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If yes, vendor name: eCite by PSTech <br />If requesting grant funding for equipment, check the appropriate box: (Note: If equipment <br />is outdated and cannot be upgraded to allow electronic submission, please check the "New <br />equipment" box) <br />® New equipment ❑ Replacement equipment <br />If awarded Section 405 funding to purchase equipment, who will use the equipment? <br />Deputies assigned to the Road Patrol Section. <br />Number of patrol officers issued with a laptop: 108 <br />Number of traffic officers issued with a laptop: 5 <br />EMS AGENCIES <br />Project Title: <br />Organizations Name: <br />Legal Status of Applicant Organization (check one): <br />❑ Private Not for Profit ❑ Private for Profit ❑ City/Municipality/TownNillage <br />❑ County ❑ State ❑ Other (specify) <br />EMS License Number: <br />Type: ❑ Transport ❑ Non -transport ❑ Both <br />Number of permitted vehicles by type: <br />BLS ALS Transport ALS non -transport <br />Type of service (check one): <br />❑ Rescue ❑ Fire ❑ Third service (county/city govt, nonfire) <br />❑ Air ambulance ❑ Fixed wing ❑ Roto -wing <br />❑ Both fixed and roto wing ❑ Other (specify) <br />Yearly EMS call volume: <br />Population density of area served and year determined <br />EMSTARS participant? ❑ Yes ❑ No <br />EMSTARS committed with target submission date: ❑ Yes ❑ No <br />Target Date: <br />-2- 195 <br />