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HomeMy WebLinkAboutResolution_50-05/06_02/16/2006RESOLUTION NO. 50 - 05/06 A R PAL1 THE CER' THE PRE SUP THE iOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA, BEACH COUNTY, FLORIDA, ACCEPTING THE TERMS AND CONDITIONS OF BALM BEACH COUNTY EMERGENCY MEDICAL SERVICES (EMS) GRANT AWARD; CFYING THAT MONIES FROM THE EMS GRANT WILL BE USED TO PURCHASE :QUIPMENT SPECIFIED IN THE GRANT AWARD, WILL IMPROVE AND EXPAND )SPITAL SERVICES IN OUR COVERED AREA; WILL NOT BE USED TO CANT EXISTING TEQUESTA FIRE-RESCUE BUDGET ALLOCATION AND MEETS COALS AND OBJECTIVES OF THE EMS COUNTY GRANT PLAN. NOW THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE VIL GE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS: Sec ion 1. That the Village of Tequesta, Palm Beach County, Flo ida, does hereby accept the terms and conditions of the Palm Bea h County EMS Grant Award and concurs with the amount of the awa d, activity and expenditure plan attached and marked as Exhibit ~. A.. Sec ion 2. The Village of Tequesta, Palm Beach County, Florida, her by certifies that the monies from the EMS County Grant award wil be used to purchase a Revivant Autopulse Automatic Chest Co ression Device, will improve and expand prehospital services in our covered area, will not be used to supplant existing Tequesta Fir -Rescue budget allocation and meets the goals and objectives of the EMS County Grant Plan. THE FOREGOING RESOLUTION WAS OFFERED by Vice Mayor Watkins, who mo d its adoption. The motion was seconded by Council Member Ge o, and upon being put to a vote, the vote was as follows: FOR ADOPTION Jim Humpage Pat Watkins Geraldine Genco AGAINST ADOPTION Tom Paterno The thi 3yor thereupon declared the Resolution duly passed and adopted 16th day of February, 2006. MAYOR OF TEQUESTA Jim ~Iumpage `~ ATTEST: ^ein ~~~- e Carlisle 1 age Clerk v ~C., ,'~' .+. cn'~n/GORPGr~ATED: ~~.vGN 9~~ .~`` ~ y ~•. i~~~''~, O,F,~ ~`O~~O`~~ ~~~~~11111111~~~~~ January 4, 2006 `T~~~~~T~;. ~~.~3~~~~~'~~~ JAN ~ 4 2005 Department of Public Safety Division of Emergency Management Dffice of Emergency Medical Services 20 South Military Trail West Palm Beach, FL 33415 (561) 712-6400 FAX: (561) 712-6449 www.pbcgov.com ^ Palm Beach County Board of County Commissioners Tony Masilotti, Chairman Addie L. Greene, Vice Chairperson Karen T. Marcus Jeff Koons Warren H. Newell Mary McCarty Burt Aaronson County Administrator Robert Weisman "An Equal Opportunity Affirmative Action Employer" Lt. Peter Allen, Firefighter/Paramedic Tequesta Fire-Rescue 357 Tequesta Drive Tequesta, FL 33469 Dear Lt. Allen: RE: EMS Grant C5050 The EMS Grant Review Committee has recommended .your agency receive $14,910.00 from the EMS Grant Award Program; please see attached which covers the items and work schedule for your EMS Grant Award. The EMS Grant package is being presented to the Board of County Commissioners at their January 10, 2006 meeting. Once it is approved by the Board, it will be forwarded to the State EMS Office for their execution. In the meantime, please provide us with a letter of confirmation from your agency's administrator concurring with the amount of the award, activity and expenditure plans, and assurance that your agency-will comply with state and county grant requirements, including reporting. If you have not submitted a Resolution from your Governing Board, kindly proceed to obtain same prior to making the purchase certifying that monies from the Grant Award will: 1) Improve and expand prehospital services in that coverage area; 2) Not be used to supplant existing provider's budget allocation; 3) Meets the goals and objectives of the EMS County Grant Plan. Thank you for your cooperation. Since~eiy ,~ obert Butt~fieI ,EMS Manager Division of Emergency Management Enc. ~-=G ~~ LIB/L >~ G//~i~~'~~ r~~~-' printed on recycled paper ATTACl~NT 2 TEQUESTA FIRE RESCUE Work Plan: Work Activities: Time I~Yames: To purchase an AutoPulse System which will generate consistent and optimal chest compressions, offering the promise of normal blood flow during cardiac arrest. Receive notification of grant award 1'` Quarter Purchase Zoll Antol'alse 1" Quarter Train department on Zell Antol'alse 2°a Quarter. Place equipment on Primary Rescue Vehicle 2nd Quarter Respond to Cardiac Arrest 3ra Quarter Respond to Cardiac Arrest 4a' Quarter Proposed Expenditure Plan: Unit Total Line Item Price Quantity Cost AutoPalse System $10,995.00 1 $10,995.00 Autol'ulse Batteries 575.00 3 1,725.00 Autol'alse Battery Charger 1,795.00 1 1,795.00 Autol'~ilse Soft Carry Case 395.Od 1 395.00 TEQ~IE~T~ ~~~Ea~E~c`~>.tE JAN 1 0 20115 y I~~ A~IY111~~~7 ~RMT1~Ar TOTAL $14,910.00 ~ V EXHIBIT "A" DEPARTMLNT OF PUBLIC SAFETY DIVISION OF EMERGENCY MANAGEMENT OFFICE OF EMERGENCY MEDICAL SERVICES PALM BEACH COUNTY EMS GRANT AWARD APPLICATION PRIMARY GRANT REQUEST Note: The total for all your primary requests must not be more than $50,000.00. 1. Organization: Tequesta Fire-Rescue Authorized Official: Michael Couzzo Title: Village Manager Alternate Official: James Weinand Title: Fire Chief Mailing Address: 357 Tequesta Dr., Tequesta, FL 33469 Telephone: (561} 744 -4051 FAX: {561) 575-6239 2. Authorized Contact Person: Peter J. Allen Title: Firefighter/Paramedic Mailing Address: 357 Tequesta Dr., Teq uesta, FL 33469 Telephone: (561} 744--4051 _ FAX: (561) 575-6239 3. Agency's Legal Status: Municipal Fire De artment 4. First Responders: Please attach a copy of your Memorandum of Understanding (MOU) with a licensed provider. If you do not have a MOU, attach documentation that you made reasonable efforts to get one, that you cooperate with the provider, or that you requested but did not receive a response from the providers in your area. Tequesta Fire Rescue is a County Permitted ALS Provider. 5. Your Federal Tax ID Number: VF 59-6044081 6. Identify the EMS county plan goals this project will accomplish in whole or in part. A copy of the goals is attached to this application. 1) MEDICAL RESCUE EQUIPMENT, A) Improve cardiac patient care by providing, for example but not limited to Automatic External Defibrillators (AEDs) and initial training to EMS agencies and first responders. 1 PRIMARY EMS GRANT AWARD APPLICATION ORGANIZATION: Tequesta Fire-Rescue 7. Communications Projects: All grant applications which involve PRIMARY EMS communications equipment and/or services, in total or in part, will be reviewed by the State of Florida Division of Information Technology. FINAL APPROVAL MUST BE OBTAINED PRIOR TO ANY PURCHASE COI~ITMENT. Copy of approval from the State must be submitted to the County EMS Office with request for reimbursement. 8. Background: Describe your agency, its operations, and how it relates to other EMS agencies in your area. Also, provide a description of your major resources including the number of employees, vehicles, and equipment. Tequesta Fire-Rescue is an ALS-Transport EMS Provider that provides ALS and BLS care as well as Transport to the Village of Tequesta and is contracted to provide the same for the community of Jupiter Inlet Colony. We provide mutual aid to any agency that requests it and we function within the County-Wide mutual aid system for medical response. Tequesta Fire-Rescue provides this service using two ALS Transport Rescue Trucks, one ALS Non-Transport Fire-Engine and one BLS Non-Transport Ladder Truck equipped with an AED. Tequesta employs 18 Full-Time FF/ENT's and FF/Paramedics as well as 15 Volunteer Firefighters that are First Responder, EMT or Paramedic Certified. 9. Grant History: Briefly describe your current and previous grant awards for the past three years. Explain how this application does not conflict or duplicate them. 00 - Ol ---- ALS Training Mannequin 99 - 00 ---- AED 98 - 99 ---- Public Education Robot 01 - 02 ---- 800 MHz Radios We are requesting this grant award to purchase a Revivant Autopulse automatic chest compression device. This request does_ not conflict with any previous grants nor does it du licate them. We have never requested an automatic chest compression device on a County Grant and this device will not conflict or duplicate any previous Grant award. If necessary, you may attach additional pages to complete sections 8 and 9. 2 PRIMARY EMS GRANT AWARD APPLICATION ORGANIZATION: Tequesta Fire-Rescue 10. Project Need Statement: Write a clear, concise statement describing this project. This must include: 1) numeri the data; 3) source of the data, and; population and geographic area. the need(s) addressed by c data; 2) time frame for 4) the involved target Tequesta Fire-Rescue is requesting a grant award to purchase a Zoll Autopulse automatic chest compression device. Tequesta Fire-Rescue has, generally, been fortunate enough to have had an increasingly successful resuscitation rate. Tequesta Fire-Rescue defines a Cardiac Resuscitation somewhat differently than simply a Return of Spontaneous Circulation. We define a Cardiac Resuscitation as~atient who is in cardiac arrest at some point during their treatment and in whom we successfully regain a viable rhythm, with pulses, and who survives past the Emergency Room and is eventually admitted to the Intensive Care Unit. According to the Tequesta Fire-Rescue EMS Run Report system (Emer e Pro v3.5), during the five years from 2000 to 2004, Tequesta has responded to 39 cardiac arrests where treatment was initiated and successfully resuscitated 12 of those patients for a avera e resuscitation rate of 30.8%. However, when broken down by year we see a trend: 2000 - 8 Cardiac Arrests with 2 Saves = 250 2001 - 9 Cardiac Arrests with 3 Saves = 330 2002 - 9 Cardiac Arrests with 3 Saves = 33~ 2003 - 6 Cardiac Arrests with 4 Saves = 67% 2004 - 7 Cardiac Arrests with 0 Saves = 0% This past year would give any EMS Manager reason for concern and as we investigated each incident we could find no clear reason for the lack of success other than simply a statistically bad year. However, we owe it to our residents to make every effort to ensure their safety and we believe that the acquisition of this equipment is a positive step towards that goal. While the absolute numbers of Cardiac Arrests are too small to assign statistical validity to any assumptions drawn by this data, the fact remains that Florida, and Tequesta, serve a large elderly population who are at a greater risk of Cardiac Arrest. Unless we can resuscitate 1000 of our Cardiac Arrest patients we have room for improvement. The seriousness of the nature of Cardiac Arrest makes the importance of improving these results critical. We believe that an automatic chest compression devir_e Assoc 76th Scientific Sessions, Improved Survival with a Novel Chest Compression Device, Nov. 10, 2003) This equipment would be used primarily to respond to incidents within the Tequesta Village limits, however; it would also be available to neighboring agencies in Palm Beach and Martin County as well as the State and Federal Governments if requested. PRIMARY EMS GRANT AWARD APPLICATION ORGANIZATION: Tequesta Fire-Rescue 11. Project Outcome Statement: Write a concise quantifiable statement describing the degree to which the need(s) will be changed by the project. This must contain the same four characteristics as the need statement and indicate the evaluation methods used to measure the efficiency and/or effectiveness of the project's outcome. A. According to Tequesta's Emergency Pro EMS Reporting System from January 1, 2000 to December 31, 2004 there were 39 cardiac arrest patients that were treated by our EMS system. Of those 39 patients, 12 had a return of a spontaneous pulse after treatment and had a pulse upon arrival at the hospital. This represents a successful resuscitation rate of 30.$%. No patients (0%} had the benefit of an automatic chest compression device. All cardiac arrest patients were accompanied by an extra crew member from our ALS Engine which reduced that units capability while the patient was transported to the hos ital and until the crew member could be returned to the Engine. Also all cardiac arrest patients experienced some pauses in compressions due to patient being moved or other circumstances. B. In the 12 months after implementation of the automatic chest compression devices in the Village of Tequesta and areas for which we provide mutual aid, cardiac arrest survival rate where a patient arrives at the hospital with a pulse should improve by at least 30$. Studies have shown improvement of survival rates up to 73%. (Rezaee, M., et al, Amer Heart Assoc 76 Scientific Sessions, Improved Survival with a Novel Chest Compression Device, Nov. 10, 2003) The most recent study shows aortic pressures 133% higher than manual CPR and Coronary Perfusion Pressure 33% higher than manual CPR. (Timeraman, Cardoso, Ramires, Halperin, Resuscitation 61 (2004) 273-280, Improved Hemodynamic Performance With a Novel Chest Cam~.ression Device During Treatment of In-Hospital Cardiac Arrest). Also, the incidence of improved rhythms for defibrillation should improve by 30% due to restored normal blood circulation thus circulating vital life saving drugs. Tn__additio_n_ intravenous success rates should improve due to veins being pum ed up for easier cannulation. Medics will have more time to attend to vital functions like airway control and drug therapy. Compressions will be consistent and at a constant rate even when patient is being moved, even down stairs. Patients will experience less rib fractures^and cartlidge damage due to manual compressions. Rescuers will not experience the fatigue associated with manual compressions and incidences of back and other injuries should go down. Medics ma remain safely restrained in the back of the ambulance providing vital care to the patient instead of standing doing compressions, thus diminishingtheir chances of being killed or in ured in the event of a vehicle im act while riding back to the hospital in a "lights and siren" travel mode. Finally, after placin the patient on the automated chest compression device, the backup rescuer that would normally provide compressions on the way to the hospital can return to his unit thus providing more available coverage to respond to additional calls. There is also mounting evidence in studies and actual incidences throughout EMS that indicate additional safety measures should be taken for medics in the field in regard to~their back safety and vehicle crash safety. In addition to the above projected outcomes, we anticipate that injuries to medics should be diminished due to not having to place additional stress and strain on backs and other areas of the body _as occurs when manual CPR is performed. Also if medics are seated and restrained in the back of the unit enroute to the hospital during a "lights and siren" response it will reduce the possibility of death or injury to the medic in the unforeseen event of a vehicle crash. This will also assist us in by decreasing response times by not having _to request mutual aid when the primary unit is down due to an extra medic doing manual compressions enroute to the hospital. If necessary, you may attach additional pages to complete sections 10 & 11. PRIMARY EMS GRANT AWARD APPLICATION ORGANIZATION: Tectuesta Fire-Rescue 12. Major Activities and Time Frames: If grant is awarded, you must follow your schedule. If, for some reason, the schedule cannot be followed, please advise the EMS Office of the activity change. Please indicate time frame as lst quarter, 2nd quarter, 3rd quarter, 4th quarter and fill in the year. First Quarter =October 1 through December 31 Second Quarter = January 1 through March 31 Third Quarter =April 1 through June 30 Fourth Quarter = July 1 through September 30 Activit Time Frames Purchase Zoll Autopulse lst Quarter 2006 Train department on Zoll Autopulse 2nd Quarter 2006. Place e uq ipment on Primary Rescue Vehicle 2nd Quarter 2006 Respond to Cardiac Arrest 3rd Quarter 2006 Respond to Cardiac Arrest 4th Quarter 2006 7 PRIMARY EMS GRANT AinTARD APPLICATION ORGANIZATION: Tec~uesta Fire-Rescue 13. Budget: The applicant must submit a written price quote for each line item. For equipment include, the cost per item, quantity, and cite vendor information. For each type of position, include the pay per hour, number of hours, and cost of each benefit. For expenses, include unit costs (if rental, give the cost per square foot). Items/Quantities and Positions/FTEs Cost Per Unit Total Autopulse System Autopulse Batteries (3) Autopulse Battery Charger Lifeband (3-Pak) Autopulse Soft Carrv Case Total Cost: $10,995.00 $575.00 1,795.00 $375.00 $395.00 10, 995.00 1,725.00 1,795.00 375.00 395.00 15,285.00 8 PRIMARY EMS GRANT AWARD APPLICATION ORGANIZATION: Tequesta Fire-Rescue 14. Medical Director's Approvals: These are required for all projects which involve professional education, medical equipment, or both. (1) Professional Education: A11 continuing education described in this application will be developed and conducted with my input and approval. Medical Director: Printed Name: Signature Date (2) Medical Equipment: I hereby affirm my authority and responsibility for the use of all medical equipment in this project. Medical Director: Printed Name: Signature Donald Tanabe, MD May 13, 2005 Date 15. Resolution: Attach a resolution from the Governing Board(s),i.e. City Commission, Town Council, Board of Directors, etc. certifying that monies from the EMS County Grant Award will: (1) Improve and expand prehospital services in that coverage area. Will not be used to supplant existing provider's budget allocation. b. Meets the goals and objectives of the EMS County Grant Plan. 16. Certification: I, the undersigned official of the previously named entity, certify that to the best of my knowledge and belief, all information contained in this application and its attachments are true and correct. I understand my signature acknowledges that I will comply fully with the State Bureau of Emergency Medical Services' and Palm Beach County's Rules and Regulations governing the administration of the State of Florida Emergency Medical Services Grant Program for Counties. Authorized Official: May 13, 2005 Signature Date Michael Gouzzo Printed Name Village Manager Title 9 ZOLL TO: Village of Teques#a Department of Fire Rescue P.O. Box 3273 Tequesta, FL 33469-0273 Attn: Peter Allen ZOLL Medical Corporation Worldwide Headquarters 269 Mill Road Chelmsford, Massachusetts 01824-4105 (978) 421-9655 Main (800)348-9011 (978) 421-0015 Telefax QuoraTloN DATE: February 15, 2005 TERMS: Net 30 Days FOB: Shipping Point M E4 NUMBER D SCR Q UNIT DISC PRICE TO AL 1 8700-0700-01 AutoPulse System Generates consistent and optimal Brest 1 $10,995.00 $10,995.00 $10,995.00 compressions, offering the promise of no-mal blood flow during cardiac arrest Includes Backboard, User Guide, Quick Reference Guide, Shoulder Restraints, Backboard Cable Ties, Head Immobilizer, Grip Strips, In-Service Training DVD and one year warranty. 2 8700-0702-01 AutoPulse Battery Original equipment Nickel-metal 3 $575.00 $575.00 $1,725.00 Hydride (NiMH) battery for use with the AutoPulse Platform. Includes one year warranty. 3 8700-0703-01 AutoPulse Battery Charger, U.S. Charges and conditions 1 $1,795.00 $1,795.00 $1,795.00 up to two batteries and automatically assesses battery charge level. Includes User Guide, U.S. power cord, and one year warranty. 4 8700-0706-01 t.ifet3and 8 Pack Single-use chest compression band. 1 $375.00 $375.00 $375.00 (3 per package) 5 8700-0705-01 AutoPube Soft Carry Case Soft-sided carrying case holds 1 $395.00 $395.00 $395.00 AutoPulse Platform, spare battery, spare LifeBand and Shoulder Restraints. O Tl NAL 6 8778-0799 AutoPulse Platform, 2 Year Extended Warranty 1 $2,081.00 $2,081.00 F~ctended warranty for 2 years beyond the initial warranty period on Autopulse System; includes 1 preventative maintenance per year. __-___ ___ ........... ........ `..... ~.... ~.. ,~.,... , vww,,v vv,wn,VnV JGI rVRln VP1 THE REVERSE SIDE HEREOF, AND THE WRITTEN ACCEPTANCE OF THIS QUOTATION. 1. DELIVERY WILL BE MADE BO-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. 2. PRICES WILL BE F.O.B. SHIPPING POINT. 3. WARRANTY PERIOD (See above end reverse side). 4. PRICES QUOTED ARE FIRM FOR 60 DAYS. 5. APPLICABLE TAX & FREIGHT CHARGES ADDITIONAL. 6. ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL. 7. PURCHASE ORDERS TO BE FAXED TO ZOLL CUSTOMER SERVICE AT 978-421-0015. (VIAL 515,285.00 Kevin Jung/ef Territory Manager 800-242-9150, x9576 GENERAL CONDITIONS` AND REQUIREMENTS The EMS County grant general conditions and requirements are an integral part of the county grant agreement between the agency/organization (grantee) and the state of Florida, Department of Health (grantor.or department). in the event of a conflict, the following ' requirements shall always be controlling: . FINANCIAL FUND ACCOUNTING: All state EMS. grant funds shall be deposited by the grantee in an accoun# maintained by the grantee, and assigned an unique accounting code designator for all grant. deposits and disbursements or expenditures thereof. Ali state EMS grant funds in the account maintained by the grantee shall be accounted for separately from all other grantee funds. USE OF COUNTY GRANT FUNDS: All Mate EMS grant funds shall be used between the beginning and ending dates of the grant solely for activities as outlined in the Notice of Grant Award letter,. its attachments if any, and the application including its budget with its revisions, if any, on file in the state EMS office. The grantee is not restricted to staying within the line item amounts within the: approved grant budget. However, the grantee must adhere to the approved total grant budget. Any expenditures beyond this budget are the full responsibility of the grantee. ROLLOVERS Any unencumbered EMS county grant program funds as of September 30, of each year , including interest, remaining in the assigned grantee account at the end of a grant period shall be reported to the department. The grantee wiN retain these funds in the EMS County Grant accounf and include them in a budget revision request after receipt of approval ~of their next county grant application. ~ ~ . 8 ~1- DISALLOWED EXPENDITURES No expenditures are allowable as grant costs unless they are clearly specified as a line item in the approved grant budget, including approved change requests, or are clearly included under an existing line item. Any disallowed EMS county grant expenditure shall be returned to the EMS county grant account maintained• by the grantee within 40 days after the department's notification. The costs of disallowed items are the responsibility of the county. VEHICLES AND EQUIPMENT The grantee shall own all items, including vehicles and equipment purcha~edon ith ~ he ~ntee EMS grant funds, unless otherwise described in the approved grant app ' 9 shall clearly document the assignment of equipment ownership and usage; and maintain these documgnts so they are available to the department. The owner of the vehicle shall be responsible for the proper insurance, licensing and, permitting and maintenance. All equipment purchased with grant funds shall continue to be used for pre-hospital EMS or the purpose for which it was purchased throughout its useful life. Wher1 any grant-funded equipment is no longer usable, it may be sold for scrap or disposed of in the customary procedure of the receiving agency. TRANSFER OF PROPERTY A private organization owning any equipment funded through the grant program in whole or in part and purchased that equipment to provide services for a municipality, county or other public agency ceasing operation within five years of the ending date of a grant~awarded to the organization shall transfer the equipment or other items to the local agency. Then: shall be no cost to the recipient organization. This provision is applicable when services cease. operating due to a contract ending as well as any.other reason. RELZUESTS FOR CHANGE After a grant has been awarded, all requests for change shall be on DH Form 1684C EMS Grant Program Change Request, June 2002. The grantee shall obtain written approval from the department prior to making the requested changes. The following changes must be requested: 1. Changes in the project activities. . 2. Redistribution of the funds between entities or equipment approved. • ~ • ~. Establishing a new line item in the budget. 4. Changing a salary rate more than 10%, SUPPLANTING FUNDS The applicant cannot propose to use grant funds to supplant or replace any county or other funding source. Funds received under the county award grant program cannot be used to fulfill the matching requirement for the matching grant program. 9 DEPOSIT OF FUNDS County gl'ant funds provided to an applicant shall be deposited in a separate account. All interest earned shall be documented on the required reports. REPORTS Each grantee shall submit two reports to the department. The due. dates for the required reports shall be specified in the letter from the department notifying the grantee of the grant award. These reports shall include, at a minimum, a narrative of the activities completed or the progress of grant activities during the reporting period. A report shall be submitted by the due date whether or not any action or expenditures have occurred. GRANT SIGNATURE The authorized individual listed on page one of the application shall sign each original application. Should this not be possible before the due date a letter shall be submitted'to the department explaining why and when the signed application shall be received. RECORDS The grantee shall maintain financial and other documents related to the grant to support all revenue and expenditures. A file shall be of the a'ne cation and department approved budpgetf the "Notice of Grant Award" letter, a copy ~ pp and a copy of all approved changes. FINAL REPORTS Within 120 days of the grant ending date a final report shall be.submitted to the department. The final report shall'at a minimum contain a narrative describing the activities conducted including any bid or purchasing process and a copy of all invoices, canceled checks relating to the purchase of any equipment'and supplies. If the activity~funded was for training a list of all individuals receiving the training shalt be submitted along with the dates, times and location of the training. if the grant was for training to be obtained by sta# then a copy of alt invoices and payment documents for the training shall also be submitted. COMMUNICATIONS EQUIPMENT The grantee shall have all communications activities, services, and equipment approved in writing by the Department of Management Services; Information Technology Program (ITP). The approval shall be. dated after the beginning date of the grant. Any commitment to purchase the requested equipment and service shall also be dated after the beginning date'of the grant. 10 . EXPENDITURES No expenditures may be incurred prior to the grant starting date or after the grant ending date. Rollover funds may be used to meet expenditures prior to receipt of cun'ent year funds. CREDIT STATEMENT The grantee ensures that where activities supported by this grant produce original-writing, sound recording, pictorial reproductions, drawings or other graphic representations and works of any other nature, notices, informational pamphlets, press releases, advertisements, descriptions of the sponsorship of the program, research reports, and similar public notices prepared and released by the provider shall include the statement: °Sponsored by [Your Organization's Name] and the State of Florida, Department of Health, Bureau of Emergency Medical Services." If the sponsorship reference is in written or other visual material, the words, °State of Florida, Department of Health, Bureau of Emergency Medical Services" shall appear in the same size letter or type as the name of the grantee's organization. One complimentary copy of all such materials shall be sent to the department within three weeks of their reproduction and delivery to the grantee. If the proper credit statement is not included, or if a copy of each item produced is not provided to the department within three weeks, the cost for any such materials produced shall be disallowed. Where activities supported by this grant produce writing, sound recordings, pictorial reproductions, drawings, or other graphic representations and works of any similar nature, the department has the right to use, duplicate and disclose such materials in whole or in part, in any manner or purpose whatsoever and oXhers acting on behalf of the department. If the materials so developed are subject to copyright, trademark, or patent, legal title and every right, interest, claim, or demand of any kind in and to any patent, trademark or copyright, or application for the samer will vest in the State of Florida, Department of State, for the exclusive use and benefits of the state. Pursuant to section 286.02 (1), F.S., no person, firm or corporation, including parties to this grant, shall be entitled to use the copyright, patent or trademark without the prior written consent of the. Department. of State. FINANCIAL AND COMPLIANCE,AUDIT REQUIREMENTS This is applicable, if the provider or grantee, hereinafter referred to as provider, is any local government entity, nonprofit organization, orfor-profit organization. An audit, performed in accordance with section 215.97, F.S. by the Auditor General shall satisfy the requirement of this attachment. . STATE FUNDED This part is applicable if the provider is a nonprofit organization that expends a total of $100,000 or more in funds from the department during its fiscal year, which was not paid from a rate contract based on a set state or area-wide fixed rate for service, and of which less that 11 ATTACHMENT 2 $300,000 is federally funded. The`determination of when a provider has "expended" funds is based on when the activity related to the award occurs. The grantee agrees to have an annual financial audit performed by independent auditors in accordance with the current Government Auditing Staridards issued by the Comptroller General of the United States. Such audits shall cover the entire organization for the organization's fiscal year. The scope of the audit performed shall cover the financial statements and include reports on internal control and compliance. The reporting package shall include a schedule that discloses the amount of expenditures and/or receipts by grant number for each grant with the department in effect during the audit period. Compliance findings related td grants with the department:shali be based on the grant requirements, _ including any rules, regulations, or statutes referenced in the grant. The financial statements shall disclose whether or not the matching requirement was met for each applicable grant. All questioned costs and liabilities due to the department shall be fully disclosed in the audit report with reference to the department grant involved. If the grantee receives funds ftom a grants and aids appropriation., the provider shall have an audit, or submit an attestation statement, in accordance with Section 215.97, F. S. The audit report shall include a schedule of financial assistance, which discloses each state grant by number and indicates which grants are funded from state grants and aids appropriations. The grantee has "received" funds when it has obtained cash from the department or when it has incurred reimbursable expenses. The grantee agrees to submit the required reports. SUBMISSION OF AUDIT REPORTS Copies of the audit report and any management letter by the independent auditors, or attestation statement, required by this attachment shall be submitted within 180 days after the end of the grantee's fiscal year to the following, unless otherwise required by F. S.: A. ~ Department of Health Office of the Inspector General 4052 Bald Cypress Way, Bin A03 Tallahassee, Florida 32399-1704 B. Department of Health Bureau of Emergency Medical Services County Grant Manager 4052 Bald Cypress Way, Bin C18 Tallahassee, Florida 32399-1738 C. Submit to this address only those audits performed or attestation statements prepared in accordance with Section 215.97, F. S.: Office of the Auditor General Post Office Box 1735 Tallahassee, Florida 32302 ATTACHMENT 2 RECORDS RETENTION The grantee shall ensure that audit working papers are made available to the department, or its designee, upon request for a period of five years from the date the audit report is issued, unless extended in writing by the department.