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City of Tamarac Resolution R-2008-002
TR# 11331 Page 1 December 3, 2007 CITY OF TAMARAC, FLORIDA RESOLUTION NO. R-2008-0� A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA, ACCEPTING A GRANT IN THE AMOUNT OF $20,250 FROM A 2005 BROWARD COUNTY EMERGENCY MEDICAL SERVICES (EMS) GRANT FOR THE PURCHASE OF AUTOMATIC EXTERNAL DEFIBRILLATORS (AEDs) IN THE AMOUNT OF $20,250 FOR A TOTAL PROJECT COST NOT TO EXCEED $22,000 TO PROVIDE AEDs WITHIN THE CITY OF TAMARAC; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City Commission of the City of Tamarac desires to support public access defibrillation (PAD) with the additional purchase of automatic external defibrillators (AEDs) for placement within the City; and WHEREAS, the City of Tamarac wrote a non -matching Emergency Medical Services (EMS) grant application through Broward County to the Florida Department of Health for the purchase of AEDs to be placed within the City, attached hereto as "EXHIBIT A"; and WHEREAS, the Florida Department of Health awarded the State EMS Grant to the Broward County Board of County Commissioners through the Broward County EMS Grants Committee, attached hereto as "EXHIBIT B°; and WHEREAS, the Florida Department of Health, Bureau of Emergency Services has approved the distribution of funds from the State EMS Trust Fund to Broward County for the purpose of enhancing EMS throughout the County, attached hereto as "EXHIBIT C"; and WHEREAS, the Broward County EMS Grants Committee has awarded the City of Tamarac a non -matching grant for the purchase of AEDs in the amount of $20,250; and TR# 11331 Page 2 December 3, 2007 WHEREAS, the Broward County Human Services Department, custodian of the State EMS grant funds, has affirmed the City's participation for reimbursement for monies spent in execution of the aforementioned grant, attached hereto as "EXHIBIT D"; and WHEREAS, the City is willing to provide any difference in project cost not to exceed $22,000, with an estimated $1,750 expense to the City; and WHEREAS, the Fire Chief recommends acceptance of the State EMS grant funds in the amount of $20,250 to purchase additional AEDs for the City; and WHEREAS, the City Commission of the City of Tamarac, Florida, deems it to be in the best interest of the citizens and residents of the City of Tamarac to accept the State EMS grant funds in the amount of $20,250, awarded to us by the Broward County EMS Grants Committee for the purchase of additional AEDs for placement within the City. NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: The foregoing WHEREAS clauses are HEREBY ratified and confirmed as being true and correct and are HEREBY made a specific part of this Resolution. SECTION 2: The City Commission of the City of Tamarac HEREBY accepts the grant award of $20,250 from Broward County for the purchase of AEDs, and HEREBY authorizes a total project amount not to exceed $22,000. SECTION 3: The appropriate City Officials are HEREBY authorized to amend the Grants Fund budget for receipt of grant funding for the purchase of AEDs in the amount of $20,250 and appropriate said funds including any and all subsequent budgetary transfers to be in accordance with proper accounting standards. SECTION 4: All resolutions or parts of resolutions in conflict herewith are HEREBY repealed to the extent of such conflict. SECTION 5: If any clause, section, other part or application of this Resolution is held TR# 11331 Page 3 December 3, 2007 by any court of competent jurisdiction to be unconstitutional or invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. SECTION 6: This Resolution shall become effective immediately upon its passage and adoption. PASSED, ADOPTED AND APPROVED this 7Wday of , 2008. BETH FLANSBAUM-TALABISCO MAYOR ATTEST: RECORD OF COMMISSION VOTE: MARION SWENS & N, CMC MAYOR FLANSBAUM-TALABISCO _ CITY CLERK DIST 1: V/M PORTNER DIST 2: COMM ATKINS-GRA DIST 3: COMM. SULTANOF DIST 4: COMM. DRESSLER I HEREBY CERTIFY that I have approved this RESOLUTION as to form. /EL S. G N CITY ATTO EY 1 TR11331 -EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM EMS GRANT APPLICATION This page becomes Page 1 of your application. Instructions and Important dates are on Pages 1 - 8. PROJECT TITLE: Public Access Defibrillators (Public Facility AED's) PROJECT COST: $20,250.00 YOUR AGENCY'S NAME: Tamarac Fire Rescue AGENCY ADDRESS: 6000 Hiatus Rd, Tamarac, Florida 33321 PROJECT CONTACT PERSON INFORMATION: (Person to be contacted for more information for the application, for purchasing, reports, etc, as required under the terms and conditions of the County Award Grant program.) PRINTED NAME: Thomas Sheridan, Division Chief TELEPHONE: 954.724.2436 FAX NUMBER: 954.724.2438 EMAIL:tomsh@tamarac.org PAGER: 954.896.4130 -*Project Criteria Checklist: (If these criteria apply, you may need to submit additional application pages.) MULTIPLE AGENCIES OR COUNTYWIDE PARTICIPATION -- APPLYING FOR EQUIPMENT: Are you submitting this project on behalf of other agencies which will also receive this equipment requested in the grant? No • X Yes, multiple agencies Yes, all applicable agencies If yes, you are required to submit Pages 16-19 of the application. See Page 3 for an explanation or contact Barbara Pomeranz, MULTIPLE AGENCIES OR COUNTYWIDE PARTICIPATION -- SOMETHING OTHER THAN EQUIPMENT Are you submitting this application on behalf of other agencies which will participate in and/or receive something other than equipment? No - X Yes, multiple agencies Yes, all applicable agencies If yes, you are required to submit written information indicating interest from participating Agencies. See Pages 3 and 4 for an explanation or contact Barbara Pomeranz. 9 TR11331 -EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM PROJECT DESCRIPTION Briefly describe the project. Please do not use brand names. If project is for training, do you have a sample curriculum to include? Who are the instructors? Is this a pilot? Tamarac Fire Rescue (TFR) seeks to place automated external defibrillators (AEDs) in City facilities so that the AED could be deployed and deliver the first shock within a three minute time frame from patient collapse to bridge the gap between lay public and fire rescue response. TFR's response time from the time a 9-1-1 call is received through dispatch to arrival on -scene is 6 minutes approximately 90 percent of the time. Therefore, the importance of Public Access Defibrillation (PAD) is paramount to increase the chance of survival of patients suffering from a cardiac arrest, as researched and documented, by initiating the first shock within a 2-3 minute window. EMS IMPROVEMENT AND EXPANSION Describe how this project will improve and expand prehospital EMS within Broward County. What is the need for this project? What is the situation now? How will it change after the grant is completed? Tamarac Fire Rescue has adopted In City resolution and policy guidelines the use of AEDs in the City (attached — supporting documentation). In 2001, the initial AEDs units (6) were placed in public works vehicles while serving the City for use if an employee comes across a cardiac arrest victim. These machines are supported and maintained through a joint effort of Public Works and the Fire Department. Afterwards, the first AED was placed in the Community Center, but there are no other AEDs in the City. All other public facilities do not have an AED available for there use, including the City Hall, Commission Chambers, Parks and Recreation Facilities, Utilities, Public Works and Building Department, Satellite City Hall, etc. In order to provide the best outcome for the City's employee, citizens and visitors, the Fire Department would educate those individuals that would use the AEDs and maintain them throughout their useful life. Within two minutes of cardiac arrest, approximately 213 of patients develop ventricular fibrillation and that lethal rhythm becomes increasingly refractory to defibrillation over time. It is well known that for every 1 minute of delayed defibrillation the chance of survival decreases by almost 10 percent/minute. Therefore, the provision of AEDs in public places is ever more advocated as a means of improving survival after cardiac arrest. There are several examples of improved patient survival using an AED within the projects designed goal. First, in Seattle the use of PADS from 1999 to 2002 accounted for 1.3 percent (50 people) of 3,754 cardiac arrests treated, increasing from 0.82 percent in 1999 to 2.05 percent in 2002. For those treated with PAD, survival was 50 percent according to hospital discharge data. Second, to date, American Airlines has had 89 AED events in which a shock was delivered and has saved the lives of 50 people in the last seven years since American began installing AEDs on its fleet of aircraft. This means American Airlines has achieved a 56 percent survival rate, compared to the national average of seven percent. Third, casino security guards that used AEDs on cardiac arrest victims had a 53 percent survival to hospital discharge. However, the survival rate was 74 percent for victims who received the first shock within three minutes of collapse. In conclusion, TFR could impact on those victims that suffer a sudden cardiac arrest or event through the placement of these machines in strategic locations with our City. You may submit additional pages. 10 TR11331 - EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM -#Project Criteria: IS THERE RESEARCH OR LITERATURE? Yes _X— No If you are including any, please attach at the end of application. ARE YOU INCLUDING LETTERS OF APPROVAL, SUPPORT OR REFERENCES WITH YOUR APPLICATION? Yes _X No If yes, attach at the end of the application but list the name of the organization(s) below: MEASURABLE GRANT OBJECTIVE(S): What are yourspecific obiectives or desired outcomes? Objectives should be measurable, obtainable, and specify a key result to be accomplished. These are your "work steps." What will be different because of your grant? What is the return in terms of improving or expanding EMS from your project? If you are requesting equipment or items that may be used in the future, you must track the usage data for an additional 12 months after the equipment is in place: your objective might read: To install 4 AED units in 4 public buildings. To schedule and hold three classes. To train 19 employees. To track usage data for 12 months after installation. List objective(s): To install 10 AED units in various public buildings (City Hall, Rec, Community Center, etc.) To conduct Heartsaver AED classess for City employees where the machines are placed. To maintain each machine yearly through the Fire Inspection Bureau in concert with the EMS and Training Division. ARE YOU HOLDING CLASSES? Did you attach support memos/emails/forms showing interest from other agencies and how many would attend? Sample of class curriculum? Do you know class locations? Are you addressing issues of travel, scheduling, etc? Standard AHA Heartsaver AED curriculum would be used. Note: Work Plan no longer required by State. You may submit additional pages. 11 TR11331 -EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM EXPENDITURE PLAN What is needed to accomplish your objective(s)? Realistic conservative cost estimates are in our best interest. Do not price yourself out of the process. Do not pad. Do not round up These few dollars could make a difference in funding someone else's g_roleet. We can cover reasonable overages and also we use leftover funds for the following year. Grant monies cannot be used to supplant existing positions, pay overtime, meeting room expense or for food or for kitchen equipment. If other agencies are participating in your project, list the agency and quantity each will receive if not identical. Include 1st year maintenance costs if not included with equipment. ITEM No brand names, lease Unit Cost Quantity Total Automatic External Defibrillators $1,800.00 10 $18,000.00 Wall Cabinet with accessories $ 225.00 10 $ 2.250.00 Heartsaver AED Training in -kind match in -kind match Delivery Charges, if an , estimated Attach additional pages it needed. TOTAL: $20,250.00 FUTURE EXPENSE Please estimate the maintenance or other required recurring expenses ep r unit after first grant year, if applicable. these costs will be absorbed by the grant recipient(s) and not paid from grant funds. Please discuss this issue with your Agency because if may affect your budget. Item Cost Batteries (6@$300/each) $1,800.00 Gloves, Pads, and Disposable Equipment (3-5 years or sooner) (6@$50.00) $ 300.00 OWNERSHIP Do you wish to be assigned ownership of the items purchased under this grant? Yes X No If you do not possess an ownership interest in the items purchased under the grant, the County may require that the equipment be returned to the County at the end of the grant period in good condition minus normal wear and tear. 12 TR11331 - EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM MEDICAL DIRECTOR APPROVAL Does the project require approval from your Medical Director according to Chapter 401, Florida Statutes, Chapter 64E-2, Florida Administrative Code? If yes, have your Medical Director complete the following: Medical Director approval: The undersigned, as Medical Director, supports and approves the following project: Project Name: public Access Defibrillators (AED) My authorizing signature: Printed Name: Scott ulin, MD Agency Name: Tamarac Fire Rescue -�� Date: 6/24/04 Title: Medical Director SPECIAL LICENSURE OR APPROVALS Are you aware of special licensure or approvals needed (i.e., State Division of Communications)? If yes, please include this information with your Application. RESPONSIBILITIES FOR ADDITIONAL COSTS All projects awarded funding by the County which involve purchasing of equipment and/or facilities by the County through Broward County's Purchasing Division will require the respective entity to be responsible for securing and paying any and all costs associated with maintenance, insurance, licensing and permitting required or deemed necessary for said equipment or facilities in order to fulfill the project objectives. RISK OF LOSS The entity which will ultimately have ownership of the items procured through this grant process must agree to be responsible for any risk of loss prior to receipt of the equipment and be liable for damages to persons or property that may occur upon delivery of the items is such damage is not caused by the County. USEFUL LIFE OF EQUIPMENT If your project is funded and at some time there is no further need for the equipment, its useful life has been reached or if you are lending it to another agency, please contact the Contracts/Grants Administrator for instructions or information. PROGRESS REPORTS After receipt of the funds by the County and allocation into project accounts, the purchasing process begins. The project leader is required to submit a quarterly report to the Contracts/Grants Administrator after implementation of the project objectives. It should describe progress to date. Additional quarterly reports will be required until completion of the project. You will be sent the form and instructions. 13 TR11331 -EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM OUTCOME/EVALUATION/FINAL REPORT Within thirty (30) days after the full implementation of the project, the project leader is required to submit a report evaluating the project's results, completing your grant project cycle. Some projects will have an objective to track usage data for an additional 12 months after equipment is in place so the Committee can evaluate the project's impact (especially for AED projects.) The report should include outcome measures, indicating by percentage or actual numbers, the extent to which the original objectives were accomplished. Base your report on information from participating agencies, statistics, surveys, satisfaction reports, class attendance rosters, etc. The ContractslGrants Administrator will provide the form, instructions and due date for the report. The results from all the projects will be compiled for a report to be presented to the Grants Committee and results will be presented at a Broward Regional EMS Council meeting highlighting the types of projects funded and the impact County Award Monies have for Broward County (the outcome of your objectives). Additionally, this information is sent to the State of Florida's EMS County Grant Program Manager as required in the terms and conditions of the grant program. DUPLICATE FUNDING If an identical grant (including partial quantities) is funded by another source, including sources such as EMS Matching Grants, you are requested to advise Barbara Pomeranz. Duplicate purchasing will not be made from County Award Monies for an approved project. The unused monies would be available for the next ranked project. PROXY STATEMENT Should the project leader or the authorized agency signer not be attending the Ranking Meeting and partial funds come available, please indicate below if you wish to accept partial funds to accomplish part of your objectives. You will be asked to modify your project objectives and expenditures in writing. I would accept partial funding. X cannot accomplish an objective with partial funding. Printed Name: Thamas she - Signa ��— (Project L d�®rf grant COMPLIANCE WITH AMERICANS WITH DISABILITIES ACT The undersigned shall comply with Titles I and II of the Americans with Disabilities Act of 1990 regarding nondiscrimination on the basis of disability in employment and in state and local government services in the course of providing such services and programs, funded in whole or in part by Broward County. AUTOMATIC TERMINATION OF LEGAL AGREEMENT Should your agency be party to a legal agreement with the County for funding and the grantee voluntarily notifies the County that they cannot use the funding or the project is not moving forward, then such notification makes it an automatic termination of the legal agreement. 14 TR11331 - EXHIBIT A 2005 EMS COUNTY GRANT PROGRAM PRESENTATION MEETING REPRESENTATION Will a representative attend the Presentation Meeting on Thursday, September 30? Yes x No Making a presentation? Yes x No Barbara Pomeranz will contact you with approximate presentation times and coordinate any AV aids you will be needing or using. authorized Asency Re resentative Si nature: I accept responsibility for management of the project and compliance with applicable terms and conditions, including EMS County Grant General Conditions, and certify that to the best of my knowledge, the information contained in this application is true and correct. I have authority to sign for my a envy. AUTHORIZED SIGNATU DATE: 6/24/04 PRINTED NAME: Thom s Sheridan TITLE: Division Chief AGENCY NAME: Tamarac Fire Rescue TELEPHONE NUMBER: 9564.724,2436 EMAIL ADDRESS: tomsh@tamarac.org This is the last page of your Application unless your application is "Multiple Agencies" or "Countywide." If you checked "Multiple Agencies or "Countywide" - "Applying for Equipment" on Page 8, please go to page 16. 15 TR113 1 EXHIBIT A Title: Automated External Defibrillators Originating Department: Fire Rescue Policy Number: 01-O6 City of Tamarac, Florida Administrative Policy Effective Date; August 7, 2001 Supersedes: All. previous and existing memos or administrative Dolicies in conflict Page I of 7 This policy will guide employees with the placement, training and use of automated external defibrillators provided and located at municipal facilities and/or vehicles. H1 :761111 rWA The City may place AEDs in various facilities/vehicles owned by the City. Wherever an AED is placed in a municipal facility, certain employees assigned to that facility on a regular basis and designated by the Department Director shall be trained in the use of the AED. The City shall provide this training at no cost to the employee. The designated employee shall be expected to utilize the AED if the need should arise. At all locations where an AED is provided there shall be at least one designated employee trained in the use of the AED whenever the facility is open to the public. A. Automated Fxternal DeffirjUatpr (A.E D-)a a device capable of monitoring the electrical activity of an individual's heart, verifying certain cardiac arrhythmias and when appropriate, delivering a shock capable of correcting the fife threatening arrhythmia. �� TR11331 -EXHIBIT A Policy: Automated External Defibrillators Policy M 01-06 Page 2 of 7 B. Cardio-pulmonaryCardlo:pulmonary resuscitation CPR : potentially lifesaving activities consisting of rescue breathing and external cardiac compression in accordance with standards established by the American Heart Association. C. Defibrillation: the medical technique employed to stop an ineffective, potentially fatal heart arrhythmia and restore a normal heartbeat and effective blood flow. D. Departmental AED Coordinator: a Designated AED Responder assigned by their Department Director as liaison to Tamarac Fire Rescue for purposes of the AED program. E. Designated AED Responders those employees trained in CPR, AEDs and first aid who have been designated by the Department Director to employ such training when medically appropriate; after notification of emergency response personnel but prior to their arrival. Rendering emergency medical care is not a primary job function for these employees. Designated responders may be requested to continue to provide assistance by emergency responders. F. EmWoyee: an individual who is appointed to a regular full-time or regular part-time position with the City of Tamarac. G. Emergency Responders: those individuals with emergency medical training that are assigned to respond to medical and other emergencies as a primary job function. H. Patient: any individual needing medical assistance. I. Public Access AED: the provision of an AED in places frequented by the public. The use of Public Access AEDs is limited to those individuals who are properly trained. J. Training: information provided by a qualified instructor along with skills practiced under their supervision. TR11331 - EXHIBIT A Policy. Automated Extemal Defibrillators Policy #: 01-06 IV. PLACEMENT: Page 3 of T A. The City Manager shall approve the placement of Public Access AEDs on City property based upon the recommendations of the Risk and Safety Officer, Fire Chief and Department Director of the property involved. B. Public Access AEDs shall be placed so as to be immediately accessible to Designated AED Responders in .the event of an emergency while maintaining security of the devices to avoid unauthorized use or tampering. C. At each location where a Public Access AED is provided, there shall also be placed personal .protective equipment designed to shield rescuers from exposure to the bodily fluids of a patient. As a minimum the following equipment shall be provided at the following levels at all times: L Medical grade gloves (2 pair) ii. A rescue breathing device with barrier iii. Face shield or safety glasses D. The location of Public Access AEDs shall be clearly identified. E. Public Access AEDs shall be available at all times that a facility is open to the public. V. TRAINING: A. Training shall be required of all Designated AED Responders in accordance with statutory requirements (FS 401.2915(1)). B. Qualified instructors employed by Tamarac Fire Rescue or other qualified instructors authorized by the Fire Chief shall provide training. C. Designated AED Responders shall maintain CPR and AED skills by performing periodic review of the equipment and knowledge provided by the instructors. TR11331 - EXHIBIT A Policy: Automated Extemal Defibrillators Policy #: 01-06 Page 4 of 7 D. Designated employees accepting the AED training provided by the City are expected to employ the training when confronted with a medical emergency during assigned working hours. VI. USE: A. Prior to the use of a Public Access AED, the patient shall be assessed by the Designated AED Responder or other medical professional. B. Public Access AEDs shall be used to assess a patient's cardiac status and, if indicated, deliver a shock to defibrillate the heaft muscle. C. AEDs shall be used in accordance with the manufacturer's recommendations. D. When notified of an illness or injury in their work area, employees trained and identified as Designated AED Responders shall immediately notify or ensure that 9-1-1 is notified and respond to the location of the patient. E. AEDs shall be used only for medical emergencies and in authorized training programs. VII. RESPONSIBILITIES: A. Tamarac Fire Rescue will: i. Promulgate and periodically review and revise the City Policy concerning AEDs. ii. Train City employees in the use of CPR, AED and first aid as required by State statute. iii. Inspect each Public Access AED owned and maintained by the City at lease once each year. iv. Maintain a list of City employees who are trained and Designated AED Responders. v. Review training records for each Designated AED Responder at least once each year to ensure on -going training. , TR11331 - EXHIBIT A Policy. Automated Extemal Defibrillators Page 5 of 7 Policy #: 01-06 vi. Review each use of a Public Access AED by Designated AED Responders or on City property as part of the Quality Assurance Review Program. vii. Identify one individual to monitor the City's AED program and serve as liaison to Departmental AED Coordinators. This person is the EMS Division Chief. B. Department Director shall: i. Determine if the need for a Public Access AED exists in facilities and vehicles within their Department. ii. Identify individuals within their Department who are interested in CPR, AED and first aid training and who are willing and able to perform the associated skills. iii. Request authorization from the City Manager to locate a Public Access AED within the facility. iv. Provide an appropriate location for the Public Access AED after consultation with Tamarac Fire Rescue. v. Permit time for training and maintenance of the Public Access AED by assigned staff. vi. Budget for the acquisition, maintenance and identification of the Public Access AED and associated expendable supplies. vii. Identify those employees to be Designated AED Responders. C. Designated AED Responders shall: L Train to become proficient in CPR, AED and first aid. ii. Be willing and able to initiate CPR and first aid as well as properly utilize the Public Access AED present within their work area. TR11331 - EXHIBIT A Policy: Automated Extemai Defibrillators Policy M 01-06 Page 6 of 7 iii. Upon notification of an injury or illness, respond to the patient to initiate first aid, which may include the use of the Public Access AED if needed. iv. Without delay ensure that 9-1-1 is notified of the incident. D. Department AED Coordinator shall: I. Serve as liaison to Tamarac Fire Rescue for Public Access AED related issues. ii. Ensure that Designated AED Responders maintain proficiency in CPR, AED and first aid. iii. Conduct periodic inspections of each Public Access AED in their Department to ensure presence, serviceability and available supplies. iv. Report the need for training, supplies or service to the EMS Division Chief at Tamarac Fire Rescue. Vill. Maintenance: A. Each AED shall be maintained in accordance with the manufacturer's recommendations. Documentation of the maintenance must be kept within the Department and made available for inspection by Tamarac Fire Rescue. B. Each Public Access AED shall be Inspected weekly by the Departmental AED Coordinator to ensure accessibility, presence, serviceability and supplies. C. Each Public Access AED shall be inspected monthly by the Departmental AED Coordinator to ensure the battery is fully charged and weekly inspections are completed. D. Each Public Access AED shall be inspected and maintained by the Departmental AED Coordinator as required after each use. TR11331 -EXHIBIT A Policy: Automated Extemal Defibrillators Policy #: 01-06 Pago7of7 E. Tamarac Fire Rescue shall inspect each Public Access AED at least once each year. I. Location and accessibility shall be verified. ii. A performance test will be conducted. iii. Training records will be reviewed. iv. A record of each inspection shall be maintained for each Public Access AED. F. Maintenance costs shall be borne by the Department in which the Public Access AED is located. Approved• ; �. pjj.Ll-+� rf- L. Miller Date City Manager Printed from www.health.uab.edu on 6/24/2004 3:03:10 PM Page 1 of 2 TR11331 - EXHIBIT A HEALTH SYSTEM www.health.uab.edu/4Does Physiclan's Online Resource Center. Print this page t Back to Page Public Access Defibrillation by Trained Lay People Improves Survival The number of survivors of sudden cardiac arrest markedly increased when the victims were helped by community volunteers trained to perform not only CPR but also to use an automated external defibrillator (AED), a device that shocks an ineffectively beating heart back into normal rhythm, according to the results of a large multi -center study funded by the National Heart, Lung, and Blood Institute (NHLBI) in collaboration with the American Heart Association. over an average 21.5 months, there were 29 cardiac arrest survivors to hospital discharge in the group assigned to CPR plus AED compared to 15 survivors in the group assigned to CPR only. The results of the Public Access Defibrillation (PAD) Trial were presented at the 2003 American Heart Association's Scientific Sessions. UAB participated in this trial, with Thomas Terndrup, chair of emergency medicine at UAB, as UAB principal investigator. . "Sudden cardiac arrest is a top killer of Americans. This important study shows that lives can be saved by training community volunteers to use external defibrillators," said Acting NHLBI Director Barbara Alving, MD. There are more than 460,000 deaths from "out -of -hospital" cardiac arrest each year in the United States, about half of which occur suddenly. In cardiac arrest, the heart stops beating effectively, blood does not circulate and no pulse can be felt. The victim collapses suddenly into unconsciousness. Heart attacks, which are caused by a blockage of a coronary artery, can lead to cardiac arrest. The most common underlying cause of sudden cardiac arrest is an abrupt disorganization of the heart's rhythm called ventricular fibrillation, which can be triggered by a heart attack or can just represent a catastrophic rhythm disturbance. Unless cardiac arrest is treated within minutes (defibrillation or CPR followed by defibrillation), the victim will die. Defibrillation by trained public safety and emergency medical services (EMS) personnel is a highly effective life-saving treatment for cardiac arrest. However, it has not been known whether placing automated external defibrillators in the community and training laypersons to use them would prevent additional deaths. The PAD Trial sought to answer that question by evaluating survival of cardiac arrest victims in areas where there were community volunteers trained in CPR only, compared with survival of those in areas where there were volunteers trained in both CPR and the use of an AED. The PAD Trial trained approximately 20,000 volunteer rescuers at 24 sites in the U.S. and Canada. Each site identified between 20 and 70 community units with a potential for out -of -hospital cardiac arrests. Some of these were large residential units -- such as apartment complexes; other sites were public and included shopping centers, senior centers, office buildings, and sports venues, etc. Each study unit was randomly assigned to train volunteers in CPR only (recognition of cardiac arrest symptoms, instruction to call 911 for EMS support, and performance of CPR) or in CPR and the use of an AED. Defibrillators were distributed to the sites offering training in the use of an AED. All volunteers received 2 to 4 hours of initial training and most were retrained one or more times during the study. The majority of victims in both groups were men in their late 60s or early 70s. Increased survival of cardiac arrest victims was primarily found in the CPR plus AED "public" sites -- rather than in the residential locations. Survival rates in residential study locations were very low and were not improved by adding AEDs to the volunteer response teams. I ... . ... , . .. e^^elA L/^fA/-1AAA ,Printed from www.health.uab.edu on 6/24/2004 3:03:10 PM Page 2 of 2 TR11331 -EXHIBIT A "This study was a major frontier to cross," said Joseph P. Ornato, MD, chairman of the PAD steering committee, who presented the findings in Orlando. We now have the results of the world's largest test of public access defibrillation. We trained almost 20,000 volunteers. They did an incredible job and there were no major injuries or serious safety issues," added Ornato who is Professor and Chairman of the Virginia Commonwealth University Medical Center's Department of Emergency Medicine in Richmond. Additional information from the PAD trial is still being analyzed, including long-term survival results, quality of life, mental function of survivors, and the cost of implementing each type of system (costs of identifying and training volunteers and placement of AEDS). An important next step in research on the use of AEDs, said Ornato, is to test the safety and effectiveness of home use of these devices. The NHLBI is currently funding a multi -center 7,000 patient study designed to evaluate whether providing the devices to families of heart attack patients will improve survival if a cardiac arrest occurs in that person's home. p 2003 UAB Health System. All Rights Reserved. UAB Medical Information Service via Telephone (MIST) is available 24-hours a day, 7-days a week. You can access MIST by calling (205) 934-6478 or toll free 1-800-UAB-MIST for consultations, referrals, and information. Find this article at: http://www.health.uab.edu/4docs/show.asp?durki-62955&print=yes / /A A P%AA A a TR #11331 -- EXHIBIT B PREVIOUS ITEM BROWARD COUNTY NEXT ITEM BOARD OF COUNTY COMMISSIONERS B ADD Meeting Date 1 o9 COUNTY AGENDA ITEM # 12 01/25/05 Page 1 of 2 (identify appropriate Action or Motion, Authority or Requirement for Item and Identify the outcome and/or RBgii purpose of item.) A. MOTION TO ACCEPT report from the Emergency Medical Services (EMS) Grants Committee which includes the projects recommended for funding by distribution of the County Grant portion of State EMS Trust Fund Monies for Fiscal Year 2004/2005. B. MOTION TO APPROVE grant application to the State of Florida, Department of Health, Bureau of Emergency Services in the amount of $451,945 ($375,574 from FY2004/20Q5 EMS Trust Fund award monies and $77,371 from earned interest and completed project balances) for improving and expanding prehospital emergency medical services in Broward County from date of execution through September 30, 2005, and authorize the County Administrator to take the necessary administrative and budgetary actions for implementation. No county match is required. C. MOTION TO ADOPT a Resolution of the Board of County Commissioners of Broward County, Florida, authorizing an Emergency Medical Services ("EMS") Grant Application to the State of Florida, Department of Health; providing certification relating to use of EMS grant monies; and providing for an effective date. D. MOTION TO APPROVE Florida Department of Health EMS Grant Program Request for Grant Fund Distribution foram. Why Action is Necessary: Board approval of the EMS County Grant application (DH Form 1684, Rev. June 2002) is in accordance with the terms and conditions of the County Grant Program, Chapter 401, Part II, Florida Statutes. What Action Accomplishes: Approval of the EMS County Grant Application, Adoption of the Resolution and approval of the Request for Grant Fund Distribution meets terms and conditions of the program for Broward County's grant award for FY2004/2005. Is this Action Signature: (The first sentence includes the Agency recommendation. Provide an executive summary of the action that glues an overview of the relevant details for the item. Identify how item meets Commission Challenge Goal.) Scheduling maw • . II' Wq'.4II. � ' 'ww r Date: Type: Name, Title, Agency and Phone Rnurrw of wdditinnal infnrmAfinn- Tvnn NAmA Ananr_v Marlene Wilson, Director, Human I L)�) Services Dept., 954-357-6385 TR # 113 31 - EXHIBIT B �. r Div Page 2 of 2 The Human Services Department, Medical Examiner and Trauma Services Division and the Broward Regional EMS Council recommend approval. Each year Broward County applies for its respective proportion of the annual contribution to the EMS Grants Program portion of the state EMS Trust Fund, The Grant Application is used to apply for, and draw down the corresponding amount of monies. After state review of the application and approval, a Notice of Award is sent to the Board of County Commissioners, and within 45 days, an advance payment check is sent, not to exceed the awarded amount. Funds are deposited into a separate multi -year county fund. Deadline for receipt of this application is 5 P.M., January 28, 2005. The County will receive new monies in the amount of $375,574.46, and use $77,371 from earned interest and completed project balances to fund 14 new projects which improve and expand prehospital EMS in Broward County. From these funds $2,575 will be budgeted for administrative expenses for program management. No county match is required. No county personnel -positions are included. Individual project application expenses are detailed on the state application. The report from the Chair of the EMS Grants Committee lists the program procedures used, ranking order for the projects recommended for funding and those projects not recommended because all the monies had been allocated to the other projects. The Grants Committee utilizes a formal ranking matrix as recommended by the Board of County Commissioners to rank projects for funding. All continuing projects have either met their outcomes or are in the process of doing so. All new projects have outcome included in their grant applications. clude projected cost, approved budget amount and account number, source of funds, and any lure funding requirements.) Grant funds are derived from various surcharges on moving traffic violations. No general fund monies are used. ` (Please number exhibits consecutively.) Exhibit 1 — Report from EMS Grants Committee Chair Exhibit 2 -- EMS County Grant Application Exhibit 3 — Resolution authorizing grant application signature and submission and certifying use of monies Exhibit 4 — Request for Grant Fund Distribution ' Executed original(s) for permanent record (Number) Z Executed copies to return to: (Number) Barbara Pomeranz Contracts/Grants Administrator II Medical Examiner and Trauma Services Div. other instructions: name, agency, and phone) Please call Barbara Pomeranx at 954-327-6531 (main number: 327-6500) when ready for pickup. Must mail January 26 to meet state deadline of January 28, 2005. Thank you. From To „ vmrthlealon Acton APPROVED DENIED DEFERRED TR #11331--- EXHIBIT B EXHIBIT 1 IRWE At+nW Human Services Department �G� i. Medical Examiner and Trauma Services Division BROWARD REGIONAL EMS COUNCIL 6301 SW 31 Avenue Ft Lauderdale, FL 33312 Emergency Medical Services Council Dade (305) 620-0017 • Fax (954) 96"212 954 327-6500 December 30, 2004 TO: The Mayor and Members Board of County Commissioners THRU: Roger J. Desjarlais County Administrator FROM: Elizabeth Jordan, Chairl EMS Grants Committee Broward Regional EMS Council SUBJECT: Report by the EMS Grants Committee Recommending Execution of the Application for the County Award Portion of the EMS Trust Fund Monies, FY2005 59MMARY The EMS Grants Committee and Broward Regional EMS Council recommend approval of the following actions: (1) execution of the Application, which includes recommendations for funding fourteen (14) new project proposals received from EMS providers and interested eligible parties in Broward County and one (1) project which funds administrative expenses for program management; (2) execution of the Request for County Grant Distribution (advance payment); and, (3) adoption of the resolution which provides that monies will be used to improve and expand the County's prehospital EMS system. BACKGROUND Broward County's State Grant Officer has advised that the County's portion of the County Award Monies on deposit with the Florida Department of Health as of the closing date for collection was $375,574 available to eligible county governments to improve and expand prehospital emergency medical services in their county. Additional monies are available in the amount of $77,371 from interest earned and completed project balances. The total is $451,945 for the 2005 budget. Broward County Board of County Commieioners Jossous Egoelk6m. Jr. • Ben Graber • Sue Guraaburow • KhWn D. Jacolm • Hum t.labamran • John E. Rodstrorn, Jr. • Jim SoW • Diana Waeawman-Rubin • Lois Wexrer www.brnwarrr nm TR #11331 -- EXHIBIT B The Mayor and Members Board of County Commissioners December 30, 2004 Page 2 IMPLEMENTATIQU PROCEDURES The following was accomplished in accordance with the following application process: Transmittal letters and applications were sent to all EMS providers and eligible interested parties in Broward County requesting proposals for projects to be considered for EMS County Grant Program monies. Notice of application availability was published on the Broward County EMS Council website and in the local newspaper. Proposals received were reviewed by the EMS Grants Committee for recommendation for funding according to the following ranking criteria as listed on the Criteria Matrix, incorporated in the project leader's application packet. The Criteria Matrix is a combination of the State of Florida's general criteria and the State's Matching Grants Evaluation Worksheet. 1. Eligibility as referenced in the Florida EMS County Grant Program Manual: "...licensed EMS providers, first responder organizations, injury prevention organizations, EMS training centers, academic institutions and others related to EMS." 2. Purpose as referenced in the Florida EMS County Grant Program Manual: "...improve the existing quality of prehospital EMS activities or services, or to decrease patient mortality and morbidity; and, to expand the extent, size of number of existing prehospital activities or services." 3. Countywide or multiple agency application/participation. 4. The project has included written, measurable, obtainable objectives. 5. The project is clearly described. 6. There is strong evidence that the project is responsive to the defined need and is service driven rather than agency driven. 7. The work plan is clearly identified/defined. 8. There is strong indication the project is not replacing or unnecessarily duplicating existing equipment and is for only those items necessary to accomplish the objectives. 9. The budget is reasonable. 10. The project application impact, overall, in terms of need, clarity and completeness. Srowwd County Board of County Commissioners Josephus EggeRetion, Jr. • Ben Graber • Sue Gunzburgw • Krintin D. Jambe • lime t ialwman • John E. Rodsham, Jr. • Jim Soolt • Dian Weasenrreo-Rubin • Lois Weider TR # 113 31 — EXHIBIT B The Mayor and Members Board of County Commissioners December 30, 2004 Page 3 The deadline for receipt of applications was June 25, 2004. The original project applications totaled almost $800,000. After reviewing the proposals received for FY2005, on September 30, 2004 the Committee heard formal project presentations and made requests for additional information, if needed. During its October 29, 2004 ranking meeting, each of the EMS Grants Committee members submitted a form on which they had numerically ranked the grant projects based on the criteria listed above. Our Assistant County Attorney, Patrice Eichen, tallied the results. Additionally, she reviewed projects for possible conflict of interest. There was none. As agreed in 1995, the Committee recommends automatically funding the program administrative expenses in the amount of $2, 575. Grant projects recommended for funding are listed in order of their ranking. Those not funded are listed also. Project leaders were invited to return next year with their unfunded projects applications. Lead A ncy Project Title Type Amount Rank Davie Fire Rescue Personal Countywide $12,660 1 Decontamination Kits Brow. Co. Medical Examiner Post Exposure Countywide $3,750 2 and Trauma Services Guidelines Miramar Fire Rescue Supra-Glottic Countywide $111,895 3 Laryngeal Airway Mask Device BSO/ Marine Unit Oxygen First Aid Mum Agency $7,500 4 Units Dania Beach Fire Rescue R.E.A.P. (Rapid Mufti Agency $19,850 5 extraction of Aquatic Patients Institute for Child Health Multiple Countywide $1,050 S Policy/Nova Approach application Training Model for Responders in Suicide Prevention Combined Cart Grant Emergency Countywide $87,304 7 Medical Carts Impact Mufti -agency: Miramar, Pembroke. Pines,Davie Margate /Coconut Creek Hollywood Fire Rescue and Pneumatic Lift Countywide $15,237 8 Beach Safety Dept Baps TR #1.1331 - EXHIBIT B The Mayor and Members Board of County Commissioners December 30, 2004 Page 4 Lauderhill Fire Rescue Pediatric Multi agency: $10,400 9 Transport Lauderhill Devices Laud. Lakes Tamarac Tamarac Fire Rescue Public Access Single Agency $20,250 10 Defibrillators (Public Facility AEDs Ft. Lauderdale Fire Rescue Public Access Single $22,230 11 Defibrillators Agency Pembroke Pines Fine Rescue Pembroke Pines Single Agency $13,500 12 Charter School " Automated Extemal Defibrillators AEDs N. Lauderdale Fire Rescue Multicultural AED Single $19,150 13 and Heartsaver Agency Program BSO/Fire Rescue/Emergency Automated Countywide $134,850 14 (Monies remaining Services Extemal allowed partial funding Defibrillations of $104,594) (AED) buses No money was available to fund the remaining projects: Miramar Fire Rescue Confined Space Single Agency $47,533 15 E ui ent Margate/Coconut Creek Fire GPS Hand-held Multi Agency $26,000 16 Rescue Talk - About Radios Hallandale Beach Fire Automated Single Agency $40,016 17 Rescue Resuscitation Device BSO/Fire Rescue/Emergency Advanced Multi Agency $52,000 18 Services Ops and Firefighter Human Body Safety Simulators Ft. Lauderdale Fire Rescue Medic Monthly 1 Single $25,920 19 Year Continuing Agency Education Unit Training Program CEUTP Partnership Missions Inc. Communication 7 (No $50,280 20 Is the EMS Link: information) Overcoming the Haitian Population Barriers Partnership Missions Inc. Educating Health 7 (No $76,600 21 Awareness with information) the Haitian ('_ninmi mitu TR #11331 -- EXHIBIT B The Mayor and Members Board of County Commissioners December 30, 2004 Page 5 At its December 2, 2004 meeting, a motion was approved by the Broward Regional EMS Council members to approve the recommendations of the EMS Grants Committee. Following are the EMS Council members serving on the 2004/2005 EMS Grants Committee: Elizabeth Jordan, Chair Broward Community College Director, EMS Department Dr. Wayne Lee Medical Director James Holland Broward County Medical Examiner and Trauma Services Division Chief Lamar Davis Hollywood Fire Rescue and Beach Safety EJ:bp cc: Office of General Counsel Office of Commission Audit George H. Danz, Authorized liaison 05 state app letter to commission.doc Andrew Popick American Heart Association Chief Frank Porcella Margate Fire Rescue Paulette Kandel Broward County Emergency Management Dr. Deborah Mulligan -Smith Institute for Child Health Policy Nova Southeastern University Broward County Board of County Commissioners TR #11331 - EXHIBIT B Resolution 2005-035 1 2 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF BROWARD COUNTY, FLORIDA, 3 AUTHORIZING AN EMERGENCY MEDICAL SERVICES 4 (-EMS-). GRANT APPLICATION TO THE STATE OF FLORIDA, DEPARTMENT OF HEALTH; PROVIDING 5 CERTIFICATION RELATING TO USE OF EMS GRANT MONIES; AND PROVIDING FOR AN EFFECTIVE DATE. 6 7 BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF 8 BROWARD COUNTY, FLORIDA.- 9 10 Section 1. That the Mayor or Vice -Mayor of the Broward County Commission are 11 hereby authorized to sign and submit to the State of Florida, Department of Health, the 12 County's 2005 Emergency Medical Services Grant Application, in the requested amount 13 of Four Hundred Fifty -One Thousand Nine Hundred Forty-five Dollars and Forty-six 14 Cents ($451,945.46), for the purpose of improving and expanding prehospital 15 16 emergency medical services in Broward County. 17 18 Section 2. That Broward County hereby certifies that monies from the 19 Emergency Medical Services County Grant will improve and expand Broward County's 20 prehospital emergency medical system and that the grant monies will not be used to 21 supplant existing Broward County emergency medical service budget allocations. 22 I TR #11331 - EXHIBIT B 1 Section 3. EFF Q: VE DATE. 2 This Resolution shall become effective upon its adoption. 3 4 ADOPTED this (35'"- day of , 206S7 4kif-r. 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 PME:cmc 01/03/05 22 resoapp.g05 TR #11331 - EXHIBIT B FLORIDA DEPARTMENT OF HEALTH EMS GRANT PROGRAM REQUEST FOR GRANT FUND DISTRIBUTIDN 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. H Remit Esmint T Name of Agency: Broward County Board of County Commissioners Mailing Address: 115 South Andrews Avenue 17-E-c-T�C 7i719-Fi Authorized Official: Ft Lauderdale, Florida 33301 59-6000531 - %'z-A 5lgriat�re Vv ; CHF'AT,�j',� k (( �� ar OCT. tS1" ui Kristin D. Jacobs, Mayor t 9.� �; Type Name and Title �' _% a Sign and return this page with your appllc n to: " Florida Department of Heath �; � ��,• GEMS Grant Rwarn N411 .;,,"00 4052 Bald Cypress Way, Bin C18 Tallahassee, Florida 323W1738 Do not write below this line. For use by Bureau of Emergency Medical Services personnel only. Grant Amount for State to Pay: $ Approved by: Signature of EMS Grant Officer State Fiscal year. Organization -Code 64-25-60-00-000 Federal Tax ID Grant ID: Code: Date: E.O. gpA Object Code N— N2000 7 VF Grant Beginning Date: October 1, Grant Ending Date: September 30, ]H Form 1767P, Rev. June 2WZ 5 I TR # 113 31 — EXHIBIT B EXiIIBIT 2 EMS COUNTY GRANT APPLICATION FLORIDA DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Complete all items D Co he State Bureau of EMS will assign the ID Code = leave this blank P. 1. County Name Broward Cou Business Address: 115 South Andrews Avenue Ft. Lauderdale Florida 33301 Telephone: 954-357-7000 Federal Tax ID Number Nine D' it Number). VF 0 0 9 5 1 2, Certification: (The applicant signatory who has a rity igrr ntra ' , gra ' nts, and other legal documents far the county) I ce that all inforrnati , O and. "m*tW'EMS County grant application and Its attachments are t y a. natuW� ed=6k�and"as`wfes,th�� the County shall comply fully with th oa E Grit.A�lidatibn. Si natu Date: 1/25/05 Printed Name: stin D. Jacobs i t Position Title: Mayor k 3. Contact Person: (The individual with direct knowd of the project"cr'a day-to-day basis and has responsibility for the implementation of the grant activities:= r4�[04tr authorized to sign project reports and may request project changes. The signer and the co h person may be the same.) Name: Geo a H. Danz Position Title: Chief of Operations, Authorized Grants Liaison Address: 5301 SW 31 Avenue Ft. Lauderdale, Florida 33312 Telephone: 954-327-6500 Fax Number: 954-327-6580 E-mail Address:2danz(Mbroward.org 4. Resolution: Attach a current resolution from the Board of County Commissioners certifying the grant funds will improve and expand the count pre -hospital EMS system and will not a used to supplant current levels of count expenditures. (attached) 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organizations(s) below. (Use additional p2ges if necessary.) (Pages 5.1— 5.15 attached 3 TR #11331 - EXHIBIT B r1H Rnrm IRRd RPv June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the o anization s below. Pro'ect 5-1. Personal Contamination Kits A enc : Davie Fire Rescue (on behalf of Broward Coun A encles Amount: $12,660 A. Salaries and Benefits: For each position Title, provide the amount of salary per hour, FICA per Hour, other fringe benefits, and the total number of hours. Amount 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 excludina expenditures classified as operating capital outlay see next category.) Clear zippgr bags 2 mlk- 6000 $.10 $ 600 Clear bags 1.5m1— 3000 Q $.34 1,020 Water resistant coverall suits — 3000 $3.05 9,150 Blo Hazard stickers 4"x4"— 3000 @ $.06 180 Absorbent towels 20"00" — 6000 @ $.21 1,260 Paper and printing — 3000 M $.16 450 s12,660 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exoendable nature with a normal exoected life of one (1) year or more. List the item and, if applicable, the quantity Amount TOTAL GRAND TOTAL s12 660 5.1 TR #11331 — EXHIBIT B DH Form 1684, Rev. June 2002 5. Budget. Complete a budget page(s) for each organization to which you shall provide funds. List the or anization s below. Project 5-2: Post Exposure Guidelines Agency: Broward County Medical Examiner and Trauma Services Division Amount: $3,750 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Hour, other fringe benefits and the total number of hours. Amount Total $ 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 quanft Amount Color, laminated poster 11x17 — 250 9 $5.00 $1,250 Color, laminated bi fold quick reference guide — 500 $5.00 2,500 Total $3,750 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non ex ndable nature with a normal expected life of one 1year or more. List the Item and, if applicable, the ua Amount GRAND' 53,750 I1911MANirIbe] 08 � DH Fnrm 1684_ Rev_ June 2002 5. Budget: Complete a budget pages) for each organization to which you shall provide funds. List the o anization s below. Project 5.3: Su ra-Gloti is La n eal Airway Device Agency: Miramar Fire Rescue on behalf of all count agencies Amount: $111,896 A_ Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits and the total number of hours. Total $ 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 exoenditures classified as operating capital outlay see next catego List the item and, if a plicable, the quartity Amount La n eal devices — 525 boxes of 5/box @ $1951box 102,375 Training class materialsidevic es —1 lot Soo Shipping 200 Total $103,375 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exoendable nature with a normal expected life of one 1 year or more. List the item and if applicable, the quapft Amount Manikins -- 20 $426 $8,520 TOTAL $8,520 GRAND TOTAL $111 995 TR # 113 31 - EXHIBIT B 111-1 Fnrrn 1 RSd PPv .lone 2(In2 S. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organization(s) below. Project 5.4: Ox en First Aid Units A ency: Broward Sheriff's Office/Marine Unit Amount: $7,500 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total $ 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 ooeratina capital outlav (see next category.) List the item and, if applicable, the quantk Amount Total $ C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exDendable nature with a normal exi3ected life of one 1 ar or more. List the item and, W applicable, the qua Amount Rescue cks —12 91 $599 $7188 Non rebreather masks —12 @ $4 48 Masks —12 49 $22 264 TOTAL $7,500 GRAND TOTAL $7,500 TR #11331 - EXHIBIT B nH Fnrm 1684 Rev. June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organization(s) below. Project 5.5: R.E.A.P (Ra id Extraction of A vatic Patients Agency: ania Beach Fire Rescue Amount: $19,85 1 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total $ 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 ooeratinra capital outlay (see next category.) List the item and, if applicable, the quantity I Amount Total I $ C. Vehicles, equipment, and other operation 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 quannL Amount Rescue water craft — 2 0 $T 000 $14,000 Trailers — 2 @ $1,000 2,000 Rescue sled — 2 11 $1,800 3,600 Freight 250 GRAND TOTAL $19,950 5.5 TR #11331 — EXHIBIT B 9930A ©- 1..A� "WIM 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the or nization s below. Project 5.6: Multiple Approach Training Model for Responders in Suicide Prevention Agency: Institute for Child Health Policy/Nova Amount: $1,050 A Salaries and Benefits. For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total $ 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 ovnranAitl lnoe rlaccifiEarl a4 nneratinn nanital Outlay (see next cateaorv.) List the item and, if applicable, the quantity Amount Handouts, fliers $ 5Q Meeting facilitation administrative costs — 4 $250 1 1,000 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non expendable nature with a normal wpected life of one year or more. List the item and, N applicable, the quantity Amount GRAND TOTAL 5.6 TR # 113 31 — EXHIBIT B mw anrm iAAA maw _limp 7nn9 a Calsripa send Plarwrts- For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total ; 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 ex nditures classified as operating cap ital outlay see next category.) List the item and, if applicable, the quantity Amount Total 1 $ C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non ,...,e...aekii . A#, s nnrm4l savnartcarl life of nna (11 Vpar nr more_ List the item and, if applicable, the quantity Amount 4-wheel drive all terrain utility vehicles, with accessories, trailer and mini ambulance conversion — 4 @ $21,826 $87,304 GRAND TOTAL $87,304 L w TR #11331 - EXHIBIT B r)H Fnrm 1RRA RRv. June 2002 S. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the o anization s below. Pro'ect 5.8: Pneumatic Life Bags Agency: Hollywood Fire Rescue and Beach Safety Amount: $15,237 A_ Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Hour, other fdn a benefits, and the total number of hours. Amount Total $ 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 excludin exoenditures classified as operating capital outlay see next cate o List the item and, if applicable, the quant' I Amount Total 1 $ G. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exDendable nature with a normal expected life of one 1 year or more. List the item and, if applicable, the quent' Amount Airbags and associated accessories such as controller, hoses, cases, regulators, tools — 4 ea $3,8W.25 15,237 GRAND TOTAL $15,237 5.8 TR #11331 - EXHIBIT B DH Form 1684. Rev. June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the o anization s below. Project 5.9: Pediatric Transport Devices Agency: Lauderhill Fire Rescue, Lauderdale Lakes Fire Rescue, Tamarac Fire Rescue Amount: $10,400 A_ Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Hour, other fringe benefits, and the total number of hours. Amount Total $ 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 ooeratino capital outlay (see next category.) List the item and if applicable, the quantqy Amount Total C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exoendable nature with a normal expected life of one 1 year or more. List the item and, if applicable, the quant'y Amount Pediatric transportation device child seat) —13 $800 $10,400 GRAND TOTAL s10,400 r , r TR # 113 31— EXHIBIT B DH Form 1884. Rev. June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall List the o an'¢ation s below. Pro'ect 5.10: Public Access Defibrillators A enc : Tamarac Fire Rescue Amount: $20.260 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits and the total number of hours. Total x 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 categoryl List the item and. if applicable, the quantity I Amount C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non expendable nature with a normal exp2cted life of one 1 year or more. List the item and, if applicable, the qua9ftAmount Automatic external defibrillators, cabinets --10 ea $2,025 $20 250 AL 1 $20,250 9 4n TR #11331 — EXHIBIT B DH Form 1664, Rev. June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the or nization s below. Pro ect 5.11:-Public Access Defibrillators Nancy: : Ft. Lauderdale Fire Rescue Amount: $22,230 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total $ 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 catego List the item and, If applicable, the quantity Amount Training and supplies --10 sets Q $428 $4,280 Total $4 280 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non expendable nature with a normal exp@qed life of one 1 year or more. List the item and, if applicable, the uanft I Amount A&Ao% a+AA aovfv%rnsk1 defibrillators —10 ea tip! S1.795 1$17,960 17 AL r t R TR # 113 31— EXHIBIT B DH Form 1684, Rev. June 2002 5. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the o nization(s) below. Project 5.12: Pembroke Pines Charter School Automated External Defibillators A enc :Pembroke Pines Fire Rescue Amount: $13,500 A. Salaries and Benefits: For each position title, provide the amount of salary per hour, FICA per Amount Hour, other frin a benefits, and the total number of hours_ Total S 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 exnenditures classified as operating capital outlay_Csee next cat o List the Total Amount C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non exp2ndable nature with a normal expected life of one 1year or more. List the item and if applicable, the quantq I Amount A-i tnmated external defibrillators with wall cabinet — 6 ea @ $2.250 1 $13,500 5.12 AL TR # 113 31 -- EXHIBIT B 0.... I,...e 7AA7 S. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organization s below. Project 5.13: Multicultural AED and Heartsaver Program Agency: N. Lauderdale Fire Rescue Amount: $19,150 A Cfnlsrioc 4nri panaFiFe- For each position title, provide the amount of salary per hour, FICA per Hour, other fringe benefits, and the total number of hours. Amount Total ; I 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 catego List the item and, if a icable, the qua q Amount Training materials text —1200 JR $5 $6 000 Fliers, handouts —1 lot at $250 250 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal property of a non consumable and non n,.nantinhia nnfa irm with A nnrmal aynwrtwi life of nne !11 vear or more. List the item and, if apelicable, thequant!q Amount Automated extemal defibrillators — 6 1@ $2,000 $12,000 Rhythm generators — 3 IN $300 900 GRAND TOTAL $19,150 5.13 TR #11331- EXHIBIT B DH Form 1684 Rev. June 2002 S. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the o nization s below. Project 5.14: Automated External Defibrillators for Mass Transit Agency: Broward Sheriffs Office/Fire Rescue and Emergency Services Amount: S104.594 _ A. Salaries and Benefits: For each position tide, provide the amount of salary per hour, FICA per Amount Hour, other fringe benefits, and the total number of hours. Total $ 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 excludin axnenditures classified as operating capital ouch (see next cat o List the item and, if a Fliers. handouts —1 lot Amount $194 $194 C. Vehicles, equipment, and other operation capital outlay means equipment, fixtures, and other tangible personal properly of a non consumable and non expendable nature with a normal a cted life of one 1 ear or more. List the item and if a licable the ua Amount Automated external defibrillators and accessories — 58 $1,80D $104,401 Total 1 $1 D TOTAL 1 $1 5.14 TR #11331 — EXHIBIT B r%U C.,.... 4 ROA oe., 1„nc •inn9 S. Budget: Complete a budget page(s) for each organization to which you shall provide funds. List the organizatian s below. Project 5.15: Program Administrative Expenses, Agency: Medical Examiner and Trauma Services Division Amount: $2,575 A CaInA&e and FtanaPite- For each position title, provide the amount of salary per hour, FICA per Hour, other fringe benefits, and the total number of hours. Amount Total $ 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 eavnear,r&a irae AaceifiaA ne nnaratinn ranital not lav (,RR nAyt catanerv.) List the item and, if applicable, the quantity Amount Travel $ 225 Auto allowance 116 Telephonelcircultq 500 Postage 100 Self insurance from County 750 Office suppiks, printing 500 Dues and memberships 200 Advertising 100 Seminars 84 Total $2,575 C. Vehicles, equipment, and other operation 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 ear or more. List the item and, if applicable, the quantity Amount GRAND TOTAL.1 $2,575 5.15 TR #11331 - EXHIBIT C Jeb Bush Governor The Honorable Kristin D. Jacobs Mayor Broward County Board of County Commissioners 115 South Andrews Avenue Fort Lauderdale, FL 33301 Dear Mayor Jacobs: John O. Agwunobi, M.D., M.B.A., M.P.H. Secretary February 28, 2005 It gives me great pleasure to inform you that Broward County has been awarded an emergency medical services (EMS) county grant, number C4006, in the amount of $374,574.46. The grant is for improving and enhancing prehospital emergency medical services. We have submitted a request for the release of funds to our disbursements office. The funds should be received within the next 30 days. The grant ends September 30, 2005. Six-month expenditure and activity reports are due by April 16, 2005. The final expenditure and activity reports are due by December 1, 2005, Your signed grant application acknowledges that you have read, understand, and will comply fully with the terms and conditions as outlined in the "Florida EMS County Grant Program Application Packet, June 2002." Thank you for your continued support and involvement in improving and expanding the prehospital EMS system. If you need assistance, please feel free to contact Mr. Ed Wilson, Program Administrator in the Bureau of EMS, at (850) 245-4440, extension 2737, or Mr. Alan Van Lewen, Health Services and Facilities Consultant in the Division of EMS, at (850) 245- 4440, extension 2734. Sincerely, John O. Agwunobi, M.D., M.B.A., M.P.H. Secretary, Department of Health JOA/ew cc: Mr. George H. Danz TR #11331 - EXIBIT D F L © R I D A HUMAN SERVICES DEPARTMENT 115 S. Andrews Avenue, Room 433 • Fort Lauderdale, Florida 33301 • 954-357-6385 • FAX 954-468-3592 November 30, 2007 Chief Thomas Sheridan City of Tamarac, Fire Rescue 6000 Hiatus Rd Tamarac, FL 33321 RE: Grant Year: 2005 Program(s): Public Access Defibrillators (Public Facility AEDs) Amount of Funding: $20,250 Chief Sheridan: On August 22, 2007, the County sent a letter to you which provided an update of FY 07 and 08 EMS County Grant (EMS Grant) Projects and Application cycle, and requested an update on the status of the above referenced EMS Grant Project. On November 28, 2007 you advised via email correspondence that you are in the final stages of completing your project and you requested clarification of the reimbursement process. Thank you for the update on the status of your project. In response to your request for clarification of the EMS Grant project reimbursement process, after the City purchases the item and submits the paid invoice with a request for payment to the County, the County will reimburse the City for the amount expended up to an amount equal to the approved EMS Grant Project award. In closing, Tamarac's continued collaboration and dedication towards improving and expanding pre -hospital emergency medical services in Broward County is appreciated. Additionally, if you or your staff have any questions or concerns regarding the above, or require technical assistance, you can reach me at 954-357-5445 or email wbeeda@broward.org. Respectfully, William Beeda Human Services Department c: Jeffrey Miller, City Manager Steve Chapman, Finance Director Chief Jim Budzinski, Fire Rescue Broward County Board of County Commissioners Josephus Eggelletion, Jr. • Sue Gunzburger • Kristin D. Jacobs • Ken Keechl • llewWeberman • Stacy Ritter • John E. Rodstrom, Jr. • Diana Wasserman -Rubin • Lois Wexler www,6 rd.org