HomeMy WebLinkAboutAgreement_General_03/10/2016 (6) i�T�F��:.oc��, �c�Lm�N�r ��.�r��;Lr�T
�'ALyl::13Lr-��'EI COUNT�' �1'�19) T1:IC VIi�LACr� (�l� 'I'�QU�:S1'A liOl.'�Ti-�1:
12EI1°+,I�URSEiti�1L+'N7' OF EMLRGI:��rT�l' NICDICA_L S.L+'R�'IC.CS GRAitiTT EQUI1'11'1Li�TT
'�'HIS �:i�TERLOCAL AG1tTE1YIENT ("Interlocal Agreement" or "Agreement" oa° "contra�t")
�s rnade as of the � day of /�(�,Qi L. , 2016, by and between the Board of County
C�rnrnissioners, Palm Beach County, a political subdivision of the State of Florida (herein
referred to as COLTNTY), and the Village of Tequesta a municipal corporation of the State of
Florida (herein referred to as the VILLAGE), each one constituting a public entity as defined in
Pai-� [ �f Chapter 163, Florida Statutes.
��'I'Ci�F SSE7'I-I
WHEREAS, Section 16�.01, Florida Statutes, known as the '°Florida Interlocal Cooperation �ct
of 1969" authorizes local governments to make the most efficient use of their powers by enabling
them to cooperate with other localities on a basis of muttial advantage and thereby to provide
serv�ces and facilities that will harmonize geographic, economic, population and other fac�ors
ii�fluen�ing the needs and development of local communities; and
V�JHE�tEAS, Part I of Chapter 163, Florida Statutes, permits public agencies as defined there�n t�
enter �nto interlocal agreements with each other to jointly exercise any power, privilege, or
a��hority which such agencies share in corr►mon and which each rraight exercise separat��y; and
VV��,�EAS, The Department of 1-Iealth, Bureau of Emergency i�iedi�ai Services (DOHEi1�tS) �s
authorized by Chapter 401, Part lI, Florida Statutes, to dispense grant funds. Forty-five percent
(45%) of these funds are made available to the 67 Boards of Coun�y Commissioners (BC�s)
throughout the State to improve and expand pre-hospita( Emergency Medical Services (El'vIS� ir�
their county; and
WHEREAS, DOHEYIS County grants are only awarded to Boards of County Commissianers
(BCC), however, each BCC is encauraged to assess its countywide EMS needs and establish
priorities before submitting a grant application; and
�IHEIZEAS, the COUNTY may reimburse and disburse the State trust funds to lic�nsed
emergency medical providers, and
WHEEZEAS, the COUNTY agrees to reimb�rse the VILLA(JE from its FY2015-2016 E1V1S State
�rant funds for the purchase of 'i,wQ (?) Ca�•diac Coir�pz•essic��� 1)evices ("EQUIPNIENT" or
"F,(viS equipment") and the VILLAGE agrees to accept said reimbursement under the terms and
�;�nditions of the E[v1S State grant and this Agreennent.
�I�w, theref�re, in conside�atic�r� �f the ir�utual pramises �ontained herein, COUNT'� �n�
�/41.�,AGE agree as follows:
�\3Z'1'4CLf: 1 —R�C[TALS
Th� above r�ec�tals are true, correct and in�orporated herein.
Page 3 of 6
ARTI+C�.�E�-��'i2ESEN�'r�TI'VE��JNI�t)R�II'd� P�SITIO�
The COUNTY'S representative/Agreement monitor during the term of this Agreement shall be
5ally Waite, whose telephone number is(561) 712-6484,
The VILLAC�E'S representative/contact monitor during the term of the Agreement shall be
Captain Jirri '�'rube,whose telephone number is (551) 768-0553.
ARTICLE 3 -I'AYlViENT TO VILL�-�GE
The total amount to be paid by the COUI�ITY from its FY2015-2016 EMS grant funds for the
purchased EMS Equipment as reimbursement to the VILLA�E under this Agreement shall not
exceed a total amount of twenty four thousand and two hundred dollars($24,200.00).
The VILLAGE shall purchase the EQUIPMEI�IT and submit the required documentation for
reimbursement (referenced in Article - 4) to the COLINTY Representative at least ninety (90)
days before the expiration of the FY2015-2016 �IvIS State Grant. r�pproved documentation will
be processed by the County Finance Department for payment to the VILLAGE,
ARTI+CL� � - GRAI�tT PRQG�INI I2I:+DUIId�i��IENTS
VIL�.AGL SHALL:
A. Comply with general requirements, and conditions of the State EY15 County Grant
Program.
B. Submit ta the COt1NTY Representative on or before September 30, 2015 copies of
paid receipts, invoices, or �ther documentation acceptable to the Palm Beach County
Finance Department to estabiish that the purchase of the E�UIPNIENT was incurred
by the VILLAGE.
C.Immediately return the purchased EQUIP�IENT to the COLJNTY, should the
VILLAGE cease to operate its pre-hospital emergency medical services during the
lif�of the equipment.
D.Subrnit a training repart to the COUI�ITI"S Division of Emergency iYlanagement to
include a sign in sheet, date, title and contact number of the persons trained for the
EQUIPNIENT within 90 d�ys of the effective date of this Agreement. This report
shall include all of the necessary training provided for the EQUIPMEI�IT and will be
the responsibility of the VILLAGE purchasing the EQUIPMENT to provide the
tra�ni�go �ILLAGE'S failure t� satisfactorily complete the training in the tirrieframe
provided sha11 constitute a breach of co�tract. As such, COLT1m1T'Y inay terrr�inate this
Agreement a�d demand return af�he Et�IJIPMEle1T.
Page 2 of�
AI�TICLE 5—LIABILITY/INDEMNIFICATI�N
Each party to this Agreement shall be liable for its own actions and negligence. To the e�tent
pet�r�itted by law, and without waiving sovereign immunity beyond the limits set forth at Sec.
768.28, Florida Statutes, the VILLAGE agrees to indemnify, defend and hold harmless the
COLTNTY against any actions, claims or damages arising out of the VILLAGE'S use, care and
rnaintenance of the EQUIPiV1ENT.
�I�'�'ICLE 6—FILING
A copy of this Tnterlocal Agreement will be filed with the Clerl�of Circuit Court in and for Palm
Beach County.
��2TICI�E 7 -AVAILAIiILITY OF FUNDS
The COUNTY'S performance and obligation to pay under this Agreement is contingent upon
annual appropriations from the FY2015-2016 EMS State grant funds. On-going costs for EIVIS,
maintenance and replacement of the EQUIPNIENT is the respansibility of the VILLAGE and
will not be funded under this grant program. Such costs remain the responsibility of the
VILLAGE. The COLJNTY shall have no further obligation to the VILLAGE, or any other persan
or entity.
r�I�'�I�LE 8—R�IYiEllI�S
This Interlocal Agreement shali be governed by the laws of the State of Florida. t�ny legal
action necessary to enforce the Interlocal Agreement will be held in Palm Beach County. No
remedy herein conferred upon any party is intended to be exclusive of any other remedy, and
each and every such remedy shall be cumulative and shall be in addition to every other remedy
given hereunder or n�w or hereafter existing at law or in equity, by statute or otherwise. No
single or partial exercise by any party of any right, pow�er, ar remedy hereunder shall preclude
any other or further exercise thereof.
No provision of this Contract is intended to, or shall be construed to, create any third party
beneficiary or to provide any rights to any person or entity not a party to this Contract, including
but not limited to any citizen or employees of the COIINTY and/or the ��ILLAGE.
AR.'I,ICLE 9—1��RI2EARS
The �ILLAGE shall not pledge the COUI�ITY'S credit or make it a guarantor of payment or
surety for any Interlocal Agreement, debt, obligation, judgment, lien, or any form of
indebtedness. The VILLAGE further warrants and represents that it has no obligation or
indebtedness that would impair its ability to fulfill the terms of this Interlocal Agreement.
t1�`�'�CLE "L4 -��CCESS �i�iD �UllI 1'S
The COIJNTY shall have access to such books, recards, and documents as required in this
sectflon for the purpose of inspection or audit during normal business hours, at th� VII,I,ACpE'S
place of business.
1'age 3 of 6
Palm Beach County has established the Office of the Inspector General in Palm Beach County
Code, Section 2-421 - 2-440, as may be amended. The Inspector General's authority includes
but is not limited to the power to review past, present and proposed County contracts,
transactions, accounts and records, to require the production of records, and to audit, investigate,
monitor, and inspect the activities of the VILLAGE, its officers, agents, employees, and
lobbyists in order to ensure compliance with contract requirements and detect corruption and
fraud.
Failure to cooperate with the Inspector General or interfering with or impeding any investigation
shall be in violation of Palm Beach County Code, Section 2-421 - 2-440, and punished pursuant
to Section 125.69, Florida Statutes, in the same manner as a second degree misdemeanor.
ARTICI,E 11 —NONDISCRIMINATION
The VILLAGE warrants and represents that all of its employees are treated equally during
employment without regard to race, color, religion,disability, sex, age,national origin, ancestry,
marital status, familial status, sexual orientation, gender identity and expression or genetic
information.
VILLAGE has submitted to COLJNTY a copy of its non-discrimination policy which is consistent
with the above, as conta.ined in Resolution R-2014-1421, as amended, or in the alternative, if
VILLAGE does not have a written non-discrimination policy, it has acknowledged through a signed
statement provided far COLTNTY affirming their non-discrimination policy conforms to R-2014-
1421,as amended.
ARTICLE 12-AUTHORITY TO PRACTICE
The VILLAGE hereby represents and warrants that it has and will continue to maintain all
licenses and approvals required to conduct pre-hospital emergency medical services during the
life of the equipment. Proof of such licenses and approvals shall be submitted to the COUNTY's
representative upon request.
AItTICLE 13—SEVERABILITY
If any term or provision of this Interlocal Agreement, or the application thereof to any person or
circumstances shall, to any extent, be held invalid or unenforceable, the remainder of this
Interlocal Agreement, or the application of such terms or provision,to persons or circumstances
other than those as to which it is held invalid or unenforceable, shall not be affected, and every
other term and provision of this Interlocal Agreement shall be deemed valid and enforceable to
the extent permitted by law.
ARTICLE 14—NOTICE
All notices required in this Interlocal Agreement shall be sent by certified mail, return receipt
requested, hand delivery or other delivery service requiring signed acceptance. If sent to the
COLINTY,notices shall be addressed to:
Page 4 of 6
� , . '
Sally Waite,EMS Manager
20 South Military Trail
West Palm Beach, FL
With copy to:
Palm Beach County Attorney's Office
301 North Olive Ave.—6�'Floor
West Palm Beach,Florida 33405
If sent to the VILLAGE, notices shall be addressed to:
Captain Jim Trube
357 Tequesta Dr.
Tequesta, 33469
ARTICLE 15-ENTIRETY OF CONTRACTUAL AGREEMENT
The COIJNTY and the VILLAGE agree that this Interlocal Agreement sets forth the entire
Interlocal Agreement between the parties, and that there are no promises ar understandings other
than those stated herein. None of the provisions, terms and conditions contained in this
Interlocal Agreement may be added to, modified, superseded or otherwise altered, except by
written instrument executed by the parties hereto.
ARTICI.E 16-EXPIRATION OF INTERLOCAL AGREElVIENT
This Interlocal Agreement shall automatically expire in five (5) years or upon the expiration of
the life of the EQUIPMENT, whichever comes first, in accordance with the State EMS County
Grant Program. At such tirne, the VILLAGE may dispose of said EQUIPMENT as surplus
property with no further municipal purpose.
ARTICL� 17-EFFECTIVE DATE
This Interlocal Agreement shall become effective when signed by both the COUNTY and the
VILLAGE.
THE REIVIAINDER OF'THIS PAGE IS INTENTIONALLY LEFT BLANK
Page 5 of 6
r ' � �
Ii�1 �V['�i�iLSS l�'HEREOF, the Board of C�unty Co�nmissioners of Palm Beach �our�ty,
Fdorada has rr�ade and exec�ted this Interlocal Agreerr�er�t ora beha�f of the CO[Jl�d'�'�' �nci
VII.LAGE has hereunto set its hand the day and year above written.
PALN� B�:AC�I� COUi'VTl' �,'a I�1�A+Gl?�D F TEQ�UES'I A
130A1��) �01� COUN'Cl' C�i1�1�ll�liSS1ONERS /�
,,,
By: �y: � " l l al l�
' Vincent J. Bonvento illage R res nta ' e
Director of Public Safety YY1�� �►-,; ,i�p,.� �',C�'in�.,
APPROVE�AS TO FORM APPRU�-� ��' O FOKM
AND LEGAL SUFFICIENCY ANL� LEG SUFFICIENCY �
�
l�y By
County A y �91age Attorney
�i+C�� �Qu�3
��P��v�D As �ro 1,�R�iis �,���ov���s �c� �rERMs
AND CONDITIONS AND COI�IDITIONS
.
By By
I�ivisir� Directar V' ge Representative
Jc�m rs W ein��
Page 6 of 6
�OI�BETT, WNITE,
� � DAVIS nNL� ASHT�N, [��.
KEITH W. DAVIS
ATTORNEY AT LAW
6orzrd Cer•tifrec#it�Cihj,Counfy and Locnl Gave�•n�r�ent Lnzu
January 21, 2016
Sally Waite
Palm Beach County
Division of Emergency Managemen# '
20 South Military Traii
West Palm Beach, Florida 33415
Re: Village of Tequesta Non-Discrimination Statement '
Dear Ms. Waite:
As requested, and pursuant to the requirements of the 2016 EMS Grant
Agreement, this letter will serve as an acknowledgement that the Village of Tequesta
treats all its employees equally during employment without regard to race, color, religion,
disability, sex, age, national origin, ancestry, marital status, familial status, sexual
orientation, gender identity and expression, or genetic information, and that the Village's
practice in this regard conforms fio the requirements of Palm Beach County Resofution R- !
2014-1�21.
Should you require anything furkher regarding this matter, please fee( firee to
contact me.
Si r y;"�M,
�.,�
,.� -��
�.� � �. ,J-
��. / f-�...e
�
��-Kei h W. �a�r��s,Esq. �"`��� ���
General Co'°�nse1,--V€Ilage�of Teqiaesta
cc: Merlene Reid, Human Resources
Michael Cauzzo, Manager
KeitFt�CWDA-Iegc�C.cotax 1121 Hypola�xo Rorttl, S�itite 207 �
zvzuzo.CWDA-legnl.com Lctntnt2a, F1oridR 33462
7'ELEPHONE:(561)586-712b
FAX:(56T)586-9611 :
�qenda Item#: ,'�� t
PAt.M BEACH COUN'FY � �S V �"�
BOARD OF COUNTY CO�MMiSSIONE S
AG ND M SUM ARY ���i�" ���
€ A ITE M �
=sx=—=a-�a=e==m��=sc,__��r_�—r�=mc==-'==�oe=�:;==�e:;aaaa�=��=s=s
Meeting Da#e:December i�2015 [X]Conse�t [ ]Regutar
r ]OrdMance [ ]Pubtie I�ring
Depa�rtznenr
Submitted By: Depa�rtment of Public Safety � v�.� �, ���.��
3ubmit�sd For: Division of Emergency Mana�ement ( �
____-____=====sW�=--=__=_=__��___—__--___��_ =r_` �������`' ~
!, EXECU'TIVF BRIEF
Matian and Tide: Staff r�commenda mofion to: A}ADOPT a Resolu�on of�e Board of
County Commissioners of Paim Beach CouMy, Florida, authori�ing the County Administtator
or designee to sign the FY 2415-2016 annual Eme�ency Medical Services(EM5)grarrt fund
apptication for$205,012.OQ and sign the EMS grant program change�equest forms retatec!to
the grant after the approval of the application by the Fbricia D�artm�r�t of Heetth, Bureau af
EMS and forward same #o tfie state o1` Florida Department of Heaith, Sure�u af EMS; B�
APPROVE a downward budget amendment of$18,359 in the�MS GraM�und to ad}ust the
budget to reflec#tha actuaf grant awrard af$205,Ot2.
Summary: The EMS Caunfy Grarrt is an annual grant provided t+o Palm Be�ach Courrty from
the FL-EMS,to improve and�xpand the EMS system. The funds are used to purchase EMS
equipment which is distributsd fo EM5 providers ar�pthet agencies ti�at ar+a eligib�#or EM5
grant funding. The grant period is to be de#ermined by the State once the appl�catian has
b+sen approved.No county matching funds a�+e r�qufr�d for this gra�tt Coun,�ywide(JB)
6ackground and Justtfication: Pursuarrt ta.Florida Statutes, Chapter 401, Part 11, the FL-
EMS has established an Emergency Medicat Services Trust Fund consisting of a pcartian of
every nr�unicipal and county moving violations indud'mg DUt convictions. Palm Beach
Couniy's share of the trust fund for FY 2015-2016 is$205,012. These funds will be used ta
improve artd expand emergency m��cal services in the Caurrty: The licensed EMS
prov�ders and other agencies thet are eligible for EMS grant funding within Pstrn 8each
County submitted requests as part of a group efiFart fior funding under this program. The
requests were reviewed by tl�e stafF of the bivision ofi Emergency Managemerrt and�e Grerrt
Review Committee of the EMS Advisory�Council. The atkached grant application ouUines the
propos�!purchases.
. Attachmenis:
1. �mergency Medicat Services Resolution
2. Emergen+cy Medical Servic�s Grant Application
3. 6udget Amendrr�nt(1425) �
_��.-a�_sYc=�x;.r.e-s-=z;-=z .._=_=s=�m=oxe�xs_-x_.:=a_ase�am��as�s__=mx�
��41!'1fl'1@f1d�d I�/: �/ �!
rrt Die�tor a�a
aPPraved by: /� � '�'-
Aasist� County Administra�or Qala
14. FISCAL IMPACT ANALYSIS
A. Five Y+ear Summary ot Fiscal lrn�ct
Piscal Years 2016 ?Q1� 2Q�t1 �01�5 2020
Capital Expend�#ures
Operating Costs (�18,389)
Eacternal Revenues $18,359
Progrsm Income(County)
in-Kind Match(County}
Net Fiscai Impact 0
� � ....� .�
#ADpiTIONAI FTE
POSITIONS(Cumulative)
Is Item Included in Current Budge!? Yes X Na
Budget Account E�cp Na.: Fund�Department 682 Unit 5230 ObJect variaus
Rev Na.:Fund 1425 Department 662 Unit�t�RevSrc 4�____29
B. Reaommended Sourc�of Funds/Summary of Fiscai Impact:
Grant funding is provided by the State of Fforida, Deparbrient of Emergency
Managemerit,Merlicat Senrices Trost Fund.
Grant:Emergency N�dical Services Grant
Fund: EMS Awand-Gra�rt Program
Unit: EMS-Public Safety Grants
C. Deprar6msntai Fiscal Review: �e�-��_ ,
III. REVIEW COMME�TS
A. OFMB Fiscat andlor Contract Dev,and Control Comment�:
1f��- �.,, �-�
+t7FNiB„!� � ,r �/� co ct nan, tion
�1lf� �//-a 5f-�.#"
B. Legal Suffict�ncy:
�,� ��� ,
istar�t County Att�mey
C. Other Departm�nt Review:
Deparbnent Direc�or �
This summary is nut ta be used es a basis for payment.
2
RESOLUT'I�N NO.R-2015-;�25
RESOLUTIpN OF THE BDARD OF COUNTY CO�AMiSSION�RS QF PALM BfAGH
COUN7Y, FLORIDA, AUTHORtTJl� 'fHE COUNTY ADAi1N18TRATOR t?R
DESIGMEE TO SIGN THE FY 2415-2816 ANNUAL EMS t3RANT FUND
APPLiCATION FfaR$�05,Q12:OQ AND SIGN THE EMS(#RANT PRClGRAM CHANt3E
REQUEST FQRMS RELATED 70 THE GRANT AF7ER THE APPROVAL OF THE
APPUCATIDN BY THE FLORIDA DEPARTMENT OF HEALTH, BUiiEAU OF
EMERGENCY MEDICAL SERYICES AND FORWARD SAME TO '�HE STATE OF
FIARlDA DEPARTMENT OF HEALTH, BUREAU QF EM�RGENCY iilEDtCAL
SERVICES.
WHEREAS,the State af Florida has esta�lished an Ernergency Msdical Services
Trust Fund consisting af a portion of every munlapal and county mov�ng viota�an and
driving under the influence conviction in Pabn Beach County; and
WNEREAS,tite Palrn Beach Caunty share of the �mergency Medical Services
Trust Fund for I�Y 2Q15-2016 is $205,012.00 to be used to improve and expand pre-
hospital emergency medical servic�as in tl�e Coun�ty;and
WHEREAS, tlt� County may reimburse and disburse the fur�is to licensed
emergency medical servic:e providers;and
WWEREAS, various pre-hospital em�rgency medical service prov�lers have
applied to the Palm Beach Cauniy Division ofi Emergency Managemerrt for a share of
the County award;and
WHEREAS, the Paltn Beach County Emergency Medical Services Advi�ory
Cauncil artd the Division of Emergency Msnagement have reviewed the grant award
proposal and have recommend�the appropriate awarding and distRbutian ofi fundir�;
and
WHEREAS� the agencies requesting a share of the funding have certified that
their requests are improvements and expansions of pre-hospital emergency medical
services within the County;and
W'HEREAS, prior to any disbursement of funds fi�nm the County Grant Award
Program, each agency autharized #o reoeive #unds from the pr�ram wifl provide
dacumentation to the Department of Pubiic 5afeiy, Division of Emecgency Managemen�
affirming that they agree to the reimbursement of funding or distribution of equipment
and wil!permit an audit;and
WHER�►S,the Paim Beach County Emergency Medical Services Grant Award
Apptication is made a part of ar�!attached hereto.
NOW� THEREFORE, BE iT RESOLVED BY THE BOARD OF COUNTY
COIiAAMlSSIQNERS Of PALM BEACH COUNTY,�L4RIQA,7HAT:
The Board of County Cammissioners cerqfies that this Grant Award Applicaf[on and
request is an improvement and expansion af the pre-hespital emergency medical
services system in Palm Beach Couniy and that the funtling wiA not be used ta supplan#
existing Cour�ty EMS budget applications.
9. The County Administrator or designee is authorized to sign #I�e County
Grant Award application.
2. The County AdministraMr or designee is authorized to sign the EMS Grant
Fund Distribution F'orm.
3. The County Administrator or designee is autharized to sign the Grant Budget
Change Request furm for the�MS County Grant Awarct funds.
4. The EMS Coordinator of the Division of Emergency Managemen# is
designa#ed as the "Au#horized Contact Per�on" pursuant to application
r�equirements.
This Resolution shall be efFie�tive immediately upvn adaption of the 8oard,
The fore�oing Resolution was offered by Commissioner Tayior
who moved its adoption. The mation was seconded by Commissioner
v� . and upan being put to a vote,fhe vo#e was as follows:
Commissioner Mary Lou Berger,Mayar �e
Commissioner Hal R.Valeche,Vce Mayor ,�e
Comrnissioner Paulette Burciick �
Commissioner Shelley Vana �
Commissianer Steven L.Abrams �
Commissioner Mefissa McKinlay n�
Commissioner Priscifla A.Tayiar a•e
The Nfayor thereupon declared the Resalution duly passed and adopted this
day of Det�mber 1,2015.
PALM SEACH COUNTY,�'LORIDA,BY ITS
BOARD OF COUNTY COMMISSIONERS
5HARON R. BOCK,CLER ���� LLER
,�����,
�y: ��
pu : cou :.�'
;a
%�cy, �to[�ti►' .`�
APPR�VEO AS TO fORM �y''M,6t?''•••...._.�
AND LE SUFFtCtENGY "''��"�,,.����*
�y:
Ass' nt uMy ey
2
Aoolication Form JWv 2Qtf-Zd�6
E'�ecti�re July 2A County Govemmer�ts may submit their Fisca�Year 2013-2016 spptic�tion.for
cau�ty grer�t funda. The deadiine for siata EMS tia receivs the required pages of your completed
county grar�t appNc;ation form fs by December 18,2015.
You can s�#he arnourtt of your new grant at the s#ate EMS wet�aite in the"j�"cdumn af!fie
couniy�maun#table.
The first application frnm page has fIw items,the flrst three of which ar�seffLe�lanatory.
H4wever,note�at itiem 2 is where the county's authorized person must provlde hislf�er signature.
Item 4 describes the canterrt of tt��ofutioa. Pt�se provide ihis in your count�r's cu�rtomary
fomiat and approvaf prac�ss.
The resolutian m�t bs cun+ent and not a oop�r of a previous reaolution. We need#his current
resoiution or we will not k�abb ta proc�ss the application tor funds.
kem 5 of the tirst page of tl�e application form asks for tfle nam�oi the organizatia�s that will
r�ceive funds�rom your new counry grant The second page of the ap��n fomt is the budget
page and orte of these budget pages i�needed f��ch organizatton listed in it�t�8,
The budget page for each organization must have on iE�peGifrc and quanti�able items oc services,
with the�st for each unit or type of item or service.
AII cosf�must add to the e�cact amamt of new iunds f�your grant. You can transfer unexpend+�i
funds iram yair previous�rarrt after fhe new grant begi�s.
No aeneral smte�gnts can be used in the budget be+cause we ars now required to have sP��Y
up-front and need it to obtain your grartt fund�. Howev�r,you can stiil make change t�uests
during fhe n�nr grant,so you do not lock you►self inta the initial it�ms.
Your budget totais in the applic�tion should be added for yau if you place your cursor over a
subtotal or totai fieid,right Gidc your mouse,th�I,�ft dick pn the resuldng menu°Update Fietd.'
Rsa�gr Grant Fund�is�rlbtrtion Fornt
Thia page is tncluded wi�r your applicatiion fwm. Complete oNy the top part o#th�fotm and the
state wiil complete the bottom part,as i�dic�ed on the form.
' k�" � `' EMS CouhrrvGRanirA�ucArronr
htOR/DA DEP,4R7'�4lENT OF HEAtTH
E+„er�,cy Me�cal sen►ress P�rnirr,
Comptete�1 items
a State EINS wi��s' n ft�e ID Code—leavo this W7mk
1. Cou Name: Palm Beach Cou Board of Cou Commissioners
Business AddrBss: 301 North Oihre Av�ue WasE Palm Beaeh FL�34Q1
Te� horie: l581-365-200A
Federal Tax ID Number Pline D" #Vumber. VF 596000785
Z. CertiFcablon: (The applic�lrft si�natay who h�autlwrily to sign conhacts�9rants,and other legal
doc�tments for the county}1 cettify that all fiformation and Qata in this EMS+oaunty grant applicatfon and
its attachments are we cornect My sigr�ature aciviowledges and�sunes thet tl4e Cvunty sha0
c�armply fully witli the ' n$ the Fla' EM CounEy Grant Application.
S n�ure: �a:
i�inted�larr�: Vincen .Bar►r�ta
Posft�7Nle: A9siskaM Ca Admp�istrator
3. Contact Person: (The indiv�ival with direct knawledge uf the project dn a day-bo-day basis and t�as
responsibilify for ihe impl�mentation of the gr�t a�ivi�es. l'his person is autharized to sign project
reports end may request project chang�. The signer and the caftact person may be ths same.)
Name:Bilt Johnson
PosiUon llde:Dlrector PaNn Beach Cou Dtvisbn of Elr►o Nla� ement
Rddress: 20 South INli�a Trail,West Pabre Be�ach FLS3413
Tele o�:561-722•6321 Fax Numb�r:561-71Z-6�4G4
E-mail Address:WPJ� ov.
4. R�olution: Attach a cums t rea�lution fram the Board of Cattrty Commissioners certlfyring the grent
funde will improve and expand the courrty pre-hospital EMS system and wiq not be us�d W supplant
cument levela of c�uMy expendid�res. We�..nnot�ss for funds�ritt�a�t a cumant resolutiort.
5. Budge� C�np�te a budg�t pege(s)for�ch organiaatitx�to v�ich you shalt provide fur►ds.
List the organaaSon(s}below. (tlse addidpnat pag�if�sary}
Tequesta Fira DpL Delray Seach Fire Qpt.
Palm l3sech CouMy E�rrergency IYlgmt
Rlviera Beach Flre Dpk Narth Palm Beash Fire Dpt
We�t Palm Beach Firo Dpt,
Palm Beaeh Coue�ty Fire Raacue
Palm Heach Fire Dpk.
DH 9G84,CJeoember2008 84J-1.Q1$,F.A.C.
1
A�P1tQV�i A8 TQ F!�!
l�LEt�ll�IE�Y
�7�'"
CO A�
Fio�%a OEnaRnr�wra�HEacrN
E�rERc�wcvMEDrc�t Sc-�tv�c�s(E1ilS)GwUrTPROGwuN
REQUEST F�R GRANT FUND DISfRIBUTl�N
In accordance with ihe provisions of Sectian 401.113(2}{a),Fioride Statutes,the ur�ter�igned hereby�t�sffi
an EMS grarrt fund distribuution for the improvemerrt and expansion of pre-haapitai EMS.
DON Rsmit P�vment To:
Name af Agency:Palm Beach Camty Board of Caunty�ormnle�io�rs
AAaifing Address:301 NoRh OCno Avant�e
West Padm 8eaah,FL S340i
Federa!ider�tification number T85
w
Authorized COUnty Official: �''
Sig�ture
Yincqnt J.�onrer�14as�tant Courtty Admin�trator
Type or PriM Narrre arul Title
Slgn and r�tum this page w+�h your applkation to:
Florida!?epartmer�t of Health
Emergency Med'�caf Services Program, Grarrts
4a32 sa�d cyp�ss way,e�n a-22
T�/ahasses, Florida 32399-1722
Do not write bebw th�lina. Ror use Stabe E IAedtcai Senricus Progrsm
Grant Amcrunt Far State To Pay: $ Grant ID: Code:C40 ,
APP�+��Y
3ignatiue of State EMS Cnant O#i'icer Datt
State Fiscal Year: ZOIS - 201d
Ora�nization Code F.�Q. Q,C� Obiect Code �
64-61-70-30-OQO OS SFOQS 750000 059998
Federst Tax ID:VF'
Grant Beginaing Date: Ghsnt Fnding Date:
DH 1767P,De�nber 2Q08 84J-1.Oi5,�.AC.
3 . . . . . �
BUlK3ET PAaEtNorth Palm Beach Fire Department
A. Salaries and Ben�tB:
�r�. _ � �q,� �`
�. �
roz�t.sa�aries= S a.00
TOTAL FICA&Other Benefit,s=
ros��s��rt�a�ae�et�= s o.00
8. E�nses: These are b�wel costs and the usual,ordinary,and inaderttal expendihar�by an
ageney,such as,c�mrrrodides and supplies of a consurnable netutr� x u expendRures dassHied
as rafin tal outla �next ca
?' �� , .. '�!,:., -- -
; . z : ;. _ ' : �
� >
�oc�i = s a.ao
C. Vehicles,squipment,and oUuar ope�tins c�pital outlay means equi�nent,fixtures,arni aiher
t�gibie personat property of a non c�nsumab�and non expendable nahue with a�I e�ecbed life
of or� 1 r or mare.
� � t� �� �
-t ..s�` r �^
�a �-yN @
.4 eY.. �{ ..tk>
One(1 j'Pcrwer ot'�astening 8ystem $19,&W.�
Totaf Vah.&Equipme�rt 519,8�W.01?
�ratp!Tatal s19,8A0.00
DH 5684.�leC:erTlber20d8
2
�UDl�T PAt3EtPatnn Bexeh FI�re Depactment
A Salsuie�s a�Benefirts:
For��> ���.��'��'�`
��: �� .
#�'�' ���.b�`�, - �
��
T07AL Salaries= S 0.00
TOTAL FECA&Other B�efits=
Total3aiarles d�Beneflts c � 0.00
B. Expsnsas: These are traVel costs and the usuei,o�dinary,ar�!incidentai ex{�nditur�es by an
�9�Y�such as,cocnmodities and supp�ies�a c�nsumabie nature�c�dinu expendittues das�fied
as o ihdl outla s�ee next
� ..
� =.'..:,����� .�. . . : �;� , �'
Y�1 = S 0.00
C. Vihiclss,squipme�,and athet operating capital outlay means equiprr+ent,Tuctursa,and otf�er
tangibte personal properry of a non consumabte�nd non exp�rdable nature wlth a noRnai�xpected life
of one 1 �r or more.
-� ; -t �
' - � x �c' � F` �'�.
�-� ,�_ �;
Knox AAedvault locker Controiled access phamaceutical x li13,949.8Z
dispvnssr and Knox Key system.
Tptat 1/eh.&Equipment i13.919.92
(3rand Tt�tal ;S3,T59.92
DH 1884,Dece�nbmr'2008
BUDtiET PAGPJWeat PaLm Beach Fire Deparlment
A. Salari�s and Benef�s:
�y�'����i`�i4��.��.�y���,,�,,y�.,,��.ty`�,,_,, !xP�`�:��- � ����
,�a�Srf@r''�'�'��.+U#.5�9!�s'#lw!#Wo��,.. ,�` _`_ "` '�a...-�+
TOTA1 Salaries= 0.00
TC1TAl FICA E�Other Benef�ts=
T�►1 SaM�s�Benet�s= � O.QQ
B. Exper�e8: Thex are trave!r.osts and th�usual,�xdinary,and incidental expenditur�by arr
agency,such as,commoditi�s snd suppiies of a consumabie nature exctudina e�qrenditures dassified
as o itel ouqa see r�xt
... .. .
;
�;; _ . , -
, _. . ��.-. ..: :. „ = ; ,
Total - S OAO
C. Yehicl�,equ7pment,and other op�erating capitat ouUay means aquiprt�ent,fiactur�es,and oHter
tangible p�sonal property of a rron consumable and non e�endabte nature wttl�a nc�m�l e�d t'+i�
of one t r or more.
4�''�-,�E�S� - ...--.. S'G-•i� �.
���
> � r ,� ��,-1 �-.:
_ �Y
o����7oe E ser��sirio�icor` "�ai,000.00y
Totai Veh.3�quipment �p��,,�
t3rand Totei �3,789.92
pH 1�4,Decerrtber2�08
n BUDGET PAt�E/Palm Heach Connty Emergeney M�na�emeat
A 8alaries and Bsaefit�-
;��' �:.� >� �'�•`��.
:; a �
TQTAL Salaries= � d.00
TOTAL FICA 8 Othtr 8enefits�
Tohf 881ar�es$►Banetil�� S 0.00
B. Expense�: Thes�are tr�vel ao�te and�►e usual,ordtnary,and iracidenta�e�qsendikures by an
agency,such�,oonwnodiUes and supplies af a ca►sumable nature��{udjeg expsndihues dessifled
as o in ca ' ouHa see next ca
, ._ _'�, - �
Tota1 s S d.00
C. Vehiclas,equlpment,a�oYher operating capital outlay rr�ans equipment,flxt�ires,and athar
tangible personal properqr of a rmn consumable and�on eycperKfabls nature wifh a namai e�cpected IiFe
af or�s 1 r or rrwre.
- _ _ _ _ ._�-; �- : Sd'
": .. y.'_rt:. �- ... .:F,-' .<.... . :"
l�'_
.,. .... . .. _ . ..
. ' .:.'a;�:,. . . �':. ,...v.` . . .. ,:.:.. . :;.:
, • .::::. ..: `i. _ J:. -: � -�� . :. . . -,...:.
�:
Ten{if1)AED's S10,d00.�
Total Veh.�Equiproe�nt �10,O�Q.Ob
Grand Total 375.7fi8.92
DN 1884.De�2008
BUDCET'PAGEJ Riviera Beach Fire Departiment
A. Salarles and Bene�s:
`Fc►reaeh;�.� ; �4����`��'': ' _
,':
#ttfl�,t�er'���,�� �� �
TOTAL Salaries=. $ 0.00
TOTAL FICA 8�dther Benefils=
7omi Salaries 8 Benefits= S 0.00
B. Expenses: These are travel c�sts and!he usual,ordinary,and incidenta[expenditures by an
agency,such as,commoditi�s and supplies oi a consumabte nature g�cdudins�eacpenditures classified
as o rati ca 'hai outla see next ca
, .: .
.,. . . .
° Lis�; _ : �_. :.,� .`. _: ' `` `. �
Total nses= L 0.00
C. Vehicles,equipment,and otl►er operatirrg capital ouUay m�ns equipment,factur�,and other
tangible personal property of a non consumable and non expendable naiure with a narmal expected life
ofi one '! ear or more
. , ..._
_ : ._ :
: � � ,`:
��� � �
, , ��:
;
u .
_.- - .--.. .:x . _:: : �.. :�� _-- .: - - s - -
t .-
O�e{1}Controlled Access Pharrnacy StiS,'a1�64 �
Tota1 Veh.8 Equipmer�t �15,401.64
Grand Total f91,167.58
D�I 1684,DeCember20�
BUDGET PAGE!Palm Beach Coanty Fire Rescue
A. Salaries and Beneflts•
°:�tn������:�t o�s�'���..., �, �
`�.�'��':�4t����a. , , w t ` >
TOTAL Salaries= $ O.OU
TOTAL FIGA&Other Benefits=
Total Salarlea 8�Ben�ita= S 0.00
8. Expenses: Tt►e�are bravei costs and the usuat,ordinary,and inadentai e�ertditures by an
ag�►cy,such as,commodfies and suppties of a consumabie nature exGudin expenditures clas.sified
as ratin ca ital outla see next o
...: _ ,.
���`�I�#,�.:; �.,.:.. ��, , ,., ` '�
Totaf Ex nses= ; 0.00
C. Vehicl�,equipment,and other operating capital outlay means equipment,foctures,and other
tangible personal property of a non consumable and non e�endable nature wi�e nnrmal expec6ed iifie
of one 1 r or more.
,. _.. _ _. . � . . ...� _
, y �
_ �. . . -.. _ _
,...
. ' , :; :: , .. ' = -
^ ;
_. ... .._... _. ..: _: . _.
� :,: , .. .�.�
Four(4)Cardiac Compression devic� �Z.�•�
Total Yeh.8 Equipmeirt Sb2,96S.00
Graml To�l i144,126.56
DH 1684,December2008
BUDGET PAGE/Village of Teqnesta Fire Department
A. Saiaries and Beneflts•
Ec�-�actcp�o�;�������c���''.. `
` - ::
#�ti��e'�,��#s�a#�±ci��t's ;. � `°
TOTAL Sa{aries= S 0.00
TOTAL FICA&(�her eenefds=
Total Salaries�Benefils= S 0.00
B. Expe�es: These are travel costs and the uaual,ordinary,and incidental expei�ditures by an
agency,such as,com�dities and supplies of a consumable nature ex din expenditures dassified
as ratin ca ital outla see next cat o .
. _. - :. ..
���n�#,• "..:_ .� �
Total �_ ; 0.00
C. Vehicies,equipmen�,and other operating capital outlay means equ�ment,fixtures,and other
tangible personai proper�y of a nor�consumabte and non expendable nature with a nonnal expected life
of one 1 ear ar more.
�.. .
t-
' �``�'�� �.-�. �j_.:. - ' � _
. .. . .-:�...:-,:._ -'_� �. .-.:.:.:� . .�-..:.::_ : .
. . .�.-'. '.-:x . � .. .. -,,,.:_, ....._ .� ... .. ..' -'. ,.�:
Tw0(2)CardlflC Compresslon devices . �24,124.St
Tata{Veh.8 Equipmerrt 524,1?.4.31
Grand Total $199,719.87
DH 168d,�ecember 200B
BU�ET PAGEf Cyty of Delray Beach I+Ste Depsrtmeat
A. Salari�s and Benefifs:
�'s���:.. `: �'���:��
1�o��e:_, ,_. -�_ .., ����s. �
TOTAL Salaries= $ 0.00
TOTAL FIGA&Other Benefits a
Tota1 Sala�ies S Beneflfs= 3 0.00
B. Expensea�: These are travel costs and the usual,ordirrary,and incidental sxpenditur�es by an
agency,sucfi as,commodities and supplies of a consumable natu2 exGu in expenditures classif�d
as o ratin ca ' I outia see ne�ca o .
-
" t.1�?� ��.�. .._. ��t�z .._ , .. •�.;.:.
Totai ns�= S 0.�
C. Vehickas,equ(pment,and other operating capital ouUay means equipment,fixtures,and other
tangibie personal propeity of a non consumabl�and non e�endable nature w'rfh a nonnal e�ected life
of one 1 r or more
� 4 �
��' ' _3
- :::. ... .. ....�_ .-..,...::, ::. ' . r _ :. . --� -'-- 'z -.':
Two(2}Cardiac Compression de�►ices , f31,468.00
Totai Veh.8�Equipment �1,q$g,pp
Grand Total #175,585.58
DH 168d,Deesmber2008
- h-�-�mergeacg-Atlana�ement..._ —,_. ...�__.
a sa�ries�Beneflts:
For each positlon title,provide the amauM of sainry per hour,FlCA per
t�u,ather fringe benef�s,and tha tofef number of ho�s. AnauM
TOTAL Selari�_ ; 0.00
TOTAL FICA 8�Otl��'Benefits=
Ta�al Salari��Benef�s� S 0.00
8. E�nses: These are travel costs�d the usual,ordinary,and incidental e�enditutes by an
agency,such aa,commodibes and supplies of a cansum�le nature exdudina expenditu�es c�f�d
as 1 outla see r�ex#
l�st tlfs ti�n auM,if a�plicaWe,fhe q�r M�o�u�t
Total = � 0.00
C. Vebicle�a,equlpment,and otlwr operating aapihai flutlay means equipment,�,and other
tangibie persanai prope�r af a non cansumable and non expendabie nature with a norrnal expected f�fe
of one 1 r or more.
l.ist tl�a i�em and.H aq�p6qbk.the 4wn1�► JNnain�
Countywida MCi 8tsrt7rairdng i5i,2S2.1S
Total Veh.8 Equfpn�ent t�g2.13
Gemd Totaf= ' S�5,Q1?.il0
DH 1684,Oecember 2006
Deliverables as st�ted in the Minimum D�Werable Type of Method of
Grant Performance Price Services Psyment
Levela
The Village of North PaS�n The acquisition of $14,840.00 Emergency Reimbucsement
Beach Fire Department is the new Power Cot Medical
requesting to purchase a Power Pastening Syscem Services(EMS)
Cot Fasteuiug System for their will reduce the
already pu�hased Stryker Pro number of work
Cots.In a study by the Joumal related back and
of Emergency Medicine 48°fo of knee injuries.
in,juries re�wrted by Paramedics Mecb�anically lift
and Emergency Medical assist stretchers
Technicians were relat�to have been proven
lower back sprain. The injuries to reduce wark
were recurrent in approx 31% reiated injuries.
of the personnei with lifting
causir►�znare than 62%of such
back injuries,with most
occurring diu�ing the
transportation of patients
needing a siretcher.
Additionally it will enhance and
iunprove the Emergeney
Medical Service by incxeaszng
the effectiveness of operations
dealing with the removal,
relocation and movement of
victims and patients duriug
emergency incidents.
With this inerea.sed abiIity to
provide the saxne function with
less personuel,EMS will be
able to double the capacity of
removal and relocation of
patients within the same time
frame.
The Town vf Palm Beaoh Fire This project will $13,919.92 Emergency Reimbursemeat
Department is requesting to allow the Town of Medical _
p�rchs�e a Knox Medvauit Palm Beach Fire to Services(EMS)
Lacker Controlled access control,track and
pharmaceuticai dispenser so record
tbat they aze able ta control phanntaceuticals
EMS inventory,iimiting and supplies.The
specific supp?aes on the basis of acquisition of tbe
an assigned authority level. new Medvault Key
Control access pharmaceutical system will reduce
dispenser are able to have a the amount of time
capacity to hold between 500- to�ccess
100Q different types of businesses and
medicatians t�s�in the field homes,
with tray conSgurations so as to
fit all items efficiently so as to
utilize space affectively and to
store controlled and nott-
controlled medications side-by-
side.They are also requesfing a �
Knox Key system to use for the
accumulated keys tbat their
Iarger bUsinesses and customers
they support,the majority of
their boxes are installed on
residential houses.As they are �
dispatched to medical ealls,the
Mobile Data Computers(MDC)
relays unpartant and pertinent
informa#ion relating to the cail.
Among this information is
whether ar not a Knox Box is
present and what the locatian of
this box is.}3ecause the average
a.ge of their customers is 65,
they run a tremendous amoixnt
of inedical calls for patients
who have either suffered a fall
or have limited mobility and the
abiiity to get to the door ta let
us in.Some of the residential
homes tbat reside in Palm
Beach are very large,some as
big as 65,000 square fcet.
Because of this,gainiag access
and reaching a patient in a
reasona.ble time can be
cha�enging.The Knox Box has
praven to k�ave bcen a beneficial
tool and is relied upon weekly.
The City of West Palm Beach EKG monitoring, $32,000.00 Emergency Reimbursement
Fixe Department is requesring to electricai theragy, Medical
pvrchase one(1)Zoll E Series vital signs Services(EMS)
monitor This will allow the monitoring
ALS Unit to ha.ve access to the including
same latest technology in EKG c�pnography and
monitoring,electrical therapy, tcansmxssion.
vital signs monitoring including
capnography and tcansmission
as atl transpo�t vehicles have.
Tlus purchase wiil fiutii�er allow
ihe agency to maintain and
enhance their standard of ca�re
with the services they provide.
Palm Beach Cotuxty Emetgency This project will $14,000.00 Emergeney Purchese
Management will continue the allow quick access Medical
purchase of AED's to place in to AED's in public Services(BMS}
Couz►ty buiiding and pla,ces.
recreational centers ta pravide
access to AED's.
This City of Riviera Beach Fire This project will $15,401.64 Emergemcy Reimbutsement
Department is requesting to allow the City of Medical
purchase a Controiled access Rivieza Beach Fire Services(EMS)
pharmaceutical dispenser so Department to
that they are able to control control,track and
EMS inventory,limiting record
specific supplies on the basis of pharmaceuticals
an assigned suthority level. and supplies.
Coa�ol access phaamaceutical
dispenser are able to have a
capacity to hold between 500-
100Q different types of
medications used in the field
with tray configurations so as to
fit all items efficiently so as to
utilize space affectively and to
stoze contralled and non-
controlled medications side-by-
side.
Palm Beach County Fire Rescue This project will �52,965.00 Emergeney Reimburaement
is requesting to purchase two a11aw Palm Beach Medical
(2)Carc3iac Campression Fire Aescue to � Services(EMS}
devices thaf provide li£�- provide electronic
sustaining circulation that is cardiac
created t2�rough effective and compressions.
uninterrupted chest
compressions.Performing
manual chest campressions of
lugh quality is both difficult and
tiring,and imposaible in certain
situations.Electronic
compressions are able to susta.in
a higher blood flow to the brain
and heart compared to manual
compressions. I
The City of Dekay Beach Fire This project will $31,469.d0 Emergency Reiznbursennent I
Department is requesting to allow Delray Beach Medical I,
purchase twv(2)Cardiac Fire Resc�to Services(EMS)
Compression devices that pravide electronic
piOYi��8-SLi ining C8iC�18C
cireulation that is creat�d compressians. ,
throu�h effective and �I
uninterrupted chest �
compressions.Performing �
manual chest compressions of ',
high quality is both difficult and
tiring,and impossible in certain
situations.Electronic
compressions are able to sustain
a higher blood flow ta the brain
and heart compared to manual
compressions.
The Village af Teqnesta Fire This project will $24,124.31 Emergency Reimbursement
Deparhnent is requesting to a.11ow Tequesta Fire Medica2
purchase two(2)Cardiac Rescue to provide Servic$s{EMS)
Compression devices that electronic cardiac
provide life-sustaining compressions.
circulation that is created
through effective and
uninterrupted chest
compressions.Performing
manual chest compressions of
high quatity is both difficult and
tiring,and impossible in cerEsin
situations.Electronic
campressions are able to sustain
a lugher blood flow to the brain
and heart cflmpared to manual
compressions.
1 Palm Beach County Emergency This training will 55,292.13 Emergency Purchase
Management is requesting enhance the skills M��
training for Countywide EATT's of first responders Services(EMS)
and Paramedics to enhence their by triaging patients
skills by using START tria�e. based on objective
Patzents are sorted based on criteria on how they
objective criteria.on how they present
present.The severity of injury
aad therefore treatment and/or
transport priority in START
triage is sorted by color code.
Triage tags contain these colors
so treatrnent and transport crews
can.see at a glance which
patients have been triaged to
which level.
Total $205.012.Q0
�6� �, O� BQRRD QF COUNTY G0IYIMISStONERS Paae 1 of 1 Dagea_
PALM BEACH COUNTY,FI.ORIQA
ATTACHMENT 3 BUDGET AAAENDiNEAi7 BGEX-862-102915-281
BGRV-6B2-1a2815-073
FUND 1425 - EM3 Public Safety(3rants
Use this form to provlde budget for itsms not anticfpated in the budget. ,
EXPEFIDEb/
ORIGINAL CUrtRENT ADJUSTED ENCUMBERED REMAiNING
AGC'T.NUMBER AGCOUNT NAA�E BUDGET BUD(3ET INCREASE DECREASE BUDGET as ot 10/29/2095 BALANCE •
EMS State Grant FY201S-201B-Amending Originai Budget to Acluel Awarded Amount
R�ven�
1425-862-5230-3428 State Grant Other Pubiic Safety 223,371 223,371 0 18 359 205 012
'F�ai Rsve»us and Balance 223 371 223 371 0 48 359 205 012
ns
1425-682-5230-3401 Other Contractual Services 93,000 93,000 0 18 359 74 641 0 74 641
Totsl AppropNaUon and Fxpenditurss 223 371 223,374 0 18 359 205 0'12 0 205 012
r��yT 1' '"+t�,
i an,�� r�ete �a,,soara o� �`�nn�m��
PUBLIC SAFETY ADMINISTRATION ,/ �r /� � ��''�
INlTIATINCi DEPARTM�NT/DIVISION � '
AdministratioNBudget Department AQproval ! Deputy Cle o , C C►U W T :�'%
i0�
�"� oFnAB oe�rane„t-postea �"�°} �°"�'��'�_=
� 6 ... ... r'
rry��ry�Q'••.. ���
� S;
....-- '������q����7��`�
�
INTERLOCAL AGREEMENT BETWEEN
PALM BEACH COUNTY AND THE 'VILLAGE OF TEOUESTA FOR THE
REIMBURSEMENT OF EMERGENCY 1VIEDICAL SERVICES GRANT EQUIPMENT
THIS INTERLOCAL AGREEMENT ( "Interlocal Agreement" or "Agreement" or "contract ")
is made as of the day of , 2016, by and between the Board of County
Commissioners, Palm Beach County, a political subdivision of the State of Florida (herein
referred to as COUNTY), and the Village of Tequesta a municipal corporation of the State of
Florida (herein referred to as the VILLAGE), each one constituting a public entity as defined in
Part I of Chapter 163, Florida Statutes.
WITNESSETI-I
WHEREAS, Section 163.01, Florida Statutes, known as the "Florida Interlocal Cooperation Act
of 1969" authorizes local governments to make the most efficient use of their powers by enabling
them to cooperate with other localities on a basis of mutual advantage and thereby to provide
services and facilities that will harmonize geographic, economic, population and other factors
influencing the needs and development of local communities; and
WHEREAS, Part I of Chapter 163, Florida Statutes, permits public agencies as defined therein to
enter into interlocal agreements with each other to jointly exercise any power, privilege, or
authority which such agencies share in common and which each might exercise separately; and
WHEREAS, The Department of Health, Bureau of Emergency Medical Services (DOHEMS) is
authorized by Chapter 401, Part 1I, Florida Statutes, to dispense grant funds. Forty -five percent
(45 %) of these funds are made available to the 67 Boards of County Commissioners (BCCs)
throughout the State to improve and expand pre - hospital Emergency Medical Services (EMS) in
their county; and
WHEREAS, DOHEMS County grants are only awarded to Boards of County Commissioners
(BCC), however, each BCC is encouraged to assess its countywide EMS needs and establish
priorities before submitting a grant application; and
WHEREAS, the COUNTY may reimburse and disburse the State trust funds to licensed
emergency medical providers; and
WHEREAS, the COUNTY agrees to reimburse the VILLAGE from its FY2015 -2016 EiVIS State
grant funds for the purchase of Two (2) Cardiac Compression Devices ( "EQUIPMENT" or
"EMS equipment ") and the VILLAGE agrees to accept said reimbursement under the terms and
conditions of the EMS State grant and this Agreement.
Now, therefore, in consideration of the mutual promises contained herein, COUNTY and
VILLAGE agree as follows:
ARTICLE I — RECITALS
The above recitals are true, correct and incorporated herein.
Page 1. of 6
ARTICLE 2 - RE PRESENTATIVE/TMONITORING POSITION
The COUNTY'S representative /Agreement monitor during the term of this Agreement shall be
Sally Waite, whose telephone number is (561) 712 -6484.
The VILLAGE'S representative /contact monitor during the term of the Agreement shall be
Captain Jim Trube, whose telephone number is (561) 768 -0553.
ARTICLE 3 - PAYMENT TO VILLAGE
The total amount to be paid by the COUNTY from its FY2015 -2016 EMS grant funds for the
purchased EMS Equipment as reimbursement to the VILLAGE under this Agreement shall not
exceed a total amount of twenty four thousand and two hundred dollars ($24,200.00).
The VILLAGE shall purchase the EQUIPMENT and submit the required documentation for
reimbursement (referenced in Article - 4) to the COUNTY Representative at least ninety (90)
days before the expiration of the FY2015 -2016 EMS State Grant. Approved documentation will
be processed by the County Finance Department for payment to the VILLAGE.
ARTICLE 4 - GRANT PROGRAM REQUIREiVIENTS
VILLAGE SHALL
A. Comply with general requirements, and conditions of the State EMS County Grant
Program.
B. Submit to the COUNTY Representative on or before September 30, 2016 copies of
paid receipts, invoices, or other documentation acceptable to the Palm Beach County
Finance Department to establish that the purchase of the EQUIPMENT was incurred
by the VILLAGE.
C. Immediately return the purchased EQUIPMENT to the COUNTY, should the
VILLAGE cease to operate its pre - hospital emergency medical services during the
life of the equipment.
D. Submit a training report to the COUNTY'S Division of Emergency Management to
include a sign in sheet, date, title and contact number of the persons trained for the
EQUIPMENT within 90 days of the effective date of this Agreement. This report
shall include all of the necessary training provided for the EQUIPMENT and will be
the responsibility of the VILLAGE purchasing the EQUIPMENT to provide the
training. VILLAGE'S failure to satisfactorily complete the training in the timeframe
provided shall constitute a breach of contract. As such, COUNTY may terminate this
Agreement and demand return of the EQUIPMENT.
Page 2 of 6
ARTICLE 5 — LIABILITY[INDEMNIFICATION
Each party to this Agreement shall be liable for its own actions and negligence. To the extent
permitted by law, and without waiving sovereign immunity beyond the limits set forth at Sec.
768.28, Florida Statutes, the VILLAGE agrees to indemnify, defend and hold harmless the
COUNTY against any actions, claims or damages arising out of the VILLAGE'S use, care and
maintenance of the EQUIPMENT.
ARTICLE 6 — FILING
A copy of this Interlocal Agreement will be filed with the Clerk of Circuit Court in and for Palm
Beach County.
ARTICLE 7 - AVAILABILITY OF FUNDS
The COUNTY'S performance and obligation to pay under this Agreement is contingent upon
annual appropriations from the FY2015-2016 EMS State grant funds. On-going costs for EMS,
maintenance and replacement of the EQUIPf'vIENT is the responsibility of the VILLAGE and
will not be funded under this grant program. Such costs remain the responsibility of the
VILLAGE. The COUNTY shall have no further obligation to the VILLAGE, or any other person
or entity.
ARTICLE 8 —REMEDIES
This Interlocal Agreement shall be governed by the laws of the State of Florida. Any legal
action necessary to enforce the Interlocal Agreement will be held in Palm Beach County. No
remedy herein conferred upon any party is intended to be exclusive of any other remedy, and
each and every such remedy shall be cumulative and shall be in addition to every other remedy
given hereunder or now or hereafter existing at law or in equity, by statute or otherwise. No
single or partial exercise by any party of any right, power, or remedy hereunder shall preclude
any other or further exercise thereof.
No provision of this Contract is intended to, or shall be construed to, create any third party
beneficiary or to provide any rights to any person or entity not a party to this Contract, including
but not limited to any citizen or employees of the COUNTY and/or the VILLAGE.
ART IC LE 9 — ARREARS
The VILLAGE shall not pledge the COUNTY'S credit or make it a guarantor of payment or
surety for any Interlocal Agreement, debt, obligation, judgment, lien, or any form of
indebtedness. The VILLAGE further warrants and represents that it has no obligation or
indebtedness that would impair its ability to fulfill the terms of this Interlocal Agreement.
ARTICLE 10 - ACCESS AND AUDITS
The COUNTY shall have access to such books, records, and documents as required in this
section for the purpose of inspection or audit during normal business hours, at the VILLAGE'S
place of business.
Page 3 of 6
Palm Beach County has established the Office of the Inspector General in Palm Beach County
Code, Section 2 -421 - 2 -440, as may be amended. The Inspector General's authority includes
but is not limited to the power to review past, present and proposed County contracts,
transactions, accounts and records, to require the production of records, and to audit, investigate,
monitor, and inspect the activities of the VILLAGE, its officers, agents, employees, and
lobbyists in order to ensure compliance with contract requirements and detect corruption and
fraud.
Failure to cooperate with the Inspector General or interfering with or impeding any investigation
shall be in violation of Palm Beach County Code, Section 2 -421 - 2 -440, and punished pursuant
to Section 125.69, Florida Statutes, in the same manner as a second degree misdemeanor.
ARTICLE 11— NONDISCRIMINATION
The VILLAGE warrants and represents that all of its employees are treated equally during
employment without regard to race, color, religion, disability, sex, age, national origin, ancestry,
marital status, familial status, sexual orientation, gender identity and expression or genetic
information.
VILLAGE has submitted to COUNTY a copy of its non - discrimination policy which is consistent
with the above, as contained in Resolution R- 2014 -1421, as amended, or in the alternative, if
VILLAGE does not have a written non - discrimination policy, it has acknowledged through a signed
statement provided for COUNTY affirming their non - discrimination policy conforms to R -2014-
1421, as amended.
ARTICLE 12- AUTHORITY TO PRACTICE
The VILLAGE hereby represents and warrants that it has and will continue to maintain all
licenses and approvals required to conduct pre - hospital emergency medical services during the
life of the equipment. Proof of such licenses and approvals shall be submitted to the COUNTY's
representative upon request.
ARTICLE 13 — SEVERABILITY
If any term or provision of this Interlocal Agreement, or the application thereof to any person or
circumstances shall, to any extent, be held invalid or unenforceable, the remainder of this
Interlocal Agreement, or the application of such terms or provision, to persons or circumstances
other than those as to which it is held invalid or unenforceable, shall not be affected, and every
other term and provision of this Interlocal Agreement shall be deemed valid and enforceable to
the extent permitted by law.
ARTICLE 14 — NOTICE
All notices required in this Interlocal Agreement shall be sent by certified mail, return receipt
requested, hand delivery or other delivery service requiring signed acceptance. If sent to the
COUNTY, notices shall be addressed to:
Page 4 of 6
Sally Waite, EMS Manager
20 South Military Trail
West Palm Beach, FL
With copy to:
Palm Beach County Attorney's Office
301 North Olive Ave. — 6 Floor
West Palm Beach, Florida 33405
If sent to the VILLAGE, notices shall be addressed to:
Captain Jim Trube
357 Tequesta Dr.
Tequesta, 33469
ARTICLE 15 - ENTIRETY OF CONTRACTUAL AGREEMENT
The COUNTY and the VILLAGE agree that this Interlocal Agreement sets forth the entire
Interlocal Agreement between the parties, and that there are no promises or understandings other
than those stated herein. None of the provisions, terms and conditions contained in this
Interlocal Agreement may be added to, modified, superseded or otherwise altered, except by
written instrument executed by the parties hereto.
ARTICLE 16 - EXPIRATION OF INTERLOCAL AGREEMENT
This Interlocal Agreement shall automatically expire in five (5) years or upon the expiration of
the life of the EQUIPMENT, whichever comes first, in accordance with the State EMS County
Grant Program. At such time, the VILLAGE may dispose of said EQUIPMENT as surplus
property with no further municipal purpose.
ARTICLE 17 - EFFECTIVE DATE
This Interlocal Agreement shall become effective when signed by both the COUNTY and the
VILLAGE.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
Page 5 of 6
IN WITNESS WHEREOF, the Board of County Commissioners of Palm Beach County,
Florida has made and executed this Interlocal Agreement on behalf of the COUNTY and
VILLAGE has hereunto set its hand the day and year above written.
PALM BEACH COUNTY VILLAGE OF TEKQUESTA
BOARD OF COUNTY COMMLISSIONERS
By: By: 'b l 1 �-
Vincent J. Bonvento
Director of Public Safety M
APPROVED AS TO FORM APPROVED AS TO FORM
AND LEGAL SUFFICIENCY )ANDLE L S ICIENCY By B
County Attorney Village Attorney
APPROVED AS TO TERMS APPROVED AS TO TERMS
AND CONDITIONS AND CONDITIONS
By By
Division Director V' lage R
Ja�m� W Q a/l �rjj
Page 6 of 6