards will be dvertised in the Florida Administrative Weekly, and that 21 days after this advertisement is ublished I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S. I certify that the cash match will be expended between the beginning and ending dates of the grant and will be used in strict accordance with the content of the application and approved budget for the activities identified. In addition, the budget shall not exceed, the department, approved funds for those activities identified' in the notification letter, No funds count towards satisfying this grant if the funds were also used to satisfy a thatching requirement of another state grant All cash, salaries, fringe benefits, expenses, equipment, and other expenses as listedin this application shall be committed and used for the activities approved as a part of this grant. • cceptance of Terms and Conditions: if awarded a grant, I certify that'I will comply with all c above and also accept the attached grant terms and conditions and acknowledge this by sig below. `Signature of Authorized Grant Signer Individual Identified in Item 2 DH FORM 1767 [201 MM`i DD !'YY THE TOP PART OF THE FOLLOW ING..PAc3F IViUST:ALSO ICE TED AND SIGNED. 15 FLORIDA DEPARTMENT OF DEALT, EMS GRANT PROGRAM REQUEST FOR GRANT FUND DISTRIBUTION In accordance with the previsions of Section 401 11 S(2)(b), F. S., the undersigned hereby requests an EMS grant fund distribution for the improvement and expansion or continuation of pre -hospital EMS. DOH Remit Payment To: Name of Agency: City of Miami Department of Fire - Rescue Mailing Address: Federal ldentificatian Number Authorized Agency Official. 1151 NW 7 St, 3rd Floor mm Miami, FL 33136 VF 596000375 Signature il.lien Blondet, Director of Grants , dministratlon Type Name and Title Sign and return this page with your application to: Florida Department of ,Health BEMS Grant Prograrn 4052 Bald Cyprasa Way, Bin C18 Tallahassee, Florida 32399-1738 Date 3 Do not write below this line, For use by Bureau of Emer eracy'Medical Senile personnel y Grant Amount For State To Pay: $ Approved By: Signature of State E(S Grant Officer State Fiscal Year: Organization Code E.O. 4-42-10-00-000 03 Federal Tax ID VF_ Grant. Beginning Date: Grant ID Code: *biect Code SF003 750000 Ending Date: DH FORM 1767p [20131