HomeMy WebLinkAboutCity of Tamarac Resolution R-2003-1251
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Temporary Resolution 10145
May 27, 2003
Page 1
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R- 2003-
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA AUTHORIZING
THE APPROPRIATE CITY OFFICIALS TO ACCEPT A
GRANT AWARD FROM THE FLORIDA
DEPARTMENT OF HEALTH IN THE AMOUNT OF
$200,000 TO ACQUIRE AN ADVANCED LIFE
SUPPORT RESCUE VEHICLE AND ASSOCIATED
EQUIPMENT PROVIDING FOR A CITY MATCH OF
SALARIES AND BENEFITS OF THE POSITIONS TO
STAFF THE VEHICLE; AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO AMEND THE
GRANTS FUND BUDGET IN THE AMOUNT OF
$200,000 IN ACCORDANCE WITH PROPER
ACCOUNTING PROCEDURES DURING THIRD
QUARTER BUDGET REVISIONS; PROVIDING FOR
CONFLICTS; PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City of Tamarac has indicated a desire to improve emergency
medical services transportation; and
WHEREAS, the addition of one advanced life support rescue vehicle will assist
the Tamarac Fire Rescue Department in decreasing response time and meeting the
desired level of service; and
WHEREAS, the Florida Department of Health offers grant funding on a
competitive basis for emergency medical services rescue vehicles through the
Emergency Medical Services Matching Grant Program; and
Temporary Resolution 10145
May 27, 2003
Page 2
WHEREAS, the City of Tamarac City Commission authorized a grant application
to the Florida Department of Health's Emergency Medical Services Matching Grant
Program for the acquisition of one advanced life support rescue vehicle and
associated equipment via Resolution # 2003-14, attached hereto as Exhibit I;" and
WHEREAS, the City of Tamarac is willing to match the grant request of $200,000
with the personnel salaries and benefits of the positions necessary to staff the vehicle;
and
WHEREAS, the City of Tamarac's application to the Florida Department of
Health's Emergency Medical Services Matching Grant Program for grant funding in the
amount of $200,000 for the acquisition of one advanced life support rescue vehicle
was approved for funding; and
WHEREAS, the City Manager and the Fire Chief recommend accepting the
$200,000 grant award; and
WHEREAS, the City Commission of the City of Tamarac deems it to be in the
best interest of the citizens and residents of the City of Tamarac to accept grant
funding in the amount of $200,000, with a City match of salaries and benefits of the
positions to staff the vehicle, to purchase one advanced life support rescue vehicle to
serve the needs of our residents.
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Temporary Resolution 10145
May 27, 2003
Page 3
NOW THEREFORE BE IT RESOLVED BY THE CITY 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 appropriate City Officials are hereby authorized to accept the
grant award in the amount of $200,000 from the Florida Department of Health for the
purchase of one advanced life support rescue vehicle, a copy of said award is hereto
attached as Exhibit "2."
Section 3: The appropriate City Officials are hereby authorized to amend the
grants fund budget in the amount of $200,000 and appropriate said funds including
any and all subsequent budgetary transfers in accordance with proper accounting
procedures during third quarter budget amendments.
Section 4: All 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 by any court of competent jurisdiction to be unconstitutional or invalid, in part or in
application, it shall not affect the validity of the remaining portion or applications of this
Resolution.
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Temporary Resolution 10145
May 27, 2003
Page 4
Section 6: This Resolution shall become effective immediately upon its adoption.
PASSED, ADOPTED AND APPROVED this 11t" day of June, 2003.
ATTEST:
MARION S ENSON, CMC
CITY CLERK
I HEREBY CERTIFY that
I have approved this
RESOLUTION as to form.
AJOE SCHREIBER, MAYOR
RECORD OF COMMISSION VOTE:
MAYOR SCHREIBER
DIST 1: COMM. PORTNER
DIST 2: COMM. FLANSBAUM-TALABISC
DIST 3: COMM. SULTANOF
DIST 4: VIM ROBERTS
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TR # 1014 5 Temp Reso. #10002
Exhibit "1" Page
January 8, 2003
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2003 -
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA AUTHORIZING THE CITY
MANAGER TO SUBMIT AN APPLICATION TO THE
FLORIDA DEPARTMENT OF HEALTH FOR AN
EMERGENCY MEDICAL SERVICES MATCHING GRANT
IN THE AMOUNT OF $200,000, PROVIDING FOR A
MATCH IN THE FORM OF PERSONNEL SALARIES AND
BENEFITS, FOR ONE FULLY -EQUIPPED EMERGENCY
MEDICAL SERVICES TRANSPORT VEHICLE; PROVIDING
FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City of Tamarac has indicated a desire to improve emergency medical
services transportation; and
WHEREAS, the addition of one emergency medical services transport vehicle will
assist the Fire Rescue Department in decreasing response time and meeting the desired
level of service; and
WHEREAS, the Florida Department of Health offers grant funding on a competitive
basis for emergency medical services transport vehicles through the Emergency Medical
Services Matching Grant Program; and
WHEREAS, the City of Tamarac is willing to match the grant request of $200,000 with
the personnel salaries and benefits necessary to staff the vehicle.
WHEREAS, the City Manager and the Fire Chief recommend filing of the application
(attached hereto as "Exhibit A"); and
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Temp Reso. #10002
Page 2
January S, 2003
WHEREAS, the City Commission of the City of Tamarac deems it to be in the best
interest of the citizens and residents of the City of Tamarac to submit an application to the
Florida Department of Health Emergency Medical Services Matching Grant Program for
$200,000 for the acquisition of a fully -equipped emergency medical services transport
vehicle providing for a match consisting of personnel salaries and benefits necessary to staff
the vehicle.
NOW THEREFORE BE IT RESOLVED BY THE CITY 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 appropriate City officials are hereby authorized to submit the
Emergency Medical Services Matching Grant Application (attached hereto as "Exhibit A"),
which is made a part hereof, and request $200,000 in grant funds providing for a match of
personnel salaries and benefits to acquire a fully -equipped emergency medical services
transport vehicle.
Section 3: All resolutions in conflict herewith are hereby repealed to the extent of such
conflict.
Section 4: If any clause, section, other part or application of this Resolution is held by
any court of competent jurisdiction to be unconstitutional or invalid, in part or in application,
it shall not affect the validity of the remaining portion or applications of this Resolution.
Temp Reso. #10002
Page 3
January 8, 2003
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Section 5: This Resolution shall become effective immediately upon its adoption.
PASSED, ADOPTED AND APPROVED this 81h day of January, 2003.
ATTEST:
MARION S ENSON, CMC
CITY CLERK
I HEREBY CERTIFY that
I have approved this
RESOLUTION as to form.
vI 1 1 f 1 1 wo N-- .
RECORD OF COMMISSION'
MAYOR SCHREIBER
DIST 1: V/M. PORTNER___�
DIST 2: COMM. MISHKIN
DIST 3: COMM. SULTANOF
DIST 4: COMM. ROBERTS
TR # 10002
Exhibit "A"
EMS MATCHING GRANT APPLICATION
FLORIDA DEPARTMENT OF HEALTH
Bureau of Emergency Medical Services
Complete all items unless Instructed differently within the application
Type of Grant Requested: LJ Rural tN Matching
ID. Code (The State Bureau of EMS will assion the ID Code — leave this blank)
1, Oroanization Name: City of Tamarac
2. Grant Signer: (The applicant signatory who has authority to sign contracts, grants, and other legal
documents. This individual must also sign this application)
Name: Jeffrey L. Miller
Position Title: C ity Manager
Address: 7525 NW 88 Avenue
Cit : Tamarac
County: Broward
State: Florida
Zip Code: 33321
Telephone: 954 724-1230
Fax Number: 954 724-1299
E-Mail AddreE§.Ljeffm@tamarac.org
3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and
responsibility for the implementation of the grant activities. This person may sign project reports and may
request project changes. The signer and the contact person may be the same.)
Name: Kimberly Peron
Position Title; S ecial Projects Coordinator
Address: 7525 NW 88 Avenue
City: Tamarac
County: Broward
State: Florida
Zio Code: 33321
Telephone: 954 718-3051
Fax Number; 954 724-1299
E-mail Address: kim tamarac.or
DH Form 1767, Rev. June 2002
4, s of Applicant r ion (Cb%_Unly one response):
(1) El Private Not for Profit [Attach documentation-501 (3) 0)
(2) ❑ Private For Profit
(3) UCo'unty
itMunicipality/Town/Village
(4)
(5) ❑ State
(6) ❑ Other (specify):
5. Eede[al Tax ID Number (Nine,Qiait NUmberl. VF 59-1039552
6. EMS License Number: 002204 Type: ❑Transport []Non -transport X Both
7. Number of permitted vehicles by type: BLS 7 ALS Transport 3 ALS non -transport.
8. Type of Service (check one): X Rescue []Fire ❑Third Service (County or City Government,
nonfire) ❑Air ambulance: ❑Fixed wing ❑Rotowing ❑Both ❑Other (specify)
9. MgtdicalDlcgQlorofii6en a EM r v' r: if this project is approved, I agree by signing below that I
will affirm my authority and responsibility for the use of all medical equipment and/or the provision of all
continuina EMS education in this project. [No signature Is needed if medical equipment and
professional EMS education are not in this project.]
Signature: Date:
Print/Type: Name of Director L. Scott Ulin, M.D.
FL Med. Lic. No. _0040246 Expires 01/31/2005
Note: All organizations that are not licensed EMS providers must obtain the signature of the medical
director of the licensed EMS provider responsible for EMS services in their area of operation for projects
that involve medical a ui ment and/or continuing EMS education.
If your activity is a research or evaluation project, omit Items 10, 11, 12, 13, and skip to Item
Number 14. Otherwiseproceed to Item 10 and the following items.
10. Justification Summary Provide on no more than three one sided, double spaced pages a summary
addressing this project, covering each topic listed below.
A) Problem description (Provide a narrative of the problem or need);
B) Present situation (Describe how the situation is being handled now);
C) The proposed solution (Present your proposed solution);
D) Consequences if not funded (Explain what will happen if this project is not funded);
E) The geographic area to be addressed (Provide a narrative description of the geographic area);
F) The proposed time frames (Provide a list of the time frame(s) for completing this project);
G) Data Sources (Provide a complete description of data source(s) you cite):
H) Statement attesting that the proposal is not a duplication of a previous effort (State that this project
doesn't duplicate what you've done on other grant projects under this grant program),
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Next, only complete one of the following: Items 11, 12, or 13. Read all three and then select and
com lets the one that ertains the most to the recedin Justification Summa .
11. Outcome For Projects That Pr vidg or Effect Direct Services To Emergency Victim§: This may
include vehicles, medical and rescue equipment, communications, navigation, dispatch, and all other
things that impact upon on -site treatment, rescue, and benefit of emergency victims at the emergency
scene. Use no more than two additional one sided, double-spaced pages for your response. Include the
following.
A) Quantify what the situation has been in the most recent 12 months for which you have data (include
the dates). The strongest data will include numbers of deaths and injuries during this time.
B) In the 12 months after this project's resources are on-line, estimate what the numbers you provided
under the preceding "(A)" should become.
C) Justify and explain how you derived the numbers in (A) and (B), above.
D) What other outcome of this project do you expect? Be quantitative and explain the derivation of your
figures.
E) How does this integrate into your agency's five year plan?
12. For Training Pro'ec : This includes training of all types for the public, first responders, law
enforcement personnel, EMS and other healthcare staff. Use no more than two additional one sided,
double-spaced pages for your response. Include the following:
A) How many people received the training this project proposes in the most recent 12 month time period
for which you have data (include the dates).
B) How many people do you estimate will successfully complete this training in the 12 months after
training begins?
C) If this training is designed to have an impact on injuries, deaths, or other emergency victim data,
provide the impact data for the 12 months before the training and project what the data should be in
the 12 months after the training.
D) Explain the derivation of all figures.
E) How does this integrate into your agency's five year plan?
13. Putcome For Other Projects: This includes quality assurance, management, administrative, and
other. Provide numeric data in your responses, if possible, that bear directly upon the project and
emergency victim deaths, injuries, and/or other data. Use no more than two additional one sided, double-
spaced pages for your response. Include the following,
A) What has the situation been in the most recent 12 months for which you have data (include the
dates)?
B) What will the situation be in the 12 months after the project services are on-line?
C) Explain the derivation of all numbers.
D) How does this integrate into your agency's five year plan?
DH Form 1767, Rev, 2002
Skip Item 14 and go to Item 15, unless your project is research and evaluation and you have not
completed the preceding Justification Summag and one outcome Item.
14, Research and Evaluation Justification Summgry,.d Outcome: You may use no more than ht�r
additional one sided, double spaced pages for this item.
A) Justify the need for this project as it relates to EMS.
B) Identify (1) location and (2) population to which this research pertains.
C) Among population identified in 14(B) above, specify a past time frame, and provide the number of
deaths, injuries, or other adverse conditions during this time that you estimate the practical application
of this research will reduce (or positive effect that it will increase).
D) (1) Provide the expected numeric change when the anticipated findings of this project are placed into
practical use.
(2) Explain the basis for your estimates.
E) State your hypothesis.
F) Provide the method and design for this project.
G) Attach any questionnaires or involved documents that will be used.
H) If human or other living subjects are involved in this research, provide documentation that you will
comply with all applicable federal and state laws regarding research subjects.
1) Describe how you will collect and analyze the data.
15. tatutory C n ider tions and rit ri : The following are based on s. 401.113(2)(b) and 401.117, F.S.
Use no more than one additional double spaced page to complete this item. Write N/A for those things in
this section that do not pertain to this project. Respond to all others.
Justify that this project will:
A) Serve the requirements of the population upon which it will impact.
B) Enable emergency vehicles and their staff to conform to state standards established by law or rule of
the department.
C) Enable the vehicles of your organization to contain at least the minimum equipment and supplies as
required by law, rule or regulation of the department.
D) Enable the vehicles of your organization to have, at a minimum, a direct communications linkup with
the operating base and hospital designated as the primary receiving facility.
E) Enable your organization to improve or expand the provision of:
1) EMS services on a county, multi county, or area wide basis.
2) Single EMS provider or coordinated methods of delivering services.
3) Coordination of all EMS communication links, with police, fire, emergency vehicles, and other
related services.
1767. Rev. 2002
C'
16. Work activities and lime frames: Indicate the major activities for completing the project (use only the
space provided). Be reasonable, most projects cannot be completed in less than six months and if it is a
communications project, it will take about a year. Also, if you are purchasing certain makes of
ambulances, it takes at least nine months for them to be delivered after the bid is let.
Work Activity
Number of Months After Grant Starts
Be in End
Create bid specification for vehicle and equipment
Immediately 1 month
Advertise/send out request for bid
1 month 2 months
Award bid
3 months 5 months
Receive vehicle and equipment
5 months 15 months
Begin advertising for qualified personnel
11 months 12 months
Interview and hiring process
13 months 15 months
Train and qualify personnel
15 months 18 months
17. County Governments If this application is being submitted by a county agency, describe in the space
below why this request cannot be paid for out of funds awarded under the state EMS county grant
program. Include in the explanation why any unspent county grant funds, which are now in your county
accounts, cannot be allocated in whole or part for the costs herein.
QH Farm 1767, Rev. 2002
18. Bud et:
Salaries and Benefits: For each
Costs
Justification: Provide a brief justification
position title, provide the amount of
why each of the positions and the numbers
salary per hour, FICA per hour,
of hours are necessary for this project,
fringe benefits, and the total
number of hours.
Firefighter/Paramedic — 3 positions
$690,000
Tamarac Fire Rescue currently operates all
(13 people)
companies with three person crews. To
$18.85/hour salary
ensure each positions is covered 24/7
$1.43/hour FICA
requires 4.3 people per position. Three
$5.44/hour In fringe benefits
positions require 13 people to cover all
2064 hours per year each person
shifts, accounting for vacations, sick time,
training, and other off -duty times.
TOTAL:
$690,000
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).
Costs: List the price
and source(s) of the
price identified.
Justification: Justify why each of the
expense items and quantities are
necessary to this project.
None
TOTAL:
$
DM Form 1767, Rev. 2002
Vehicles, equipment, and other
operating capital outlay means
equipment, fixtures, and other
tangible personal property of a non
consumable and non expendable
nature, Lnd the normal expected
life of which is 1 year or more.
Costs: List the price
of the item and the
source(s) used to
identify the price.
Justification: State why each of the items
and quantities listed is a necessary
component of this project.
Fire Rescue Vehicle
$140,000
The City purchased a Freightliner FL-60 in
1999 at a cost of $137,000. The estimated
cost included a slight increase for inflation.
Rescue Equipment
$60,000
The cost of equipment to outfit the rescue
vehicle purchased in 1999 was $57,200.
The current cost is estimated with a slight
Increase to account for inflation and
delivery charges.
TOTAL,:
$ 200,000
State Amount
(Check applicable program)
X Matching: 75 Percent $._200.000
❑ Rural: 90 Percent $
Local Match Amount
(Check applicable program)
X Matching: 25 Percent $ 69�0
❑ Rural: 10 Percent $
Grand Total 1 $ 890,000
DH Form 1767_ Rev. 2002 _�
19. Certifi a ion:
My signature below certifies the following.
I am aware that any omissions, falsifications, misstatements, or misrepresentations in this
application may disqualify me for this grant and, if funded, may be grounds for termination at a
later date. I understand that any information I give may be investigated as allowed by law. I
certify that to the best of my knowledge and belief all of the statements contained herein and on
any attachments are true, correct, complete, and made in good faith.
I agree that any and all information submitted in this application will become a public document
pursuant to Section 119.07, F.S. when received by the Florida Bureau of EMS. This includes
material which the applicant might consider to be confidential or a trade secret. Any claim of
confidentiality is waived by the applicant upon submission of this application pursuant to Section
119.07,F.S., effective after opening by the Florida Bureau of EMS.
I accept that in the best interests of the State, the Florida Bureau of EMS reserves the right to
reject or revise any and all grant proposals or waive any minor irregularity or technicality in
proposals received, and can exercise that right.
I, the undersigned, understand and accept that the Notice of Matching Grant Awards will be
advertised in the Florida Administrative Weekly, and that 21 days after this advertisement is
published I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S.
I certify that the cash match will be expended between the beginning and ending dates of the
rant and will be used In strict accordance with the content of the application and approved
budget for the activities identified. In addition, the budget shall not exceed, the department,
approved funds for those activities identified in the notification letter. No funds count towards
atisfying this grant if the funds were also used to satisfy a matching requirement of another
state grant. All cash, salaries, fringe benefits, expenses, equipment, and other expenses as
fisted in this application shall be committed and used for the activities approved as a part of this
rant.
Acceptance of Terms and Conditions: If awarded a grant, I certify that 1 will comply with all of the
above and also accept the attached grant terms and conditions and acknowledge this by signing
below.
Sig turd`of Authorized Grant Signer MM / DD / YY
Individual Identified in Item 2
UH Form 1767, Rev. June 2002
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City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
10. Justification Summar,C
Emergency response activity in the City of Tamarac has grown dramatically over the
past ten years. The number of calls per capita has increased substantially and at a much faster
rate than population growth. Many factors have contributed to this increase, but the result is an
increase in the workload on Tamarac's fire rescue personnel and a decrease in unit availability.
The majority of Tamarac's residents are elderly, with 48% of the population 55 years old or
older, and 38% over 65 years old. This segment of the population is particularly vulnerable to
life threatening health crises, such as cardiac arrest, in which recovery is greatly dependent
upon response time. Fifty-six percent of all Tamarac EMS calls are for persons 55 years old
and older.
The City of Tamarac is located in the rapidly growing section of northwestern Broward
County. Tamarac is a diverse city in both age and ethnicity with a population of just over 56,000
people (University of Florida, Bureau of Economic and Business Research). In 1996, the City
added emergency medical services (EMS) to its fire department. Since that time, the number of
fire rescue personnel has doubled to meet the growing demand for services throughout the City.
EMS call volume has increased from 6,500 calls per year in 1998 to over 8,700 calls per year in
2002, a 34% increase in just four years. The City currently operates four transport ALS
ambulances and two non -transport ALS fire trucks out of two fire stations. The City's goal is a
6-minute or less response, 90% of the time, however it has only met the target 87.5% of the
time thus far.
A recent study conducted by the Emergency Services Consulting Group (ESCG)
revealed that Tamarac's staffing to population ratio was 0.35 on -duty responders per 1,000
population. This ratio is 19% less than an International City Management Association survey
that indicated 0.43 per 1,000 population was the average for fire agencies, many of which did
not provide transportation services as Tamarac does. Even more significant than population
Narrative Page 1 of 6
City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
ratios is the ratio of personnel to response volume. Duty staff workload equaled 485 responses
per on duty emergency responder per year, which is considered a high workload. The study
also indicated that because of the unusually elongated shape of the City, fire rescue personnel
have difficulty achieving the 6-minute or less response time in many areas.
Excessive workload also has a detrimental affect on personnel training. Because there
is little downtime for the units, most of the available on -duty time is spent answering calls.
Training is squeezed in throughout the shift or, depending on budget constraints, provided on
overtime. Adequate training is necessary not only as a license requirement, but also to ensure
personnel have the latest information and opportunities to learn new skills.
The City will correct some of the geographic response time limitations by constructing a
new fire rescue station in the western portion of the City. This will place ALS units in closer
proximity to the area of the City that experiences the highest response demand because of the
high concentration of retirement communities and assisted living facilities. The contract for the
new station has been issued and construction will begin in summer of 2003. To address the unit
availability and response volume issues, the City proposes increasing its on -duty ALS units from
6 to 7 and adding 3 positions to staff the new unit. The City will purchase a new fully equipped
rescue unit and hire 13 firefighter/paramedics in order to provide 24/7 staffing for the new unit.
Because the City has such a high volume of cardiac and respiratory distress calls, 17% of
transported patients, the City uses 3 positions to staff each unit so that 2 paramedics are with
the patient during transport to continue to provide uninterrupted care to the hospital.
The ESCG study projected that the City's fire rescue call volume will reach 13,000 by
2006 and 15,000 by 2010 and 78% of all calls are EMS. Without a new ALS rescue vehicle and
the additional personnel necessary to staff it, the City is facing a steadily increasing response
time due to the lack of unit availability and increasing call volume, even with the relocation of
two existing units on the western end of the City. Quick response time is vital to increase the
Narrative Page 2 of 6
City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
likelihood of recovery from cardiac arrest, respiratory failure, and other life -threatening health
crises or traumatic injuries.
The primary geographic area served is the western portion of Tamarac, which contains
approximately 37,000 residents. The majority of these residents are retirees over the age of 55.
The area is bounded on the west by the Sawgrass Expressway and Everglades Conservation
Area 2a; on the east by the canal that separates Tamarac from North Lauderdale; on the south
by Commercial Boulevard, a major east -west artery in northwestern Broward County; and on
the north by the South Florida Water Management District's C-14 canal. The City also has
mutual aid agreements with all of the neighboring communities. It is expected that 6% of
responses will be mutual aid responses in the neighboring cities.
The purchase and deployment of the fully equipped vehicle can be completed in 15
months from the effective date of the grant agreement. Hiring and training the new personnel to
staff three positions (13 personnel) will be completed within 18 months from the effective date of
the grant agreement to coincide with the start of the City's new fiscal year. Data referenced in
this application has been collected from EMS incident reports completed by Tamarac Fire
Rescue personnel. This is a new project and is not a duplication of a previous effort on other
grant projects under this grant program.
Narrative Page 3 of 6
City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
11. Expected 0 come
Tamarac Fire Rescue responded to over 11,000 calls in 2002 with 8,700 of them EMS
calls. The City has a high percentage of elderly and frail elderly residents. While residents over
65 make up 38% of the population, they make up 51 % of all EMS calls. Cardiac and respiratory
related calls accounted for 17% of all transports in 2001 and the same is projected for 2002.
Recovery for these types of incidents is highly dependent on response time. The average
response time was 5:02 minutes in 2001, but is expected to be higher in 2002 due to the
increased call volume. Response time exceeds 6 minutes in 12.5% of the calls. The ESCG
study found that excessive response times were attributable to deployment issues such as
heavy traffic and insufficient geographic coverage, turnout times in excess of 60 seconds, and
unit unavailability. The City is addressing heavy traffic issues with the installation of traffic
control devices at major intersections throughout the City. The location of the new fire station
will alleviate some issues with geographic coverage and the City continues to improve training
to reduce turnout time and improve crew performance. Unit availability will be addressed by the
addition of another staffed ALS unit.
The City does not track mortality rates for all transported patients so a review of one
month's data was extrapolated to estimate the mortality rates for cardiac related calls. Based
on the extrapolation, approximately 60% of patients with a cardiac related incident did not
survive. Using research reported in the Annals of Emergency Medicine (Cummins, 1989) on
probability of recovery from cardiac arrest compared with response time, we can estimate that
mortality will increase with increasing response times. With an additional ALS unit and
personnel, the City projects it will be able to maintain average response time at 5 minutes or
below and can increase the 6-minute or less response time to 90%. Without the additional ALS
unit, average response time will increase with call volume. Because the chances for survival
decrease about 10% per minute during a cardiac arrest, which is one of the most common EMS
Narrative Page 4 of 6
City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
calls in Tamarac, any increase in response times will have a detrimental affect on the probability
of a cardiac arrest patient's survival. In the year after adding the ALS unit, EMS call volume is
projected to be 9,300 calls per year. With a 10% of those calls cardiac related, 930 patients
would be cardiac patients. If there is currently a 60% mortality rate, without the new ALS unit an
increase in response time of 30seconds could translate to a mortality rate of 65% or an
additional 46 people per year.
Tamarac will be able to maintain response time and achieve 6 minutes or less 90% of
the time because of the increased unit availability and the closer proximity of the unit to the calls
In the western part of the City. The last time the City added an ALS unit and personnel was
2001 at which time it was able to decrease average response time by 17 seconds and increase
the percentage of time it achieved 6-minute or less response time from 82% to 87%. Another
benefit will be increased time for training. Seventy percent of all of Tamarac's transports require
ALS. These patients need interventions that require a great deal of practice to become
proficient. The additional training time will also allow paramedics to polish existing skills, as well
as learn about new research and techniques to improve their skills and the level of care.
The addition of a new fire station is part of the City's 2003 Strategic Plan and Five Year
Capital Improvement Plan. The study conducted by ESCG and the City's own research
indicated the need for additional fire rescue services. Although the population is expected to
continue to grow moderately, the call volume is expected to continue to increase at a higher rate
because of the advancing age of the population. The City has also approved the construction of
2 additional Assisted Living Facilities which house residents that cannot live independently and
will likely require medical assistance on a more frequent basis. The City is developing a new
long-term plan for the Fire Rescue Department to address the replacement of aging apparatus
and equipment, as well as the addition of 24 new personnel and 2 new apparatus over the next
5 years to ensure that the City is able to adequately serve the needs of its residents.
Narrative Page 5 of 6
City of Tamarac
ALS Vehicle, Equipment and Personnel
Florida Department of Health EMS Matching Grant Application Narrative
15. Statutory Considers ions and CHI ria
This project will serve the requirements of the population on which it will impact because,
as the data indicates, the area where the new ALS ambulance will be deployed is in the highest
call volume area of the City. This area has a large concentration of retirement communities and
assisted living facilities, which generate a large majority of the EMS calls. The addition of an
ALS unit and three firefighter/paramedic positions will enable the department to exceed state
standards as there will three personnel assigned to the vehicle, which will have all the
equipment and supplies necessary to be a permitted ALS transport vehicle. Grant funding will
be used to purchase the vehicle and all of the equipment and supplies and the City will budget
for the additional personnel to cover three positions 24-7. The new equipment will include
radios and communication equipment necessary to ensure that personnel have direct
communications with their operating base and local hospitals. Lastly, the project will improve
the services provided by Tamarac Fire Rescue by adding another ALS response vehicle to the
City's fleet. This will make more ALS vehicles available to respond to emergency calls, enable
faster response because of better geographic area coverage, and maintain personnel workload
at a manageable level based on response volume.
Reference: Cummins, R. O. (1989) From concept to standard -of -care? Review of experience
with automated external defibrillators. Annals of Emergency Medicine, 18, 1269-1275.
Narrative Page 6 of 6
20 PAY 30 AM II:
Jeb Buse RECEIVED
Governor GIiY OF TAMA
oR1DA DFPARTMPNf OP
HEALT
0
-,
TR #10145
E*hibit; "2"
John O. Agwunobi, M.D., M.B.A.
Secretary
i �' , iA� OF EMERGENCY MEDICAL SERVICES
May 23, 2003
Jeffrey L. Miller, City Manager
City of Tamarac
7525 Northwest 88th Avenue
Tamarac, FL 33321
Dear Mr. Miller:
Secretary Agwunobi informed you in his letter dated April 21, 2003, of the approval of your
emergency medical services matching grant in the amount of $200.000.00 in state funds. The
state ID code for this project is M3071.
Your grant began on April 21, 2003, and will end on May 4, 2004. No -costs may be incurred_
before or after these dates. Should additional time be required to complete the project you must
submit a written extension request prior to the ending date. Further, all costs that exceed the
limits of the grant award, in accordance with Section 401.113 (2)(b), Florida Statutes, are the
sole responsibility of the grantee. Your acceptance of all the grant terms and conditions is
acknowledged when funds are drawn or otherwise obtained through the department's payment
system.
A major requirement is that you must submit financial and narrative reports on the grant project
activities as follows:
1. Activities from April 21, 2003, through September 30, 2003, report due by November
17, 2003;
2. Activities from October 1, 2003 through March 1, 2004, report due by April 16, 2004.
3. Activities from March 1, 2004 through May 4, 2004. This is the final report and is due
no later than August 6, 2004. It must include copies of all invoices, receiving reports and
cancelled checks pertaining to the grant expenditures. If the grant activities and expenditures
are completed prior to the ending date, a final report may be submitted at that time and no
further reports will be required. Failure to meet these reporting requirements will jeopardize the
funding of any future grant applications submitted by your organization.
Phone (850) 245-4440
4052 Bald Cypress Way, C-18, Tallahassee, FL 32399-1738
www.doh.state.fl.us/ems/
FAX (850) 488-2512
Mr. Miller
Page Two
May 23, 2003
Should you need further assistance, please contact me at (850) 245-4440.
Sincerely,
Edward L. Wilson, Jr.
Program Administrator
Grants Unit
ELW/gct
Enclosures: Approved Budget
Florida Single Audit Act Form
Change Request Form
Expenditure Report Form
cc: Kimberly Perron
r]
18. Budget:
Salaries and Benefits: For each
Costs
Justification: Provide a brief justification
position title, provide the amount of
why each of the positions and the numbers
salary per hour, FICA per hour,
of hours are necessary for this project.
fringe benefits, and the total
number of hours.
Firefighter/Paramedic — 3 positions
$690,000
Tamarac Fire Rescue currently operates all
(13 people)
companies with three person crews. To
$18.85/hour salary
ensure each positions is covered 24/7
$1.43/hour FICA
requires 4.3 people per position. Three
$5.44/hour in fringe benefits
positions require 13 people to cover all
2064 hours per year each person
shifts, accounting for vacations, sick time,
training, and other off -duty times.
TOTAL:
$690,000
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 cate o
Costs: List the price
and source(s) of the
price identified.
Justification: Justify why each of the
expense items and quantities are
necessary to this project.
None
TOTAL:
$
DH Form 1767, Rev. 2002
1
•
Vehicles, equipment, and other
operating capital outlay means
equipment, fixtures, and other
tangible personal property of a non
consumable and non expendable
nature, and the normal expected
life of which is 1 year or more.
Costs: List the price
of the item and the
source(s) used to
identify the price.
Justification: State why each of the items
and quantities listed is a necessary
component of this project.
Fire Rescue Vehicle
$140,000
The City purchased a Freightliner FL-60 in
1999 at a cost of $137,000. The estimated
cost included a slight increase for inflation.
Rescue Equipment
$60,000
The cost of equipment to outfit the rescue
vehicle purchased in 1999 was $57,200.
The current cost is estimated with a slight
increase to account for inflation and
delivery charges.
TOTAL:
$ 200,000
State Amount
(Check applicable program)
X Matching: 75 Percent
$ 200,000
❑ Rural: 90 Percent
$
Local Match Amount
(Check applicable program)
X Matching: 25 Percent
$_690,000
❑ Rural: 10 Percent
$
Grand Total 1 $_890, 00
DH Form 1767, Rev, 2002
Checklist for Nonstate Organizations
Note: This form is to be used to evaluate the applicability of the Florida Single Audit Act to local governments (excluding district school
boards and community colleges), and nonprofit organizations with which the agency has contracts/agreements. This form does not need
to be completed for local governments and nonprofits under contracts/agreements which only provide for the procurement of
commodities, or which only provide federal or state matching funds. Given that for -profit organizations, including sole -proprietors,
generally have vendor relationships with state agencies, completion of the form for such organizations is optional.
Nonstate Organization City of Tamarac
State Project: EMS MatchingGrant Program _
Contract/Agreement Period: April 21, 2003 —May 4. 2004
Completed by: Edward L. Wilson. Jr.
Agency: Florida Department of Health
CSFAt"l Number: 64.005
Authorizing Statute: Chapter 401, Part 11
Date: _ May 22, 2003
111 Nonstate Organization does not include universities within the State University System.
M Catalog of State Financial Assistance
Part A: if the response to either of the following, questions is yes, the nonstate organization is a recipient. Skip Part B and E to Part C.
1. Does State law/legislative proviso establish or create the nonstate organization to carry out the state project? Yes No_X
2. Does the nonstate organization detemtine final program eligibility? Yes No __
n.._. v. ....la.e rha i inwintr tahlo_ A Lee"answer is indicative ofthe tvpe relationship being reviewed
....�.. ___ _�__�____
Recipient'
-___
Yes
-__ __
No
__ --___-_-
Ctitnments
Vendor .
Yes
No;
Coiinrrients;.
1. Does state statute or legislative proviso
In F.S. 401, Part II
1. Does the nonstate organization provide
establish the state project and authorize the
X
its services within the normal course of
X
agency to provide funding for the project?
business operations?
2. Is the nonstate organization required to
2. Does the nonstate organization opera[
rovide matching funds?
X
in a competitive environment?
X
3. Does the nonstate organization make
3. Does the nonstate organization provide
programmatic decisions on behalfofthe
X
e
similar services to many different
X
State?
purchasers?
4. Are the funds provided to the nonstate
4. Does the contract agreement specify
organization for it to carry out its own
X
payment on a per unit or per deliverable
X
rogram or operations?
basis?
5. Ifthe nonstate organization receives
5. Was the contract/agreement
Ol, Part II
federal funds under a similar program, is it
N / A
awarded based on free and open
X
specifies Boards
designated as a recipient by your agency for
competition?
ofcounty
that program?
Commissioners
6. Is the nonstate organization organized
6. lfthe nonstate organization receives
primarily for a public purpose?
X
federal funds under a similar program, is
X
it designated as a vendor by
our agency for that program?
Part C. Conclusion.
Based on your analysis of the responses to Parts A and/or B, and discussions with appropriate agency personnel, indicate your
evaluation of the nonstate organization for this contract: (check one) Recipient X Vendor _ Note that it is possible to have
a contractual agreement with a nonstate organization under Chapter 287, Florida Statutes, and still consider the nonstate
organization a recipient under the Florida Single Audit Art
COMMENTS:
Part A: QuestionlNew Pro ects.
If you have questions regarding the evaluation of a nonstate organization or if you determined that the nonstate organization is a
recipient and the project has not been assigned a CSFA number, contact the Executive Office of the Governor, Office of Policy
and Budget, at 487-1880.
r ah dr 1..,4 f �i � :� +'' � Y,�h.. i-� x>, r• �ry w S:F iC' �a�a✓ � Y � 13°���'Y- s.
Bx �g !MP
Florida Department of Health
EMS Matching Grant Program
_Expenditure Report
for Governmental Agencies and Not -for -Profit Organizations
Name'of Grantee:
Time Period Covered: Beginning Date:
Grant ID Code:
Ending Date:
Earned Interest: Amount $ ; as of
Day Month Year
Final Report (Check one)- F 1 Yes r 1 Nn
Major Line Items
Applicant
Match
State Grant
Funds
TOTAL
Approved Budget Expenditure by Major Line
$
$
$
Item(s)
TOTAL BUDGETED EXPENDITURES
$
$
$
Actual Expenditure to Date by Major Line
$
$
$
Item(s)
TOTAL EXPENDITURES
$
$
$
BALANCE (Budgeted Less Actual Ex enditures)$ Is 1 $
Include with the progress notes an explaination of how project Personnel. eauipment, and anv problems or barriers
ma Im act on the arant erogress.
I certify the above reports are true and correct. Expenditures were made only for items allowed by
the above referenced grant.
Signature of Authorized Official
DH FORM 1767E, Effective Jan.99, Revised Feb.99
Date
14
Name of Grantee:
w"j EI
YK. r yl v +6t 7t l ..: ��,. ���` r�•, � f .:'f'u $ '". ;{ 1+' �..
t• PJaII] mlt 4x��.,'Yl:.,. jd
Florida Department of Health
EMS Matching Grant Program
Request for Change
Grant ID Code:
BUDGET LINE ITEM
CHANGE FROM
CHANGE TO
TOTAL
$
$
Justification For Change:
Signature of Authorized Official .� Date
For department use only,
Approved Yes 0 No ❑ Change No:
Department's Authorized Representative Date
DH Form 1767C, Jan. 98
16