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Home My WebLink AboutR-1995-115RESOLUTTON NO. 11s-es A RESOLUTION OF THE CITY OF DANIA, FLORIDA, AUTHORIZING THE CITY MANAGER OR HIS DESIGNEE TO APPLY FOR A GRANT BEING OFFERED THROUGH THE STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, OFFICE OF EMERGENCY MEDICAL SERVICES. FOR 'DAVID & CLARK RADIO HEADSETS SYSTEM, ; AND PROVIOING FOR AN EFFECTIVE DATE. BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF DANIA, FLORIDA: Section 1. That the City Commission of the City of Dania, Florida, hereby authorizes the city manager or his designee to pursue the application for a grant being offered through the State of Florida Department of Health and Rehabilitative Services, Office of Emergency Medical Services, for a "David & Clark Radio Headsets System", a copy of which is attached hereto as "Exhibit A". Section 2. That this resolution shall be in force and take effect immediately upon its passage and adoption. PASSED and ADOPTED this 2 sth day of Ju 1y ,1995 MAYOR -MISSIONER ATTEST: ACTING C LERK - AUDITOR APPROVED FOR FORM AND CORRECTNESS: By:(. d&--- Resolution No. 115-95 Frank C. Adler, City Attorney CITY OF DANIA FIRE DEPARTMENT INTER.OFFICE MEMORANDUM TO:ROBERT FLATLEY, City Manager FROM: THOMAS GRAMMER, Fire Chief RE:Grant Application DATE: July 20, 1995 The attached Grant for an lntercom-Communication Headset System will be placed on the August 8, 1995 agenda for Commission approval. TG:jmr ID Code to b€ Assigred by State E\tlS Ollice: M- - - -Floriila Departumt of Eealth and Rehabilitative Serrices Oflicc of Emergency Medical Services (EIVIS) MATCEING GRANT APPLICATION 4. Agency/Orpnization'sFederal TaxldentifrcadonNumbcrninedtgitsYF q g 6 o o g ? -Q- 2 I Legal Name of Agencyi Organization: City of Danj-a Fire-Rescue Name and Title of Grant Signer:Robert FlatleyCity Mana er Mailing Addrcss .1 O0 West Dania Beach BLvd. Dania, fL. 33AO L Couflty: Broward Telephone Number: (305) gzr-ezoo ext 201 SunCom Number: N/A ,Name and TftIe of Contact Person: Jarnes MulfordDivision Chief 'I 00 West Dania Beach B1vd. Dania, FL. 33001+ TelephoneNumber: ()05) gzt_eloo ext308 N/A 3 Irgal Status of Ageucyi Organization: (ch.ct mly oD) Priv.. Na fDr P66l (r.n l. ptovi& cqy of ccrrift{.) hiv-. br Plo6l -X. n$lic Your frscal yean 1t.l1loE. ol"i/AA BEGNS ENI)S 5. Id.dify 66 od lrr. Pl& obi.cdY. 6it Ploiccr PriEltify .ddr!.rt: 6j*rivc l:1 6. TyPe of Projed: (ct .k ool, oE): x coddlsi..liE-codod'sPtofui.,ndEduc.lioo(E.dicddirxorord3alcal5r) E !.!tEy Tru?od vdicL. - Public Educ.tioo Syr!6 Ev.fu.d.rQudit, A,lrr.r. - Rce.rEh M.diqyRter Equbd (tdlrG. .!qui.!d ft. [.nl. l6b .!d l6c) Doc! your projcct iEhr& 6c purlb- of.ny cofi rnic.lion, cquiP,ncnl? L yes - NO 1 HIS Fodn 1767, Mrrch t9 -i\r1l6l I "A" lvlailing Address: SunCom Number: APPLICA.I{T Cash Msach StstcGrsnt Funds TOTAL N/A 0 0 0 0 0 0 TOTAL SALARIES end BENETTTS CATEGON,IES 13. Erpenses N/n 0 0 0 TOTAL EXPENSES 0 0 0 CATEGORIES Csshltdrtch TOTAL 14. Equipment: (4) I n t e r c o m - c o D Eu n i c a t i o n- Headset Systen: ( incluried parts &installion)(1) Intercom-systen per apparatus:$2., 5oo $13,5oo $18,ooo TOTAL FQUIP1VIENT COSTS $4,5oo $ t 3,500 $18,000 3 12. Salaries and Benefits: APPLICAI\IT StrteGrsrtFun& ,A. 16. Mdical d r's si$uturcs: Complete this item only if your proj Equipment, or h'r,^,ssionrl Education koject. a MedieaVR scue a. hofessional Education AII continuing education rlescribed in this application is developed and conducted with my input end approval. Medical Director's Signature Date Medicsl Dirtctorrs kinted Name b. Medical Equipment hojects: I hercby accept authority and responsibility for the use of Medical Anti-Shock Trousers MAST), flsophrigeat Obtuiator Airiays GO;s), semi-sutomatlc and sutonrtic defibrillators, ALS equlipment idmttfied in Chapter 10D{6, {.4.C.' end equipment not ldentified in chapteri0i>66, F.A.C. If this r€sponsibility is delegsted, both the delegeted physicten and thd medical director Eust sign rhis sectlon. -/--ae=.-_---Date a-/? 1.t- Medicsl Directorrs kinted Name and Delegated Physician, if any Medicel Directorr s Signeture and Dclegated Physician' if any L. Scott Ulin, M.D, c. I hereby acknowledge that the applicant:csponds rcutinely to rescue or medicel incidents under wriiten agre€E€nt with my liceused E\l[S system. Date Printed Name Medical Dirrcctor's or Authorized Person's Signature 5 APPLICATION mEM 17 (signature required) REQUEST FOR MATCEING GRANT DISTRIBTMON GDVANCE PAYMEF{I) EI}IER,GEhICY MEDICAL SM,VICES (EI\{S) Govemmental Agency and Non-profit Entity OIYLY In rcordmcc with the provisioas of pengrrph 401.113(2Xb), F.S., the rmdersigncd herely rcqucsts ea EMS Ertching grent distribution (rdvtac! prymt) for the improvcmcnt rnd cxprnsioo of prchospitrl EMS. Fayment To:City of Dania Fire-Rescu: Lcgd Nemc of AgeacyiOr8rni"tion100 West Dania Beach B1vi. Address Dania 3300 L (City)(Stste)(zip) Official ?-u-?fSIGNATURE;ATE: kinted Name:Robert Flat l ey SIGN AND RETTJRN WIIE YOI,]R MATCEING GRANT APPLTCATION TO: Dcprt'"cnt of Hcdth 8ad Rcirbilitrtivc Scrviccs Office of Emcrgency Mcdicd Scwiccs (HSTM) EMS MrtchinS Grrats 13 17 Winewood Bouleverd Trllrhrssoe, Floridr 3239470O Mrrchiag Graat A-oouat:$ For U& Ooly by Dcpr(sEnt of He.lth rDd R.i.bilit tiv. S.rvh.., Of[co of Errr&By Mcdicd Sclicc. Grmt ID Codc:!4_ Drtr:,r'pprovd By: SigDltrlc, Slrtc EMS Gnnt Officar Stete liacrl Y.!r:ADount: S Oroanization Code 50-20-60-30-100 E.O.obloct cod. HS tr.drrel Tax ID V P! Grant Beginning DaEe: _Ending Date! 5 Title: C itv Manaeer IE. ASSURANCES AND APPLICATION SIGNATURE Certification of Standards Statement I, the undersigned. certiff that if granted funds under Chapter 401, Pan II. F.S.; as amended, all applicable regulations and standards will be adhered to including: Chapter401. F.S.: Chapter 10D-66, F.A.C.; Minimum Wage Act; Title VI of the Civil Rights Act of 1964 (42 USC 2000D et seq.); Rehabilitation Act (Sec 504); and other federal legislation prohibiting discrimination on the basis ofhandicap, sex, age, race, creed, color, political affiliation or beliefs. Statement of Cash Commitment I, the undersigned. certiff that cash match will be available during the grant period and used in direct support of this gant project. State and federal funds wiil not be used for matching requirements, unless specified by law. No costs or third-party contributions count towards satisrying a matching requirement of a departrnent $ant if they are used to satisry a matching requirement of another state or federal grant. Cash, salaries, fringe benefits, expenses, equipmen! and other expenses as listed on this application shall be commined and used for the department's final approved project during the grant period. Acceptance of Terms and Conditions I, the undersigned. accept the grant tenns and conditions in Appendix B of the booklet, " 1992 Florida EMS Matching Grant Program", by the Department of Health and Rehabilitative Services and acknowledge this when funds are drawn or otherwise obtained from the grant payment system. Disclaimer I, the undersigned, hereby certifu that the facts and information contained in this application and any follow- up documen6 are tnre and correct to the best of my knowledge, information, and belief. I fi.rther understand that if it is subseq".ntll+ilc*ermined that this is not correct, the grant funded under Chapter 401, Part II, F.S.; Chapter l0D-66,'E##Snevoked, and any monies erroieously' paid and interes't eamed will be refunded to the dffent with any penalties which may be imposed by law or applicable regulations. ; -.*Notification of Awant #t' I understand the availability of tbs no{ce of award will be advertised in the Florida Administrative W and that 30 calend.u days after this Florida Administrative Weekly advenisement I waive any right to challenge or protest in aoy.way the decisions to award grants. :*c5'' eekly, I, the undersigled,vement or expansion brought about in whole or part by grant funds,lmpro will be maintained for five years aftei the project ends, unless specified otherwise in the approved Any unauthorized change withinapplication or unless the departrnent agrees in wri to allow a change. the five years x'ill SSI the involved, plus interest if any to the department.,,. 7- Z o- ?s- Signa re of Au orized Grant S Date (lndividual Identified in Item 1) NOTE: Please check to insure that all required signatures have been made application r,r"iil not be considered for funding without any required sisnarure. r Items 16, 17, and 18. The I The Cify of Dania Fire Rescue Departmerat Florida Department of Health and Rehabilitative Service OiEce of Emergency Medical Service (EMS) Grant Liaison: James E. Mulford, Division Chief July 20, 1995 Written By: Nathan Butler and Robert F. Bacic ** v) l- trl*o FOR TH8 Intercom-Communication Head Set S1-stem iVlatching Grant Application ::-, i 2 IEE Ii- t.- CITY OF DANIA FIRE-RESCUE i)lIEIEDBITS James E. Mulford. Division Chief 100 W Dania Beach Blvd. Dania- Florida 33004 Phone: (305) 921-8700 Fax: (305) 921-2604 July 20, 1995 Department of Health and Rehabiiitative Services Office of EMS EMS Matching Grant Application 13 l7 Winewood Boulevard Tallahassee, Florida 32399-0700 Re:Intercom-Communication Head Set System Florida Department of HRS Office of Emergency Medical Services @MS) Matching Grant Application Dear Sir: Please find enclosed one original and eight (8) copies ofthe above subject matching grant application. The City ofDania is dedicated to the advancement ofthe quality ofpre-hospital EMS activities and services. We hope you will support our grant application and look upon them favorably Ifyou have any questions, or need additional information please contact me. Very truly yours, C),-- llr,-$"Q. /rn". g. Mulfor# DMsion Chief