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08709
ORDINANCE NO. 8709 AN ORDINANCE APPROVING AND ACCEPTING A COLORADO EMERGENCY MEDICAL AND TRAUMA SERVICE GRANT, AND APPLICABLE CONDITIONS PERTAINING THERETO, ESTABLISHING PROJECT NO. PD1405 PURCHASE MOBILE COMPUTER TERMINALS, BUDGETING AND APPROPRIATING GRANT FUNDS IN THE AMOUNT OF $57,693 FOR THE PURPOSES AUTHORIZED BY THE GRANT AGREEMENT, AND TRANSFERRING FUNDS IN THE AMOUNT OF $5,769.30 FROM THE 2014 PROJECTS TO BE DETERMINED TO PROJECT NO. PD1405 WHEREAS, the Colorado Emergency Medical and Trauma Services (EMTS) has tendered a grant award to the City of Pueblo in the amount of $57,693, and WHEREAS, acceptance of the award is in the best interest of the City; NOW, THEREFORE, BE IT ORDAINED THE CITY COUNCIL OF PUEBLO, that: SECTION 1. The Grant Agreement, a true copy of which is attached hereto, having been approved as to form by the City Attorney, is hereby approved. SECTION 2. Project No. PD1405 Purchase Mobile Computer Terminals is hereby established. The grant amount of $57,693 is hereby budgeted and appropriated to Project No. PD1405 for expenditure for the purposes authorized by the grant agreement. SECTION 3. Matching 10% funds of the City, in the amount of $5,769.30, are hereby appropriated and transferred from the 2014 projects to be determined to Project No. PD1405. SECTION 4. The officers and staff of the City are directed and authorized to perform any and all acts consistent with the intent of this Resolution and the attached contract to effectuate the transactions described therein. SECTION 5. This Ordinance shall become effective immediately upon final passage and approval. INTRODUCED: _ March 10, 2014 BY: Ami Nawrocki COUNCILPERSON PASSED AND APPROVED: March 24, 2014 Background Paper for Proposed ORDINANCE DATE:AGENDA ITEM # R-2 March, 10, 2014 DEPARTMENT: Dale E. Villers, Interim Fire Chief Fire Department TITLE AN ORDINANCE APPROVING AND ACCEPTING A COLORADO EMERGENCY MEDICAL AND TRAUMA SERVICE GRANT, AND APPLICABLE CONDITIONS PERTAINING THERETO, ESTABLISHING PROJECT NO. PD1405 PURCHASE MOBILE COMPUTER TERMINALS, BUDGETING AND APPROPRIATING GRANT FUNDS IN THE AMOUNT OF $57,693 FOR THE PURPOSES AUTHORIZED BY THE GRANT AGREEMENT, AND TRANSFERRING FUNDS IN THE AMOUNT OF $5,769.30 FROM THE 2014 PROJECTS TO BE DETERMINED TO PROJECT NO. PD1405 ISSUE Should the City of Pueblo accept a grant award from the Colorado Emergency Medical and Trauma Service (EMTS) in the amount of $57,693, establish a project account, appropriate and transfer $5,769.30 to match 10% of grant funds from the 2014 general fund to the project account, and budget and appropriate the amount of $57,693 for the grant purposes? RECOMMENDATION Approval of the Ordinance. BACKGROUND An attest form for the grant from Colorado EMTS was authorized by the Director of Purchasing on December 3, 2013. The grant award is for the purchase of 14 Panasonic CF-19 ToughBook computers and docking stations. FINANCIAL IMPACT If the City accepts the grant, as recommended, the City is required to contribute 10% of the grant total to the purchase of the Panasonic CF-19 ToughBook computers and docking stations in the amount of $5,769.30. This 10% contribution will be transferred from the 2014 projects to be determined into the project. Other costs of this grant include the Finance Department staff time to review expenditures and to prepare and submit grant-required financial reporting. CO DEPT OF PUBLIC HEALTH /ENV DATE: 01 -02 -14 PURCHASE 4300 CHERRY CREEK DRIVE SO H - L` DENVER CO 80246 1530 IM ORDER The O# and Line # must * � '` • � STATE OF COLORADO Buyer: IM MASSANGALE appear on all invoices, Phone Number: 303-692-2072 packing slips, cartons and correspondence P.O. OE FMA EMS14000147 Page# 01 Agency Contact: MATTEW PASWATERS Phone Number: 303 692 3011 ACC: 12 -31 -13 State Award # FEIN 846000615 Phone: 719- 584 -0845 BID Vendor Contact: Invoice in Triplicate Purchase Requisition #: To: COLD . DEPT OF PUBLIC HEALTH HEALTH FACILITIES DIV. A -200 CITY OF PUEBLO 4300 CHERRY CREEK DRIVE SOUTH DENVER CO 80246 -1530 El PO BOX 1427 0 PUEBLO CO 81002 -1427 Payment will be made by this agency R Ship CO PUBLIC HEALTH /ENVIRONMENT INSTRUCTIONS TO VENDOR: To: HEALTH FACILITIES DIVISION A2 t, If tar any reason, delivery of IhIS order is delayed beyond the delivery /Installation date 4300 CHERRY CREEK DRIVE SOUTH shown, please notify the agency contact named at the top tort. (Right of cancellation is DENVER , CO 80246-1530 reserved in instances in which timely delivery is not made. 2. All chem:'cals, equipment and materials rnuat conTOrw to the standards required by O$1Ik. Delivery /Installation Date: 06-30-14 S. NOTE, Additional leans and conditions on revuran silo. F.O.B. DESTINATION STATE PAYS NO FREIGHT SPECIAL INSTRUCTIONS: LINE COMMODITY /ITFM UNIT OF ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST 001 94812000000 $57,693.00 EMS FY14 GRANT — DATA COLLECTION REF SCOPE OF WORK DATED: 12/20/13 INCORPORATED BY REFERENCE TERM: DATE OF PO — 06 30 2014. THIS AWARD IS MADE IN ACCORDANCE WITH THE VENDOR'S 2014 GRANT REQUEST STATEMENT OF WORK WHICH IS INCORPORATED HEREIN. THE STATE MUST BE INVOICED WITHIN 30 DAYS AFTER THE ENDING DATE OF THIS P0. THE STATE WILL FUND COSTS FOR EACH GRANT CATEGORY UP TO THE AMOUNTS LISTED ON THIS PO. SHOULD THE GRANTEE REALIZE SAVINGS, IT WILL BE SHARED PROPORTIONATELY BETWEEN GRANTEE AND STATE AT MATCH RATE PER THE STATEMENT OF WORK, DOCUMENT TOTAL = $57,693.00 TINS PO IS ISSUED IN A CCORDANCE WITI1 STATE AND FEDERAL. REGULATIONS FOR YIIE STATE or COLORADO Thia 1 +Q Is offectivo on the date signed by the authorized Individual, Vero At{(h bture UAtR OP.ttI 00;0 y F ,, 1 n r t y . t r`t i u I y ' C4 - WV' r I. n 1 " :'' '' '� \ k ∎ ('-l . F : `.' 4+3e Le k s a 4 ,S aka �. ; 4- ( Y n s to* t R a1 l „...4.4„. r .. AA .1 t „ s» t.� k- ! }4 C' n ,, � • b g t , '0 s (] e § R : 1,. , d ' g t ) 1 ; l .+ x, ,. i t - 4 , :tr' �' i . W . 4 n 3 2 x± - q C b i t ' l n ,. } av'ai t if- r 1,7;w i. lts `s -r - , l ,i' a . - 4gi :.tit . y ° _ 1.Offer /Acteptance. If this purchase order ("PO ") refers to vendor's bid or proposal, this PO is an provide such coverage for vendor or any of its agents or employees. Unemployment insurance benefits ACCEPTANCE of vendor's OFFER. TO SELL in accordance with the terms and conditions of the will be available to vendor and its employees and agents only if coverage is made available by vendor "solicitation" identified in vendor's bid or proposal. The solicitation includes an RFP, IFB, or any other or a third party. Vendor shall pay when due all applicable employment, income, and local head taxes form of order by buyer. If a bid or proposal is not referenced, this PO is an OFFER TO BUY, subject to incurred pursuant to this P0. Vendor shall not have authorization, express or implied, to bind buyer to vendor's acceptance, demonstrated by vendor's performance or written acceptance of this P0. Any any agreement, liability or understanding, except as expressly set forth herein. Vendor shall (a) provide COUNTER -OFFER TO SELL automatically CANCELS this PO, unless a change order is issued by and keep in force workers' compensation and unemployment compensation insurance in the amounts buyer accepting a counteroffer. This PO shall supersede and control over any vendor form(s) or part(s) required by law, (h) provide proof thereof when requested by buyer, and (c) be solely responsible for thereof included in or attached to any bid, proposal, offer, acknowledgment, or otherwise, in the event its acts and those of its employees and agents. of inconsistencies or contradictions, regardless of any statement to the contrary in such forms) or parts 16. Communication. All communication concerning administration of this PO, prepared by vendor for thereof. 2. Safety Information. All chemicals, equipment and materials proposed and/or used in the buyer's use, shall be f ern shed solely to purchasing agent. performance of this PO shall conform to the requirements of the Occupational Safety and Health Act of 17. Compliance. Vendor shall strictly comply with all applicable federal and state laws, rules, and 1970. Vendor shall furnish all Material Safety Data Sheets (MSDS) for any regulated chemicals, regulations in effect or hereafter established, including, without limitation, laws applicable to equipment or hazardous materials at the time of delivery. . discrimination and unfair employment practices. 3. Changes. Vendor shall furnish products and/or services strictly in accordance with the specifications 18. iosurenee. Vendor shall obtain, and maintain, at all times during the term of this P0, insurance as and price set forth for each item. This PO shall not be modified, superseded or otherwise altered, specified in the solicitation, and provide proof of such coverage as requested by purchasing agent. except in writing signed by purchasing agent and accepted by vendor. Each shipment received or 19. Termination Prior to Shipment. if vendor has not accepted this PO in writing, buyer may cancel service performed shall comply with the terms of this PO, notwithstanding invoice terms or acts of this PO by written or oral notice to vendor prior to shipmenrof'goods ot'e mltdlteiteeittent of services. ` vendor to the contrary, unless this PO has been modified, superseded or otherwise altered in 20. Termination for cause. (a) If vendor refuses or fails to timely and properly perform any of its accor with this section. obligations under this O with such diligence as will ensure its completion within the time specified , 4. Delivery. Unless otherwise specified in the solicitation or this PO, delivery shall be FOB destination. herein, buyer may notify vendor in writing of non - performance and, if not corrected by vendor within Buyer is relying on the promised delivery date, installation. and/or:service perfomrance set forth in the time specified in the notice, terminate vendor's right to proceed.with the PO or-auch part thereof as vendor's bid or proposal as material and basic to buyer's acceptance. If vendor fails to deliver or to which there has been delay or a failure. Vendor shall continue performance of this PO to the extent perform as and when promised, buyer, in its sole discretion, may cancel its order, or any part thereof, not terminated and be liable for excess costs incurred by buyer in procuring similar goods or services without prejudice to its other rights, retum all or packet any shipment sq.tnado, and charge vendor with elsewhere. Payment t completed services performed and accepted shall beat the price set forth in this any toss or expense sustained as a result of such failure to deliver or, perform as promised. Time is of PO. (b) Buyer may withhold amounts due to vendor as buyer deems necessary to reimburse buyer for the essence excess coats incurred in curing, completing or procuring similar goods and services.(c) If after 5. Intellectual Property. Any software, research, reports, studies, data, photographs, negatives or other rejection, revocation, or other termination of vendor's right to proceed under the CUCC or this clause, documents, drawings or materials (collectively buyer determines for any reason that vendor was not in default or the delay was excusable, the rights "materials ") delivered by vendor in performance of its and obligations of buyer and vendor shall be the same as if the notice of termination had been issued obligations under this PO shall be the exclusive property of buyer. Ownership rights shall include, but pursuant to termination under §21. not be limited to, the right to copy, publish, display, transfer, prepare derivative works, or otherwise 21, Termination In Public Interest. Buyer is entering into this PO for the purpose of carrying out the use the materials. Vendor shall comply with all applicable Cyber Security Policies ache State of public policy of the State, as determined by its Governor, General Assembly, and Courts, If this PO Colorado (the "State "), or buyer, as applicable, and ad confidentiality and non - disclosure agreements, ceases to further the public policy of the State, buyer, in its sole discretion, may terminate this PO in security controls, and reporting requirements. whole or in part and such termination shall not be deemed to be a breach of buyer's obligations 6. Quality. Buyer shall be the sole Judge in determining "equals" with regard to quality, price and hereunder. This section shall not apply to a termination for vendor's breach, which shall be governed performance. All products delivered shall be newly manufactured and the current model, unless by §20. Buyer shall give written notice of termination to vendor specifying the part or the PO otherwise specified. terminated and when termination becomes effective. Upon receipt of notice of termination, vendor 7, Warranties. All provisions and remedies of the Colorado Uniform Commercial Code, CRS, Title 4 shall not incur further obligations except an necessary to mitigate costa of perfonnannce. For services or ( "CUCC "), relating to implied and/or express warranties are incorporated herein, in addition to any specially manufactured, goods, buyer shall pay (a) reasonable settlement expenses, (b) the PO price or warranties contained in this PO or the specifications. rate for supplies and services delivered and accepted, (c) reasonable costs of performance on 8. inspection and Acceptance. Final acceptance is contingent upon completion of all applicable unaccepted supplies and services, and (d) a reasonable profit for the unaccepted work. For existing inspection procedures. If products or services fail to meet any inspection requirements, buyer may goods, buyer shall pay (e) reasonable settlement expenses, (1) the PO price for goods delivered and exercise all of ire rights, including those provided in the CUCC. Buyer shall have the right to inspect accepted, (g) reasonable costs incurred in preparation for delivery of the undelivered goods, and (h) a services provided undecthis PO at all tasonable times and places. "Services" as used in this section reasonable profit for the preparatory work. Buyer's termination liability under this section shall not includes services performed or tangible material produced or delivered in the performance of services. exceed the total PO price plus a reasonable cost for settlement expenses. Vendor shall submit a Many of the services do not conform to PO requirements, buyer may require vendor to perform the termination proposal and reasonable supporting documentation, and cost and pricing data as required services again in conformity with PO requirements, without additional payment. When defects in the by CRS §24 -lO6 -101, upon request of buyer. . quality or quantity of service cannot be corrected by re- performance, buyer may (e) require vendor to 22. PO Approval. This PO shall not be valid unless it is executed by purchasing agent. Buyer shall not take necessary action to ensure that Mare performance conforms to PO requirements and (b) equitably be responsible or liable for products or services delivered or performed prior to proper execution reduce the payment due vendor to reflect the reduced value of the services performed. These remedies hereof. do not limit the remedies otherwise available in this P0, at law, or in equity. 23. Fund Availability. Financial obligations of buyer payable after the current fiscal year are 9. Cash Discount. The cash discount period will start from the later of the date of receipt of acceptable contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. tf invoice, or from date of receipt of acceptable productslservices at the specified destination by an this PO is funded in whole or in part with federal funds, this PO is subject to and coutingent upon the authorised buyer representative. continuing avai lability of federal funds for the purposes hereof. Buyer represents that it has set aside 10. Taxes. Buyer and the State are exempt from all federal excise taxes under Chapter 32 of the sufficient funds to make payment for goods delivered in a single installment, in accordance with the Internal Revenue Code [No, 04_730123K) end from all State and local government sales and use taxes terms of this PO. (CRS, Title 39, Article 26, Parts 1 and II). Such exemptions apply when materials are purchased for the 24. Choice of Law. State laws, rules and regulations shall be applied in the interpretation, execution, benefit of Stele, except that in certain political subdivisions (e,g., City of Denver) vendor may be and enforcement of this P0. The CUCC shall govern this PO in the case of geode unless otherwise required to pay salsa or use taxes even though the ultimate product or service is provided to buyer. agreed in this P0. Any provision included or Incorporated herein by reference which conflicts with Buyer shall not reimburse such salts or use taxes. such lows, rulers, and regulations is out( and void. Any provision incorporated herein by reference 11, Payment. Buyer shall pay vendor for all arnounts due within 45 days after receipt of products or which purports to negate this or any other provision in this PO in whole or in part shall not be valid or services and a correct notice of amount due. Interest on the unpaid balance shall begin to accrue on the enforceable or available in any action at law, whether by way of complaint, defense, or otherwise. 46th day at the rate set forth in CRS §24. 30.202(24) until paid in full. interest shall not accrue if a good Unless otherwise specified in the solicitation or this PO, venue for any judicial or administrative action faith dispute exists as to buyer's obligation to pay all or a portion of the amount due. Vendor shall arising out of or in connection with this PO shall be In Denver, Colorado. Vendor shall exhaust invoice buyer separately for interest on delinquent amounts due, referencing the delinquent payment, administrative remedies in CRS §24- 109 -106, prior to commencing any judicial action against buyer. number of day's interest to be paid, and applicable interest rate. 25. Public Contracts for Services. [Not Applicable to offer, issuance, or sale of securities, 12. Vendor Offset. (Not Applicable to Intergovernmental POs) Under CRS §24-30 -202.4 (3.5), the investment advisory services, fund management services, sponsored profecls, intergovernmental State Controller may withhold payment under the State's vendor offset intercept system for debts owed POs, or information technology services or products and services] Vendor certifies, warrants, and to State agencies for: (a) unpaid child support debts or arearages; (b) unpaid balances of tax, accrued agrccs that it does not knowingly employ or contract with an illegal alien who will perform work under interest, or other charges specified in CRS §39- 21 -IOl, et seq.; (c) unpaid loans due to the Student this PO and will confirm the employment eligibility of all employees who are newly hired for Loan Division of the Department of Higher Education; (d) amounts required to be paid to the employment in the United States to perform work ender this PO, through participation in the E - Verify Unemployment Compensation Fund; and (e) other unpaid debts owing to the State as a result of final Program or the Department program established pursuant to CRS §8 -t 7.5.102(5)(c), Vendor shall not agency determination or judicial action. knowingly employ or contract with an illegal alien to perform work under this PO or enter into a 13. Assignment and Successors. Vendor shall not assign rights or delegate duties under this PO, or contract or PO with a subcontractor that fails to certify to vendor that the subcontractor shall not subcontract any part of the performance required under this PO, without the express, written consent of knowingly employ or contract with an illegal alien to perform work under this P0, Vendor shall (a) not buyer. This PO shall inure to the benefit of and be binding upon vendor and buyer and their respective use E -Verify Program or Department program procedures to undertake pre- employment screening of successors and assigns. Assignment of accounts receivable may be made only upon written notice job applicants during performance of this PO, (b) notify subcontractor and buyer within three days if furnished to buyer. vendor has actual knowledge that subcontractor is employing or contracting with an illegal alien for 14. Indemnification, If any article sold or delivered under this PO is covered by a patent, copyright, wort wider this PO, (c) terminate the subcontract if subcontractor does not stop employing or trademark, et application therefore, vendor shall indemnify' and hold harmless buyer from any and all contracting with the illegal alien within three days of receiving notice, and (d) comply with reasonable loss, Mobility, coat, expensaa and legal Mee incurred on account of any claims, legal actions or requests made in the course of an investigation, undertaken pursuant to CRS §8.17.5- IO2(5), by the judgment* editing out of manufacture, sale or um of such article In violation or infringement of rights Colorado Department of Labor and Employment. If vendor participates In the Department program, under etch patent, copyright, trademark or application. Hillis PO la for services, vendor shall vendor shell deliver to the buyer a written, notarized affirmation thut vendor has examined the legal indemnify, lave, and hold harmless buyer, its emplayaea and agents, against any and all claims, work 11101us of such employee, and shall comply with all of the other requirements of the Department damagae, liability and (mutt awards including ousts, expense, and attorney fans and retitled expellees, program. If vendor fails to comply with any requirement of this provision or CRS §8.17.5.10I et seq„ incurred as a rent[ of any sot or =imam' by vendor, or its employeee, agenta, aubcannaatars or buyer may terminate this PO for broach and, if w terminated, vendor shell be liable for damages. aaalgnees, erlatng out of or in cenneotien with perfaemaneo of serviette under thia P0. 26. Public Contracts with Natural Persona, Vendor, if a natural portion eighteen (18) years of age or 18. Independent Contractor. Vendor shall perlbnn Ile duties hereunder as an independent contractor older, hereby swears end atTlmts under penalty of perjury that he or she (a) la a citizen or otherwise and not as nn employee. Neither vendor nor any agent or employee of vendor shall be doomed to be an lawfully present In the United States pursuant to rodent law, (b) 'hall comply with the provieione of agent or employee of buyer, Vendor and its employees and agents ere not entitled to unemployment CRS §24- 76.5 --101 et seq., and (e) has produced a form of Identification required by CRS §24-76.5-103 Insurance or workers compensation benefits through buyer and buyer shall not pay fbr or otherwise prior to the date vendor delivers goods or begins performing services under terms of the PO. Effective Date 01/01/09 ATTACHMENT A EMS and Trauma Emergency Grant Application Colorado Department of Public Health & Environment HFEMSD —A2 4300 Cherry Creek Drive South Denver, CO 80246 - 1530 CDPHE Use Only FAX: (303) 753 - 6214 Date received Stamp 1. Legal Name of Agency 2. Federal Tax ID Number City of Pueblo 84- 6000615 3. Grant Contact Person 4. Phone Numbers Captain Robert Hudgens Day (719)251 -9222 Fax (719)553 -2831 E -mail (Title) (First) (Last) rhudgens @pueblo.us 5. Agency Mailing Address 6. Agency Street Address (Required for contract, P.O. Box not accepted) 1551 Bonforte Blvd. 1551 Bonforte Blvd. City: Zip Code: City: Zip Code: Pueblo 81001 Pueblo 81001 7. Legal Status of Agency / Organization (Mark all that apply:) ❑ Private Not For Profit ❑ Private for Profit ® County /City Government ❑ State Agency ❑ Special District ❑ Other: 8. County Grant ❑ Regional Grant ❑ State -Wide Grant ❑ Individual Agency Grant El 9. Project Area: ❑ Training ❑ Communications ❑ EMS or Trauma Equipment ❑ Ambulance or Other Vehicle ❑ Extrication Equipment Defibrillator: ❑ Manual ® Other: Dcd 1 »‘Q ►tilev ■ t l( a.- ❑ Automatic ) 1, the undersigned, do hereby attest that the information contained within this application is true to the best of my knowledge. I understand that my application will be disqualified should this statement be untrue. .1.gob 444 4..j v ,f Printed Name itle ig ature Date 1 STATEMENT OF NEED In the space below, write a concise statement describing the emergency that you feel will seriously downgrade emergency medical and trauma services in your area (including the cause (was it unexpected ?), analysis of possible solutions and impact if grant is not funded). Our department was recently informed that Microsoft will stop technical support and assistance for Windows XP, which is currently the operating system on all of our department's ToughBook mobile computer terminals, as of April 8, 2014. This will leave our computers vulnerable to security risks and viruses. We are also in need of a major upgrade to our current RMS and the new upgrade is not compatible with these computers. These mobile computers, are tied to our dispatch center and receive the call information and correct address, mark all responding times, document our out of service times when we assist in the transportation of a patient to the hospital and return to service time. We receive medical information about each call which prevents this information from being broadcast over our radios. We collect patient information on these computers and download this information into a central server for the storage of each report. This upgrade is essential to download information from our new LP15 cardiac monitors acquired through a provider grant. This inability to download all pertinent patient information from the monitors creates documentation and a legal issue for our department. We have secured the required sequel servicer licensing for the RMS upgrade but we are in need of the computers to allow us to accurately and proficiently document our patient care in the field and accurately document our times which can be critical in appropriate patient care (i.e. STEMI, CVA, etc.) If our department had known of this dilemma prior to applying for our current FY13 -14 provider grant to complete our purchase of Physio - Control LP 15 Cardiac Monitors, we would have included these computers in that grant cycle. Our department is looking to acquire 14 (13 front -line equipment and 1 reserve) Panasonic CF -19 ToughBook computers and docking stations to replace our outdated, non - upgradeable CF -19 computers. The new CF -19's may not be compatible with our current docking stations, so these are included in the request. In the event the current docking stations are compatible with the new CF -19s, the requested money would not be used. We are also exploring the option of a rugged tablet to decrease the cost. Our department, along with our Information Technology Department, is reviewing several different computer options, rugged and semi - rugged models, that include Dell and Panasonic. The attached bid is for the 2 Panasonic CF -19 Toughbook that is currently being used. If approved for this grant we will look for the best option and are considering cost, ability to withstand different weather conditions, durability around water, etc. We are looking at the ToughPad which is cheaper but may require the purchase of a docking station and other modifications that may increase the price. Due to decreased financial revenue, our city has projected a $3.5 million dollar shortfall for the year 2014. All departments have been hit with hiring freezes, the elimination of 40 of 70 unfilled positions within the city, decreased funding of several positions within the city, decreased budgets and the projected lay -off of several employees for this next year. The City of Pueblo was awaiting the recent election results for Amendment 1A which would have allowed for a 1 /2 percent sales tax increase providing approximately $1.8 million to assist with our declining revenue. This amendment failed the vote on November 5, 2013. Our city has met and discussed the ways to find the additional $1.8 million in budget cuts. Our current proposed budget for 2014 is S15,473,310 of which $14,695,935 is for salaries and benefits. The discussion to hold a Firefighter Academy to replaced 5 of our current 11 vacancies was proposed if Amendment lA passed and now the academy may not be held due to the defeat of this amendment. Our department is currently short 11 front -line members which is causing an additional increase in overtime to fill the positions. Our proposed operating budget is $777,375 for 2014 which is an approximate increase of $55609 from the adopted budget of 2013. Our operating budget includes station utilities, equipment repairs, fuel, station maintenance, etc. The EMS Budget is listed as `Other Charges' in the operating budget. The total for this division is $30,000, from which we purchase medical supplies and equipment, gloves, oxygen, bio hazard pick up, etc. There is no room in this budget to fund computers or other line item transfers to accommodate this purchase. In the event this grant cannot be secured, the possibility of inaccurate documentation of patient care and time documentation of interventions could occur. Amount requested from EMTS Emergency Fund: $_62130.40 Amount of cash match your agency can provide: $_6903.60 Equipment price quotation attached? Yes in No 3 AGENCY FINANCIAL INFORMATION Cash Flow Projection for Next Full Fiscal Year YEAR: 2014 to 2014 Agency Projection EMTS Portion of Agency Projection Cash Balance at the S S beginning of year Anticipated Revenues Agency Projection EMTS Portion of A. ency Projection Local Government $ $ Private Contributions $ $ Investment Income $ $ EMS Fee Revenue $ $ Other $ $ Anticipated Agency Projection EMTS Portion of Expenditures Agency Projection Salaries $ $ Operating $ S Capital Improvement $ $ Loans $ $ Other $ $ Agency Projection EMTS Portion of Agency Projection Anticipated Cash Balance $ $ for end of next Fiscal Year 4 ADDITIONAL INFORMATION In the space below 1) Explain the purpose of your cash balance; i.e. reserve, building fund, etc. 2) Explain any loan payments you are currently making. 3) Explain any capital improvement purchases you intend to make. Currently, the only capital improvement purchase is the LP -15 Cardiac Monitors through the Provider Grant Program. This money is currently in the 2014 budget but this budget has not been adopted as of this date. In the space below, please list other sources that you have requested funding from or other avenues your have pursued to alleviate the current emegency situation. We are attempting to get the required amount of funding placed in the 2014 budget. Currently there is a $3.5 million estimated budget cuts that have to be made. We are considering applying for an Assistance to Firefighter Grant that is due on December 6, 2013 but we do not know if this project will fall within their required parameters. Even if this grant is awarded, the time frame be outside the projected dates for our data computer lifespan. We are looking at the other grant sites listed on the CDPHE website but do not believe that any of them will be able to be applied for to be used for this project either due to their requirements or their award timeframes. We are currently researching other grant avenues and funding sources to assist us with this project. Please attach any documentation that you feel will help support your request. 5 EMS & Trauma Emergency Grant Attest Form IMPORTANT - this form must be signed. Colorado Department of Public Health & Environment HFEMSD - A2 4300 Cherry Creek Drive South Denver, CO 80246 -1530 1. Legal Name of Agency 2. Federal Tax ID Number El Yes, I have attached my W - 9 Form City Of Pueblo 84 6000615 DBA (Doing Business As - If Applicable) Pueblo Fire Department 3. Grant Contact Person 4. Phone Numbers Captain Robert Hudgens Day: 719 -251 -9222 Pager: - - (Title) (First) (Last) Fax: 719 -553 -2831 E -mail: rhud rte _...... @pueEato us 5. Agency Mailing Address 6. Agency Street Address (Required for contract, P.O. Box not 1551 Bonforte Blvd. accepted) 1551 Bonforte Blvd. City: Zip Code: City: Zip Code: Pueblo 81001 - Pueblo 81001- - -- Authorized Agent - --- - The individual, whose name and signature appear below, has been designated by the agency /organization listed above as the Authorized Agent to complete and submit this grant application on its behalf. The agency /organization agrees to comply with the rules and regulations governing the State of Colorado EMS Grants Program concerning grant requests. Financial Information 1. The Authorized Agent attests to the agency or organization's ability to provide the matching funds (50 %, 40 %, 30 %, 20% or 10 %) to complete the purchase of the grant award, should the agency be awarded state funds. 2. The Authorized Agent is aware that EMS vehicles and equipment purchased must be without any financial liens and without the item being used as collateral to secure a loan of any kind. 3. The Authorized Agent attests that, to the best of his /her knowledge, the information contained herein, with regard to the Agency's financial condition, is true, accurate and correctly reflects the financial condition of the agency /organization. Notification of Affected Entities By signing below, the Authorized Agent also attests to the fact that: 4. The agency(ies) /organization(s) affected by the possible outcome of this grant request, including but not limited to agencies /organizations listed in this application if it is a multi- agency application, has(have) been notified and has(have) agreed to its submission. Applicant Duties and Obligations Should Funding be Awarded Should the agency /organization listed in this application receive funding under this grant application, the agency /organization (hereinafter referred to as "grantee ") shall, and affirmatively promises to, comply with all of the provisions set forth in items 5 -8 below. 5. The grantee shall use grant funds received under this grant to complete all aspects of its grant application, and shall not use such funds for purposes other than this. 6. The grantee shall submit quarterly progress reports to the Colorado Department of Public Health and Environment, EMS Section (hereinafter referred to as the State "). 7. Requirements for Training and Education Grants For any training or education requests funded from this application the grantee shall comply with the following terms and conditions: A. Reimbursement for all travel expenses associated with the training or education program shall be made in accordance with the then current state of Colorado reimbursement rates for travel as specified in the Fiscal Rules of the state of Colorado. B. Written proof of the successful completion of any training or educational program shall be submitted at the same time as the invoice requesting reimbursement for that training or educational program. C. If the grantee provides a training or educational program, then the grantee shall acknowledge the use of emergency medical and trauma services account grant funds in all public service announcements, program announcements, or any other printed material used for the purpose of promoting or advertising the training or educational program. 6 D. If the grantee provides a training or educational program, then the grantee shall develop and utilize a course evaluation tool to measure the effectiveness of that training or educational program. The grantee shall submit a copy of all evaluation reports to the State upon completion of the training or educational program. 8. Requirements for Equipment Grants For any equipment purchases funded from this application, the grantee shall comply with the following requirements. A. The grantee shall provide the state with written documentation of the purchase of the specified equipment, B. All communications equipment shall be purchased from the State award for communications equipment, or from another vendor for a comparable price and quality. If the grantee desires to purchase communications equipment that is not listed on the State award then the grantee must complete, with the State's assistance if needed, an informal competitive solicitation process before purchasing that equipment. If a competitive solicitation process is used, then the grantee shall purchase the communications equipment from the lowest bidder whose bid meets the bid specifications. C. If the grantee desires to purchase emergency vehicles other than ambulances, then the grantee must complete, with the State's assistance if needed, an informal competitive solicitation process before purchasing that equipment. The proposed specifications for these emergency vehicles must be approved by the State prior to the initiation of the informal competitive solicitation process. If a competitive solicitation process is used, then the grantee shall purchase the emergency vehicles from the lowest bidder whose bid meets the bid specifications. D. If the grantee desires to purchase medical equipment, then the grantee must complete, with the State's assistance if needed, an informal competitive solicitation process before purchasing that equipment. If a competitive solicitation process is used then the grantee shall purchase the medical equipment from the lowest bidder whose bid meets the bid specifications. E. During the initial term and any renewal or extension term of the contract or purchase order issued to convey funding to the grantee, and after the cancellation, termination, or expiration date of said contract or purchase order, the grantee shall acquire and maintain personal property casualty insurance for the replacement value of all equipment it purchases under this grant for the useful life of that purchased equipment. F. The grantee shall keep inventory control records for all equipment it purchases. The grantee shall obtain the prior, express, written consent of the State before relocating or reallocating any equipment it purchases. G. The grantee shall provide the State with a picture of each piece of equipment it purchases. The grantee may submit a picture of a piece of purchased equipment at any time, but in no event no later than the date the grantee's final progress report is due to the State. H. The grantee shall maintain all equipment it purchases in good working order, normal wear and tear excepted. The grantee shall perform all necessary maintenance services for all equipment it purchases in a timely manner and in accordance with all manufacturers' specifications and all manufacturers' warranty requirements. The grantee shall keep detailed and accurate records of all maintenance services it performs on all equipment it purchases. I. The grantee shall repair or replace all purchased equipment that is damaged, destroyed, lost, stolen, or involved in any other form of casualty. J. If the grantee ceases to provide emergency medical and trauma services in the state of Colorado, then all equipment purchased under this grant shall either be placed with another operating emergency medical services provider in the state of Colorado, or be sold at public auction for its then fair market value. That portion of the sale proceeds which equals the State's initial financial contribution towards the purchase of that equipment shall be refunded to the State by the grantee. The grantee shall obtain the prior express written consent of the State prior to any relocation or sale of any purchased equipment. f • First Name: /dad Last Name: Hi 110" /rd C' 1 0 Name of Authorized Agent Ti 719 s -23 © Daytime Phone Number ,5( A 2.--L3 3 Si! nature of Authorized A!, ent Date ❑ Are you requesting a defibrillator or a cardiac monitor? First Name: Last Name: Name of Medical Director Physician License Number Signature of Medical Director Date 7