HomeMy WebLinkAboutR-2002-114 • RESOLUTION NO. 2002-114
A RESOLUTION OF THE CITY OF DANIA BEACH, FLORIDA,
AUTHORIZING THE FIRE CHIEF TO APPLY FOR THE 2003
EMS GRANT THOUGH JOINT APPLICATIONS WITH THE CITY
OF HOLLYWOOD FOR VARIOUS EMS EQUIPMENT
INCLUDING A STRETCHER, BACK BOARD, BICYCLES, AND
EXTRACATION TOOL IN AN AMOUNT NOT TO EXCEED
$50,000.00; WITH NO MATCH, AND FURTHER AUTHORIZING
THE ACCEPTANCE AND EXECUTION OF SAID GRANT
APPLICATIONS UPON ITS AWARD; PROVIDING FOR
CONFLICTS; FURTHER, PROVIDING FOR AN EFFECTIVE
DATE.
WHEREAS, the City of Dania Beach Fire Department jointly with the City of Hollywood is
in need of a new stretcher, back board, bicycles, and extrication tool; and
WHEREAS, Broward County has a grant program which offers financial assistance for
such projects; and
WHEREAS, the Dania Beach Fire Department would like to apply for the 2003 Florida
EMS County Grant Program under joint applications with the City of Hollywood;
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY
OF DANIA BEACH, FLORIDA.
Section 1: That the City of Dania Beach Fire Department is hereby authorized to apply
for the 2003 Florida EMS County Grant Program jointly with the City of Hollywood in an amount
not to exceed $50,000, attached as exhibit "A".
Section 2: That upon the Florida EMS County Grant Program being awarded to the City,
it hereby authorizes the appropriate City Officials to accept the award and execute the Grant
Agreement and all other respective documents in a form acceptable to the City Manager and
approved as to form and legality by the City Attorney. The City Manager and City Attorney are
authorized to make minor revisions to said exhibits as are deemed necessary and proper for the
best interests of the City.
Section 3. That this resolution shall be in force and take effect immediately upon its
passage and adoption.
1 RESOLUTION NO. 2002-114
PASSED AND ADOPTED THIS 13" DAY OF AUGUST, 2002.
d.
RO RT CHUN , JR.
MA OR - COMMISSIONER
ATTEST: ROLL CALL:
COMMISSIONER BERTINO - YES
COMMISSIONER MCELYEA - YES
CFYA LENE J NSON COMMISSIONER MIKES - YES
CITY CLERK VICE-MAYOR FLURY - YES
MAYOR CHUNN - YES
APPROVED AS O F RM AND CORRECTNESS:
BY:
THO AS` . ANS O
CITYATTORNEY
2 RESOLUTION NO. 2002-114
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
EMS GRANT APPLICATION
This page becomes Page 7 of your application.
General instructions and information are on Pages 1 -7.
Please do not include these with your application packages.
PROJECT TITLE:
PROJECT COST: $
AGENCY NAME:
AGENCY ADDRESS:
PROJECT CONTACT PERSON:
(The person to be contacted for more information for the application, for purchasing,
reports, etc. as required under the terms and conditions of the County Award Monies
program.)
• PRINTED NAME:
TELEPHONE: FAX NUMBER:
EMAIL: PAGER:
The signature of the person with project authority is required on Page 14.
-413roject Criteria:
MULTIPLE AGENCIES OR COUNTYWIDE PARTICIPATION
Are you submitting this project on behalf of other agencies which will receive equipment
under the grant?
No Yes, for multiple agencies Yes, for all applicable agencies
If yes, you are required to complete Pages 15-18 of the application. See Page 2 for an
explanation.
Is this a project in which other agencies will participate (but not receive equipment for
which they will be responsible)?
No— Yes, for multiple agencies Yes, for all applicable agencies
If yes, you are required to submit responses indicating interest. See Pages 2 and 3 for
. an explanation.
Page 8 of 18
EMS County Grant Program - GRANT YEAR 2003
PROJECT DESCRIPTION
Briefly describe the project. Please do not use brand names. If project is for training, do
you have a sample curriculum to include?
-*Project Criteria:
EMS IMPROVEMENT AND EXPANSION
Describe how this project will improve and expand prehospital EMS within Broward
County. What is the need for this project? What is the situation now? How will it change
after the grant is completed? See Page 2 for exact wording of State of Florida criteria.
• You may submit additional pages.
Page 9 of 18
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
4Project Criteria:
ARE YOU INCLUDING RESEARCH OR LITERATURE? Yes No
If yes, please attach at end of application.
ARE YOU INCLUDING LETTERS OF APPROVAL, SUPPORT OR REFERENCES WITH
YOUR APPLICATION? Yes No
If yes, attach at the end of the application but list the name of the organization(s) below:
MEASURABLE GRANT OBJECTIVE(S):
What are your speck objectives or desired outcomes?
Objectives should be measurable, obtainable, and specify a key result to be
accomplished. What will be different because of your grant? What is the return in terms
of improving or expanding EMS from your project? If you are requesting equipment or
items that may be used in the future, you must track the usage data for an additional 12
months after the equipment is in placer your objective might read: To install 4 AED units in
4 public buildings and track usage data for 12 months after installation.
• List objective(s):
WORK PLAN TIME FRAME
What actions will you take to accomplish your objectives? How long will it take?
•
You may Submit additional pages.
Page 10 of 18
EMS COUNTY GRANT PROGRAM -GRANT YEAR 2003
EXPENDITURE PLAN
What is needed to accomplish your objective(s)? Realistic and reasonable cost estimates are
our best interest. Do not price yourself out of the process.
Want monies cannot be used to supplant existing positions, pay overtime, meeting room expense
or for food or for kitchen equipment. If other agencies are participating in your project, list the
quantity each will receive. Include 1st year maintenance costs if not included with equipment.
ITEM (no brands, please) Unit Cost Quantity Total
(Round
up)
Delivery charges, estimated
Attach additional pages if needed.
GRAND TOTAL:
FUTURE EXPENSE
Please estimate the maintenance or other required recurring expenses per unit after first grant
year, if applicable, because these costs will be absorbed by the grant recipient(s) and not paid
from grant funds. Please discuss this issue with your Agency.
Item Cost
OWNERSHIP
Do you wish to be assigned ownership of the items purchased under this grant?
Yes No
If you do not possess an ownership interest in the items purchased under the grant, the County
may require that the equipment be returned to the County at the end of the grant period in good
Ocondition minus normal wear and tear.
Page 11 of 18
EMS COUNTY GRANT PROGRAM -GRANT YEAR 2003
MEDICAL DIRECTOR APPROVAL
Does the project require approval from your Medical Director according to Chapter 401, Florida
Statutes, Chapter 64E-2, Florida Administrative Code? If yes, have your Medical Director
complete the following:
Medical Director approval:
The undersigned, as Medical Director, supports and approves the following project:
Project Name:
AUTHORIZED SIGNATURE: DATE:
PRINTED NAME: TITLE:
AGENCY NAME:
SPECIAL LICENSURE OR APPROVALS
Are you aware of special licensure or approvals needed (i.e., State Division of
Communications)? If yes, please include this information with your Application.
RESPONSIBILITIES FOR ADDITIONAL COSTS
All projects awarded funding by the County which involve purchasing of equipment and/or
facilities by the County through Broward County's Purchasing Division will require the respective
entity to be responsible for securing and paying any and all costs associated with maintenance,
insurance, licensing and permitting required or deemed necessary for said equipment or facilities
in order to fulfill the project objectives.
RISK OF LOSS
The entity which will ultimately have ownership of the items procured through this grant process
must agree to be responsible for any risk of loss prior to receipt of the equipment and be liable
for damages to persons or property that may occur upon delivery of the items is such damage is
not caused by the County.
USEFUL LIFE OF EQUIPMENT
If your project is funded and at some time there is no further need for the equipment, its useful
life has been reached or if you are lending it to another agency, please contact the
Contracts/Grants Administrator for instructions or information.
Page 12 of 18
EMS COUNTY GRANT PROGRAM -GRANT YEAR 2003
PROGRESS REPORTS
Upon receipt of the funds by the County and allocation into project accounts, project leaders the
purchasing process will begin. The project leader is required to submit a quarterly report to the
OContracts/Grants Administrator due three months after implementation of the project objectives.
It should describe progress to date. Additional quarterly reports will be required until completion
of the project. You will be sent the form and instructions.
OUTCOME/EVALUATION/FINAL REPORT
Within thirty (30) days after the full implementation of the work plan, the project leader is
required to submit a report evaluating the project's.results, completing your grant project cycle.
Some projects will have an objective to track usage data for an additional 12 months after
equipment is in place so the Committee can evaluate the project's impact. The report should
include outcome measures, indicating by percentage or actual numbers, the extent to which the
original objectives were accomplished. .Base your report on information from participating
agencies, statistics, surveys, satisfaction reports,,class attendance rosters, etc. The
Contracts/Grants Administrator will provide the form, instructions and due date for the report.
The results from all the projects will be compiled for a report to be presented to the Grants
Committee and results will be presented at a Broward Regional EMS Council meeting
highlighting the types of projects funded and the impact County Award Monies have for Broward
County (the outcome of your objectives). Additionally, this information is sent to the State of
Florida's EMS County Grant Program Manager as required in the terms and conditions of the
grant program.
`COMPLIANCE WITH AMERICANS WITH DISABILITIES ACT
The undersigned shall comply with Titles I and II of the Americans with Disabilities Act of 1990
regarding nondiscrimination on the basis of disability in employment and in state and local
government services in the course of providing such services and programs, funded in whole or
in part by Broward County.
I accept responsibility for management of the project and compliance with applicable
terms and conditions, including EMS County Grant General Conditions, and certify that
to the best of my knowledge, the information contained in this application is true and
correct. I have authority to sign for my agency.
AUTHORIZED SIGNATURE DATE
PRINTED NAME TITLE
AGENCY NAME
TELEPHONE NUMBER
•
Page 13 of 18
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
PRESENTATION MEETING REPRESENTATION
Will a representative attend the Presentation Meeting on October 3?
Yes No
Do you wish to make a presentation on October 31? (No more than 10 minutes)
Yes No
Barbara Pomeranz will contact you with an approximate presentation time.
Do you need any of the following?
TVNCR
Overhead Projector—
Our digital computer projector has a camera/overhead feature so you
do not need transparencies,just the items.
Computer for PowerPoint
We will have a laptop loaded with PowerPoint and the digital projector. You will need
to bring only a floppy or disc. If you bring your own laptop, please bring any required
cables. We will not have a "computer person"present.
Other
This is the last page of your Application if you did not check "Multiple
Agencies" or "Countywide on Application Page 8.
If you checked "Multiple Agencies or"Countywide"on page 8 involving ownership of
equipment please continue with Pages 15-18.
Please attached supporting documentation or letters of interest or support, etc. at the
end of the Application.
Please submit a total of 15 copies by August 23, 2002. Thank you.
Page 14 of 18
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
• THIS RECAP PAGE IS REQUIRED ONLY IF YOU CHECKED "YES" ON PAGE 8
FOR MULTIPLE AGENCIES OR COUNTYWIDE APPLICATION with EQUIPMENT
The agencies participating in your project need to be aware of, and agree to, the same
terms and conditions as your agency. Please fax or mail Application Pages 16, 17, 18
to those agencies. Please send them any additional information you feel they may
need to understand the objectives of the grant project.
Please recap your responses by listing below the agencies participating and the
quantity of items they are requesting based your written responses from the project
interest inquiry. Please make 15 copies of this page and include with each of the'15
copies of your application.
Please submit only,one copy of Pages 16, 17 and 18 (the responses from other
agencies) with your original application. Attach them at the end of the original
application, after research documentation, if any.
PARTICIPATING AGENCIES: QUANTITY:
i
Please list agencies which have responded "not interested":
Please list agencies which have not responded:
Page 15 of 18
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
MULTIPLE AGENCY OR COUNTYWIDE PARTICIPATION
PROJECT INTEREST INQUIRY
To: Fax Number:
Agency: Telephone:
From: Fax Number:
Project Leader
Agency: Telephone:
Email:
I am the Project Leader for the following EMS grant project. If you are interested in
participating in this project, you need to be aware of and agree to grant terms and conditions,
as well as know there may be additional costs to be absorbed by your agency after the initial
term of the grant funding. If you have any questions about the grants process please contact
Barbara Pomeranz, Contracts/Grants Administrator, 765-4199 x242 or 964-0200 or
bpomeranz0broward.org. If you have specific questions about the project and its objectives,
please call me. The deadline for Grant Applications is August 23, 2002 so please answer
0-ither question 1 or 1 through 5 below and return this inquiry to me by
My Grant Project Title:
Brief Description/Objectives:
1. Do you wish to participate in this grant project? Yes No
All projects awarded for funding by the County which will involve the purchasing of equipment
and/or facilities by Broward County through the Broward County Purchasing Division will
require the respective entity to be responsible for securing and paying any and all costs
associated with maintenance, insurance, licensing and permitting required or deemed
nnecessary for said equipment, and/or facilities in order to fulfill project objectives.
Page 16 of 18
EMS COUNTY GRANT PROGRAM -GRANT YEAR 2003
The estimate for maintenance or other required recurring expenses Per unit after first grant
year, if applicable, is listed below because these costs will be absorbed by the grant
Oecipient(s) and not paid from grant funds. Please discuss this with your Agency.
Item Cost
2. Do you wish to be assigned ownership of this equipment? Yes No
If"no", the County may require that equipment be returned to the County at the end of the
grant period in good condition minus normal wear and tear. Should there be no further need
for the equipment, contact the Contracts/Grants Administrator.
The entity which will ultimately have ownership of the items procured through this grant
process must agree to be responsible for any risk of loss of the items prior to receipt of the
goods/equipment and be liable for any damage to persons or property that may occur upon
delivery of the items if such damage is not caused by the County.
3. What quantities do you need? (Grant monies cannot be used for replacement of existing
equipment.)
4. Medical Director Approval
Does the project require approval from your Medical Director according to Chapter 401,
Florida Statutes, Chapter 64E-2, Florida Administrative Code? Yes No
If yes, have your Medical Director complete the following:
Medical Director approval:
The undersigned, as Medical Director, supports and.approves the following project:
Project Name:
AUTHORIZED SIGNATURE DATE
PRINTED NAME TITLE
ORGANIZATION
•
Page 17 of 18
EMS COUNTY GRANT PROGRAM - GRANT YEAR 2003
�i. Compliance with the Americans with Disabilities Act:
The undersigned shall comply with Titles I and II of the Americans with Disabilities Act of
1990 regarding nondiscrimination on the basis of disability in employment and in state and
local government services and program, in the course of providing such services and
programs, funded in whole or in part by Broward County.
NOTE:'An excerpt of information from the Florida EMS Grant Program for Counties was
attached to the original application sent to the Project Leader. It references information,
terms and conditions of the County Award Monies program. A copy is available from Barbara
Pomeranz, Contracts/Grants Administrator, 765-4199 x 242 or 964-0200 or
bRomeranz6b-broward.o[g.
I accept responsibility for management of the project on behalf of my agency and
compliance with the applicable terns and conditions, and certify that to the best of my
knowledge, the information contained in these pages is true and correct. !have authority
to sign for my agency.
Project Name:
AUTHORIZED SIGNATURE: DATE:
PRINTED NAME: TITLE:
AGENCY:
TELEPHONE:
Page 18 of 18
AGENDA REQUEST FORM
CITY OF DANIA BEACH
.To Administrative Services ADepartme`nt spy
Prepared By: Bonnie Temchuk Date: 8/08/02
---------------------------------------------------------------------------------------------------------------------------------
Please complete the following items related to your agenda request.
1. Date of Commission meeting: 8/13/02
2. Title: Florida EMS County Grant Application
3. Commission action requested:
Adopt Resolution or Ordinance ® Expenditure ❑ Award Bid/RFP ❑
Presentation ❑ General approval of item ❑ Continued from meeting ❑
Other(please explain) ❑
3. Summary explanation & background:
wA RESOLUTION OF THE CITY OF DANIA BEACH, FLORIDA, AUTHORIZING THE FIRE
CHIEF TO APPLY FOR THE 2003 EMS GRANT THROUGH JOINT APPLICATIONS WITH THE
CITY OF HOLLYWOOD FOR VARIOUS EMS EQUIPMENT INCLUDING BICYCLES,
STRETCHER, BACK BOARD, AND EXTRACATION TOOL IN AN AMOUNT NOT TO EXCEED
$50,000.00; WITH NO MATCH, AND FURTHER AUTHORIZING THE ACCEPTANCE AND
EXECUTION OF SAID GRANT APPLICATIONS UPON ITS AWARD; PROVIDING FOR
CONFLICTS; FURTHER, PROVIDING FOR AN EFFECTIVE DATE.
5.Attached Exhibits (please list):
1. Sample Grant Application
6. List Additional Backup Materials Provided:
7. For purchasing requests only: Fund N/A Dept.
Account name: Account#:
Finance Director Approval N/A
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