Letter of Understanding/Agreement per Payment from the State of
a s a q1 s
. .
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, 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 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 Agencv:
City of Miami Beach Fire-Rescue Department
•
2300 PinetreeDrive
Miami Beach,FL 33140
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 Judy Hoanshelt Title Grants Officer
Alternate Frank Betancourt Title Division Chief
Telephone 305-673-7000 Ext.6183 Fax 786-394-4675 :
Signatory Official, i i
1
Signature ,__ Telephone 305-673-7010
City M. ,ager �!
Attachments \ -
APPROVED AS TO
FORM & LANGUAGE
&FO XE TION
-1 3 _ — ( I
City Attorney Date
rs,,y : . Rick Scott
Mission: :< Governor
To protect,promote&Improve the health Fte Reople In Florida through Integrated "" J f John H.Armstrong,MD,PACs
state,county&community efforts. J�� !I
State Surgeon General 8 Secretary
i
Vision:To be the Healthiest State In the Nation
December 21,2015
Russell Benford, Deputy Mayor
Miami-Dade County
111 Northwest 1 Street, Floor 29
Miami,FL 33128
Dear Mr. Benford:
I ern 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 Leaven, Health Services and Facilities Consultant in the Bureau of Emergency
Medical Oversight, Emergency Medical Services Section at(850)245-4440,extension;2734.
Sincerely,
Cindy E. Dick, MBA, EFO
Division Director
Emergency Preparedness and Community Support
CEDIavi
cc: Scott Mendelsberg,Assistant Director
www.Floridatlealth.gov
Florida Department of Health TWITTER:ttealthyFLA
Bureau of Emergency Medical Ovemight EMS Section FACEBOOK FIDepartmentotHeafth
4052 Bald Cypress Way,Bin A-22•Tallahassee,Ft.32399=1722 YOUIUBE:lldot►
PHONE(850 245.4440,Ext..2734•FAX(850)245-4378 f=LiCKR:HeallhyFla
PINTEREST:HeaHhyFia
•
. ,
EMS-COUNTY GRANT APPLICATION
0777,,F,'"wj FLORIDA DEPARTMENT OF HEALTH
40 ell bia Emergency Medical Services Program
LTH Complete all items
I .ID.-Code(The State EMS Program will assign the ID Code—leave this blank) C40 .„
1. CO(inty-Naine: MIAMI-DADE COUNTY — -
Business Address: 111 NW1 Street;Floor 29
Miami,Fl.33128_ .
. _
Telephone: (305)3765182
Federal Tax ID'Number(Nine Digit Number). VF 596000573
2. CettificatiOn: (The appliCapt signatory who has aUthprity to sign contracts,grants,,and.other legal
documents for the county)I certify that all infor "aticin and data in this EMS county grant application and
its attachments are true and cotrec, 7 S't ature acknowledges and assures that the County shall
comply fully with the conditions°din "the Florida EMS County Grant Applicotion.
Signature: Date: I c4 Al IS
Printed Name: RuSsel B: •
. . Position Title: Deputy Mayor
3. Contact Person: (The individual with direct knowledge of the prOject on a day-to-day basis and has
responsibility for the implementation of the grant activitie$. 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 Mendelsberg
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Position Title:.Assistant Difeotor
Address: :9300 NW 41 Street
- -
Dora!,Fl.33178 - -- -.....
TelePhorie::78633i- 121 • • • I•Fax'NLimber:(780:83151.23 • •
E-mail Address:swim@miamidade.gov
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4, Resolution: Attach a,CUrrent resoNtion from the*Board of County Commissioners certifying the grant
funds will improve and expand the county pre-hospital EMS system and Will not be used to supplant
Current Weld Of county eXpenciityres. We cannot process Or funds wi(hotit a current resblUtiOn.
5 •
Budget; Complete a budget page(s)for each organization to which you shall provide funds:
List the organization(i)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 Departinent
City of Cora!Gables Fire Rescue•Depattrnent
_ _ _____
_ __
Village of Key BiScayrie Fire ReSCUe Departrnerit •
:DH 1684,December 2008 4J1Ol5,F.A.C:
1
BUDGET PAGE
A. Salaries and Benefits:
For each position tie, provide the amount of salary per hour, FICA per
hour, other fringe benefits,and the tot-al.n6mber 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 applico Amount lf,the quantity •.•
• -• -••
•.. •.
• •
• :. . •
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 . •
•-•-::.": •••
•
$131,167.00
Total Veh.&Equipment= $ 0.00
Grand Total= 0.00
DH 1684,December 2008 .
2
FLORIDA DEPARTMENT OF HEALTH
EMERGENCY MEDICAL SERVICES(EMS)GRANT PROGRAM
REQUEST FOR GRANT FUND DISTRIBUTION
In,accordanco with thp provision of Section 401.113(2) (a), Florida Statutes,the undersigned hereby requests
an EMS grant fund distribution for the improvement and expansion of pre-hospital EMS.
D014 Remit Payment To:
Name of Agency: Miami-Dade County Board of County Commissioners
Mailing Addres 111.NIN1 Street,26'Floor, Finance Depattment
Miami,FL 33128
Federal Identification number.#59,6000573 _
Authorized Com*Offibial: c0,1, 1/5
Signature lAte
Russell Benford,Deputy Mayor
Type or Print Name and Title
Sign anal return this page with your.application tb:
• Florida Department of Health
Emergency Medical Services PrograM, Grants
4052 Bald Cypress'Way, Bin
Tallahassee, Florida 32399-1722
Do notvalle Wow this,line: FOr 1.15-0 by State Emergency Medical Seryices Program.
grant Athoimt or State To Pay: $ Grant ID: Code:C40_ _ ._
Approvpd By :
Signature of State EMS Grant Officer Date
State Fiscal Year: '2015 -2016
Organization Code B.O.. OCA Object edde .Cate gory
64-6140400 O$ $F005 75600 059998
Federal Tax.10:VF
grant lieghuLing Dap: 0-rant Ending Date:
DH 1767P, December 2008.
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t
MIAMI-DADS COUNTY - ATTACHMENT 1
DEPT® OF HEALTH - BUREAU OF EMS
FY X2015-16 EMS COUNTY GRANT#PENDING
PRJECTS WORK PLAN.
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM EMS COUNTY GRANT#0301.3
Project#MB.15.01
EMS EQUIPMENT, MATERIALS, SUPPLIES &SERVICES.
Carryover and Revenue Balance $19,937.19.
Allocation from New Revenue for FY 2015-16 $;6,304.00
Estimated Budget Approved for this.Project for EY 2015-16 $29,241.19
Provide::
Actions and Time Frames:
•
SOURCE ``FY2015-16
EMS GRT WORK PLAN-CNTY-CITIES-Revised 9-21-2015
"FILE.
Page 1 of 2
MIAMI-DADE COUNTY ATTACHMENT
DEPT. OF HEALTH - BUREAU OF EMS
FY 2015-16 EMS COUNTY GRANT#PENDING
PROJECTS WORK PLAN
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM EMS COUNTY GRANT#C3013
Project#MB.15.02
EMS TRAINING & PROFESSIONAL EDUCATION
Carryover and Revenue Balance $3,000.00
Allocation from New Revenue for FY 2015-16 $0.00
Estimated Budget Approved for this Project for FY 201516 $3,000.00
Provide: •
sE
Actions and Time Frames:
SOURCE "FY 201546
EMS GRT WORK PLAN-CNTY-CITIES-Revised 9-21-2015
"FILE
Page 2 of 2
OLO/Department 640000/ Dept. of Agency Contract: Miami-Beach Fire
Health Dept.
FLAIR Contract#: Telephone#:
Agency Contract#: C3013 305-673-7510
PO#:
Deliverables-None for or to the state. This is a grant for the benefit of the grantee.
Deliverables as Minimum Deliverable Type of Method of
stated in the Performance Price Services Payment
Grant. Levels •
Project 15.01
EMS Equipment, Pay for EMS $6,304.00 Emergency Advance
materials,supplies equipment, Medical Services
. &services materials,supplies (EMS)
and services
throughout the grant
period, upon formal
approval and actual
receipt of grant
• funds
Project 15.02
EMS Training Pay for personnel $0.00 Emergency Advance •
Equipment& registration fees and Medical Services
Professional travel expenses in (EMS)
{
Education attending national,
regional and local
conferences,
seminars and training
sessions throughout
the grant period,
upon formal approval
•
and actual receipt of
grant funds
DFS-A2-2102
tj
{
{
. . FILE COP y
CLERK OF: .BOA'
OF COUNTY corfranssaomuts
ya.Y`:43 -DAD: omcry, - T MIAMI•DADE
Memoran d urn COUNTY
Date: November 17, 2015
To: • Honorable Chairman Jean Monestime Agenda Item No. 3(B)(3)
and Members, Board of County *c, issioners
From: Carlos A, Gimenez A `
Mayor
Subject: Resolution Authorizing the County MP,•r to Apply For and Receive $131,167.00 in
Grant Funds from the State of Florida Departtent of Health Emergency Medical
Services to Improve and Expand Pre-Hospital Emergency Medical Services for 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 .
Resolution No. R-1030-15
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 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
medical 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 expected 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 applicationind 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 to each participating.fire rescue department is based on the
percentage of combined total emergency medical services incidents the respective fire rescue department
responded to during calendar year 2014,
•
Russell :enford
Deputy Mayor • •
• •
•
•
•
•
•
•
I
Daoc.courrV.
� , ;r MEMORANDUM
s. (Revised)
TO Honorable Chairman Jean Monestime DATE: November 17, 2015
and Members,Board of County Commissioners.
sir 1
FROM 1 _g. rice- me• d SUBJECT: Agenda Item No 3(B)(3)
Coun .•ttorney
PIease 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(i.e.,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
. F
•
'Approved Mayor Agenda Item No. 3(B)(3)
Veto 11 47-15
•
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 OF MIAMI-DARE COUNTY, FLORIDA, that this Board authorizes
the County Mayor or County Mayor's designee action 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 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;to.expend 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.
•
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. Bovo,Jr.,Vice Chapman. absent
Bruno A. Barreiro aye Daniell.a Levine Cava aye
Jose"Pepe"Diaz a.bsent Audrey M.Edmonson aye
Sally A.;Heyman absent Barbara J.Jordan aye
Dennis C.Moss aye Rebeca Sosa aye
Sen. Javier D. Souto aye Xavier L. Suarez absent
Juan C.Zapata absent
The Chairperson thereupon declared the resolution duly passed and adopted this 17th day
of November,201.5.. This resolution shall become effective upon the earlier of(1) 10 days after
the date of its adoption unless veto.ed 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.
MIAMI-DADE COUNTY,FLORIDA
BY ITS BOARD OF
G°m �s COUNTY COMMISSIONERS
P �. 40
GOUHTY.
,,- HARVEY RUVIN,CLERIC
v 4 .
•
Christopher Agrippa
By:.
Deputy Clerk
Approved by County Attorney as
to form and legal sufficiency.: . ' •
Daniel:Frastai
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