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HomeMy WebLinkAboutGrant Award & ApplicationMission: To protect, promote & improve the health of all people in Florida through Integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation June 13, 2014 Ms. Lillian Blondet, Director • Grants Administration City of Miami Department of Fire -Rescue 444 Southwest 2nd Avenue, Fifth Floor Miami, Florida 33130 Dear Ms. Blondet: Rick Scott Governor John H. Armstrong, MD, FACE State Surgeon General & Secretary I am pleased to award City of Miami Department of Fire -Rescue an emergency medical services (EMS) matching grant in the amount of $125,937.00. The grant ID code is M3007. In accordance with section 401.113(b), Florida Statutes, the grant budget is 75 percent state funds and 25 percent matching funds. Your required local cash match for this grant is $41,979.00. The purpose of this grant is to improve and expand EMS by assisting your organization in the purchase of 12 power hydraulic stretchers. This grant program is number 64.003 in the Florida Catalog of State Financial Assistance. The state money is paid from the Department of Health's EMS Trust Fund and there are no federal funds involved. Your signed grant application affirms you have read, understand, and will comply with the terms and conditions in the "Florida EMS Matching Grant Program Application Packet, June 2008." The grant begins the date of this letter and ends June 30, 2015, Reports are due the third week of November 2014, March 2015, and July 2015 (the final report). Please include with your final report a refund check for any unspent state funds and interest earned, if any. Enclosed is a copy of the expenditure report summary form and reporting requirements, Thank you for your participation in this state EMS grant program. If you need assistance, please feel free to contact Mr. Alan Van Lewen, Health Services and Facilities Consultant in the EMS Program, at (850) 245-4440, extension 2734. Sincerely, William Director WHNavI Enclosures cc: Captain Adrian Plasencia Florida Department of Health Division of Emergency Preparedness and Community Support 4052 Bald Cypress Way, Bin A-22 . Tallahassee, FL 32399-1722 PHONE: 850/245-4440- • FAX 8501921.5162 Anderson, DHA, FACHE www.Floridallealth.Bov TWITTER:HealthyFLA FACEBOOK:FLDepartmentotHeallh Y0UTUSE: fldoh Department of Health EMS GRANT PROGRAM EXPENDITURE REPORT Organization Name: Grant ID Code: Time Period Covered: Beginning Date: Ending Date: - Earned Interest: Amount $ as of: Day Month Final Report (Check one): riYes ENo Major Line Items Approved Budget by Major Line Item(s) TOTAL BUDGETED EXPENDITURES Year TOTAL $ 0.00 Approved Expenditure to Date by Major Line Item(s) TOTAL EXPENDITURES $ $ •0.00 BALANCE (Budgeted Less Actual Expenditures) $ 0.00 Include with the progress notes an explanation of 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 IDH 1684A, December 2008 64J-1.018, F,A.C. REPORTS Each grantee shall submit two reports to the department. The due dates for the required reports shall be specified in the letter from the department notifying the grantee of the grant award.. These reports shall include, at a minimum, a narrative of the activities completed or the progress of grant activities during the reporting period. A report shall be submitted by the due date whether or not any action or expenditures have occurred, FINAL REPORTS A final report shall be submitted to the department by its due date. The final 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 to us with the report. Also, please briefly summarize a description of the impact of the project. 22 EMS MATCHING GRANT APPLICATION FLORIDA DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Complete all items unless instructed differently within the application Type of Grant Requested: r. Rural ! Matching ID C. de (The State Bureau of EMS will ass lc n the 1D Code _ leave this blank) 1'. Or aalzsiion Dame: City df Hurt i'Deaartrrttt if 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: Lllllan Blond t Position Title: Director of Grants Administration Add re 444 S.W, 2' Avenue, 6Floor City: Miami County: Miami -Dade County State: Florida Zip Cade: 33130 Telephone: 305-416-1 36 Fax Number 305-416-2151 E-Mail Address: Ibiondet(sniaml+ ov,c am 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: Captain Adrian Pla enc a Position Title; Fire Ca iain Address: 1151 NW 7m Street City: Miami i Count . la Dade State: Florida Zip Code: 33136 Telephone: 305-416-5422 Fax Number: 305-400-5354 E.-Mail cdr ss:a lasencia rriierniccov.con� DH FORM 767 t20't 3] 64.J-1,015, F.A.C. 1 aI Status of Applicant Organization (Check only one resp (I) El Private Not for Profit (Attach documentation-5O (2) 0 Private For Profit (3) City/Municipality/Town/Village County State` (6I ❑ ether (specify):, Onset: (4) () Federal Tax ID Number (NineDigit Number), 'VF 5.1XJ113J5:_ 6 EMS License Number: 2276 Type; .0Transport' ❑Non. -transport ❑Both 7. Number of permitted vehicles by type; L 24 ALS Transport 3 ALS raon transport, $• Type of Servfce (check ono): 1Rescue ❑Fire ❑Third Service (County or City Govern ent nonfire) DAir ambulance ❑Fixed wing ❑Rotawing OBoth ❑Other (specify) J.. Medical;li rector of licensed EMS provider; If this project is approved, t agree by signing beisW that i .will affirm my authority and responsibility for the use of all medicaai equipment andlor the provision of all continuing EMS education in this project, (No ure is needed medical equipment and professional EMS ducetion are ,not In this project] Signature Date; Print/Type: Narrte Dr. Kathleen hrank, M.D, FA C PLFACP FL Me 39896 of Director d, Lic. No. Note: All organizations that are not licensed EMS providers must obtain the signature of the medical director cf the licensed EMS provider responsible for EMS services in their area of operation for projec that involve medical equipment and/or continuing EMS educadan. ay If your activity is Number 14. Other a research or evaluation project; ortiIt ee, proceed to Item 10 and the follow." it n 1(7. Justification Sums ary: Provide on no more than three one addr ssirtg this 'project, covering each topic listed below. 1 , 11, 1, 13, and sk ed, double spaced pages a sums A) Problem description (Provide a narrative of the problem or need);, B) Present situation (Describe how the situation is being handled. now); C) The proposed solution (Presentyour 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 a F) The proposed time frames (Provide a list of the time fran e(s) for completing this project); G) Data Sources (Provide a complete description ofdata .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 progra DI FORM 1767 [2013] ITEM 10. Justification Summar Pages A) Problem Description: Miami Rescue (MFR) is currently utilizing stretchers that do ;not meet the incre needs of the community and have a plethora of issues. They are deteriorated, constantly in need of repair, obsolete, in poor condition and lacking vital functions needed in'1 MR's ability to provide the highest level of e to the and safe transport of patients. These issues impede itizens of Miami and cause delays in patient transport and esult in an extensive amount of back and shoulder injuries to MFR's r capabilities, such as mechanisms to facilitate variety of key tasks, including b The stretchers lack enhanced overnent, adequate stretcher height justment and effective loading and unloading from the rescue patient cornpartmen ambulance stretcher operations and suit in significan MFR responders are critical in the patients in Miami and several other Adverse events occur during njury to patients and rescue personnel. pd assassment, triage,,on scene treatm and transport of voluminous -Dade County municipalities where it provide aid. Many of the over 79,44 EMS calls Last year were to mutual aid and automatic heavy patients; home to nearly 2.5 million residents Miami -.Dade has a 67% rate of obesity'. In 2009, Miami was the most obese city in the LI,S,2. 1n addition, Miami has a disturbingly high mortality rate, which makes it critical to, transport patients expeditiously and without delays. On ons, our current stretchers have caused transport delays when our rescue units had to call for an additional unit to assist tiers ving heavy patients. Furthermore, excessive malfunctions in stretchers regretfully cause an undue loss of precious time. 8 Present Situation: MFR provides both fire and Elti consisting of 24 fully staffed ALS rescue transport units and over 23 rather ALS and BLS non -transport units, iur stretchers are outdated, deteriorated, malfunction frequently and require extensive servicing. The stretchers do not facilitate field portability and are not strong enough to handle large patient loads, They lack enhanced capabilities such as mechanisms to facilitate a variety of key tasks including movement, adequate height adjustment and effective loading and unloading to our rescues1. The stretchers limit and decrease the efficiency In MF 's care of residents and visitors, In 2013 MFR: transported 38,674 patients to hospital emergency departments and responded to over 79,544 EMS calls. There were 22 injuries attributed to ineffective stretchers. These injuries equated to 9% of MFR total injuries and $245,923 in workers' compensation claims, which equates to an over 80% innrease in Maims in only 2 years. In 2013, stretcher malfunctions resulted in $240,000 in injuries to paUents. They are difficult to maintain and require costly repairs which divert funding away from other critical EMS supplies and equipment. MF_R stretchers are over 9 years old and a 35% increase in stretcher maintenance costs occurred from 2012 to 2013, Litigation costs due to people falling from the stretchers also severely burden MFR. Further, levers malfunction at times, rendering stretchers dysfunctional and requiring several lifts and non -ergonomic movements to lift patients into rescue vehicles, thus resulting in unnecessary injuries to MFR personnel, MFR stretchers lack sturdiness and the ability to transport obese patients forcing MFR to constantly call and wait upon other units to arrive and assist with transport. This results in critical delays in hospital anival and treatment and increases the chance of permanent injury and death.3 C) Proposed Solution It is imperative that MFR provides 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 24 battery powered hydraulic stretchers to ensure EMS units do not lose their ability to safely transport patients and are not at risk of endangering patient lives and safety by having to wait on assistance in patient transport Without all 24 stretchers, many of the emergency victims treated during MFR's 79,544 EMS calls will not have the rapid lifesaving transport they require These stretchers will include a hydraulic liftsystem with manual backup, oversized expandable surface to support a variety of patient sizes, steering locks, and several other features to ensure effective service to all of our residents, visitors and members. These stretchers will allow for increased chances of survival for patients by providing enhanced transporting capabilities and afford MFR members the ability to safely transport patients without the risk of injury, D) Consequences if Not Funded: Without this grant, MFR will not be able to fund this project, patient lives may be endangered and patients and members will be at risk of Mjury. Workerscompensation claims for stretcher related injuries and legal costs from patient injuries will continue to rise and further deplete an already strained budget. MFR stretchers are continuously out of service for repairs, are deteriorated, obsolete, in poor condition and lack vital functions, If this continues, MFR's ability to provide the highest level of care to Miami citizens and visitors will be impeded and there will be delays in patient transport as well as extensive injuries tc members. The stretchers do not facilitate field portability and are not strong enough to handle large patient loads, They lack enhanced capabilities such as mechanisms to facilitate a variety of key tasks. These new stretchers ;are the difference between life and death. Unfortunately, MFR does not hay 'th funds to purchase them without state; assos rice........n E) The geographic area to be addressed: The City of Miami is comprised of 34 sq. miles with about408,750 residents.. Daily, the population swells to over 1 million durii of ill -health due to poverty: Miami has a 27.7% poverty rate and is one vulnerabilitiesare:1) High rate FIVE MOST 'IMPOVERISHED CITIES, IN THE U,S. ; 2) High rate of elders: The City has the nation's 7th largest elderlypopulation (over age 65) comprising 16% of the total population; 3) High rate of obesity: Miami -Dade County has a 67% rate of obesity. 4) Mutual Aid 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, r supply and purchase of equipment. MFR'anticipates units will Month 6 to 7: training of 600 plus firefighters/ pararnedi= ive in four to fiv eks from the date ordered; nd; Month 8 Implen entatian of units into service and record and evaluate the positive erects of the newly acquired stretchers, G) Data Sources: Ambulance Stretcher Adverse Events, http://www.heaithca� ldownloadslan-Arnbulance%2i ys hers.pdfl; Most Obese Cities in the U.S., http: rig ering.com fw w.lowdensity .00nrltire-most-obese-cities-in-the-u-s12; Miami Department o Fire Rescue3; Comeau to fork, www.cdc;org4. H) er nt of Non•Duplica $ Putting Frey n; This funding will :enable MFR to obtain reliable stretchers with necessary advanced capabilities and establish new response capacity in MFR facilities. The City of Miami has not received funding for stretchers from the Florida EMS matching grant program before and does not duplicate the work of any other grant funded initiative. Next, only complete arse of the following: Items 11, 12, or t3. Read al[ #hree and then select and complete the one that pertains them st t the preceding Justification Summary. Note that on three, that before -after differences f remergencyvictim data are the. highest scoring items on the Matching Grants Evaluation Worksheet used by reviewers to evaluate your application form, 11, Outcome For Projects That Provjcie 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 an -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., ) 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 (B), above. What other outcome of this project do you expect? Be quantitative and explain the derivation of your figures, E) How does this integrate into your agency's five year pia ITEM 11. Outccnfe For Protects That Provide or Effect. Direct Services To Emergency Victims: (2 PAGES) A) Quantify Situation in Last 12 Months: From January 1, 2013 through December31, 2013, MFR responded to .. ponses, during which stretchers were employed in the 92,675 incidents, Of those, 79,544 calls were E ent and treatment of 38,674 patients, During the last 2 years, we had an 80% increase in costs associated with lifting and patient movement injuries, which could have been prevented with battery powered hydraulic stretchers, In the,last 12 months, this equated to . 245,923 in workers compensation ms and a total of 810 days that injured personnel were unable to work in emergency response positions. Currently, MFR has a large, pending lawsuit due to a patient falling off the stretcher and sustaining debilitating injuries. 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 heart attacks, cardiac and other events and intensi rapid transport of patients, s our need for stretchers' which w the safe and MFR has had several issues with its current stretchers, They are constantly removed from s undergo repairs and have become unreiiable and are obsolete, in poor condition and lack vitaI functions needed in the care of patients, These issues impede MFR's ability to provide the highest level of care to citizens and cause delays in patient transport and injuries, The stretchers do not facilitate field portability and are not strong enough to handle large patient loads, increasing the need for functional and reliable stretchers that. MFR uses daily. The City of Miami has a significant number of high risk patients and plethora of EiS responses and array of calls necessitating effective stretchers, These critical issues make it imperative that MFR acquires functional and reliable stretchers to effectively serve and decrease the risk of mortality of our residents, visitors and firefighters. Data of Change with Project implementation: Equipping all City of Merril Fire -Rescue Department ALS vehicles with battery powered hydraulic stretchers wiCC ensure that MFRcan safely effectively and efficiently perform saving transport and assessments, We expect`ta decrease stretcher and patient sifting related injuries by over this has been exhibited in studies where agencies acquired these stretchers. This would resuit in an over 90% ($221,330) decrease in costs associated with these injuries, a 90% (710 days) decrease in stafng shortages' due to sifting and patient moving injuries, an over`8% decrease in MFR total injuries, an almost 100% decrease in litigation costs associated with patient injuries due to stretcher malfunctions, decreased transport times overall, a 4 minute average decrease in transports that would have required additional assistance (sicgnificantly improving patient survival),_a 100% decrease in cher. maintenance costs and assure MFR is afforded the ability to transport..... patients of all sizes easily and effectively with the personnel already on scene. Statistics exhibit an over 90% under warranty will eliminate maintenance costs. In addition, current litigation costs were due to stretcher malfunetioris that would have been avoided with the new improvement in injuries and having all new functional stretche stretchers. MFR has exhibited a significant increase in calls and population served each year. This project is critical° to MFR's efforts in effectively serving our residents and visitors and in decreasing morbidity and mortality in Miami for years to come. Residents, visitors and members will be better protected and receive an extensive increase in quality of care and better service and the health of firefighters will be better protected. Justification and Explanation of Above Data: information given in question (A) and (B) was obtained using data from the Miami Fire -Rescue Department data collection system and the article, "The impact of Gurney Design on EMS Personnel"; D) Additional Outcomes: The finding; of this project will result in the improved transportation and wellbeing of obese :patients by providing stretchers with need abilities to support and transport them in a timely and efficient lleviate the burden of increasing call volumes and serious logistical issues posed by the growing t,obese people in the nation's most obese city, If will improve MFR's abjtity'to provide mutual aid to other EMS providers, MFR morale and confidence will also be `unproved as the new stretchers Will reduce chronic back problems when our members respond to over 79,000 EMS calls, MFR will also be .able to provide citizens and visitors with nsistent state of the art treatment. The new stretchers are extremely durable, safer and have been battle tested by several other agencies in South Florida. E) integration into Agency's Five Year plan: Miami Fire -Rescue's five year plan includes a complete review of air current treatment protocols and equipment needs and the Impact of AHA guidelines, This project integrates y into the achievement of MFR's goals. In addition, our plan includes improving the wellness and health of our members, These stretchers will effectuate this by lessening the likelihood and frequency of injury, This is critical when statistics show that one in four EMS providers suffer a career -ending injury' in their first four years on the job (http.11)mww,ems 1 comfe s-produetsipatient-handlinglarticiesl1371-825-A-virtual-plague-could-be-coming-to-EMS/). Skip Item 14 and go to item 1'S, unless your'projec completed theprecedingJustification Summary and one ou ALL APPLICANTS MUST COMPLETE ITEM 15, 15. Statutory Considerations and Criteria: The following are Lased on s. 401.113(2)(b) and 401.117, F. Use no more than one additional double spaced page to complete this i this section that 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 will imp B) 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 feast the minimum equipment and supplies as required by law, rule or regulation of the department.. D) Enable the vehicles of your, organization to have, at a minimum, a direct corrtrnunications linkup with the operating base and hospital designated as the primaryreceiving 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. m, Write NJA for those things in 1 . Statutory Considerations and Criterion PAGE): A) Se the Requirements of the Population of Miami; The purchase_ of stretchersMould .serve t[ e,:needs.of' the over 1,000,000 people who live and visit lliarni daily by providing effective, safe transport to hospitals. A[so, it will provide the effective transportation and life-saving acute rrredical care necessary when treating critically injured people(http://www.ncbi.nirri.nih.govipularried/22792181). lviiami has a critical need for these stretchers due to its voluminous number of transports and the large number of obese residents that live in Miami. These stretchers will also reduce transport tunes through effective loading and unloading of patients of all sizes. B) Enabling of Emergency Vehicles to Conform to Standards: This funding will assist MFR in meeting Goal 9 of the Florida EMS Strategic Plan 2010-2912 to, "increase access to care by improving patient safety, responder nd the safety of the general public'. The battery powered hydraulic patient and personnel injuries by over 90% therefore, costs and transport tunes. C) Enable vehicles to contain minimum equipment and supplies; The new stretchers comply with the requirements of the Florida Administrative Code 64J and well exceed our current system regarding patient safety. In addition; MFR requires that its vehicles contain stretchers as a part of its minimum equipment requirement, nsively reducing worke will reduce the number of'. compensation costs, litigation. t) Enable vehicles communications: N/A E) Enable your anization to improve or expand the' provision of services The acquisition of the stet+ will exponentially,[rrtprove IFR's ability rve pulations in the Laity of Miami and throughout the county. The improved capacity to safely and expeditiously transport the numerous patients MFR transports each year, as well as the many obese patients MFR transports will allow MFR to better protect its re, also facilitate increased longevity in the careers of MFR members and assu available to assist residents and vi The reduction in injuries re that healthy personnel are always 16. or c ractiviiies and tlrr e frames; Indicate the major activities for completing the prcject (use:gnly the space provided): Be reasonable, most projects cannot be completed in less then 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 Number of Months after Grant Star Grant Acceptance (commission approval} Begin; End MMJDD/YYY`>") (MMJDDIYYYY) l2 Bid issuance and vendor selection Purchase urtlt Training; 7 7 Unit Deploys 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 accounts, cannot be allocated in whole or part for the costs herein, /A DI-1 FORM 1767 [2 12 1 Bud et: 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 positic ns and the numbers of hours are necessary for this project. ff T '1TA1 ; 0.0t3 Right' dick on 0.00 then left dick on "Update Field" to calculate Total Expenses: These are Craver costs and the usual, ordinary, and incidental expenditures by an agency, such as, commodities and supplies of a consumable nature, excluding expenditures classified 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. as operating capital outlay (see next category) Q TOTAL: $ 0.00 Right click on 0.00 then left click on "Update Field" to calculate Total Vehicles, equipment, and oth 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 ear or more. 24 - Stretch osts: List the pric f the item and the sources) used to identify the price. ustification: State why earth of the items and quantities listed is a necessary corpone.t of this project. ,._ The units are.sold at,$13,993 each and are all necessary to facilitate the goals of this grant and reduce mortality in the City of Miami. TOTAJ 2.00 Right oliok on :0.00 then left click on "Update Field" to calculate Total State Amount {heck applicable prograrrroj El Matching: 75 Percent'. LYl' Aural: 90 Percent L l Match Amount heck applicable program) . Matching: 25 Percent Rural: 10 Percent Grand Total 251„74 0 00 0.00, 5,032.00 Right oil on 0.00 then left click on 'Update Field° to calculate Total Right click on 0.00 then left c1€ck on "Update Field'' to calculate Totaf Right click an:'0.00 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 left click on DH FORM 1767 (2013] 14 19. Certification; lviy signal below c les the fofowing, l a 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 1 give may be investigated as allovved by law. 1 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. 1 agree'that any and all information submitted in this application wilI 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 Section 119.07,F.S., effective after opening by the Florida Bureau of E.S. I accept that in. the best inter•sts of the S rejector revise any and all grant propose proposals received, and can exercise that ri 1, the undersigned, understand and accept that tie Notice of Matching Grant Awards wilt b advertised in the Florida Administrative Weekly, and that 21 days after this advertisement is published I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S. Florida Bureau of E'1 reserves the right to ive any minor irregularity or technicality in fy ghat the cash irratch 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. udget for the activities identif"red. In addit►on, the budget shall not exceed, the department, approved funds for those activities identified in the notification letter. No funds count towards tisfying this grant if the funds were also used to satisfy a matching requirement of another to grant. All cash, salaries, fringe benefits, expenses, equipment, and other expenses as listed in this application shall, be committed and used for the activities approved as a part of this grant. cceptano of Terms,and Conditions: If awarded a grant, 1 comity that 1 wvill'comply with all of the above and also accept the attachedgrant terms and conditions and acknowledge this by signing below: Signature of Authorized Grant Signer Individual Identified in Item H FOR 767 f204 THE TOP PART OF THE FO LOWtNG PAGE € UST ALSO BE Co" PLBTED AN 'L StGNEP. 15 FLORIDA DPAS TMENT OF HEALrn EMS GRANT PROGRAM REQUEST FOR GRANT FUND DISTRIBUTION n accordance with the provisions of Section 401.113(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 lice» Name of AgencyCity of Miami Department of Fire Resue ing Addr; Federal identification Nu Authorized Agency Official:. Lillian Biaridet, Director of Type Name and Title ants Adrninis tion Sign and return this page with your application to: Florida Department of Health BEMS Grant Program 4052 Bald Cypress Way, Bin CIS Tallahassee, Florida 3 99-1736 Do not write below this lin Grant Amount F For use by Bureau of Emergency Medical Sonic personnel only State To Pay: Approved By; Signature of to State Fiscal Year: Organization Code; E. 04-4.-10-00-000 0 Federal Tax ID: VF nt Beginning Date: Grant ID Code: EMS Grant Officer Date OCA SF003 Object C 750000 d Grant Ending Date: OH FORM 1767p"f.PM`13i