2003-25249 ResoRESOLUTION NO. 2003-25249
A RESOLUTION OF THE MAYOR AND CITY COMMISSION
OF THE CITY OF MIAMI BEACH, FLORIDA,
RETROACTIVELY AUTHORIZING THE FILING OF AN
APPLICATION FOR AN EMERGENCY MEDICAL SERVICES
GRANT, AND, IF FUNDED, AUTHORIZING THE
BUDGETING AND EXPENDITURE OF EMS COUNTY GRANT
FUNDS FROM THE FLORIDA DEPARTMENT OF HEALTH,
BUREAU OF EMERGENCY MEDICAL SERVICES.
WHEREAS, the Florida Department of Health, Bureau of Emergency
Medical Services (EMS), is authorized pursuant to Chapter 401.113(2) (a), Florida
Statutes and Rule 64E-2.030, to distribute County Grant Funds for licensed EMS
providers in the State of Florida; and
WHEREAS, the City of Miami Beach Fire Rescue is a licensed, eligible
entity in the State of Florida; and
WHEREAS, the City may retroactively apply for an EMS grant and, if
funded, receive $39,456 from the State; and
WHEREAS, the funds received from the State will be used to improve or
expand existing emergency medical services in conformance with the EMS County
Grant Program Application Work Plan.
NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR
AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA,
that the City of Miami Beach authorize the retroctive filing of an application for an
Emergency Medical Services Grant, and, if funded, authorize the budgeting and
expenditure of EMS County Grant Funds from the Florida Department of Health,
Bureau of Emergency Medical Services.
PASSED AND ADOPTED THIS 2nd
ATTEST:
CITY CLERK
__DA
Vl(4~YO~ '
,2003
JMG",FJ~j d
CI'IY OF MIAMI BEACH
COIVMISSlON ITEM SUMMARY
Condensed Title:
IA resolution retroactively authorizing the City to apply for, receive, and appropriate Emergency Medical
Services Grant Award Funds to improve and/or expand pre-hospital emergency services, and authorize the
City Manager to execute a letter of understanding and any and all necessary applications and documents.
Issue:
Shall the City Commission authorize the City to retroactively apply for, receive, and appropriate Emergency
Medical Services Grant Award Funds to improve and/or expand pre-hospital emergency services, and
authorize the City Manager to execute a letter of understanding and any and all necessary applications and
documents?
Item Summary/Recommendation:
Miami-Dade County has allocated to the City of Miami Beach Fire Department the amount of $39,456.
These funds will cover operational costs such as: new upgraded EMS equipment and supplies; training
conferences and seminars; training equipment; technical rescue equipment; rescue reference library; and
other new EMS service enhancements.
The Administration recommends that the City Commission adopt this Resolution.
Advisory Board Recommendation:
N/A
Financial Information:
Source of Amount Account Approved
Funds: 1
2
3
4
Finance Dept. Total
City Clerk's Office Legislative Tracking:
I Floyd Jordan
Sign-Offs:
Department Director
Assistant City Manager
T:~AGENDA~2003~jul0203\consent~EMS GRANT 03 summary.doc
~,~._.cCity Manager
AGENDA ITEM
DATE
COMMISSION MEMORANDUM
To: Mayor David Dermer and Date: July 2, 2003
Members of the City Commission
Jorge M. Gonzalez~
City Manager
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY
OF MIAMI BEACH, FLORIDA, AUTHORIZING THE CITY TO
RETROACTIVELY APPLY FOR, RECEIVE, AND APPROPRIATE
EMERGENCY MEDICAL SERVICES GRANT AWARD FUNDS TO
IMPROVE AND/OR EXPAND PRE-HOSPITAL EMERGENCY SERVICES,
AND AUTHORIZING THE CITY MANAGER TO EXECUTE A LETTER OF
UNDERSTANDING AND ANY AND ALL NECESSARY APPLICATIONS
AND DOCUMENTS,
From:
Subject:
ADMINISTRATIVE RECOMMENDATION
Adopt the Resolution.
ANALYSIS
The Florida Depadment of Health, Office of Emergency Medical Services is authorized by
Chapter 401.113 (2) (a), Florida Statutes to distribute County Grant Funds to eligible
County Governments for projects that will improve and/or expand their pre-hospital
Emergency Medical Services (EMS). Each County receives allocated funds by the State
annually, then these County's allocate funds to municipalities under their jurisdiction. This
allocation is based upon the total number of EMS calls and ALS Rescue units for each
municipality during the previous fiscal year. The State of Florida County Grant Funds are
derived from surcharges on various traffic violations. Only the County can request these
allocations from the State Department of Health.
Miami-Dade County has allocated to the City of Miami Beach Fire Department the amount
of $39,456 (see Exhibit 1). These funds will cover operational costs such as: new
upgraded EMS equipment and supplies; training conferences and seminars; training
equipment; technical rescue equipment; rescue reference library; and other new EMS
service enhancements. Once these funds are received, they will be entered into the EMS
Grant Fund Account #193.6040.000343, as established by the Office of Management and
Budget.
The Administration recommends that the City Commission adopt this Resolution.
JMG/FJ/jd
T:~AGENDA~O03~jul0203\COnSent\EMS GRANT 03 MEMO.doc
Jun 17 03 08:51a MDFR ?86 331 5259
LETTER OF UNDERSTANDING/AGREEMENT
FOR FISCAL YEAR 2002-03 EMS COUNTY GRANT #C2013
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
non-profit organization, has been approved by the Miami-Dade County Board
of County Commissi. ouers and the State of Florida Department of Health,
Bureau or Emergency Medical Services (EMS). Disbursements will be made to
the participating non-profit organizations in accordance with the a~Droved
grant work plan, upon receiut of new ~r~n~ funds from ¢he Florid~
DepartmenS of Health Bureau of EMS and submission of this approved documen~
to Miami-D~d~ County Fir~ Rescue B~dqet & Gran~s Office, Room 209-02~
located a~ 9300 N.W. 41S~reet, Miami, Florida 33178-24i4.
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 and each document listed in Appendix
"D" of the January 1998 booklet titled "FLORIDA EMS COUNTY GRANT PROGR3h¥
MANUAL" 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 Budget & Grants
Office for submission to the state as required under the approved grant.
Name and address of EMS Agency/Non-Profit Organization:
MIAMI BEACH FIRE DEPARTMENT
-230Q, P T_NF~TRE[- ~D[I-~E-
Authorized Contact Person: Person designated authority and responsibility
to provide Miami-Parle County Fire Rescue with reports and documentation on
all expenditures and activities that involve this grant.
Name: .TEFF ~CW~T~ Title: A/Chief EMS Division
Alternate: ERIC Y~R Title: Assistznt Chief
Telephone: (305) 673-7130
City Manager:
Signature: ~ ~'~
At tachments
Telephone:
(305)673-7010
MIAM]-DADE
5Iiami-Dade County, Floritla
General Operating Account
THIRTY NINE THOUSAND FOUR HUNDREOt
FIFTY SIX DOLLARS AND NO CENTS
'CITY=~F MZA~Z BEACH
:PO BOX 19000
108 -01496575
os/13/ oo3 0 -4. 575
VO'D .;~STS.' 5 Vq:', :~
R~ARZ BEACH FL 33119
,'O ~t,q& 5 ? 5,' I:O& ?OOr=q 3 i?~:~i?r= qG i?Or=,r~ q r= F=RS,'
596000372 08 05/13/2003
108 01q96575
DOCUMENT=NUMBER
DESCRIPTION
VNFR0300169~O!
*NR-386908~
DOC REF NURBER
R882-02 01
AMOUNT
39,~56o00
05/13/2003
39t~56,00
CITY OF ~IAHI BEACH
PO BOX 19000
HIAHI BEACH FL 33119
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
[] Cash
No257359
Received of
Address
For
r-lCredit Card [~Check #
(THIS INFORMATION MUST BE COMPLETED)
^ccou.t.umbor: ic13,%c~¢, 3~,q. g%¢-
Office of Finance Director
Emergency Medical Services '(EMS) County Grant Application
State of Flodda
Department of Health
Bureau of Emergency Medical Services
Grant No. C.
Name of County:.
BusinessAddress:
Board of County Commissioners (grantee)Identifica~n:
MIAMI-DADE COUNTY
111 NW 1 Street, Floor 29
Miami, FL 33128
Phone #(305 )__375 . 5311 SunCom # ( )__
2. Cert~cafion: i, the undersigned official of the previously narrk%,d~county, cerf~'-y that to the best of
my knowledge and belief all information and data contained in this EMS County Award Application and
its attachments are true and correct.
My signature acknowledges and ensures that I have read, understood, and will comply fully with the
Flodda EMS County Grant Manual.
Printed Name: Steve Shiver
Signature: .~~/? ~~
.~.~.~."(Authorized County Official)
T~e: County Manager
Date Signed:
3. Authorized Contact Person: Person designated authority and responsibility to provide the
department with reports and documentation on all activities, services, and expenditures which involve this
grant.
Name: Alfredo Suarez
BusinessAddress: 9300 NW 41 Street
Assistant Fire Chief
Miami
(c~)
Florida
(S~a[e)
33178
(Zip)
Phone#(786) 331 . 4802
SunCom # ( )
----County's Federal Tax Identification Number:. VF 59-600057-~'~'--"~
DH Form 1684, Jan. 98
5. -Resolution: A~_:~h a resolution from the Board of County Commissionem'Certifying the monies
from the EMS County Grant w~l improve and expand the county's pmhospit~ EMS system and that the
grant monies will not be used to supplant exi~ng county EMS budget allocations.
6. Work Plan:
Work Activities:
~me Frames:
SEE ATTACItl~ENT I.
2
APPLICATION... . -~,~re) ~ .
· REQUEST FOR COUNTY GRANT DISTRIBUTION (ADVANCE PA, ..
EMERGENCY MEDICAL SERVICES (EMS)
· COUNTY GRANT PROGRAM
in accordance wi~ ~e ~ of seC~on 401.113(2)(a), F.$., the ~dersigned h~'reby
expansion of prehospital EMS.
Payment To:. H~ami-Da-~-County' Board of County Commissioners
Name or uoaro or uounty uommtss/oners (~ayee)
[11 ~T~ I Street, Floor 26 (Finance Dept.)
Address
(c~) (~ate) Cz~p)
Tax 'ID Number of county:
AUthorizing County Official
Z~~,.'-_ - Date:
Name' Steve Shiver/~'~ T~tle: County Manager.,,
SIGN AND RETURN I/VITH YOUR GRANT APPUCATION TO:
De/~artment of Health
Bureau of Emeraencv Medical Ser~ces
. EMS Coun~ G~nts_ .
2002D Old St. A~gustine
Tallahassee, Floricra 32301-4881
B~uu r Use Only bY Department of Health,
reau of Einergency Medical Services
S q-~ ~,c~'~(~ ' ~,~_~'1~ ~,~, /ntNumber.' C- ~A O[~
Approved By: ~~
Signature, Stat~nt Officer
iscel Year:
mount:$.~~~-~
~4?anization Code
25-60-00-000
=ederal Tax I.D.
~eginning Date: ~r'7/'. I: ¢-OO~_.
Ending Date:.~ .~. ~/ ~
Approved
Veto
Override
Agen,._., Item No.
7-23-02
7(L)(1)(A)
~ CLERK OF THE 60ART)
Pd~SOLU~ON NO. ~ COUNTY COMM,ISSIONER,':
DADE COUNTY, FLORIDa,
RESOLUTION AUT~0P~IZING THE COUNTY I~a/~GER TO
APPLY FOR, RECEIVE AND EXPEND ~4ERGENCY
~ICAL SERVICES GRANT AHARD FUNDS FOR
IMPROV~ AND EXPANDED PRE-HOSPITAL EMERGENCY
Nk,~ICAL SERVICES (EMS) PROGRAM
WHEREAS, this'Board desires to accon%olish the purposes
outlined in the accon~0anying memorandum and attachments, copies
of which are incozloorated herein by reference,
NOW, T~R. REFORE, BE IT RESOLVED BY. TH~ BOARD OF COUNTY
COMMISSIONERS OF DADE COUNTY, FLORIDA, that this Board authorizes
the County M~nager to file a Fiscal Year 2002-03 grant application
for Emergency Medical Services Award funds to be used to improve
and expand the pre-hospital EmergenCY Medical S~stem in Dade
County, in substantially the fo&m attached hereto and made a part
hereof; authorizes the County Manager to receive and expend any
and all monies received for such purl~oses' described in the grant
application; authorizes the County Manager to execute such
contracts and agreements that are required, subject to County
Attorney approval, for and on behalf of Dade County; and to file
and execute any ame~en~s t~ the application.
The foregoing resolution was offered by Concessioner
D~~ll, ,'~h~ moved its adoption. The
motion was seconded bY. Co~%%~ssioner Q~nH~
and upon being put to a vote, the vote was as follows:
Agenda Item No. 7(L)(1)(A)
Page No. 2
Bruno A. Barreiro aim
Dr. Barbara Carey-Shuler ~jm
Gwen Margolis aim
Jimmy L. Morales aim
Dorrin D. Rolle a]~
Katy Sorenson aim
Sen. Javier D. Souto
Jose "Pepe" Cancio, Sr. a~
Betty T. Ferguson ~
Joe A. Martinez
Dennis C. Moss
Natacha Seijas -h~zt
Rebeca Sosa
The Chairperson thereupon declared the resolution duly
passed and adopted this 23rd day of July, 2002. This
resolution shall become effective ten (10) days after the date
of its adoption unless vetoed by the Mayor, and if vetoed,
shall become effective only upon an override by this Board.
MIAMI-DADE COUNTY, FLORIDA
BY I~S BOARD OF COUNTY
COMMISSIONERS
HARVEY RUVIN, CLERK
Approved by County Attorney as
to form and legal sufficiency.
William X. Candela
KAY SULLIVAN
Deputy Clerk
STATE OF FLORIDA
MIAMI-DADE COUNTY
)
) SS:
I, HARVEY RUVIN, Clerk of the Circuit and County Courts in and for Miami-Dade
County, Florida, and Ex-Officio Clerk of the Board of County Commissioners of said County,
DO HEREBY CERTIFY that the above foregoing is a mae and correct copy of Resolution
R-882-02, at its meeting held on_July 23, 2002 appears of record.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal on this 7th day
of November, A.D. 2002.
HARVEY RUVIN, Clerk
Board of County Commissioners
Miami-Dade County, Florida
Deputy Clerk
SEAL
Board of County Commissioners
Dade County, Florida
ATTACHMENT- I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
MIAMI-DADE COUNTY
APPLICATION FOR EMS GRANT PROGRAM FOR COUNTIES
WORK PLAN FOR FISCAL YEAR 2002-03
It is the intent of the members of the Miami-Dade County Board of County Commissioners
that the 2002-03 funding for Dade County, estimated to be $476,979.44 (per award letter
received from the State Program Administrator), plus any monies carried forward from
Grant #C1013 per State records and #C0113 per County records (FY 2001-02) be
apportioned and passed through to the participating municipal fire departments in support
of the projects herein proposed. Performance and financial reports, as described in the
2002-03 EMS County Grant Application, will be assembled and forwarded to Department
of Health by Miami-Dade County. However, the Department of Health agrees to conduct
performance and financial compliance audits directly with the municipal fire department
responsible for the individual project.
NOTES:
A) TOTAL ACTUAL NEW REVENUE TO BE RECEIVED FROM THE
DEPT OF HEALTH - BUREAU OF EMS FOR FISCAL YEAR 2002-03
$476,979.44
B)
TOTAL EST/MATED REVENUE AND INTEREST CARRYOVER
FROM THE FISCAL YEAR 2001-02 EMS COUNTY GRANT,
PENDING FOR CHANGE REQUEST #1 TO BE COMPLETED
UPON RECEIPT OF ACTUAL NEW REVENUE FOR FY 2002-03
$979,975.00
C) TOTAL BUDGET FOR FISCAL YEAR 2002-03
$1,456,954.44
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 1 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
NEW PROJECTS FOR FY 2002-03
Proiect # MB.03.01
Total Budget $52,056.00
EMS EQUIPMENT & SUPPLIES:
Provide new equipment and supplies needed to enhance the ability of Emergency Medical
Services provided to the residents of Miami Beach. The funds will be used to purchase
equipment for field EMS units.
Actions and Time Frames:
Identify, purchase, and place into service the new equipment and supplies needed
throughout the grant period, upon formal approval and actual receipt of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 27 of 44
ATTACI-IMF NT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
NEW PROJECTS FOR FY 2002-03
Proiect # MB.03.02
Total Budget $5,000.00
CONFERENCES, SEMINARS & TRAINING SESSIONS:
Provide funds for EMS personnel to participate in national, regional and local conferences,
seminars, and training sessions to keep the department abreast of trends and innovations
occurring in the EMS field. Miami Beach Fire Rescue is interested in sending representatives
to attend State of Florida EMS Quarterly Conferences. These conferences provide the latest
news and rule changes that affect EMS services within the City of Miami Beach. The
conferences are held at various locations throughout the State of Florida.
Actions and Time Frames:
Pay for registration fees and travel expenses incurred in attending national, regional and local
conferences, seminars and training sessions throughout the grant period, upon formal
approval and actual receipt of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 28 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUN'FY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM FISCAL YEAR 2001-02
Proiect # MB.02.01
Total Budget $1,700.00
ALL-TERRAIN RESCUE VEHICLE:
Purchase and place into service an all terrain rescue vehicle for beach access and rescues.
Currently the City of Miami Beach does not have vehicles that can provide transportation of
personnel and equipment to beach side EMS calls. This vehicle will be used to gain access to
EMS patients, especially drowning patients, and to transport the patients from the beach to a
transport unit in the street. This vehicle will also be used at special events on the beach and
other rough terrain that cannot be accessed by currently available EMS transport vehicles.
This vehicle will enhance the ability of Emergency Medical Services provided to the residents
of Miami Beach.
Actions and Time Frames:
Identify, purchase, and place into service an all terrain rescue vehicle, the new equipment
and supplies needed throughout the grant period, upon formal approval and actual receipt of
grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 29 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM FISCAL YEAR 2001-02
Proiect # MB.02.02
Total Budget $10,000.00
EMS TRAINING EQUIPMENT:
Provide the new equipment a.,'~d_supplies needed to develop and improve in-house training
facilities to maintain and enhance EMT and Paramedic proficiency and improve the level of
emergency medical services provided to the residents of Miami Beach.
Actions and Time Frames:
Identify, purchase, and place into service the new training equipment and supplies needed to
accomplish this project throughout the grant period, upon formal approva! and actual receipt
of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 30 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM FISCAL YEAR 2001-02
Proiect # MB.02.03
Total Budget $26,100.00
TECHNICAL RESCUE EQUIPMENT:
Provide new equipment and supplies needed to enhance the ability of EMS personnel to
perform technical rescue of trapped victims, thereby improving the level of services provided
to the residents of Miami Beach.
Actions and Time Frames:
Identify, purchase, and place into service the new equipment and supplies needed to
accomplish this project throughout the grant period, upon formal approval and actual receipt
of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 31 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM FISCAL YEAR 2001-02
Proiect # MB.02.04
Total Budget $3,000.00
PEDIATRIC MEDICAL/TRAUMA KITS:
Provide all ALS transport units with pediatric boxes, equipment and supplies to improve the
delivery of EMS care to pediatric patients.
Actions and Time Frames:
Identify, purchase, and place into service the new pediatric boxes, equipment and supplies
needed throughout the grant period, upon formal approval and actual receipt of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT - Plan Work Revised 11-25-02" FILE.
Page 32 of 44
ATTACHMENT - I
DEPT. OF HEALTH - BUREAU OF EMS COUNTY GRANT #C2013 FOR FY 2002-03
CITY OF MIAMI BEACH FIRE RESCUE DEPARTMENT OBJECTIVES
PROJECTS CARRIED OVER FROM FISCAL YEAR 2001-02
Project # MB.02.05
Total Budget $900.00
EMS REFERENCE LIBRARY:
Provide EMS reference books literature, computer based educational material and audio-
visual material to enhance knowledge of staff and field personnel in current innovations to
standard of care through adoption of new practices and procedures in EMS.
Actions and Time Frames:
Identify, purchase, and place into service the reference books, materials, and video/audio
tapes needed to accomplish this project throughout the grant period, upon formal approval
and actual receipt of grant funds.
SOURCE: "FY 02-03 EMS CNTY GRT- Plan Work Revised 11-25-02" FILE.
Page 33 of 44
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!la~ 22 03 ll:lla MDFR ?86 331 b~ ~-a
Ms~ 22 03 ll:lla MDFR ?86 331 5259
Department of Health
EMS County Grant Program Change Request
MIAMI-DADE COUNTY BOARD OF
COUNTY COMMISSIONERS
111 NW 1 Street, Miami FL 33128
Name al' Grantee
BUDGET LINE 1TEM
Cl'ff OF MIAMI BEACH FIRE RESCUE DEPT PROJECTS:
MB.03.01, EMS EQUIPMENT & SUPPL',ES
MB,03.02, CONFERENCES, SEMINAi~S & TRAINING SESSIONS
MB.02.01, ALL TERRAIN RESCUE VEHICLE
MB.02.02, EMS TRAINING EQUIPMENT
MB.02.03, TECHNICAL RESCUE EQUIPMENT
MB.02.04, PEDIATRIC MEDICAL/TRAUMA KITS
MB.02.05, FMS REFERENCE LIBRARY
Net Decrease / Increase Approved was
($397.50)
Grant No. C2013, FY 2002-05
Change # 1-C
Page (s)# I of 1
CHANGE FROM CHANGE TO
$52,056.00
S5,000,00
$1,700.00
$10,000.00
$26,100.00
$3,0C0.D0
$900.00
$49,898.91
$5,014.54
SO.O0
$10,655.00
$26,712.00
$3,080.00
$2,998.05
TOTAL $98,756.00 $98.358.50
Justification for Budget or Activity Change: Use adaitional page if needed. SEE EXPENDITURE & WORK PLANS AI'rACHED FOR SPECIFIC DETAILS.
The Rev. Carryover flom FY 2001-02 plojects was allocated to same projects carried over 1o FY 2002-03.
The FY 2001-02 over expenditure under Project MB.02.01 All Terrain Rescue Vehicle was covered with
$2,625.52 tram FY 2000-0I carryover, $43.83 from FY 2001-02 Interest and $22.05 f~om FY 2001-02 EMS
Equip carryover. The FY 2001-02 Interest balance of $2,300.00 was allocated to FY' 2002-03 Conlerences...
and the total FY 2002-03 New Revenue was allocated Ia FY 2002-03 EMS Equipment & Supplies proiect.
This change shall begin and take effect on: 05-09-2003
I (The date of the "New R?venue"'~check) Month/Day/Year
,,--' ;,
Signatul fl C_~ro~t~e~"s Authorized ~r,~on
Date
For use only by Department of Health
Bureau of Emergency Medical Services
Approval Yes ~ No J"~"~J
Change No:
!-C
Signature of State Authority or EMS Grant Manager
Otl Form 1684C, Jan. 98
Date
~a~ 22 03 11:11~ MDFR ?86 331 5~b~ P-~
Ma~ 22 03 11:11a MDFR 786 331 S2S9 p.6