HomeMy WebLinkAboutDocumentation_Regular_Tab 06C_07/08/2004 �
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Memorandum
To: Micbael R. Cou�zo, Villaqe r
k'rom: James M. Weir�and, Fire Chi
Dat�: June 1, 2004
3ubjeat: Palm Beach County EMS Gr Mard
As a condition of the Palm Beach County Emergency MediGal
Services Grant, the County requires a resolution from the
Village Council, stating that the Village will use the
grant monies if awarded, to purchase the specified
equipment in the grant request and that the funds will not
be used to supplant the existing budget.
If you deem this request appropriate, please forward this
to the Village Council for their consideration at their
June 10, 2004, Village Council meeting.
If you have any questions or concerns, please do not
hesitate to contact me.
Attachment
M:\Administration Documents\Village Manager\EMS Grant Award 2004.doc
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RESOLUTION NO.� -
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA,
PAI�S BEACH COUNTY, FLORIDA, ACCEPTING THE TERMS AND CONDITIONS OF
THE PAldri BEACH COUNTY EMERGENCY MEDSCAL SEI7VICES (EMS) GRANT AWARD;
CERTIFYING THAT MONIES FROM THE EM3 GRANT WILL BE USED TO PURCHASE
THE EQUIPMENT SPECIFIED TN THE GRANT AWARD AND WILL NOT BE USED TO
SUPPLANT EXISTING TEQUESTA FIRE-RESCUE BUDGET ALI�OCI�TION AND MEETS
THE GOALS AND OBJECTIVE3 OF THE EMS COUNTY GRANT PLAN.
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM HEACH COUNTY, FLORIDA, A,S FOLIAWS:
Section 1. That the �Tillage of Tequesta, Palm Beach County,
Florida, does hereby aecep� the terms and conditions of the Palm
Beach County EMS Grant Award and concurs with the amount of the
award, activity and expenditure plan, attached and marked as
Exhibit "A".
Section 2. The Village of Tequesta, Palm Beach County, Florida,
hereby certifies that the monies from the EMS County Grant award
will be used to purchase Mass Casualty Incident Triage Kits, will
not be used to supplant existing Tequesta Fire-Rescue budget
allocation and meets the goals and objectives of the EMS County
Grant Plan.
TFiE FOREGOING RESOLUTION WAS OFFERED by Councilmember
, who
moved its adoption. The motion was seconded by
Councilmember , and
upon being put to a vote, the vote was as follows:
FOR AD4PTION AGAINST ADOPTION
The Mayc�r thereupon declared the Resolution duly passed and adopted
this day of A.D., 200
MAYOR OF TEQUE5TA
ATTEST:
Mary Wol�ott
Village Clerk
��MAY.27.2004 3�10PM PBC EMRG MED SVCS N0.241 P.2
DEPARTMEIZT OF P�BL'�C SAFE7'Y
DTVZS�ON OF �R�TNCX �d'ArTAl�FMBNT
� OFF�CI� OF FMERGENC�Y MEDZCAJa SERV�GES
p�,M srs�,C� cotrr�rx �s aRA�rr a�i�Rn �pzzcATioN �
PR�'AR7�' CRAN� REQTXES�
Note: The Gotal for all your primar� reque�ts mu�t not be mor� th�n
$50,OOO.QO.
1. Organ�zation: .
Authorxzed O�ficial: Michael Cau�zo Tit1e: Village_Manaaer
A1�ernate Official: James Weinand_ Title; Fire Chief
Mailing Addr�as: 357 Tequesta Ar Tecruest�a. FL 33469
Telephone: 561 744-4a�1 FAX: f561) 575-6�39
2, Authorized Cont�.ct P�rson: Peter J. Allen �
Title: Fxre�i hter Paramed'�
Mailing Address: 357 Tequ�sta l�r.. �c� esta FL 3346_9
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Tel�phone: {56�.) 744-4051 FAX: �5�1) 5'75-6239
3. Agency' s Legal Statue : Ntunicir�a�- Fire De�artme_nt
4. Firs� Re�pander�: Please a�tach a copy of your Memorandum df
Understanding (MOU) wi�h a li�ensed provid�r. If yau do nat have a
MOU, ���tach documeri�atio� tha� you m�.de reasonable efforts �o get
one, �h�t you caoperate with the provider, or tihat you requested bu�
did not receive a re�pons� �rom the providers in yaur area. Tecruesta
Fire Rescue is a Caunt Pe mitted ALS Provider.
5, Yq�tr F�:deral Tax IA 'Number: VF 59-60��081
6. Identify the EMS county plan goals this project wi11 aGCamplish in
whale or in pax�.. A copy ot the goals ie attached to �hia application.
SY�T�M ENHANC�M�NT: F. sdenti� and im lement new te�hnolo and
proCedurOS into the EMS Svstem_to imAro�re patient outcomes.
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MAY.z7.2004 3�1aPM PBC EMRG MED SVCS N0.241 P.3
PRIMARY EMS GRANT AWAR� APPLICATIQN
� �R'�AN�ZATION: Tec�uesta �Fire-Rescue
7. Comrnu.nications Projectse All grant applicatians which involve PRIMARY
EMS communications equipment and./or services, in total or in part
will be reviewed by the State of k'lorida Division vf In�ormation
Technology. Fxk�1�L APFROVAL D�'3ST HE� 08'TA�D PRIOR TO ANY PURC�A�S� �
COI�SI�. Copy of approval from the State mu�t be s�bmitted to the
Cvun�y EMS Office with reqtxest for reimbuxsement.
B.Background: Desc�ibe your agenpy, its opera��ona, and how it rel�tee
ta othEr EMS agencies in yaur area. A].so, provide a des�cr�.ption o£
your ma�or resour�es includi�ng the number o£ �mploy�es, vehiclee, and
equipment.
Te esta Fire-Rescue i� an ALS�-Tra�. ort EMS Prov�.der that rovides
ALS and H�S care as well a� Tranepar� ta the VillaQe of Te esta ar�d
i� contxacted to �rovide the same �o� the commu.z�ity of Juni�er �nlet
' Colonv ^ W� nrovide mutual aid ta �ny aaency that r� es�s it and we
�unction wz�hin the Count -Wide m�.�ual aid s st�m for medica7.
resoan�e Te esta Fire-R�scue provides thi� service usinQ �wo ALS
Tran�port Reacue Trucks, vne �S Non-Tran.s�o�t Fire-�gine and ane BLS
Non-Traixsport Laddex Truck ecui�ped with, an AED. Tecruesta enmlov�_18
Fu�.l-Time FF EM'T's and FF Paramed�c� as well as 15 Voluntee
Firefiaht�rs fi�hat are First Re9�onder, EMT or Faramedic_C�rtified.
9. Grant H3.story: Br�.efly deseribe your current and previous gran� ��rards
fax the past �h�ee years. ��cplain hvw this applica�ian daes not
cor��lict or duplfcate them.
Op - pl ,.�--- AL,S Trainina Manneguin
99 - Op ---- AED
98 - 99 ----- PuYil.ic Educati.on Robo�
Ol ° 02 ---� 800 MHz Radios
We are reaueatina this qrant award t4 purchase Ma�s Cagualty Incident
Kits. These ki��. wi�l a].low ua to triacte up to fift�y �atients per kit.
We intend to p l�,ce one kit Qn e af our three ALS ��rmi
Vehiclea. This request for M��g Casualt�y Incid�nt Kite_doeg not
conflict witih anv Arevious crrants nor does �t duplicate them. We have
never re ested Mass Casualt Tncident Kits on a Count Grant and
these ]cits will not conflict or dut�la.cate anv previous cr�an� award._
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I� necese��y, you m�.y attach addi.tional p�.ges to complete aections 8 and 9. (
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MAY.27.2004 3�11PM PBC EMR� MED SVCS N0.241 P.4
PRIMARY EMS QRAATT AWARD APPY,YCATION �
� ORGANYZATION: Teguee�a_Fire
10. ProjeC� Need Statement:
Wrxte a clear, Goncise statemen� describing the need(s) addressed by
this project. This mus'� include: I.) numeric da�.a; 2) time frame tor
the data; 3} source of the data, and; �) th� involved target
population �nd geographic area.
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�eauesta Fir _Regcue is recuestinq a�rr�.nt aw�a�rd �o �ur�ha�e Mass =
Casualty Inviderlt Resnonse Kits Teguea�a adonted �he START Tri�ae nrdcrra.m
wh.en it wae a�lopted Coun�v-Wide several v�ars ago and has acauired the
Triaae Kits that aceompanied that prt�crram. However, in March 2003 the State
of Florida cxeated the. Florida InGident Field Oaerations Guide which re-
defin�d r�sponse ciuidelin�s to Mase Casualtv In�iden�ta as we11 �s other
m�}lti-aaency. resno�,ses .
F�ui^ MCZ Kits wi1l be Aurchased �n.d one will be nlaced on each of our
three.ALS nermit��d vehicles. Each kit will include triaae ribbdn� �ria�
taas, proverlv �ol�dred and lab�led aoramand vestg. colored tre�tment area
taxp� and ideat�fyi.nv £I�ag, clir,boarda.—nens,_ n��er and ICS Forms for each
commarrd_�ositian.. A.dditifonallv we will pl�.ce fi�tv C-Co1,lars and Head-8eds
alona with twenty-five backboardg aad disr��sable s�rans in au.� S��cial
O�,erations Trailer to be immediatelv deployed in th� event of �n MCI
Through._ _this arant T�que��a will be able �.o adopt th�se Gu�.de�ines
with re ard to Mass Casua.ltv T�.czd�nts and b� much better Areoared and
erniiAp�d for that .xe�ponse. Our intent ig to increase our cax�ability to
resvond �o an MCI as_w�ll as ta comply with th� chanQes in the �larida
Incident Field �nera�a.on� Guide.
Acaorda.nct to the T�auer��a Fire-Rescue l3MS Run Repart svstem we have
responded ta__nine Level 1 MCX!� a.nd on,e Level 2 MCI from Januarv 2000 to
D�cember 2043. Tequesta has been fortunate to have not suffered incidents
Qrea�c�r than a Level 2 MCI motor vehicle accident since our i�cention in
�993. zn thi� dav ax�,d age_we have become acutely �.waxe of haw vulnerabZe we
can be to inciden�s_ C_hat can oreate mu�ti�le injuries Zt is th�refore
incumbent unon this d�Aartmen� to__improv� our limited MCI capabilitv.
This eaui.pment would be usetl primarilv to res�ond ta incidents within
the Tequesta Vil]�acte l�.mits, howeve�.._iti would also be available to
n�Yahbarincf aaencies in Palm Beach and Max�tin County as well as the S�ate
an.d_Fed�ral Governments if requeetied.
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MAY.27.2004 3�11PM PBC EMRG MED SVCS N0.241 P.5
PR�MARY EM$ GHANT AWARD APk�L+ICA'I'I�N
� 4RGANI7ATION: Teques�ta F
7.1. Project QutC4me Sta�em�nt:
Write a�or�.cise qu�.n�ifiable statement dESari.bing the degree to r�hich
�he need{s) will� be changed �y �h� projeCC. Thie must contairi �he {
same faur �haracteristics ae th� fl�efl atatement and indicata the 1
i evaluatit�n methods used ta measure �he efficiex�cy and/or ��fectivenees
af th� proje�t�s autaome.
The aoa�. of t hi� proie�t is to equ�.p Teque�ta Fire-Reecue to be able
t o�bet�e r respond to an MCI incident. Teauesta currentiv owris £ifteen
backboar Bv addina a �ddit ianal twentv-five backboards we wzll have a
total o fortv �ackboarde res ultina in a 266� exnans�on of aux resbonse
Ca�a We cu�enfilv have no tireatm�n� �rea tarps. treat are� f7.aas,
�orrec�lv �olared command veata or dedicated clinboard� and MCI ki�. This
aran.� will allow us to ex�and oux MCY capabslitie� and to conmly with the
F�orida zncident Fa.eld�0 er�tions Gui�e.
Sqe in�end � �espand �0 1 of th e MCI incid�ntis accurra.ntt within the
Villacte limits arid� to respand to at least 90� of alX ca11s far mutual aid.
W� wi�.l use aur EMS Run Rer��rtina system �o track al.l MCI cail.s that we
regnond tfl and ensure that w� are �roperlv implementinQ �he MCT Ri.�g an.d
the START Triaue svstem.
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. Zf necessary, you may attach additiona]. pages �o complete �ection� 10 & 11.
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MAY.z7.2004 3�1zPM PBC EMRG MED SVCS N0.241 P.6
PR�MAR'Y EMS GRANT AWARD APQLICATION
� ORGANT7,PimION: Tequesta �'ixe-R�scue
12, Majar Activitiea and Time F'rames:
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Tf gr�.n.t is award�cl, you musG fol7.ow your schedule. Yf, fo� s�ome �
rea�on, the schedule car�.no� be �'ollowed, pleas� advise the EMS Office o�
th� a�tivity �hange. ,
P�ease indicate �ime frame as lat quarter, 2° quarter, 3� qu��tex', 4�'
yuarter and fi7.l in the year.
First 4uart�r = October 1�hrougn December ��
�econd Qu�.rter = January 1 through March 31
Third Quax�er = April 1 th'rough �Tune 30
Fourth Quarter = July 1�hrough �eptember 30
Aetivitv _ Time F�ames
Furchase MCZ Ki.�.� � uartcsr 2004
Train department o� MCI raspanse and use of NiCI Kita 2 duarter 2005
P1��e eauzpment on vehic].es and Speciay Ups Trailer 2�`'. ar�er 2005
Respond to, MCI Calls 3Yd Quarter 2005
Resnand to MCI Calls ��' Quarter 20Q.S
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MAY.27.2004 3�12PM PBC EMRG MED SVCS N0.z41 P.7
PRIMARY EMS GRANT AWARD APPLZCATZ�N
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ORGANYZATION: Tequesta Fire-Rescue_ �
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13. Sudget: " �
Th� appliaant must aubmi� a written price quote for �ach line item. �
For equipment include, the cost per item, quantity, and citie vendor
intormation. For e�ch type of pr�siti.on, include the pay per hour,
number af hc�urs, and co�t of each benefit. For expenses, include unit �
cQ��s (it rental, give the co�t per equare faot).
ICems/ uanti�ies and k�ositiionsLFTEs Cost Per Unit Total
24 Command V�s'�s _ $29.95 __ 718.60
(3� 5�� of Tri2�ge Ribbons _ io ._00 30.00
, (3) Triaae Taas (Se� df Sd) _ 534.QO �0�.00
t24) Clipb�ards �29.50 708.00
(�2) Colored Treatment Tarx�s ___ �80.,00 , 960.40
3 Calr�red Fla s Set of 4 _��260.85 _ 782.55
S3) Garrv Bag $250.00 750.04
(So) CerviCal Collars ___ ,_ $5 .15 257.50
�50) Head Beds _55.79 289.50
(25) Lana Backbc�ards aI.32.87 3 3�1.75
25 Dis osible Stra aets w $14 .�_0_ __. 370.00
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'� �MAY.z7.2004 3�1zPM PBC EMRG,M� D SVCS N0.241 P.8
PRTMARY �MS.GRANT A�nTARA APPLZCATZON
�, ORC�ANI�ATIdN: �Tequesta �Fi.re-�tescu�
14. Medical Directo�'s Approvals: These are xequired for all pro7ecte which
involve p�ofessional educatian, medical equipmen�, ar both.
(7.) Professional Education: A�.1 continuing eduGation describ�d ia ;
this app7.icatiort w�.Z1 be developed and conducted with my input
and. appx'ova� .
t++tedical Directar: pate
Sigria�uze
Pr�.nted Name : :
(2) Med�-�al Ec�uipment: I hereby affirm my authority and
responsibi.].ity �ox the use of al� med�.cal equi.pment in this
pra�ect.
Medi�al Airector: �� April 29. 2Q04
gn , ure Date
Printed Nam�: Donald Tanabe. MD
�5. Re�olution: ACtaCh a resa],ution �rvm tih� Governing Board(s?,i.e. C�t�
Commissian, Tawn Couacil, Board o� Directvrs, etc. cer���ying that monies
from th� EMS �ounty Grant Award wi].1:
(3) �mprove and exp�nd prehcspit�l �erv�ces in th.�t co�rerag� area.
(4) Wi1�. not be used to supplan� e�isting p�ovider�s budget
' a�.loC�tiOn .
(5) Meets �he goals and ob�ectives of �he �M� County Grant P�an.
16. C�:rti�ication: �
I, tihe undersigned offzcial o� the previousl.y n�med entity, certify
�hat to the bes� of my knowl�dge and belie�, all informatian contained
in. this applica�.i.on �nd its attachmen�s are true and cox'rect .
I underst2uad my aignatur� �.a]cnowledgee that I wiZl comply fully with
the S�ate Bureau of Emergency Medical Servi�es� �.nd Palm Beach
County' s R.u1e� and Regulat�.onB governi'ng the administration o� the
State o� Florida Emergency Medical Serviaes Gran� Pragram for
Couritie8.
Authori.zed Of�icial.: Ax�ri� 30, .2004
gnature Aate
• , s N J'; /'�Gt,.�,,-�s,y�c.�Va.11ac�e Man��er
prin�ed Name � Ti�le
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GENERAL CONDITIONS AND REQUIREMENTS
The EMS Counry grant general conditions and requirements are an integral part of the county
grant ag�eement between the age�cy/organization (grantee) and the state of Florida,
Department of Health (grantor or department). in the event of a conflict, the foilowing
requirements shall always be controlling:
FINANCIAL
fUND ACCOUNTING:
All state EMS grant funds shall b.e deposited by the grantee in an account maintained by the
grantee. and assigned an unique accounting code designator for all grant deposits and
disbursements oc 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 state EMS grant funds shall be used between the beginning and ending dates of the grant
solely for activities as outtined in the Notice of Granf Award letter, its attacF�ments if any, and
the application including its budget with its revisions, if an.y, 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 fult 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 shafl
be reported to the department. The grantee will retain these funds in the EMS Caunty Grant
account and include them in a budget revision request after receipt af approval of their next
county grant application.
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� DISALLOWED EXPENDITURES '
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No expenditures are alfowabie as grant costs unless they are cieariy specified as a line item in
the approved grant budget, including approved change requests, or are clearly included under �
an existing tine item. ;
Any disaliowed EMS county grant expenditure shail be returned to the EMS county grant ;
account maintained by the grantee within. 40 days after the department's notification. The �
costs of clisallowed items are the responsibility of the county.
VEHtCLES AND EQUIPMENT
The.grantee shall own all items, including vehicles and equipmen# purchased with the state
EMS grant fr�nds, unless otherwise described in the approved grant application. The.grantee
shall clearly document the assignment of equipment.ownership and usage; and maintain
these documents so they are availabfe to the department. The owner of the. vehicle shall be
responsible for the proper insurance, licensing and permitting and maintenance. All
eqwipment purchased with grant funds shall continue to be used for pre-hospital EMS or the
purpose forwhich it was purchased throughout its useful life. When 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 P.ROPERTY
. A private organization owning any equipment funded through.the grant program in whole or in
part and purchased that equipment to prov.ide senrices for a municipality, county or other
public agency ceasing opecation within five years of the ending date of a grant awarded to the
organization shalf transfer the equipment or other items to the local agency. _.There shall be no
cost to the recipient organization. This provision is applicable when services eease operating
due to a contract ending as well as any other reason.
REQUESTS 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 shali 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.
3. Establ'ishing a new line item in the budget.
4. Changing a salary rate more than 10%.
SUPPLANT{NG 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.
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��- ' DEPOSIT OF FUNDS
County grant funds provided to an applicant shall be deposited in a separate account. All
interest earned shali 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 ndtifying the grantee of the grant
award. These �eports shaU 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
du� date wh�ther or not any action or expenditures have occurred.
GRANT SIGNATURE
The auttiorized individual listed on page one of th'e application shall sign each original
application. Should this not be p.ossible before the due date a letter shall be submitted to the
d�partment 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 maintained by the grantee, which includes a copy of
the "Notice of Grant Award" letter, a copy of the application and department approved budget
and a copy of all approved changes.
FINAL REPORTS
Within 120 days of the grant ending date a final report shatl 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 shall be submitted along with the dates, times and location of
the training. If the grant was for training to be obtained by staff then a copy of af{ 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.
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� EXPENDfTURES
No expenditures may be incurred prior to the g�ant starting date or after the grant ending date.
Roilover funds may be used to meet expenditures prior to receipt of current year funds.
CREDIT STATEMENT �
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The grantee ensures that where activities supported by this grant produce original writing, �
sound recording, pictoriai reproductions, drawings or other graphic representations �nd 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, Depa�tment 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 He�lth, 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 nof included, or if a copy of each item produced is not
provided to the department within three weeks, the cost for any such materials pcoduced �halt
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 whol.e or in part. in
any manner or purpose whatsoever and others acting`on behalf of the department. If the .
materials so developed are subject to copyright, trademark, or patent; legal title and every
right, inte�est, claim, or demand of any kind in and to any patent, trademark or copyright, or
application for the same, will vest in the State of Ftorida, �epartment 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 REQUIREMENT$
This is applicable, if the provider or grantee, hereinafter referred to as provider, is any local
government entity, nonprofit organization, or far-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 app(icable if the provider is a nonprofit organizatior► that sxpends a total of
$100,000 or more in funds from the department during its fiscal year, which was not paid from
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� a rate contract based on a set state or area-wide fixed rate for service, and of which less that
$300,000 is federally funded. The determination of when a provider has "expended" funds is 3
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 Standards issued by the Comptrol{er
General of the United States. Such audits shail 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 °
shalt include aschedule that discloses the amount of expenditures and/or receipts by grant
. number for each grant with the department in effect during the audit �eriod. Compliance '
fndings r�lated to grants with the department shall 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 �eference to the department grant involved. If the grantee receives funds from 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 shalf include a schedule �
of financiaF assistance, which discloses each state grant by number and indicaies which
grants are funded from sfate grants and aids appropriations. The grantee has "received"
funds when it has obtained cash from the department or when if 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 shali 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 o� attestation statements
. prepared in accordance with Section 215.97, F. S.:
Office of the Auditor General
Post Office Box 1735
Tallahassee, Florida 32302
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RECORDS RETENTION `
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The grantee shall ensure that audit working papers are made available to the department, or �
its designee, upon request for a period of fve vears fram the date the audit report is issued;
unless extended in writing by the department.
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