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ORDINANCE NO. 8711
AN ORDINANCE APPROVING AND ACCEPTING A COLORADO
EMERGENCY MEDICAL AND TRAUMA SERVICE GRANT, AND
APPLICABLE CONDITIONS PERTAINING THERETO,
ESTABLISHING PROJECT NO. PD1403 PURCHASE CARDIAC
MONITORS AND MISCELLANEOUS EQUIPMENT, BUDGETING
AND APPROPRIATING GRANT FUNDS IN THE AMOUNT OF
$65,000 FOR THE PURPOSES AUTHORIZED BY THE GRANT
AGREEMENT, AND TRANSFERRING FUNDS (PREVIOUSLY
BUDGETED IN THE CITY’S 2014 BUDGET) IN THE AMOUNT
OF $65,000 FROM THE 2014 GENERAL FUND TO PROJECT
NO. PD1403
WHEREAS, the Colorado Emergency Medical and Trauma Services (EMTS) has
tendered a grant award to the City of Pueblo in the amount of $65,000, 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. PD1403 Purchase Cardiac Monitors and Equipment is hereby established.
The grant amount of $65,000 is hereby budgeted and appropriated to Project No. 1403 for
expenditure for the purposes authorized by the grant agreement.
SECTION 3.
Matching funds of the City, in the amount of $65,000, are hereby appropriated and
transferred from the 2014 General Fund to Project No. PD1403.
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-4
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. PD1403 PURCHASE CARDIAC MONITORS AND
MISCELLANEOUS EQUIPMENT, BUDGETING AND APPROPRIATING GRANT FUNDS IN
THE AMOUNT OF $65,000 FOR THE PURPOSES AUTHORIZED BY THE GRANT
AGREEMENT, AND TRANSFERRING FUNDS (PREVIOUSLY BUDGETED IN THE CITY’S
2014 BUDGET) IN THE AMOUNT OF $65,000 FROM THE 2014 GENERAL FUND TO
PROJECT NO. PD1403
ISSUE
Should the City of Pueblo accept a grant award from the Colorado Emergency Medical
and Trauma Service (EMTS) in the amount of $65,000 establish a project account,
appropriate and transfer $65,000 in matching funds from the 2014 general fund to the
project account, and budget and appropriate the amount of $130,000 for the grant
purposes?
RECOMMENDATION
Approval of the Ordinance.
BACKGROUND
An application for a grant from Colorado EMTS was authorized by the City Manager on
February 14, 2013. The grant award is for the purchase of LifePak 15 cardiac monitors
and miscellaneous equipment. This will cover the second phase of original project no.
PD1304.
FINANCIAL IMPACT
If the City accepts the grant, as recommended, the City is required to contribute to the
final costs of the cardiac monitors and miscellaneous equipment in the amount of
$65,000. The matching funds (previously budgeted for this purpose in the City’s 2014
budget) will be transferred from the 2014 general fund 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: 07-24-13 ' T4 PURCHASE
4300 CHERRY CREEK DRIVE SO ®
DENVER CO 80246 1530 IMPORTANT ��;.
;� r R
The PO# and Line # must •... =� STATE OF COLORADO
appear on all invoices, 4-
Buyer: SAM FULLER packing slips, cartons
Phone Number: 303 - 692 -2073 and correspondence P.O. # OE FMA EMS14000103 Page# 01
Agency Contact: MICHAEL SEIFFERTT
Phone Number: 303 692 2862 ACC: 07 -23 -13 State Award #
FEIN 846000615 Phone: 719-584 -0845 BID #
Vendor Contact: ROBERT HUDGENS 719 - 251 -9222 Invoice In Triplicate
Purchase Requisition #: To: CO PUBLIC HEALTH & ENVIRONMENT
EMERGENCY MED SVCS - HPDP - EMS - A2
• CITY OF PUEBLO 4300 CHERRY CREEK DRIVE SO
DENVER CO 80246 - 1530
N
D PO BOX 1427
O PUEBLO CO 81002 - 1427 Payment will be made by this agency
Ship CO PUBLIC HEALTH & ENVIRONMENT
INSTRUCTIONS TO VENDOR: To: EMER MEDICAL SVC -HDPD- EMS - A2
1, 11 for any reason. delivery of this order Is delayed beyond the delivery /installation date 4300 CHERRY CREEK DRIVE SOUTH
shown, please notify the agency contact named at the top left. (Right of cancellation is DENVER, CO 80246-1530
reserved in Instances in which timely delivery is not made.)
2. All chemicals, equipment and materials must conform to the standards required by OSHA.
Delivery/Installation Date: 06-30-14
3. NOTE: Additional terms and conditions on reverse side. F•O•B• DESTINATION STATE PAYS NO FREIGHT
SPECIAL INSTRUCTIONS:
LINE COMMODITY /ITEM UNIT OF
ITEM CODE MEASUREMENT QUANTITY UNIT COST TOTAL ITEM COST
001 94812000000 $72,132.30
EMS FY14 GRANT - EQUIPMENT
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 P0. SHOULD
THE GRANTEE REALIZE SAVINGS, IT WILL BE SHARED PROPORTIONATELY
BETWEEN GRANTEE AND STATE AT MATCH RATE PER THE STATEMENT OF WORK.
DOCUMENT TOTAL = S72.132.30
TIIIS PQ IS ISSUED IN ACCORDANCE Wil tI STATE AND FEDERAL REQULATIONS FOR THE 'TATS OF 5.06• RAr •
This PO Is effective on the dale signed by the authorized Individual /
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- Pu � r t h a se ' D r d e r Te aAd Cone itions
1. Offer /Acceptance. 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 evadable by vendor
"solicitation" identified in vendor's bid or proposal. The solicitation includes an RFP, IF13, or any other or a third party Vendor shall pay when due all applicable employment, income, and Incas head taxes
form of order by buyer If a bid or proposal is not referenced, this PO is an OFFER' f0 BUY, subject to incurred pursuant to this PO. Vendor shall not have authorization, express or implied, to hind buyer to
vendor's acceptance. demonstrated by vendor's performance or written acceptance of this PO Any any agreement, liability or understanding, except as expressly set forth herein. Vendor shall (n) provide
COUNTER -0FFFR TO SELL automatically CANCEI...S 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 counter -offer This PO shall supersede and control over any vendor fonn(s) or part(s) required by law, (b) 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 form(s) 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 furnished solely to purchasing agent
performance of this PO shall confirm 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. Insurance. Vendor shall obtain, and maintain, at all times during the terra 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 wetting 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 P0, notwithstanding invoice terms or acts of this PO by written or oral notice to vender prior to shipment of goods or commencement 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
accordance with this section_ obligations under this PO with such diligence as will ensure its completion within the time speedied
4. Delivery. Unless otherwise specified in the solicitation or this PO, delivery shall he P013 destination herein, huyer 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 performance set forth in the time specified in the notice, terminate vendors right to proceed with the PO or such 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
psi form 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, return all or part of any shipment so made, and charge vendor with elsewhere_ Payment for completed services performed and accepted shall be at the price set forth in this
any loss 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 musts incurred iri 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 of 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 lirnited 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 Cybcr Security Policies of the State of public policy of the State, as deterrnined by its Governor, General Assembly, and Courts. If this PO
Color ado (the 'State "), or buyer, as applicable, and all confidentiality and non - disclosure agreements, reases 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 n breach of buyer's obligations
6. Quality. Buyer shall he 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 he governed
performance All products delivered shall he newly manufactured and the current model, unless by §20 Buyer shall give written notice of termination to vendor specifying the part of the PO
otherwise specified. terminated and when termination becomes effective, Upon receipt of notice of termination, vendoi
7. Warranties. All provisions and remedies of the Colorado Uniform Commercial Code, CRS, Title 4 shall not incur further obligations except as necessary to mitigate costs of performance. Far services nr
("CUCC "), relating to implied and/or express warranties are incorporated herein, m addition to any spccrally 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, (f) the PO price for goods delivered and
exercise all of its rights, including chose provided In the CUCC, Buyer shalt have the right to Inspect accepted, (g) reasonable costs incurred in preparation for delivery of the undelivered goods, and (h) a
services provided under this PO at all reasonable 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 perfomsed 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
teeny 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- 106.101, upon request of buyer
quality or quantity of service carnet be corrected by re- perfot mance, buyer may (a) require vendor to ' 22. PO Approval. 'Flits PO shall not be valid unless it is executed by purchasing agent. Buyer shall not
tuke necessary action to ensure that future perfurmanee 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 redeem' virtue (tithe 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, Crus 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, 1.1'
invoice, or from data of receipt of ur:eeptuble products/servicee at the specified destination by an this PO is funded in whole or in part with federal funds, this PO is subject to and contingent open the
authorized buyer representative, continuing availability of federal funds for the purposes hereof. Buyer replesents that it has set aside
10. Taxes. Buyer and the Stare hue exempt lion all federal exoise taxes under Chapter 32 of the sufficient funds to make payment for goods delivered in a susgle installment, in accordance with the
letomal Ravenuc Code [No. 84.730123K] and from all State and local gnvemment sales and use taxes terms of this PO,
[CRS, Title 39, Article 29, farts 1 and 11). 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 Slate, except that in certain political suhdivisianu (e,g , City of Denver) vendor may be and enforcement of this PO, The CUCC shall genem this PO in the case of goods unless otherwise
required to pay sales or use taxes even though the ultimate product or service is provided to buyer agreed in this PO. Any provision included or incorporated herein by reference which conflicts with
Bayer shall not reimburse such sales or use taxes such laws, rules, and regulations is null and void. Any provision incorporated herein by reference
II. Payment. Buyer shall pay vendor for all amounts due within 45 days rifler 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 fule interest shall not accrue if a good Unless otherwise specified in the solicitation or this P0, 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 Inter - governmental POs] Under CRS §24 - - 202.4 (3.0), the investment advisory services, fund management services, sponsored projects, 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 arrearages; (b) unpaid balances or tux, accrued agrees that it does riot knowingly employ or contract with an illegal alien who will perform work under
interest, ur other charges specified in CRS §39- 21 -tOl, et seem (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 under this PO, through participation in the E- Verify
Unemployment Compensation Pend; and (e) other unpaid debts owing to the State as a result of final Program or the Deparmient program established pursuant to CRS §8 -17 5- 102(5)(c), Vendor shalt 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 subcontmcior that fails to certify to vendor that the subcontractor shall not
subeutmroct any part of the performance required under this PO, without the express, written emistnt of knowingly employ or emtiact with an illegal elicit to perfurnt work under (il k?,Q Vendor shall (a) not
buyer This PO shell mvute im the benefit of and be, hireling upon vender tad buyer and their respective use Ii -Verify Program or Department program procedures to undertake pry employment screening of
sueoneoura and assigns, Assrgnmeru of :Amounts raneivehlm may he made only upon written nutlet: job applicants during perfomence of this PO, (b) notify subcontractor and buyer within three days if
Mt WOW to huyer, vendor has actual knowledge that subuontruetur is employing or eonhacting with an illegal alien for
14, lndoesnllkuilun, If any allele sold or delivered under thin PO 0s covered by in patent, copyright, work under this PCI, (c) terminate the subcontract If euheontraetur does not stop employing or
trademark, or application therefore, vendor shall Indemnity and hold hurmleas buyer from uny end all 0nntraoting with the illegal alias within three days of receiving notice, and td) comply with reasonable
hwe, liability, coat, ax)xanaes and heed Was incurred on account aim Wattle, legal icu01(0 rx roquosts made in the eoutse of an utvestigadoa, undertaken pursuant to CRS §8 -17 5. 102(5), by the
Judgttttnta arising out of menchaetum, sole 0r use or aueh a0tiola in violation or infringement of rights Colorado Department of Labor and Employment, II' vendur purticipatea in Iha Department program,
ender 4401 patent. copyright, Itttdsntark or application- If this PO is for services, vendor shall vendor shall deliver to the buyer a written, notarised affirmation that vendor has examined dm legal
11111 e0ni9', 5000, and hold hat micas boyar, its employees and h090 against any and ell. claims, work stntus of such employes, and shat oumtply with all of the ether requirements of the Department
damages, liability end count awards including emits, expnnsea, and attorney then and related mummies, program. If vender fails to comply with any requirement of this provision or CRS §8.17,5.101 at seq.,
irwatt0d 111 u insult or any 001 01001001100 by vendor, ur 1(5 employees, ugenta, suheuntrautors or buyer new terminate this PO for braauh and, i£ so mentioned, vendor shall he liable fur damages.
assignees, arising out of or in otnmoalion with pet rummers of services under thus PO, 2h, Public Cmntreels with Natural Parsons, Vander, if a natural meson eighteen (18) years of age ur
15. Independent Contractor, Vendor shall perform its duties hereunder as en independent contmeter older, hereby swears and affirms under penally of perjury that he or shr: (n) is a intizun or otherwise
and not as an employee. Neither vendor not any agent or =Mope* of vendor shall he deemed to be tin lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions uf
agent or empluyna of buyer Vendor and its employees and agents are not entitled to unemployment CRS §24.76,5.101 et seq., and (c) has produced a form of identification required by CRS §24. 763.103
insurance or workers compensation benefits through buyer and buyer shall not puy for or otherwise prior to the date vendor delivers goods or begins performing services under terns of the PO
Effective Date 01/01/09
Colorado EMTS Provider Grants Page 1 of 6
PUEBLO FIRE DEPARTMENT
•
1551 Bonforte Blvd, Pueblo, CO 81001
phone: 719- 251 -9222 fax: 719 -553 -2831 email: rhudgens @pueblo.us
Purchase Order
Statement of Work
I. Project Description:
As a result of receiving a fiscal year 2014 EMTS provider grant award with a 50% local cash match
after submitting an approved application for funds, this entity will be responsible for successfully
completing the activities described below in an effort to enhance Colorado's emergency medical and
trauma services system.
This is the 2nd phase to replace our existing cardiac monitors. We received a provider grant last year
to begin the process. We currently have 10 Physio - Control LP12 monitors which are schedules to
have the service agreements stopped approximately September 10, 2016. The average life of these
monitors Is 10.8 years according to our Physio - Control maintenance records. We are currently
attempting to complete this process within 3 -5 years.
We are applying for a grant to replace our near 25 year old CPR and ALS manikins. These manikins
are extremely old and have fulfilled their reasonable life expectancy.
II. Performance Requirements /Deliverables:
a) Deliverables:
The items listed in paragraph (f) below will be purchased and delivered by June 30, 2014,
b) Standards for acceptable completion of deliverables:
1. Timelines for deliverables met.
2. Requirements for quarterly progress reports met.
3. Requirements for change of scope requests met, if applicable.
4. Payment requests submitted timely and with appropriate supporting documentation.
c) Reporting on the progress of the project:
Quarterly progress reports must be completed at www.cemsis.com no later than 9/30/2013,
12/31/2013, 3/31/2014 and 6/30/2014.
d) Location:
These services will be provided within the state of Colorado.
e) Term:
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Colorado EMTS Provider Grants Page 2 of 6
This Purchase Order begins on its effective date and expires on June 30, 2014.
f) Budget:
EMS and Trauma Equipment
Quantity Description Price Each Total Price Percent Agency State Amount
Match Amount Amount Funded
4 Physio - Control LP15 $31,830.40 $127,321.60 50% $63,660.80 $63,660.80
1 Laerdal ALS Simulator $9,999.00 $9,999.00 50% $4,999.50 $4,999.50
1 Laerdal Skilireporter $2,604.00 $2,604.00 50% $1,302.00 $1,302.00
CPR Manikin
1 Simulaids CPR $740.00 $740.00 50% $370,00 $370.00
Instructor Package
1 Laerdal StmPad System $3,600.00 $3,600.00 50% $1,800.00 $1,800.00
for ALS Simulator
EMS and Trauma $144,264.60 $72,132.30$72,132.30 $72,132.30
Equipment Category
Total
Provider Grant Request Total
Quantity Description Price Each Total Price Percent Agency State Amount
Match Amount
Total for all categories $144,264.60 $72,132.30 $72,132.30
g) Changes to scope: amt funded $72,132.30
An amended Statement of Work and issuance of a modified Purchase Order are required to make
changes to the deliverables, performance dates and budget. Written authorization must be obtained
before any changes of scope may be Implemented. To request a change of scope, email
jeanne. bakehouse @state. co. us.
III. Invoicing:
To receive compensation under this Purchase Order, signed invoices and supporting documentation
must be submitted. Invoices may be submitted as deliverables are completed or as a single invoice
at the end of the project. Expenditures shall be in accordance with the services and pricing set forth
in this Statement of Work.
Invoices will be submitted to:
Jeanne -Marie Bakehouse
Health Facilities and Emergency Medical Services Division, mail code A2
4300 Cherry Creek Drive South
Denver CO 80246
(Or scanned and sent via email to jeanne.bakehouse @state.co.us)
To be considered for payment, billings for payments pursuant to this Purchase Order must be
received within a reasonable time after the period for which payment Is requested. Final billings
under this Purchase Order must be received by the State within a reasonable time after the
https: / /www.hfemsd2.dphe.state.co.us /CEMSISWeb GrantRequests /page3040Statement0... 1/30/2013
Colorado EMTS Provider Grants Page 3 of 6
expiration or termination of this Purchase Order; but in no event later than thirty (30) calendar days
from the effective expiration or termination date of this Purchase Order,
IV. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the purchase order period by the Grants Program Manager. Methods used will include
review of documentation reflective of performance to include quarterly progress reports and payment
requests.
V. Resolution of Non - Compliance:
The Contractor will be notified by email within 10 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when
appropriate, to determine the action(s) necessary to rectify the compliance issue and determine
when the action(s) must be completed. The action(s) and time line for completion will be
documented by email and agreed to by both parties. If extenuating circumstances arise that requires
an extension to the time Tine, the Contractor must email a request to the Grants Program Manager
and receive approval for a new due date. The State will oversee the completion /implementation of
the action(s) to ensure time lines are met and the Issue(s) Is resolved. If the Contractor
demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may
exercise Its rights under the Terms and Conditions of this Purchase Order,
VI. Vendor Disclosure
The Vendor agrees to perform services in accordance with the terms and conditions of the Purchase
Order to Include Statement of Work and Budget. The Vendor attests that services provided under the
Purchase Order are not anticipated to be performed outside of the state of Colorado or the United
States.
VII. Additional Terms and Conditions:
1, Legal Name of Organization: PUEBLO FIRE DEPARTMENT
2. DBA (Doing Business As - If Pueblo Fire Department
Applicable) :
3. Federal Tax ID Number: 98- 0003305
4. Contact Person: Robert C Hudgens
Captain /EMS Coordinator
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 EMTS Grants Program concerning grant requests,
Financial Information
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Colorado EMTS Provider Grants Page 4 of 6
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.
The Authorized Agent attests that EMTS vehicles and equipment purchased shall be without any
financial liens and without the item being used as collateral to secure a loan of any kind.
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 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 below.
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.
The grantee shall submit quarterly progress reports to the Colorado Department of Public Health and
Environment, Emergency Medical and Trauma Services Section (hereinafter referred to as the
State').
The grantee shall disclose to the State all financing methods used to obtain the items listed in this
application.
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. Prompt billing at the end of each quarter or semester Is expected.
D. 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.
E. 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.
https: / /www.hfemsd2.dphe. state. co. us /CEMSISWeh CTrantRea »ests /natie 1O4OStatemente 1 /1 or,n h1
Colorado EMTS Provider Grants Page 5 of 6
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 within 30 days of purchase.
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 which 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 which 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.
Failure of the Authorized Agent and /or grantee to perform any of the above duties, obligations or
requirements is a material breach of this contract entitling the State to pursue all remedies available
under the law.
lattos: / /www.hfemsd2.dnhe. .state. nn nc /CFMCTSWPh rrantR arnuaetc /nanP"2fldf gtataman +C 1 /z n»ni
Colorado EMTS Provider Grants Page 6 of 6
Authorized Agent
Name: Sam Azad
Title: City Manager
Daytime Phone Number: 719- 251 -9222
Authorized Agent Name (Print) and �r \ k Title : vvk i/ 74.-
Signature of Authorized Agent:
Date: t \3
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https:// www, hfemsd2 .dphe.state.co.us /CEMSISWeb GrantRequests /page3040Statement0,.. 1/30/2013