HomeMy WebLinkAboutExhibitFUND TITLE: EMS County Grant #C4013 Award
Fiscal Year 2015-2016
RESOURCES: State of Florida Department of Health
Bureau of EMS Program entitled
"Florida EMS Grant Program for Counties"
through the Miami -Dade County
APPROPRIATIONS:
$32,901.00
$32,901.00
M'r trtirQ de Fire ite5cue D'eptl..ritrterrt
offi ,e; of the Fire Chief
9300 N.W'; 41st Street
Dora', Florida 3:A 178-2414:
T 786,-331-5000 F 766-331- 5101
mianiidatie,gov
January 26, 2016
Maurice L. Kemp, Fire Chief
City of Miami Fire Rescue
1151 N.W. 7 Street, 3rd Floor
Miami, Florida 33136
Dear Chief Kemp:
The application for the Emergency Medical Services (EMS) County Grant #C4013 for FY 2015-
16 has been approved by the Miami -Dade County Board of County Commissioners and the
Florida Department of Health -Bureau of EMS, A new grant revenue amount of $32,901,00 has
been approved for your 201 5=16 work plan projects, per payment received from the State,.
Miami -Dade Fire Rescue will disburse the new funds .designated for your grant work plan
projects directly to your municipality, The Letter of Understanding/Agreement that provides the
basis for this disbursement is enclosed.. Please obtain the appropriate signatures and return the
signed letter to:
Miami -Dade County Fire Rescue Department
Grants Management Bureau, Offioes248-A
Attention: Lisset Elliott
9300 N.W. 41 Street
Dural, Florida 33178.241.4
Enclosed for your information and future reference are copies of the EMS State Award Letter
with, the CSFA number, the completed grant application with approved County Resolution (#R-
1030-15) and the distribution of new revenue .schedule with your municipality's expenditure and
work plane,
Sincerely,
Dave Downey
Fire Chief
DD/le
Enclosures
FY 2015.16 EMS COUNTY GRANT C4013
LETTER OF UNDERSTANDING/AGREEMENT
PER PAYMENT FROM THE STATE
The Florida Department of Health is authorized by chapter 401, Part II, Florida Statutes to provide
grants to boards of county commissioners for the purpose of improving and expanding pre.
hospital'. emergency medical services, County grants are awarded only to boards of county
commissioners, but may subsequently be distributed to municipalities and other agencies or
organizations involved in the provision of EMS pre -hospital care.
The enclosed grant application, incorporating projects submitted by your organization, has been
approved by the Miami -Dade County Board of County Commissioners and the. State of Florida
Department of Health, Bureau or Emergency Medical Services (EMS). Disbursements will be
made to the participating organizations in acoordance with the approved grant work plan, upon
receipt of new grant funds from the Florida Department of Health, Bureau of EMS and submission
of this approved document to Miami -Dade County Fire Rescue Department, Grants Management
Bureau, Office 248-A, located at 9300 N,W, 41 Street, Dora!, Florida 33178-2414.
Your signature below acknowledges and ensures that you have read, understood and will comply
fully with your agency's grant application work plan and/or approved change requests as well as
the terms and conditions outlined in the December 2018 EMS County Grant Program Application
Packet. You also agree to assume all compliance and reporting responsibilities for your grant
projects and to provide timely Expenditure and Activity Reports to Miami -Dade County Fire
Rescue Grants Management Bureau for submission to the State of Florida as required under the
approved grant,
Name and address of EMS Agency
Authorized Contact Person — Person designated authority and responsibility
Dade County Fire Rescue with reports and documentation on all expenditures
Involve this grant:
Name kio5
AlternateL
Telephony
Signatory Official
Signature.
Attachments
Title Afetleget
to provide Miami-
and activities that
Title �t W
Fax
Telephone
Mission:
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
Rick Scott
Governor
John H. Armstrong, MD, FACS
State Surgeon General & Secretary
December 21, 2015
Russell Benford, Deputy Mayor
Miami -Dade County
111 Northwest 1 Street, Floor 29
Miami, FL 33128
Dear Mr. Benford:
I am pleased to award the Emergency Medical Services (EMS) County Grant, ID Code C4013, in the
amount of $131,167,00 to Miami -Dade County. The purpose of this grant is to improve and expand
pre -hospital EMS. Paragraph 401.113(2) (a), Florida Statutes, authorizes and requires this grant
program, which is Number 64.005 in the Florida Catalog of State Financial Assistance. The money is
state funds from the Department of Health's EMS Trust Fund and there are no federal funds involved.
Your funds for the stated amount will be sent in full, in advance, within approximately 30 days. The
grant begins the date of this letter and ends October 31, 2016, Please note the county must report to
the state its grant activities and purchases by the following dates: March 18, 2016, July 22, 2016, and
November 18, 2016, the final report. Your signed grant application affirms you have read, understand,
and will comply with the conditions and requirements .in the "Florida EMS County Grant Program
Application Packet, December 2008."
Thank you for your participation in the state EMS grant program. If you need assistance, please
contact Mr. Alan Van Lewen, Health Services and Facilities Consultant in the Bureau of Emergency
Medical Oversight, Emergency Medical Services Section at (850) 245-4440, extension 2734.
CED/avl
cc: Scott Mendelsberg, Assistant Director
Sincerely,
Cindy E. Dick, MBA, EFO
Division Director
Emergency Preparedness and Community Support
JA'. 29 x1.6
17 01 ICE
t.
Florida Department of Health
Bureau of Emergency Medical Oversight, EMS Section
4052 Bald Cypress Way, Bin A-22 + Tallahassee, FL 32399-1722
PHONE: (850 245-4440, Ext. 2734 • FAX (850) 245-4378
www.FloridaHosith.gov
TWITTER,HealthyFLA
FACEBOOK:FLDepartmentofHealth
YOUTUBE: fldah
FLICKR: HealthyFla
PINTEREST: HealthyFla
'_
or co TY
Witair
Date:
To:
From:
Subject:
Memorandum
November 17, 2015
Honorable Chairman Jean Monestim.e
and Members, Board of County Rissioners
Carlos A, Gimenez
Mayor
Resolution Authorizing the County Mar to Apply For and Receive $131,167,00 in
Grant Funds from the State of Florida Department of Health Emergency Medical
Services to Improve and Expand Pre -Hospital Emergency Medical Services far the
State of Florida Fiscal Year 2015-16, to Expend $80,823,00 of These Funds, to
Distribute the Balance to Municipal Fire Departments as Outlined in this
Memorandum, and to Apply for, Receive and Expend Additional Grant Funds Under
this Program
Agenda Item No, 3(B)(3)
Resolution No. R-1030-15
RECOMMENDATION
• 1t is recommended that the Board of County Commissioners (Board) approve the attached resolution
authorizing the County Mayor or County Mayor's designee to:
• Apply for and receive ,$131,167.00 in grant funds from the Florida Department of Health
Emergency Medical Services Grant during the State of Florida Fiscal Year (FY) 2015.16, from
June 1, 2015 through June 30, 2016;
« Expend $80,823,00 of those funds;
Distribute the balance of those funds to 'municipal fire departments, as outlined in this
memorandum; and
• Apply for, receive and expend additional funds, should they become available under this program,
The State of Florida application deadline is December 16, 2015 and requires a resolution from the Board,
If approved, the new funds will be distributed to the following municipal fire departments for emergency
medioal service incidents that these agencies responded to in the calendar year 2014, as follows:
Miami -Dade County Fire Rescue Department $ 80,823.00
City of Miami Fire Rescue Department 32,901,00
City of Miami Beach Fire Rescue Department 6,304.00
City of Hialeah Fire Rescue Department 8,836,00
City of Coral Gables Fire Rescue Department 1,948,00
Village of Key Biscayne Fire Rescue Department 355,00
Total payment expeoted from the State $131,167,00
SCOPE
The grant will provide countywide services,
Honorable Chairman Jean Monestime
'and Members, Board of County Commissioners
Page 2
FISCAL IMPACT/FUNDING SOURCE
This grant is anticipated to provide funding of $131,167,00 for the State of Florida FY 2015-16, Miami -
Dade Fire Rescue is expected to receive a revenue allocation of $80,823,00, The grant does not require
any matching local or in -kind funds,
TRACK RECORD/MONITOR
The grant award will be monitored by Lisset Elliott, Grants Manager, for the Miami -Dade Fire Rescue
Department.
BACKGROUND
Each year the Florida Department of Health's Office of Emergency Medical Services distributes grant
funds, as authorized by Florida Statutes Chapter 401. These funds are made available to .eligible county
governments to improve and expand their pre -hospital emergency medical services, The funds are
derived by the State of Florida from surcharges on various traffic violations,
Since 1987, Miami -Dade Fire Rescue has been responsible for the application and distribution process of
the State Emergency Medical Services County Grant. The grant stipulates that municipalities are to apply
for and receive funds through their respective county government or county fire department, Members of
the five (5) municipal fire rescue departments, as well as Miami -Dade Fire Rescue, conduct an annual
needs assessment to formulate the Miaini-Dade County application, The director of each respective fire
rescue department reviews and approves the grant work and expenditure plans included in the final grant
application package,
In order to receive their allocation from new grant revenues received from the State of Florida, eaoh of
the five (5) municipal fire rescue departments submits an approved agreement to Miami -Dade Fire
Rescue, The distribution of grant funds to each participating. fire rescue department is based on the
percentage of combined total einergenoy medioal services incidents the respective fire rescue department
responded to during calendar year 2014,
Russell 6nford
Deputy Mayor
MEMORANDUM
(Revised)
TO; Honorable Chairman Jean Monestime
and Members, Board of County Commissioners
FROM:
g
Coun
nee Jillia
ttorney
DATE: November 17, 2015
SUBJECT: Agenda Item No. 3(B) (3)
Please note any items checked.
"3-Day Rule" for committees applicable if raised
6 weeks required between first reading and public hearing
4 weeks notification to municipal officials required prior to public
hearing
Decreases revenues or increases expenditures without balancing budget
Budget required
Statement of fiscal impact required
Statement of social equity required
Ordinance creating a new board requires detailed County Mayor's
report for public hearing
No committee review
Applicable legislation requires more than a majority vote (Le., 2/3's ,
3/5's , unanimous ) to approve
Current information regarding funding source, index code and available
balance, and available capacity (if debt is contemplated) required
'Approved Mayor Agenda Item No, 3(B) (3)
Veto 11-17-15
Override
RESOLUTION NO, R-1030-15
RESOLUTION AUTHORIZING THE COUNTY MAYOR OR
THE COUNTY MAYOR'S DESIGNEE TO APPLY FOR,
RECEIVE AND EXPEND $131,167,00 IN GRANT FUNDS
FROM THE EMERGENCY MEDICAL SERVICES GRANT
AWARD FUNDS FOR IMPROVED AND EXPANDED PRE -
HOSPITAL EMERGENCY MEDICAL SERVICES PROGRAM
IN FISCAL YEAR 2015-16; AND AUTHORIZING THE
COUNTY MAYOR OR COUNTY MAYOR'S DESIGNEE TO
EXECUTE SUCH CONTRACTS; TO APPLY FOR, RECEIVE
AND EXPEND ADDITIONAL FUNDS SHOULD THEY
BECOME AVAILABLE UNDER THIS PROGRAM; AND TO
EXERCISE THE CANCELLATION PROVISIONS
CONTAINED THEREIN
WHEREAS, this Board desires to accomplish the purposes outlined in the accompanying
memorandum, a copy of which is incorporated herein by reference,
NOW, THEREFORE,, BE IT -RESOLVED BY- THE BOARD- OF- COUNTY
COMMISSIONERS O1 MIAMI-DADE COUNTY, FLORIDA, that this Board authorizes
the County Mayor or County Mayor's designee action toapply for, , receive, and expend
$131,167.00 in grant funds from the Emergency Medical Services Grant award funds for
improved and expanded pre -hospital emergency medical services in Fiscal Year 2015-2016, and
authorizes the County Mayor or County Mayor's designee to receive and expend grant funds
and, execute such contracts; toexpend any and all monies received for the purposes described in
the funding request; to apply for, receive and expend future additional funds should they become
available through the grant program; and to exercise and execute any cancellation provisions
contained therein. A stipulation of the grant is that funds received will not be used to supplant
current fire -rescue expenditures.
Bruno A. Barreiro
Jose "Pepe" Diaz
Sally A. Heyman
Dennis C. Moss
Sen, Javier D. Souto
Juan C. Zapata
Agenda Item No. 3(B)(3)
Page No. 2
The foregoing resolution was offered by Commissioner Rebeca Sosa
who moved its adoption. The motion was seconded by Commissioner Dennis C. Moss
and upon being put to a vote, the vote was as follows;
Jean Monestime, Chairman aye
Esteban L. Bova, Jr., Vice Chairman absent
Daniella Levine Cava
aye
absent
absent
aye
aye
absent
Audrey M. Edmonson
Barbara J. Jordan
Rebeca Sosa
Xavier L. Suarez
aye
aye_
aye
aye
absent
The Chairperson thereupon declared the resolution duly passed and adopted this 17th day
of November, 2015. This resolution shall become effective upon the earlier of (1) 10 days after
the date of its adoption unless vetoed by the County Mayor, and if vetoed, shall become effective
only upon an override by this Board, or (2) approval by the County Mayor of this Resolution and
the filing of this approval with the Clerk of the Board.
Approved by County Attorney as
to form and legal sufficiency.
Daniel Frastai
MIAMI-DADE COUNTY, FLORIDA
BY ITS BOARD OF
COUNTY COMMISSIONERS
HARVEY RUVIN, CLERK
Christopher Agrippa
By:
Deputy Clerk
Mhsalon:
Toprotet4, prorrsCilo & Improvo lho heailh
al all people In Elarld° through Integrate
stare, county 8 community efforts,
•
HEALTH
Vision: To ba Iho Haa }West Steto loth() Nat 00
Rick Scott
(lovamor
John H. Armstrong, Ma, PACS
State Surgeon Goneral $ Sanatory
July 24, 2015
Chairperson
MIaml.Dade County BOCC
111 NW 1st Street, Suite 220
Miami, FL 33128
Dear Chairperson,
We are pleased to announce that you may now request your annual emergency medical services (EMS)
county grant funds, The amount for your county this year Is $131,167,00, Section 401 113 (I); Florida
Statutes, requires the funds must be used solely to improve and expend pre -hospital EMS,
Your grant budget total that you submit must equal the amount cited above, After your new grant begins,
you may request the transfer of unexpended funds, If any, from your previous grant tope new grant.
To obtain the new funds, the county must submit an Original and one copy of; the two -page application form,
the Request for Grant Fund Distribution page and a current resolution described by Item #4 of page One of
the application form. Completed applications must be mailed to:
Atin'; Alan Van Lewen DOH EMS, County Grants,
4052 Said Cypress Way, Mail Bin A-22 •
Tallahassee, FL 32399-1722,
I have enclosed a copy of an instruction page and the forms, The deadline for completed applications is
December 10, 2016. Please contact me. If you have any questions,
Sincerely,
Alan Van Lewen
Health Services and Facilities Consultant
EMS Section Grants Unit
Enclosures
Florida Dopartmnnt of ktaalth
Buroau of Emvrponey Modlcal Cvorst hl
4 5213aidCypress Way, BlnA•22 Tallabasaaa, FL3239902
PHONE; 850/245444B + F'AX 8591488,B408
v jww,Flo rlddlibelth.gov
TWITTER,HaallhyfLA
EAQ EBOOK;FLOoparlmentotHnetth
YCUTUUE;Nob
PLIOKN: HoatlhyPlo
FINTEREST; HoallayFlri
AUgusl 31, 2D15
Paw: 1 nl 1
Status of State Emergency Medical Services Grants for EMS Organizations
County Grants, County governments can now request their 2015-2016 grant funds. These are not
competitive and each county is guaranteed to obtain its funds upon the provision of the needed
Information. The deadline is December 16, 2015,
Please see the state EMS grant website at the following Internet address,
http;//www,floridahealth,govjprovider-and-partner-resources/ems-grants/Index,himl
Scroll down past the matching grant Information to the County Grant section, There you can click on a
link to access a table which shows the amount for your county, A second link will get you Instructions
and the forms you need,
please contact us If you need any Information or assistance,
Matching Grants, The matching grant Information Is located above the county grant material at the
same web site. There is now no opportunity to apply for the matching grants. However, at the
matching grant site there Is an estimated time frame for when this opportunity wliloccur this year,
Also, for your Information there Is a Zink to a table that lists the matching grant awalyds for the past three
years by type of project,
Questions/comments, You may send any questions or comments, Questions and rnswers of possible
general use will be placed In a subsequent EMS grant status report, For Indlvlduall/ed questions you will
recelve-a-direct-response,
You may use fax (850) 488-9408, mall Alan Van Lewen, 4052 Bald Cypress Way, Mall Bin A-22,
Tallahassee, Florida 32399-1722, telephone (850) 245.4444 Extension 2734, or emill,
Alan,Vanlewen@flhealth,gov
ty\Usvrs\v7Ulowlnnx\AppDalaVoaal\MILIN5orl\Whitlows\Tomporory iinarmet FlIns\Conlent,Qullook\IL.ii i liIER3\Status Ill o lrinU��n�IvcB
Application Form July 2015.2016
Effective July 24 County Governments may submit their Fiscal Year 2015-2016 application for
county grant funds, The deadline for state EMS to receive the required pages of your completed
county grant application form Is by December 16, 2015,
You can see the amount of your new grant at the state EMS webslte in the "Total" column of the
county amount table,
The first application form page has five items, the first three of which are self-explanatory.
However, note that Item 2 is where the county's authorized person must provide his/her signature,
Item 4 describes the content of the resolution. Please provide this in your county's customary
format and approval process,
The resolution must be current and not a copy of a previous resolution, We need this current
resolution or we will not be able to process the application for funds.
Item 5 of the first page of the application form asks for the name of the organizations that will
receive funds from your new county grant. The second page of the application form is the budget
page and one of these budget pages is needed for each organization listed In item 5,
The budget page for each organization must have on it specific and quantifiable items or services,
with the cost for each unit or typeof item or service,
All costs must add to the exact amount of new funds for your grant. You can transfer unexpended
funds from your previous grant after the new grant begins,
No general statements can be used in the budget because we are now required to have specificity
- - --up-front and need it -to -obtain your grant funds, However, you can _still -make -change -requests
during the new grant, so you do not look yourself into the initial items.
Your budget totals in the application should be added for you if you place your cursor over a
subtotal or total field, right click your mouse, then left click on the resulting menu "Update Field,"
Request for Grant Fund Distribution Form
This page Is Included with your application form. Complete only the top part of this form and the
state will complete the bottom part, as indicated on the form,
HEALTH
EMS COUNTY GRANT APPLICATION
FLORIDA DEPARTMENT OF HEALTH
Emergency Medical Services Program
Complete all items
iD, Code (The State EMS Program will assign the ID Code leave this blank) C40
1. County Name: MIAIVII-DADS COUNTY
Business Address: 111 NW 1 Street, Floor 29
Miami, Fl. 33128
Telephone: (305) 375.5182
Federal Tax ID Number (Nine Digit Number), VF 598000573
2. Certification: (The applicant signatory who has authority to sign contracts, grants, and other legal
documents for the county) I certify that all information and data In this EMS county grant application and
its attachments are true and correct. My signature acknowledges and assures that the County shall
comply fully with the conditions outlined in the Florida EMS County Grant Application.
Date:
Signature:
Printed Name: Russell Benford
Position Title: Deputy Mayor
3. Contact Person: (The individual with direct knowledge of the protect on a day-to-day basis and has
responsibility for the implementation of the grant activities. This person is authorized to sign project
reports and may request project changes: The signer and the contact person may be the same,)
Name: Scott Mendeisberg
Position Title: Assistant Director
Address: 9300 NW 41 Street
Dorai, F133178
Telephone: (786) 331-5121 Fax Number: (786) 331-5123
E-mail Address: swim(a@miamidade.gov
4. Resolution: Attach a current resolution from the Board of County Commissionors certifying the grant
funds will Improve and expand the county pre -hospital EMS system and will not be used to supplant
current levels of county expenditures. We cannot process for funds without a current resolution,
5, Budget; Complete a budget page(s) for each organization to which you shall provide funds,
List the organizations) below. (Use additional pages If necessary)
Miami -Dade Fire Rescue Department
City of Miami Fire Rescue Department
City of Miami Beach Fire Rescue Department
City of Hialeah Fire Rescue Department
City of Coral Gables Fire Rescue Department
Village of Key Biscayne Fire Rescue Department
off 1684, December2008
64J-1.016, F.A.C.
1
'BUDGET PAGE
A. Salaries and Benefits;
For each position title, provide the amount of salary per hour, FICA per
hour, other fringe benefits, and the total number of hours,
Amount
TOTAL Salaries
$ 0,00
TOTAL FICA & Other Benefits
Total Salaries & Benefits =
$ 0.00
B. 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 category).
List the item and, if applicable, the quantity
Amount
- Total -Expenses
0.00
C. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other
tangible personal property of a non consumable and non expendable nature with a normal expected.life
of one (1) year or more,
List the item and, if applicable, the quantity
Amount
$131,167.00
Total Veh, & Equipment
$ 0.00
Grand Total
0.00
DI -I 1684, December 2008
2
FLORIDA DEPARTMENT OF HEALTH
EMERGENCY MEDICAL SERVICES (EMS) GRANT PROGRAM
REQUEST FOR GRANT FUND DISTRIBUTION
In accordance with the provisions of Section 401,113(2) (a), Flbride Statutes, the undersigned hereby requests
an EMS grant fund distribution for the improvement and expansion of pre -hospital EMS.
DOH Remit Payment To:
Name of Agency: Miami -Dade County Board of County Commissioners
Malting Address: 111 NW I Street, 26 Floor, Finance Department
Miam FL 33128
Federal Identification number: #59-6000573
Authorized County Officia'1:
Signature Date
Russell Benford, Deputy Mayor
Type or Print Name and Title
Sign and return this page with your application to:
Florida Department of Health
Emergency Medical Services Program, Grants
4052 Bald Cypress Way, Bin A-22
Tallahassee, Florida 32399-1722
Do not write below this line, For use by State Emergency Medical Services Program
Grant Amount For State To Pay: $ Grant ID: Code: C40
Approved By :
Signature of State EMS Grant Officer Date
State Fiscal Year: 2015 - 2016
Organization Code F„0, OCA Object Code Category
64-61-70-30-000 05 SF005 750000 059998
Federal Tax 1113:VF
Grant Beginning Date: Grant Ending Date:
DH 1767P, December 2008 64J-1,015, F.A.C.
3
FY 2015-16 EMS COUNTY GRANT# PENDING
NEW GRANT REVENUE EXPECTED FROM THE STATE
PER EMS CALLS FOR CALENDAR YEAR 2014
TOTAL
EMS CALLS
FOR CALENDAR
YEAR 2014
n D1rrQl
TOTAL
EMS CALLS
FOR CALENDAR
YEAR 2014
tots
NEW
REVENUE
EXPECTED VIA
PAYMENT
FOR FY 2015-16
NEW
REVENUE
DISTRIBUTION
PER PAYMENT
FOR FY 2015-16
NET
ROUNDING
ADJUSTMENT
9J11I2015
L. Elliott
NEW
REVENUE
DISTRIBUTION
PER PAYMENT
FOR FY201S-16
(ROUNDED)
GRAM
rEEtSuti-L5KANIteJ: 1"'-•"'
I
, -,.
...
-..
1
MIAMI-DADE COUNTY FIRE RESCUE DEPT. 206,758'
61.62%
$131,167
$80,822_98
$0.00
80,823
(
(CALLS Lidice Cute an behalf of EMS Div Chief Taylor Rowan, 9-2-2015)
per
2
CITY OF MIAMI FIRE RESCUE DEPT.
84,166
25.08%
$131,167
$32,901.01
$0.00
32,901
(CALLS Terrence W. Davis, Assistant Frre Chief, 9-9-201
per
3
CITY OF MIANMI BEACH FIRE RESCUE DEPT.
16,126
4.81%
$131,167
$6,303.75
$0.00
6,304
(
(CALLS per Chief Betancourt, 9-2-2015)
4
CITY OF ]-11ALEAH FIRE RESCUE DEPT_
22,605
6.74%
$131,167 .
$8,836.43
$0.00
8,836
(
(CALLS Patrick Flynn, Assistant Chief, an 9-8-2015)
per
5
CITY OF CORAL GABLES FIRE RESCUE DEPT.
4,983
1.49%
$131,167
$1,947.89
$0.00
1,948
(
(CALLS Marc Stolzengerg Fire Chief, on 9-9-2015)
per ,
6
VILLAGE OF KEY BISCAYNE FIRE RESGUE DEPT.
908
0.27%
$131,167
$354.94
$0.00
355
(
(CALLS Marcos Osario, Deputy Chief, on 9-10-2015)
per
TOTALS
335,545
j .-.
100.00%
:,
$131;167 _
$131;167-00
!
$0 DQ
z
_ _:
13 E7 1
NOTES:
A) EMS CALLS DEFINITION APPROVED BY EACH FIRE -RESCUE CHIEF:
ALL SITUATIONS FOUND TO BE EMS RELATED BY THE RESPONDING UNIT THAT ARRIVED ON THE CALL (NOT INCLUDING CANCELLED CALLS) AND AN EMS PATIENT
PATENT REPORT HAS BEEN GENERATED
B) CALENDAR YEAR (C_Y.) DEFINITION APPROVED BY EACH FIRE -RESCUE CHIEF;
FROM JANUARY 1 TO DECEMBER 31
C) TOTAL NEW REVENUE EXPECTED FOR FY 2015-16 IS $131,167.00, AS PER 7-24-15 LE I t ER FROM STATE
FY 2015-16 EMS COUNTY GRANT C4013
LETTER OF UNDERSTANDING/AGREEMENT
PER PAYMENT FROM THE STATE
The Florida Department of Health is authorized by chapter 401, Part II, Florida Statutes to provide
grants to boards of county commissioners for the purpose of improving and expanding pre -
hospital emergency medical services, County grants are awarded only to boards of county
commissioners, but may subsequently be distributed to municipalities and other agencies or
organizations involved in the provision of EMS pre -hospital care,
The enclosed grant application, incorporating projects submitted by your organization, has been
approved by the Miami -Dade County Board of County Commissioners and the State of Florida
Department of Health, Bureau or Emergency Medical Services (EMS), Disbursements will be
made to the participating organizations In accordance with the approved grant work plan, upon.
receipt of new grant funds from the Florida Department of Health, Bureau of EMS and submission
of this approved document to Miami -Dade County Fire Rescue Department, Grants Management
Bureau, Office 248-A, located at 9300 N,W, 41 Street, Doral, Florida 33178-2414,
Your signature below acknowledges and ensures that you have read, understood and will comply
fully with your agency's grant application work plan and/or approved change requests as well as
the terms and conditions outlined in the December 2015 EMS County Grant Program Application
Packet, You also agree to assume all compliance and reporting responsibilities for your grant
projects and to provide timely Expenditure and Activity Reports to Miami -Dade County Fire
Rescue Grants Management Bureau for submission to the State of Florida as required under the
approved grant,
Name and address of EMS Agency:
Authorized Contact Person — Person designated authority and responsibility to provide Miami -
Dade County Fire Rescue with reports and documentation on all expenditures and activities that
involve this grant:
Name 0 Title
Alternate Title
Telephone Fax
Signatory Official
Signature Telephone
Attachments
ATTEST: THE CITY OF MIAMI, a municipal
Corporation of the State of Florida
Todd B. Hannon
City Clerk
Daniel J. Alfonso
City Manager
APPROVED AS TO FORM AND APPROVED AS TO INSURANCE
CORRECTNESS: REQUIREMENTS:
Victoria Mendez
City Attorney
Ann -Marie Sharpe, Director
Department of Risk Management