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Home My WebLink About2007-028RESOLUTION NO. 2007- 028 A RESOLUTION OF THE EMERGENCY SERVICES DISTRICT BOARD OF COMMISSIONERS, INDIAN RIVER COUTY, FLORIDA, AUTHORIZING THE APPLICATION FOR FUNDING COUNTY EMERGENCY MEDICAL SERVICES (EMS) GRANT AWARDS TO BE SUBMITTED TO THE STATE OF FLORIDA DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY MEDICAL SERVICES. WHEREAS, The Florida Department of Health, Bureau of Emergency Medical Services announced that applications for funding County Emergency Medical Services (EMS) Grant awards are now being accepted and a grant application has been prepared for Indian River County; and WHEREAS, an application for grant funds for fiscal year 2006/07 has been prepared by the County; and NOW, THEREFORE, BE IT RESOLVED BY THE EMERGENCY SERVICES DISTRICT BOARD OF COMMISSIONERS OF INDIAN RIVER COUNTY, FLORIDA, that the Chairman is authorized to sign and execute the application for EMS grant funds certifying that monies from the EMS Grant Program For Counties will improve and expand the County's pre -hospital EMS system and that the funds will not be used to supplant existing County EMS budget allocations. The foregoing Resolution was offered by Commissioner Bowden Who moved its adoption. The motion was seconded by Commissioner Davi s and, upon being put to a vote, the vote was as follows: Chairman, Gary C. Wheeler Aye Vice Chairman, Sandra L. Bowden Ay Commissioner Wesley S. Davis Aye Commissioner Joseph E. Flescher Aye Commissioner Peter D. O'Bryan Aye The Chairperson thereupon declared the resolution duly passed and adopted this 13th day of March , 2007. EMERGENCY SEVICES DISTRICT - BOARD OF COMMISSIONERS INDITIVER COUNTY, FJ ORIDA BY:M 64/ Wheeler, Chairman ATTEST: m� V Aye Jeffrey K. Barton, Clerk ,'e. Approved as to form and legal sufficiency: By William K DeBraal Assistant County Attorney lid- A GRANT APPLICATION FLORIDA DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Complete all items ID. Code (The State Bureau of EMS will assign the ID Code — leave this blank) C 1. County Name: Indian River County Business Address: 1840 25th Street Vero Beach Florida 32960 Telephone: (772) 567-2154 Federal Tax ID Number (Nine Digit Number). VF 59 - 60006764 2. Certification: (The applicant signatory who has authority to sign contracts, grants, and other legal documents for the county) I certify that all information and data in this EMS county grant application and its attachments are true and correct. My signature acknowledges and assures that the County shall comply fully with the conditions outlined in theFI ida EMS County Grant Application. Signature: , 6 Gaztr-d ---' Printed Name: Vary C. Wheeler Date: March 13. 2007 Position Title: Chairman, Board of County Commissioners 3. Contact Person: (The individual with direct knowledge of the project on a day-to- day basis and has responsibility for the implementation of the grant activities. This person is authorized to sign project reports and may request project changes. The signer and the contact person may be the same.) Name: Brian S. Burkeen Position Title: Assistant Chief Address: 1840 25th Street Vero Beach Florida 32960 Telephone: (772) 562-2028 X 3015 Fax Number: (772) 770-5147 E-mail Address: bburkeen@ircgov.com 4. Resolution: Attach a current resolution from the Board of County Commissioners certifying the grant funds will improve and expand the county pre -hospital EMS system and will not be used to supplant current levels of county expenditures. 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organization(s) below. (Use additional pages if necessary) Indian River County Department of Emergency Services DM Form 1684, Rev. June 2002 BUDGET PAGE • For each position title, provide the amount of salary per hour, FICA per hour, other fringe benefits, and the total number of hours. Amount Radio Reprogramming for Consolidated First Responders $6,500.00 Light Bars for Consolidated Services First Responders $2,000.00 Paper Shredders N/A TOTAL N/A TOTAL Salaries NIA TOTAL FICA N/A Grand total Salaries and FICA NIA B. Expenses: These are travel costs and the usual, ordinary, and incidental expenditures by an agency, such as, commodities and supplies of a consumable nature excluding expenditures classified as operating capital outlay (see next category). List the item and, if applicable, the quantity Amount Radio Reprogramming for Consolidated First Responders $6,500.00 Light Bars for Consolidated Services First Responders $2,000.00 Paper Shredders N/A TOTAL N/A C. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non expendable nature with a normal expected life of one (1) year or more. List the item and, if applicable, the quantity Amount Radio Reprogramming for Consolidated First Responders $6,500.00 Light Bars for Consolidated Services First Responders $2,000.00 Paper Shredders $1,100.00 COHb Monitors $12,000.00 TOTAL $21,600.00 GRAND TOTAL $21,600.00 DH Form 1684, Rev. June 2002 DEPARTMENT OF HEALTH EMS GRANT PROGRAM REQUEST FOR GRANT FUND DISTRIBUTION In accordance with the provisions of Section 401.113(2)(a), F. S., the undersigned hereby requests an EMS grant fund distribution for the improvement and expansion of pre -hospital EMS. DOH Remit Payment To: Name of Agency: Indian River County Board of County Commissioners Mailing Address: 1840 25th Street Vero Beach Florida 32960 Federal Identification number VF 59-6000674 Authorized Official: March 13, 2007 ignature Date Gary C. Wheeler, Chairman Board of County Commissioners Type Name and Title Sign and return this page with your application to: Florida Department of Health BEMS Grant Program 4052 Bald Cypress Way, Bin C18 Tallahassee, Florida 32399-1738 Do not write below this line. For use by Bureau of Emergency Medical Services personnel only Grant Amount For State To Pay: $ Grant ID: Code: Approved By : Signature of EMS Grant Officer Date State Fiscal Year: Organization Code E.O. OCA Object Code 64-25-60-00-000 N_ N2000 7 Federal Tax ID: VF Grant Beginning Date: October 1, Grant Ending Date: September 30,.. DH Form 1767P, Rev. June 2002 STATE OF FLORIDA INDIAN RIVER COUNTY • THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL ON FILE IN THIS ;OFFICE JEFFREY K. B R • N, CLER 'BY6141d , DATE D.C.