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Home My WebLink AboutExhibit,V0 :to Miami -Dade Fire Rescue Department 9300 NW 41 st Street °oral, FEorida 33178 • 1 786-331-5110 F 786.331-5136 miamidade,gov Always Ready, Proud To Serve January 23, 2017 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 #C5013 for FY 2016 - 17 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 $33,377.00 has been approved for your 2016-17 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, Office 248-A Attention: Lisset Elliott 9300 N.W.41 Street Doral, Florida 33178-2414 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- 956-16) and the distribution of new revenue schedule with your municipality's expenditure and work plans. Sincerely, f2,7 Dave Downey Fire Chief DID/le Enclosures FY 2016-17 EMS COUNTY GRANT C5013 LETTER OF UNDERSTANDING/AGREEMENT PER PAYMENT FROM THE STATE The Florida Department of Health is authorized by chapter 401, Part 11, 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, ❑oral, 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 2016 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 —_O NA))'' £UQA.j Alternate S a/l,0—�` Telephone 3 -4f - S4!4 Si nator Officia Signatu / •/ �/ Attachments Title I"r N-R?sco, guye c,d i raTe Title /ICClti1j 6f1'�th.l!i�'� Fax Telephone OFFICIAL FILE COPY CLERK OF TRE BOARD OF COUNTY COMM1SSIOYERS MI.tM1-DADE COUNTY, FLORIDA Date: To: From: Subject: Memorandum MIAMCot ,►MIDADE November 1, 2016 Honorable Chairman Jean Mones and Members, Board of Coun �►'i,�' issione Carlos A. Gimenez Mayor Resolution No. R-956-16 Resolution Authorizing the County yor to Apply For, Receive, and Expend $118,249.00 in Grant Funds from the. State of Florida Department of Health, Emergency Medical Services Bureau to Improve and Expand Pre -Hospital Emergency Medical Services for the State of Florida during Fiscal Year 2016-17 RECOMMENDATION It 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, receive, and expend approximately $118,249,00 in funds from the Florida Department of Health Emergency Medical Services Grant during the State of Florida Fiscal Year (FY) 2016-17; approximately $68,204.00 of those funds shall be distributed to the Miami -Dade Fire Rescue and the balance of those funds would be distributed to municipal fire departments, as outlined in this memorandum; and to apply for, receive, and expend additional funds should they become available under this program in the same fiscal year. SCOPE The grant will provide countywide services. FISCAL IMPACT/FUNDING SOURCE This grant is anticipated to provide funding of $118,249.00 from the State of Florida FY 2016- 17. Miami -Dade Fire Rescue is expected to receive a revenue allocation of $68,204.00. The grant does not require any matching local or in -kind funds. DELEGATION OF AUTHORITY The County Mayor or County Mayor's designee is delegated the authority to enforce any of the terms therein. 'RACK 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 Chapter 401 Florida Statutes. 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 from surcharges on various traffic violations. Honorable Chairman Jean Monestime And Members, Board of County Commissioners Page 2 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 Miami -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, each of the five (5) municipal fire rescue departments submits an approved agreement to Miami - Dade Fire Rescue. The -distribution of grant funds toeach participating fire rescue department is based on the percentage of combined total emergency medical services incidents the respective department responded to during calendar year 2015. The State application deadline is December 16, 2016 and requires a resolution from the Board. The new funds will be: distributed to the following ;municipal fire departments for emergency medical services incidents that these agencies responded to in calendar year 2015, as follows: Miami -Dade County Fire Rescue Department $ 68,204.00 City of Miami Fire Rescue Department $ 33,377.00 City of Miami Beach Fire Rescue Department $ 5,485.00 City of Hialeah Fire Rescue Department .. $ 9,076.00 City of Coral Gables Fire Rescue Department ...$ 1,794.00 Village of Key Biscayne Fire Rescue Department....... $ 313.00 Total payment expected from the State of Florida:...$118,249.00. Attachments (A) Grant Application (B) Letter of Understanding / Agreement Russell Benford Deputy Mayor 'MEMORANDUM (Revised) TO: Honorable Chirman. Sean Monesiin e and Members, Board of County Commissioners FROM: DATE: November 1, 2016 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 uranicipal 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 niajorityvote (i.e., 2/3'8 , 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 (13) (3) Veto 11-1-16 Override RE S OLUTION NO. R- 9 5 6 -16 RESOLUTION AUTHORIZING THE COUNTY MAYOR OR COUNTY MAYOR'S DESIGNEE TO APPLY FOR, RECEIVE AND EXPEND APPROXIMATELY $118,249.00 IN GRANT FUNDS FROM THE FLORIDA DEPARTMENT OF HEALTH TO IMPROVE AND EXPAND PRE -HOSPITAL EMERGENCY MEDICAL SERVICES; AUTHORIZING THE COUNTY MAYOR OR COUNTY MAYOR'S DESIGNEE TO EXECUTE THE ENCLOSED LETTER OF UNDERSTANDING/ AGREEMENT; AUTHORIZING THE COUNTY MAYOR OR COUNTY MAYOR'S DESIGNEE TO APPLY FOR, RECEIVE AND EXPEND ADDITIONAL FUNDS SHOULD THEY BECOME AVAILABLE UNDER THIS GRANT PROGRAM AND TO ENFORCE ANY OF THE TERMS 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 OF MIAMI-DADE COUNTY, FLORIDA, that this Board authorizes the County Mayor or County Mayor's designee to: (1) apply for, receive, and expend approximately $ 1 18,249.00 in grant funds from the Florida Department of Health's Emergency Medical Services Grant award funds to improve and expand pre -hospital emergency medical services; (2) execute the Letter of Understanding/ Agreement in substantially the same form attached hereto as Attachment B; (3) apply for, receive and expend future additional funds should they become available through the grant program in the same fiscal year; and (4) to enforce any of the terms contained in the Letter of Understanding/Agreement, y 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 Esteban L. Bovo, Jr, who moved its adoption. The motion was seconded by Commissioner and upon being put to a vote, the vote was as follows: Rebeea Sosa Jean Monestizne, Chairman aye Esteban L. Bovo, Jr., Vice Chairman aye absent Daniella Levine Cava aye aye absent aye aye Audrey M. Edmonson Barbara J. Jordan Rebeea Sosa Xavier L. Suarez aye aye absent aye absent The Chairperson thereupon declared the resolution duly passed and adopted this la day of November, 2016. 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. Gerald K. Sanchez MIAMI-DADE COUNTY, FLORIDA BY ITS BOARD OF COUNTY COMMISSIONERS HARVEY RUVIN, CLERK Christopher Agrippa By: Deputy Clerk Atfachment A COiltitv to.vernhioht Apolicatiort Iortn July 2010401 .Effedtive August 26, 20.151, county gaVorifitiont$_rty. stgrilt Ihek Fis.eel Yeat 201'072.017 abbllogtIon foriritkgrght funds, Thb deadline fOrSubrtisS ion is December le, 2016, the.. OW 'grant amount can be found In- the 4Total'' •column inelLicied for the it.ountylerrOLitiV' table, The'firet.throg fterns op. riVo driV pf:thp. eppliqatieri ;Ore eifexplarigtbry. '.P!Oppe -nbte-that Item 2 tegilireslhe-,ighettirel.cf.the hictiVia00 I who IS 4ightml2d te SICIOcontrts, Wats or legal -docliMents..ferthe tbUtity; Item 4..c.I.PpcilOes th•ccipter.kof Ihe. resolution. PleaseproVIdethls in your county's cUstoMaty fOCIVOt arld: aPPrOv.al p-roossf, Th0..rogf_utibn must bB ourrnt jfg preypue...-che FS Still fm,effect, a mesS4e.frOro .leati ttitinty Official•stafinq 'SOO far 201•5,zyi7:!rlua bIrtblqcl4 requeste-the;natnes -or-the ;0't geilzetions.:thigt„ WIII.recelire fundfrOM-"theneVi COCinty,gratit; A. bp.ciget page* needed for each organization listed in Item .5. Thefb'udgetpaja.MliSf Net specific •qugfitifle,ble tgm or services, with the cbstfor eactironitor type of Itarmor service.. All. cbsts. ITILigt add -lobe at arin u tit of pralgfUnds,:avallsb10, ghanges• may be..reciiig6tectaftet tha new beOint., To budget.totali In thelap011oition, place your .curSor ever a subtotal .6e total fleidi .1tht click your snouse, then kft. dwpri #10 tesylt0g. mentr"Ppelate Reiltie'st foraptint Purid bRiribution ........ ...„. The required.tb bornplete-ority help -pcttioriof tpeform..In a-ddition,..the address on .thisformtt be tne.s_ortle ori,o-AnatIs orb flip' In tbe--stgte IVIyHoricl.tyl@rketplebe (MM?). pryotkili • hoeddtt, MFMI cutorrmt•;40.tvi6.trayib0 CbhtgCtecrat1-f36-6.2-377e, *ndgylc.)-Frflay, 8 an, to .6 .p.m.:, 'o.r by email, Myr:, I o MatketP la ce@drhs.triVflorlda EMS CoUNry GRANT' APPLICATION FLORIDA:OEPARTNIENT OF HEALTH trnei`gpncy Medip&Sort/ices Program, Complete all Horns lb. Coclo Crhe State EMS Pro ram will .assign the rfl] Code —leave this blank !C50 �t. Ceimty Name: Btusiness.Address: T6leption$: Fe.deraITax'EllJ Nurn er(Ninat)Igit_Num:ber). 'VF 2. Certification:: •(The applleat t signatory Who has attthority.to sign contracts, c rpr ts; grid other legal documents for -the county) 1 certify that all Information and,data In this MS ount/ grey t apprlcatron: and ;its attachments are true and:cort`ect. My signature ackriQWIerlges and assUres that the County shall compiy'fully with the.condltlans outlined In the Florlda EMS County Grant Application, Signature: sate: Printed Name: position Title: 3. Contact Person (The Indfvidualwlth direct knowledge of: the prv)ect•.on .a day -today basls.tri 'Y as. responsibility for the-implementatlon of the gtant actIVltles: This; person Is authorized to sign projaot reports and may request project changes: The.sigher and the oorstaQt person ffelay.be ttie sa't ) Nemo: P.asitiQn Title; Address: Telephone: FeX.NuMbeir:_ E mallAddress; 4 , 140pOiut oa: Attach a resolution frorn thel3oard:of County-Commissloners:certlfying the grant funds will In prbue, and .expand thO'.county.pre-hospttel EMS system and will.not be used to supplant. current °levels of seurty @xpandlturae,. We cannot.orocessfarrfunds without a currentresolutton. :$; Budget: Complete. a budget:pag,e.,(s) for eaoh org; nizatto.n. to virtllon yo :shall *MO Wit. Llslk'the.organlzaflon(s):below: 'Use add-Nonal:pagas.lf:neeb'ssary) DH 16s4,, Debember 2008 64,J-1,0'15, F.A.C. 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 Expunsos = $ 0.00 C. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other tangible person& property of a non consumable and non expendable nature with a normal expected fife of one (1) year or more. List the Item and, if applicable, the quantity Amount Total Veh, & Equipment = 0.00 Grand Total $ 0.00 DE -I 1684, December 2008 2 !FLORIDA DaPARTIVIeNT QWEALTil EMERGENCY SEPWcEsfEMS),GRANT SECTION REQUEST. FOR ,GRANT FUND DISTRIBUTION in accordance with the Ottnil§liiiit agettion 401.118(2) (a); Florida Statutes, the undersigned herikyleguette an EMS grant fond dlstriNtron tOrte.. imprwernent gnd:pxponslpn of pre-hoppital DOH Remit Payment To: The agency narne•and maillno address rntiO be in the state myFibridoArketPlabp, (WIMP) pyptom. Name dt- Agency: 1‘,/.011rqg Address: Podpral IdontifIcatton number; Authorized:County Official Si9nature, Date Type orllyini Name and Title Sign sr30 rotomthis.-page with yourapplig4tion Florida. t3epartrnent of Health- Ernorgancy.Medicol Sarvloos Seation,_ Grants- 4.052 Bald Cypress wo,: Bin 4-22 •Talialiassos, 'Florida 34,99-4722 Di? 'Apt Mite belbW,Ols If tle; ftft Ute by State: Etilettlendy 11.11:0116a1Sdririces Ptvgram @rent AITI "r01. thPfit Grolt.::B); Codo; co ARprPVed .'4.• ;Signature of State_ EMS iGrant °lacer Date Stato FitiatilYean 2016._ :2g7 .Grgiztiitodo, .A,O, bOA object Caw Categaty 64146lia.04.0o00.: 75:(10.00 .059994 Ndekal IDIVF 64,ajnt -.0q100i1.1,4 0Mb: btal)t•I4ifig1)40: 13H 1767; December:2CM 64J-1.015, F,A:C. 3 FY 2016-17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2016 STATE EMS GRANTt PENDING 09-13.2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE. EMS Calls Represent all situations found to be EMS related by the responding unit that arrived on the call (do not include cancelled calls) and an EMS Patient Report has been generated. Calendar Year Covers data from January 1, 2015 to December 31, 2015, Reporting Entity Mailing Address Phone Number Fax Nurnber Reported by: Miami Dade Fire rescue, EMS Division 9300 N.W01 Street 786-331-4402 786-331-4401 Chief Rowan Taylor Please Print or Type Name and Title Signature 213,454 09-12-2018 RETURN THE COMPLETED l APPROVE') FORM M VIA 1r-1VIA11. ADDRESS OR FA)( NUMBER BELOW: Thank you for your cooperation. Llsset E'Illatt Grant Resources Manager Miami -Dade Flre Rescue Department Office: 786.331-4472 Cellular,' 786-218-5976 a -mall: Ilsset.QlilQt fa?rla.:Jdade.uov "Delivering Excellence Evely Day" SOURCE: "State FY 11-12 EMS CNTY CRT- EMS CALLS SUPPORT DATA.xks" File, Date FY 20'i6-17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2015 STATE EMS GRANT0 PENDING 09,13-2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE, EMS Calls Represent all situations Found to be EMS related by the responding unit that arrived on the call (do not Include cancelled calls) and an EMS Patient Report has been generated, Calendar Year Covers data from January 1, 2015 to December 31, 2015, Reporting Entity Mailing Address Phone Number Fax Number Reported by: Terrence W. paves -Assistant Fire Chief Plea e Print or Typo Name and Title Date 09.14.2016 Signature RETURN THE COMPL4TEb / APPROVED FORM VIA E-MAIL ADDRESS OR FAX NUMBER BELOW: Thank you for your cooperation. Llsset Elliott Grant Resources Manager Mlaml-Dade File Rescue Department Office: 766-331-4472 Cellular: 766-210-5976 9-inall:Ilaset,e1119, 41MiarrliCisdestov 60dflveri ng Excellence Every pay" SOURCE: "Stale FY 11-12 EMS CNTY GM"- EMS CALLS SUPPORT DA7A,xla" Filo, /J FY 2O16.17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2015 STATE EMS GRANT# PENDING 09-13-2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE. EMS Calls Represent all situations found to be EMS related by the responding unit that arrived on the call (do not include cancelled calls) and an EMS Patient Report has been generated. Calendar Year Covers data from January 1, 2015 to December 31, 2015, Reporting Entity Mailing Address Phone Number Fax Number Reported by; Assistant Fire Chief Patrick Flynn 26,404 09-14-2016 Please Print or Type Name and Title Date Signature RETURN THE CDMPLGTI'D / APPROVED FORM VIA E-MAIL ADDRESS OR FAX NUMsFR BELOW: Thank you for your cooperation. Llsset ENIott Grant Resources Manager' Miami -Dade Fire Rescue Department Office.. 786 331-9472 Cellular.' 786218 5976 e-map: Ilssel,allfatif rrniarnldacie aq "iellveririg F_.ccelleace Ewe)/ 1)rri9" SOURCE: "State FY 11-12 EMS CNTY GRT- EMS CALLS SUPPORT DATA,xIs" File. FY 2016-17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2015 STATE EMS GRANT# PENDING 09.13-2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE. EMS Calls Represent all situations found to be EMS related by the responding unit that arrived on the call (do not include cancelled calls) and an EMS Patient Report has been generated. Calendar Year Covers data frorn January 1, 2015 to December 31, 2015. Reporting Entity Mailing Address Phone Number Fax Number Reported by; City of Miami Beach Fire -Rescue Department 2300 Plnetree Drive Miami Beach, FL 33140 305-673-7130 305-673.7257 Francois Betancourt, Division Chief 17,165 09-15-2016 Please Print or Type Name and Title Date _r- Signature RETURN THE COMPLETED 1 APPROVED FORM VIA E-MAIL ADDRESS OR FAX NUMBER BELOW: Thank you for your cooperation. Lisset Efliait Grant Resources Manager Miami -Dade Pire Rescue Department Office: 786-331-4472 Cellular.' 785218-5976 Q-mail; Ilssat.elliotI(7mlarldade.gov "Delivering Ekcellence Every Day" SOURCE: 'State FY 11-12 EMS CNTY GRT- EMS CALLS SUPPORT DATA,xIs" HIe. /�a FY 2016-17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2015 STATE EMS GRANT# PENDING 09-13.2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE. EMS Calls Represent all situations found to be EMS related by the responding unit that arrived on the call (do net include cancelled calls) and an EMS Patient Report has been generated. Calendar Year Covers data from January 1, 2015 to December 31, 2015, Reporting Entity Mailing Address Phone Number Fax Number Reported by: Coral Sables Flro Rescue Department 2815 Sa!zed° Street Coral Gables, FL 33134 (30 5) 400-5571 (305) 460.58'96 Marc Stolzenberg, Fire Chief Please Print or Type Name and Title Date 1/1( —CV -)2(-- Signature RETURN THE COMPLETED! APPROVED FORM VIA E-MAIL ADDRESS OR FAX NUMBER BELOW: Thank you for your cooperation. L/sset Elliott Gant Resources Manager Mtamf Dade Fire Rescue Department Office: 786-331-4472 Cellular; 706 218 5976 e-m411; Ilseelelliettemiamlclede.aoy, "Delivering Excellence Every 1Nnl1" SOURCE; "Slate FY 11.12 EMS CNTY GRT- EMS CALLS SUPPORT DATA,xIs" Flle, 5,616 09-15.2016 FY 2016-17 EMS COUNTY GRANT APPLICATION TOTAL EMS CALLS FOR CALENDAR YEAR 2015 STATE EMS GRANT# PENDING 09-13-2016 PLEASE REVIEW THE DEFINITIONS BELOW AND SUBMIT YOUR TOTAL EMS CALLS FOR Calendar year 2015 TO PROCESS THE NEW GRANT APPLICATION FOR THE STATE, EMS Calls Represent all situations found to be EMS related by the responding unit that arrived on the call (do not include cancelled calls) and an EMS Patient Report has been generated, Calendar Year Covers data from January 1, 2015 to December 31, 2015. Reporting Entity Mailing Address Phone Number Fax Number Reported by: Signature RETURN THE COMPLETED / APPROVED FORM VIA E-MAIL ADDRESS OR PAX NUMBER BELOW: Thank you for your cooperation. 979 L/sset Elliott Grant Resaurccs Manager Miami Dade Fire Rescue Department Office; 786 33x4972 Cellular, 786 218-5976 ra-moll: ilset.alliott t rLiamidarle,gov 'Delivering Excellence Evety 1Dny" SOURCE "State FY 11-12 EMS CITY ORT- EMS CALLS SUPPORT DATA.x1s" Flie, /i Attachment B FY 2016-1 7 EMS COUNTY GRANT C50X.X LETTER OF UNDERSTANDING/AGREEMENT PER PAYMENT FROM THE STATE The Florida Department of Health is authorized by chapter 401;Part'11, 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 protects suhnmitted by your organization, has been approved by the Miami -Dade County Board of County inissioners and the State -of Florida Department of Health, Bureau or Emergency MedFr_al 'Services (EMS). Disbursements will be made to the participating organizations In accordarice-:irr t the approved grant work plan, upon receipt of new grant funds from the Florida Departiti nt ofi e lth, Bureau of EMS and submission of this approved document to Miami: -Dade CROW, }re Rescue; Department, Grants Management Bureau, Office 248-A, located at 9300 N.W. 4 treet, Doral, Florid 33178-2414. -y.. 4^Y 1'iLJI Your signature below acknowledges and erZs.4res that you have reed; vtinderstood and will comply fully with. your agency's grant application wort pfan andfo'r;iapproved'of ape requests as well as the terms and conditions outlinedjin the Decemb r ? . MS,County Gfat,program.ApplIcation Packet. You also agree to ass M 11 compliaricOl d"reporting responsibilities for your grant projects and to provide timely `EXpendFture and Ai~titivity Reports .to -Miami-Dade County Fire Rescue Grants Management Bureaii,,iorla mission tcih'e State of Florida as required under the approved grant. `' ram.. -.4. Name and addressof_EMS`A+ ency; "� -'` �- _' yT jy'g� .r -v •• -_;� , 'IN-ti'' '4-3=yam, _i _ c�,._�. -;• ,.:: ; ram.. Authorized Contact'Person -='-Person designated authority and responsibility:to provide'Miaml-. Dade`C1 jnty Fre Resci. q\with.: reporis.and documentation on all expenditures and activities that involve'th s rant: :,`� `k:°;; Name :,,�.Y-., Title Alternate Title Telephone Fax. Signatory Officlai Signature Telephone Attachments /�v FY 2016-17 EMS COUNTY GRANT# PENDING NEW GRANT REVENUE EXPECTED FROM THE STATE PER EMS CALLS FOR CALENDAR YEAR 2015 GRANTEE/SUB-GRANTEES: TOTAL EMS CALLS FOR CALENDAR YEAR 2015 (UNITS) TOTAL EMS CALLS FOR CALENDAR YEAR 2015 NEW REVENUE EXPECTED VIA PAYMENT FOR FY 2016-17 IS) NEW REVENUE DISTRIBUTION PER PAYMENT FOR FY 2015-17 NET ROUNDING ADJUSTMENT IS) 9121/2016 L._-Etiiott NEW REVENUE DISTRIBUTION PER PAYMENT FOR FY 2016-17 (ROUNDED) 1 .MIAMI-i7ADE COUNTY FIRE RESCUE DEPT. 213,454 57.63°Ye $118,249 _.-.-..$68,204.16 $0.00 . 68,204 (CALLS per Lidice Cutie orI behatf of EMS Div Chief Taylor Rowan, 9-12.2016) 2 CITY OF AMAMI FIRE RESCUE DEPT. 104,459 26.23% $118,249 . ' .; $33,377_39 $0_00 . - 33,377 (CALLS per Terrence W. Davis, Assistant Fre Chief, 9-15-2016) 3 'CITY OF MIAMI BEACH FIRE RESCUE DEPT_ 17,165 4.64% $116,249 - . . .-...:65,484.67 $0.00 - .°5,485 1(CALLS per Chief Betancourt 9-19-2016) 4 CITY OF HIAI_EAH FIRE RESCUE DZ'i. 23,404 7.63 $118,249 . $9,075.82 $0.00 9,076 (CALLS per Patrick Flynn, Assistant Chief, on 9-14-2016) 5 CITY OF CORAL GABLES FIRE RESCUE DEPT. 5,615 1.52% $118,249 $1,794.14 $0.00 . . 1,794 (CALLS per Marc Stalzengerg , Fre Chief. on 9-15-2016) . . 6 VILLAGE OF KEY BISCAYNE FIRE RESCUE DEPT. 979 _ 0_26% $118,249 .. . $312.82 $0.00 . 313 (CALLS per Mantua Osaria, Deputy Chief, an 9-21-2016) TOTALS .. -.-370 076I 100.00% °.... $118,249 ...-$118,249.00 $0.00 [r - . .:.118;249- NOTES : A) EMS CALLS DEFINITION APPROVER 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 PATIENT 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 2016-17 15 $118,249.00, AS PER 8-29-16 E-MAIL FROM STATE ATTEST: CITY OF MIAMI FLORIDA, a municipal corporation, 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