1 Hold a certificate of accreditation issued by the by R0p7u6K

VIEWS: 15 PAGES: 19

									                                                                                                                                 John R. Kasich, Governor
                                                                                                                               Thomas P. Charles, Director
                                                 Administration                                                                           Jeffrey A. Leaming
                                                 Bureau of Motor Vehicles                                                                  Executive Director
                                                 Emergency Management Agency
                                                 Emergency Medical Services                                                      Emergency Medical Services
                                                 Office of Criminal Justice Services                                                  1970 West Broad Street
                                                 Ohio Homeland Security                                                                     P.O. Box 182073
                                                 Ohio Investigative Unit                                                         Columbus, Ohio 43218-2073
                                                 Ohio State Highway Patrol                                                   (614) 466-9447  (800) 233-0785
                                                                                                                                           www.ems.ohio.gov



                                                          FUNDING AVAILABLE
2012-2013 OHIO DIVISION OF EMS ASSISTANCE TO PARAMEDIC TRAINING PROGRAMS GRANT APPLICATION
                                        Funding Priority 6

Priority 6- Entities that operate EMS training programs at the paramedic level and are seeking national
accreditation of the EMS training program at the paramedic level.

ELIGIBLE APPLICANTS: To be eligible an applicant must meet all of the following conditions:
      (1) Hold a certificate of accreditation issued by the board pursuant to section 4765.17 of the Ohio Revised Code
      (R.C.) to operate an EMS training program at the paramedic level; (2) Be seeking initial national accreditation of
      the EMS training program at the paramedic level from an accrediting organization as approved by the board;
      (Committee on Accreditation of Educational Programs of the Emergency Medical Services Professions) (3) Must
      have applied for national accreditation on or after February 25, 2010.

DEADLINE: The deadline for year 2012-2013 applications is 5:00 PM, Monday, April 2, 2012. Applications must be
      hand delivered or postmarked by this date to be considered for funding. Late applications will not be accepted.

APPLICATION AVAILABILITY: Applications are available to eligible entities on November 1, 2011 by contacting the
      Division of EMS at 1-800-233-0785 or going to the EMS website at: www.ems.ohio.gov then select “grants”.

AVAILABLE FUNDS: A maximum of $5,000.00 is available for each applicant for the process of obtaining national
      accreditation. Funds will be provided through a reimbursement process as costs are incurred by the grantee.
      Funding is provided by the Division of EMS / State EMS Board through seatbelt fines. The amount available for
      each category will be contingent upon the amount of seatbelt fines collected for the award year. Grantees may not
      be funded at their requested amount.

RESOURCES AVAILABLE: Grants administration staff members are available at 1-800-233-0785 to answer questions
     and assist you with the application process.

PROJECT PERIOD: July 1, 2012 to June 30, 2013. Reimbursement of funds may be requested for invoices dated within
     the grant period. The grantee may receive reimbursement retroactively if the applicant applied for national
     accreditation on or after February 25, 2010. If the total award is not expended by June 30, 2013, the applicant will
     have the opportunity to reapply in the subsequent year in order to receive the full $5,000.00. No-cost extensions
     of up to one year are available by written request. If additional funds are needed, a new application is required in
     a subsequent year.

SELECTION CRITERIA: Annual award amounts and eligibility for invoice reimbursement will be determined by the Ohio
     Division of EMS’s Education Section. Grants may be awarded conditionally, at which time the applicant must
     provide additional information by a specified date. Notification of grant award offers will be mailed to the contact
     address by June 30, 2012.




                                                                  Mission Statement
                   “to save lives, reduce injuries and economic loss, to administer Ohio’s motor vehicle laws and to preserve the safety
                             and well being of all citizens with the most cost-effective and service-oriented methods available.”


EMS 2086 11/11 Page 1 of 19
         If funded, the agencies must:
          Complete a Mid-Year Project Report by December 30th, 2012 (see page 12 for required Mid-Year Project
              Report content).


            Complete a Final Project Report by August 30, of the award year to summarize grant accomplishments (see
             page 13 for required Final Project Report content and format). If it is necessary to receive additional funds in a
             subsequent year in order achieve accreditation, a Final Report will be due for each year awarded.




EMS 2086 11/11 Page 2 of 19
2012-2013 OHIO DIVISION OF EMS ASSISTANCE TO PARAMEDIC TRAINING PROGRAMS GRANT APPLICATION
                                        Funding Priority 6

Your request must be typewritten and you must respond to each question in this application. All applications must be
postmarked by 5:00 PM, Monday, April 2nd, 2012. No faxed applications will be accepted.
Send 3 completed applications (one hard copy with an original signature, and two additional hard copies) to the
following address:

                                  Assistance to Paramedic Training Programs
                                       Ohio Department of Public Safety
                                                Division of EMS
                                       1970 West Broad Street, 5th Floor
                                             Columbus, OH 43223
If you have any questions, contact EMS Grants Administration at 1-800-233-0785 or via e-mail at
aboster@dps.state.oh.us.




EMS 2086 11/11 Page 3 of 19
                                            CONTACT INFORMATION
                                                   Funding Priority 6

Please list an organizational address (not home address). All correspondence concerning the grant will be mailed to the
address listed below.

 CONTACT PERSON

 ORGANIZATION

 ORGANIZATION ADDRESS

 CITY                                                           STATE                         ZIP

 DAY PHONE                                                      FAX
 (      )      -                                                (     )      -
 E-MAIL

 TOTAL AMOUNT REQUESTED




EMS 2086 11/11 Page 4 of 19
                                              ASSEMBLING THE APPLICATION
                                                   Funding Priority 6

Your application must be assembled in the following order:

    1. Contact Information (page 4)

    2. Planning Worksheet (page 6-8)

    3. Signed Agreement (page 14-19)

    4. Budget – A detailed budget including requested funds and in-kind contributions for equipment, salaries, and
       miscellaneous expenses must be provided. Use the Budget Sheet on pages 9-11.

             ALLOWABLE & UNALLOWABLE COSTS:

             Examples of Allowable Costs:       CAAHEP First Annual Fee
                                                CoAEMSP Initial Self Study Report (ISSR) Evaluation
                                                Technology Fee
                                                CoAEMSP site visit and facilitation costs


             Examples of Unallowable Costs:     Costs associated with producing RAS or ISSR including direct labor or
                                                personnel costs, contractual services or materials, and supply costs
                                                Equipment leasing or purchases
                                                Costs incurred to comply with CAAHEP Standards and Guidelines for the
                                                Accreditation of Educational Programs in the Emergency Medical
                                                Services Professions

    5. W-9 Form – Completed with original signature if you are not currently on file with the Ohio Department of Public
       Safety.


SEND COMPLETED APPLICATIONS (ONE HARD COPY WITH AN ORIGINAL SIGNATURE, AND TWO ADDITIONAL
HARD COPIES) TO THE ADDRESS ON PAGE 3, POSTMARKED BY 5:00 PM, MONDAY, APRIL 2, 2012. NO FAXED
APPLICATIONS WILL BE ACCEPTED.




EMS 2086 11/11 Page 5 of 19
2012-2013 OHIO DIVISION OF EMS ASSISTANCE TO PARAMEDIC TRAINING PROGRAMS GRANT APPLICATION
                                       (Funding Priority 6)

                                                 PLANNING WORKSHEET

Complete the following planning worksheet to provide an action plan for your project. Deadline for completion of the
project is June 30, 2013.

                                        SCOPE OF WORK MATRIX


                  ACTIVITIES                       RESPONSIBLE             TARGET              DOCUMENTATION
                                                      PARTY                 DATES                 METHODS
Establish an accreditation work group to
review the CAAHEP and CoAEMSP process,
program analysis, action plans, plan for
accreditation submission, and other pertinent
data.

Workgroup meets with other faculty and the
program medical director to discuss the plan
and share information on the process.


Workgroup reviews the CAAHEP Standards
and Guidelines for the Accreditation of
Educational Programs in the Emergency
Medical Services Professions:
www.coaemsp.org/Documents/Standards.pdf


Workgroup reviews the Program Resource
Assessment documents as follows: Program
Personnel and Student, Faculty Evaluation
and SSR Questionnaire and the Student
Evaluation Questionnaire and answers the
questions honestly. (All forms available at
www.coaemsp.org


Workgroup lists and analyzes the program’s
current strengths and weaknesses / limitations




Workgroup lists resources, including
personnel, equipment, and other resources
that would need to be present to demonstrate
that the Standards are met.




EMS 2086 11/11 Page 6 of 19
Workgroup to determine the fixed costs for the       *Needed for grant
accreditation process to include:                    budget sheet
Direct labor costs
Materials and supplies
Contractual services
Travel Costs
Request for Accreditation Services (RAS) fee
Initial Self Study Report (ISSR) fees
Cost of CoAEMSP site visit (CoAEMSP fees
at this link www.coaemsp.org/Fees.htm)

Program director to meet with program
authorizing official to discuss costs and the
process.
Program director to complete and submit the          *Needed for Mid-year
Request for Accreditation Services (RAS)             and / or Final Progress
form online.                                         Report

Program director to submit a request for            * Needed for Mid-year
payment of the first CoAEMSP Annual Fee.            and / or Final Progress
www.coaemsp.org/Becoming_Accredited.htm             Report

Program director to download and begin the
ISSR from the CoAEMSP web site. (Save the
ISSR to your computer as it cannot be
completed on-line).
www.coaemsp.org/Becoming_Accredited.htm


Workgroup to meet with the clinical and field
internship affiliates to obtain the required data
to complete the clinical and field internship
matrixes,
www.coaemsp.org/Self_Study_Reports.htm


Program director to administer the Faculty
Evaluation SSR Questionnaire


Program director to administer the Student
Evaluation Questionnaire and arrange for the
completed questionnaires to be sent
separately to the CoAEMSP Executive Office.

Program director to initiate payment request
for the fees that must accompany the ISSR:
Annual fee, ISSR Evaluation and Technology
fees, and the site visit deposit.


Program director to submit the ISSR and             * Needed for Mid-year
ensure the separate, confidential mailing of        and / or Final Progress
the Student Evaluation SSR Questionnaires           Report
before the site visit team arrives.




EMS 2086 11/11 Page 7 of 19
Workgroup reviews copy of the Executive          * Needed for Mid-year
Analysis (EA) from CoAEMSP and begins            and / or Final Progress
making corrections before the site visit team    Report
arrives. (EA should arrive within 30 days of
CoAEMSP receiving a completed ISSR.)

Program director to submit the Site Visit
Information form with potential dates when all
Faculty, the Medical Director, Dean, CEO,
and other key officials will be available and
students will be enrolled. Complete the hotel
information on the form:
www.coaemsp.org/Site_Visits_Visitors.htm.

Program director receives confirmation of        * Needed for Mid-year
CoAEMSP site visit dates and will prepare a      and / or Final Progress
schedule for the site visit team.                Report
Workgroup will gather the required /
necessary documents and have them
available in one location (the CoAEMSP office
will provide a list of documents and records
for review).

Program to host CoAEMSP site visit.              * Needed for Mid-year
                                                 and / or Final Progress
                                                 Report
Program director to respond to the factual       * Needed for Mid-year
accuracy of the CoAEMSP Findings Letter          and / or Final Progress
following site visit.                            Report

Program director to submit new information in    * Needed for Mid-year
response to any CAAHEP violations identified     and / or Final Progress
in the CoAEMSP Findings Letter and if            Report
necessary make appropriate modifications or
programmatic changes.




EMS 2086 11/11 Page 8 of 19
2012-2013 OHIO DIVISION OF EMS ASSISTANCE TO PARAMEDIC TRAINING PROGRAMS GRANT APPLICATION


                                                 BUDGET SHEET

Provide a Budget Sheet using the template on page 10 and depicting all anticipated costs for implementation of your
project within the award year. Please sign and date.

ALLOWABLE & UNALLOWABLE COSTS:

Examples of Allowable Costs:            CAAHEP First Annual Fee
                                        CoAEMSP Initial Self Study Report (ISSR) Evaluation
                                        Technology Fee
                                        CoAEMSP site visit and facilitation costs


Examples of Unallowable Costs:          Costs associated with producing RAS or ISSR including direct labor or personnel
                                        costs, contractual services or materials, and supply costs
                                        Equipment leasing or purchases
                                        Costs incurred to comply with CAAHEP Standards and Guidelines for the
                                        Accreditation of Educational Programs in the Emergency Medical Services
                                        Professions




EMS 2086 11/11 Page 9 of 19
                                                   BUDGET SHEET
                                                    Funding Priority 6

COLUMN A. Describe project purchases, and estimate costs you are requesting from this grant. Itemize the requested
grant funds for allowable costs in each category.

COLUMN B. Cash or In-kind Contribution: Outline and estimate costs of in-kind support and contributions from
participating agencies or groups. Typical examples of in-kind support include volunteer time, copying and mailing costs
absorbed by organization, salaries or wages paid by lead organization for time spent on project activities, telephone use,
donated incentive prizes, or other services provided by participating groups or coalition efforts.

Description (In the space provided,                      COLUMN A                                  COLUMN B
provide a detailed explanation of any of              REQUESTED FUNDS                           CASH OR IN-KIND
the following requested funds)                                                                   CONTRIBUTION
Direct Labor / Personnel Costs
(include percentage of time spent on
research project activities)




Material & Supplies (include unit
costs and quantities – e.g. 3000
Items @ $0.20/item = $600.00)




Equipment Purchase (specify items
and quantity)




Contractual Services (e.g. printing
services, training, product development,
consultants)




CoAEMSP Site Visit Facilitation
Expenses (all costs associated with site
visit)




EMS 2086 11/11 Page 10 of 19
Description (In the space provided,           COLUMN A                 COLUMN B
provide a detailed explanation of any of   REQUESTED FUNDS          CASH OR IN-KIND
the following requested funds)                                       CONTRIBUTION
CAAHEP First Annual Fee




CoAEMSP Initial Self Study Report
(ISSR) Evaluation




Technology Fee




Column Totals Total for COLUMN A is
the amount of EMS funding being
requested




Total Project Expenditures (Should
equal the total of COLUMN A plus
COLUMN B)




SIGNATURE OF APPLICANT                                       DATE

X




EMS 2086 11/11 Page 11 of 19
                                           MID-YEAR PROGRESS REPORT


                         th
     Due December 30 , 2012
    Limit to 3 pages

The mid-year report submitted by the grantee may be submitted electronically or as a hard copy, and should include as
many of the items listed below as are applicable.

1.       Provide an activity report that lists progress-to-date for your project objectives.

            Describe any events / activities that have occurred by the completion date of the report and provide a
             calendar of upcoming activities.
            Describe any success or failures you have had in collaborating with the partners named in your proposal.

2.       Discuss any problems or delays encountered in meeting project objectives.

3.       Explain and justify any changes in project objectives, activities, or schedule from your original proposal. Provide a
         revised work schedule if different from your original proposal.

4.       Provide a budget narrative listing grant expenditures-to-date. Attach relevant documentation including
         correspondence from CAAHEP or CoAEMSP officials confirming receipt of the CAAHEP Request for
         Application Services (RAS) and / or CoAEMSP Initial Self Study Report (ISSR), confirmation of CoAEMSP
         site visit dates, copies of the CoAEMSP ISSR Executive Analysis, CoAEMSP site visit Findings Report
         and program response, and copies of receipts/invoices for all goods and services utilizing EMS funds.




EMS 2086 11/11 Page 12 of 19
                                          FINAL PROGRESS REPORT

   Due August 30, 2013

The final report submitted by the accredited paramedic program may be submitted electronically or as a hard copy, and
should include as many of the items listed within this paragraph as is applicable.

Format for Organization of Final Report:

            Summarize CAAHEP / CoAEMSP accreditation progress to date
            List data and information issues and considerations
            Provide an updated Planning Worksheet (see page 6-8)
            Provide a budget narrative listing grant expenditures to date. Attach relevant documentation including
             correspondence from CAAHEP or CoAEMSP officials confirming receipt of the CAAHEP Request for
             Application Services (RAS) and / or CoAEMSP Initial Self Study Report (ISSR), confirmation of CoAEMSP
             site visit dates, copies of the CoAEMSP ISSR Executive Analysis, CoAEMSP site visit Findings Report and
             program response and copies of receipts / invoices for all goods and services utilizing EMS funds


Formatting Style: A one-inch margin is required, text should be double-spaced, and font should not be smaller than 10
point with all pages numbered sequentially.

Failure to submit a properly completed Final Project Report to the Ohio Division of EMS by August 30, 2013, may result in
ineligibility for future participation in the EMS grant programs.




EMS 2086 11/11 Page 13 of 19
                         2012-2013 OHIO DIVISION OF EMERGENCY MEDICAL SERVICES
            ASSISTANCE TO PARAMEDIC TRAINING PROGRAMS GRANT APPLICATION (Funding Priority 6)
                        Agreement and Assurances Between the Below Mentioned Organization
                   And the Ohio Department of Public Safety, Division of Emergency Medical Services
1.   ORGANIZATION NAME                                            2.   FEDERAL TAX I.D. NUMBER

3.   ADDRESS                                                      4.   TELEPHONE
                                                                  (      )          -
5.   CITY              STATE                ZIP                   6.   COUNTY

7.   AUTHORIZING OFFICIAL                                         8.   TELEPHONE
                                                                  (      )          -
9.   CONTACT PERSON                                               10. TELEPHONE
                                                                  (      )          -
I attest that I am the duly authorized officer for the organization listed above and that all information contained in
this application and agreement is true and correct to the best of my knowledge. I hereby acknowledge that I am
bound by the terms and conditions of this grant application and agreement if funding is awarded.
AUTHORIZING OFFICIAL SIGNATURE                                    DATE

X
                         OHIO DEPARTMENT OF PUBLIC SAFETY ADMINISTRATIVE USE ONLY
EXECUTIVE DIRECTOR OHIO DIVISION OF EMS SIGNATURE                            DATE                    GRANT AWARD AMOUNT

X                                                                                   /   /            $

AGREEMENT
This Agreement (hereinafter referred to as “the Agreement”) is made by and between the Ohio Department of Public
Safety, Division of Emergency Medical Services, (hereinafter referred to as “the Division”) on behalf of the State Board of
Emergency Medical Services (hereinafter referred to as “the Board”), and the above mentioned organization presently
located at the above mentioned address (hereinafter referred to as “the Grantee”), and is subject to the terms and
conditions set forth herein.

WHEREAS, the Division has indicated a desire to improve emergency medical services in Ohio by providing monetary
resources to assist entities that operate EMS training programs at the paramedic level and are seeking national
accreditation of the EMS training program at the paramedic level and has expressed a need for monetary assistance to
accomplish these goals; and WHEREAS, the Grantee represents that it is capable of performing the activities listed in the
Agreement; and WHEREAS, the Division desires the Grantee to perform such activities in order to fulfill the above listed
needs. NOW, therefore, it is agreed that the Grantee shall perform the following activities for the Division, in exchange for
grant funding, in accordance with the following terms and conditions:

I.        SCOPE OF WORK
The Grantee agrees to provide the services as outlined in this grant application, which is incorporated by reference as part
of the Agreement. The Division is responsible only for the portion of the Grantee’s proposal that the Board has approved
or ratified.

The Grantee understands that grant money awarded for the purpose of achieving national accreditation will be disbursed
through a reimbursement process. The Grantee shall submit invoices dated within the grant award period of July 1, 2012
to June 30, 2013 in order to receive grant funds. The Grantee may receive reimbursement retroactively if the applicant
applied for national accreditation on or after February 25, 2010. The Grantee must also submit a properly completed Final
Project Report to the Division by August 30, 2013: failure to do so may result in ineligibility status for future participation in
the EMS grant program. The Grantee agrees that the project final report may be posted to the Ohio Division of EMS
website for public viewing. For projects requiring a period longer than one year to complete the grant objectives, the
Grantee may reapply for additional funds up to a total of $5,000.00 in a subsequent grant year.

II.     GRANTEE RESPONSIBILITIES
For the purpose of this Agreement, the Grantee acknowledges that all rules as promulgated by the Board shall be
followed, including those in Chapter 4765-5 of the Ohio Administrative Code.




EMS 2086 11/11 Page 14 of 19
III.    DEPARTMENT OF LIAISON:
For the purpose of this Agreement, the Grantee shall report, accept direction from, and make inquiries to the Executive
Director of the Division of EMS, or Executive Director’s designee.

IV.      CONDITIONS:
The Grantee agrees that funds made available by the Division for the proposed grant project will be used to increase and
not to supplant federal, state, or local funds otherwise available.

V.      COMPENSATION:
The Division, on behalf of the Board, agrees to reimburse the Grantee that portion of the Grantee’s proposal that is
approved or ratified by the Board. Under no circumstances will the reimbursed amount exceed the total documented
costs.

VI.     PERIOD OF PERFORMANCE:
This Agreement shall be binding and effective from the execution date through June 30, 2013.

VII.     REPORTS:
All required reports must be submitted in accordance with the grant application, along with all required documentation,
and sent to: Ohio Department of Public Safety, Division of Emergency Medical Services, Attn: EMS Grants Program, P.O.
Box 182073, 1970 West Broad Street, Columbus, Ohio 43218-2073. The Division may post all final reports to the EMS
website.

VIII. TERM:
This Agreement is to be effective from receipt of a purchase order through June 30, 2013. If intending to renew this
Agreement, the ODPS shall give written notice to the Grantee prior to expiration. Upon mutual agreement of both parties,
and contingent upon appropriation of such funds by the General Assembly, such renewal shall begin at the start of the
next biennium and shall not extend beyond the expiration of the biennium in which the renewal commences.

IX.      WORKERS’ COMPENSATION AND OTHER BENEFITS: The Grantee and its employees shall be covered by
         workers' compensation coverage purchased and maintained by the Grantee. In addition, the Independent Grantee
         should ensure that any subcontractors maintain workers' compensation insurance at all times during the term of
         this Agreement. Any workers' compensation claims filed by the Grantee, or its employees or subcontractors, as a
         result of work performed under this Agreement is not covered under ODPS's workers' compensation insurance.
         The Grantee is not entitled to any State employment benefits, including, but not limited to the Public Employees
         Retirement System of Ohio.

X.       DRUG FREE WORKPLACE: The Grantee certifies that to the best of its ability, all of his/her employees will not
         purchase, transfer, use, or possess illegal drugs or alcohol or abuse prescription drugs in any way while working
         on state property. Failure to comply will result in IMMEDIATE termination of this Agreement.

XI.      EQUAL OPPORTUNITY REQUIREMENTS:

         A.     The Grantee shall comply with the requirements under R.C. Section 125.111. The Grantee shall not
                 discriminate against anyone because of race, color, religion, creed, sex, age, disability, national origin or
                 ancestry.

         B.       The Grantee certifies that both the Grantee and any of its subcontractors are in compliance with all
                  applicable federal and state laws, as well as rules and regulations governing fair labor and employment
                  practices.

         C.       The ODPS encourages both the Grantee and any of its subcontractors to purchase goods and services
                  from certified Minority Business Enterprise (MBE) and Encouraging Diversity Growth and Equity (EDGE)
                  vendors.

         CONFLICT OF INTEREST: The Grantee shall not have any interest, direct or indirect, which is incompatible or in
         conflict with the carrying out of the terms of this Agreement.




EMS 2086 11/11 Page 15 of 19
XII.     CAMPAIGN CONTRIBUTIONS: The Grantee hereby certifies that all applicable parties listed in Division (I) or (J)
         of R.C. Section 3517.13 are in full compliance with Divisions (I) and (J) of R.C. Section 3517.13.

XIII.    EXECUTIVE ORDER 2011-12K, BANNING THE EXPENDITURE OF PUBLIC FUNDS FOR OFFSHORE
         SERVICES: The Grantee affirms to have read and understood Executive Order 2011-12K and shall abide by
         those requirements in the performance of this Contract, and shall perform no services required under this
         Contract outside of the United States.

         The Grantee also affirms, understands, and agrees to immediately notify the State of any change or shift in the
         location(s) of services performed by the Grantee or its subcontractors under this Contract, and no services shall
         be changed or shifted to a location(s) that are outside of the United States.

         A.       Termination, Sanction, Damages:

                  If Grantee or any of its subcontractors perform services under this Contract outside of the United States,
                  the performance of such services shall be treated as a material breach of the Contract. The State is not
                  obligated to pay and shall not pay for such services.

                  If Grantee or any of its subcontractors perform any such services, Grantee shall immediately return to the
                  State all funds paid for those services. The State may also recover from the Grantee all costs associated
                  with any corrective action the State may undertake, including but not limited to an audit or a risk analysis,
                  as a result of the Grantee performing services outside the United States.

                  The State may, at any time after the breach, terminate the Contract, upon written notice to the Grantee.
                  The State may recover all accounting, administrative, legal and other expenses reasonably necessary for
                  the preparation of the termination of the Contract and costs associated with the acquisition of substitute
                  services from a third party.

                  If the State determines that actual and direct damages are uncertain or difficult to ascertain, the State in
                  its sole discretion may recover a payment of liquidated damages in the amount of one percent (1%) of the
                  value of the Contract.

                  The State, in its sole discretion, may provide written notice to Grantee of a breach and permit the Grantee
                  to cure the breach. Such cure period shall be no longer than twenty-one (21) calendar days. During the
                  cure period, the State may buy substitute services from a third party and recover from the Grantee any
                  costs associated with acquiring those substitute services.

                  Notwithstanding the State permitting a period of time to cure the breach or the Grantee’s cure of the
                  breach, the State does not waive any of its rights and remedies provided the State in this Contract,
                  including but not limited to recovery of funds paid for services the Grantee performed outside of the
                  United States, costs associated with corrective action, or liquidated damages.

         B.       Assignment / Delegation:

                  The Grantee will not assign any of its rights, nor delegate any of its duties and responsibilities under this
                  Contract, without prior written consent of the State. Any assignment or delegation not consented to may
                  be deemed void by the State.

XIV.     DECLARATION OF MATERIAL ASSISTANCE / NONASSISTANCE TO A TERRORIST ORGANIZATION: In
         accordance with R.C. 2909.33(C), I certify that I meet one of the following conditions:


         (a) I have not received, nor will receive as a result of this contract, an aggregate amount greater than one
         hundred thousand dollars ($100,000) in business or funding, excluding personal benefits, from the state,
         instrumentalities, or political subdivisions during the current fiscal year;
                                                                     or




EMS 2086 11/11 Page 16 of 19
          (b)(1) I have received, or will receive as a result of this contract, an aggregate amount greater than one hundred
         thousand dollars ($100,000) in business or funding, excluding personal benefits, from the state, instrumentalities,
         or political subdivisions during the current fiscal year.
         and,

         (2) I have either pre-certified with the Office of Budget and Management, or have completed the Declaration of
         Material Assistance form certifying that I have not provided material assistance to any organization on the U.S.
         Department of State’s Terrorist Exclusion List, as that term is defined in R.C. 2909.21.

XV.      RESPONSIBILITY FOR CLAIMS: The Grantee agrees to indemnify and hold the ODPS harmless from any and
         all claims for personal injury or property damage resulting from the fault or negligence of the Grantee and from
         claims for wages or overtime compensation due its employees in rendering services under this Agreement,
         including payment of all costs in defense of any claim made under the Fair Labor Standards Act or any other
         federal or state law. In no event shall either party be liable to the other party for indirect, consequential, incidental,
         special, or punitive damages, or lost profits.


XVI.     OWNERSHIP:

         A.       Any and all written, electronic, or multimedia documents, presentations, reports, studies, deliverables,
                  and / or software developed under this Agreement (hereinafter referred to under this Section as
                  “Deliverables”) shall become the property of the ODPS. The ODPS, and any person, agency, or
                  instrumentality providing financial assistance for the work performed under this Agreement shall have an
                  unrestricted right to reproduce, distribute, modify, maintain, and use the Deliverables. The Grantee shall
                  not obtain copyright, patent, or other proprietary protection for the Deliverables without the written
                  approval of the ODPS, except that the Grantee shall reserve its rights in all methods, pre-existing work,
                  software, and data used to prepare the Deliverables. The Grantee shall not include in any Deliverables
                  any copyrighted matter, unless the copyright owner and any person, agency, or instrumentality providing
                  financial assistance for the work performed under this Agreement gives prior written approval to use such
                  copyrighted matter in the manner provided under this Agreement. The Grantee must identify in writing,
                  prior to the start of work under this Agreement, any and all proprietary, copyrighted, and / or patented
                  materials it intends to use.

         B.       The Grantee agrees that all Deliverables may be made freely available to the general public to the extent
                  required by law.

         C.       This Section shall survive the termination of this Agreement and may be enforced by the ODPS in any
                  court of competent jurisdiction.

XVII.    AVAILABILITY OF FUNDS: The obligations of the ODPS under this Agreement are subject to the determination
         by the Director of Budget and Management that sufficient funds have been appropriated by the General Assembly
         to the ODPS for the purposes of this Agreement and to the certification of the availability of such funds by the
         Director as required by R.C. Section 126.07. The ODPS may suspend or terminate this Agreement if the General
         Assembly fails to appropriate funds or if federal grant funds are not available for any part of the work under this
         Agreement.

.        AUDITOR RECOVERY FINDING - R.C. Section 9.24: The Grantee affirmatively represents and warrants to the
         ODPS that it is not subject to a finding for recovery under R.C. Section 9.24 or that it has taken the appropriate
         remedial steps required under R.C. Section 9.24 or otherwise qualifies under that section. The Grantee agrees
         that if this representation and warranty is deemed to be false, the Agreement shall be void ab initio as between
         the parties to this Agreement, and any funds paid by the ODPS hereunder shall be immediately repaid to the
         ODPS, or an action for recovery may be immediately commenced by the ODPS for recovery of said funds.


XVIII.   GOVERNING CLAUSE: This Agreement and any claims arising out of this Agreement shall be governed by the
         laws of the State of Ohio. If any provision under this Agreement is later determined to be invalid or unenforceable,
         the remainder of this Agreement shall not be affected by such determination.




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XIX.     SUSPENSION AND TERMINATION:

         A.       Except as set forth in Section X of this agreement, the Grantee or the ODPS may suspend or terminate
                  this Agreement, with or without cause, by providing thirty (30) days written notice to the other party.

         B.       Any violations or breach of the terms stated herein, by the Grantee, shall provide the ODPS with the
                  option of canceling this Agreement in its entirety, or withholding payment until such time as the violation
                  or breach is remedied. Such option shall in no way limit or exclude any other remedies available to the
                  ODPS.

         C.       If either party fails to perform any of the requirements of this Agreement, or is in violation of a specific
                  provision of this Agreement, then the non-breaching party may suspend or terminate this Agreement if the
                  breaching party fails to cure its non-performance or violation within ten (10) business days following
                  delivery of written notice of the breach. In the case of late payment by ODPS, however, the Grantee may
                  not suspend or terminate this Agreement unless the payment is more than sixty (60) days past due, and
                  R.C. Section 126.30 shall apply.

         D.       If this Agreement is suspended or terminated, the Grantee shall cease work on the suspended or
                  terminated activities, suspend or terminate all subcontractors relating to the suspended or terminated
                  activities, take all necessary or appropriate steps to limit disbursement and minimize cost, and, if
                  requested by the ODPS, furnish a report describing the status of all work under this Agreement, including
                  results and conclusions accomplished, and such other matters as the ODPS may require. The
                  requirements in this paragraph shall occur in accordance with the following:

                  1. If the Agreement is suspended or terminated by the ODPS, the requirements in Paragraph 19. D. of
                     this Agreement shall commence upon the date the Grantee receives notice of suspension or
                     termination.

                  2. If the Agreement is suspended or terminated by the Grantee, the requirements in Paragraph 19. D. of
                     this Agreement shall commence upon the date the Grantee sends notice of suspension or
                     termination.

         E.       If this Agreement is suspended or terminated, the Grantee, upon submission of a proper invoice, shall be
                  entitled to compensation which shall be calculated by the ODPS according to (Scope of Work or
                  Compensation Clause or Quote) of this Agreement for the work performed prior to the date on which the
                  Grantee either receives notice of termination or suspension or sends notice of suspension or termination,
                  whichever is applicable, less any funds previously paid by, or on behalf of, the ODPS.

                  Regardless of which party terminates the Agreement, any payments made by the ODPS in which services
                  have not been rendered by the Grantee shall be prorated and returned to the ODPS. Such payment(s)
                  must be sent to the ODPS within thirty (30) days of the date on which the Grantee either receives notice
                  of termination or suspension or sends notice of suspension or termination, whichever is applicable. The
                  ODPS shall not be liable for any further claims.

XX.      OHIO ETHICS CLAUSE: Per R.C. 102.04 (D): The Grantee affirms by his / her signature that he / she is not
         elected or appointed to an office of or employed by the General Assembly or any department, division, institution,
         instrumentality, board, commission, or bureau of the State, excluding the Courts,

                                                               Or

         The Grantee affirms by his / her signature that he/she is a public official appointed to a non-elective office or is a
         public employee, but, is exempt from the provisions of R.C. 102.04 (A) or (B) because,

         1.       The Grantee is supplying the good and/or services which are subject of the agreement to an agency other
                  than the one with which he / she serves; AND




EMS 2086 11/11 Page 18 of 19
         2.       The Grantee has filed the required statements with the following agencies:

                  a.       The appropriate ethics commission; AND

                  b.       The public agency with which he / she serves; AND

                  c.       The public agency to whom the goods and / or services will be provided.


XXI.     BACKGROUND CHECK: A routine background check, at ODPS expense, may be performed on the Grantee for
         assignment to this Agreement. The Grantee may be required to complete a “Background Information Form”
         furnished by the ODPS. Failure to pass the background check will result in immediate dismissal.

XXII.    ANTITRUST ASSIGNMENT: The Grantee assigns to the ODPS all State and Federal antitrust claims and
         causes of action that relate to all goods and services provided for in this Agreement.

XXIII.   RECORD KEEPING: During the performance of this Agreement and for a period of three (3) years after its
         completion, the Grantee shall maintain auditable records of all charges pertaining to this Agreement and shall
         make such records available to the ODPS.

.        SUBMISSION OF INVOICES: The Grantee shall include on all invoices the proper vendor identification number,
         purchase order number, total cost of services; and submit an original and two copies to the

                                   Ohio Department of Public Safety,
                                   Attn.: EMS - Grants
                                   PO Box 182073
                                   Columbus, Ohio 43218-2073

         Charges for material and labor are exempt from Ohio sales tax. The ODPS will make payment within thirty (30)
         days to the Grantee, upon receipt of an acceptable invoice.


XXIV.    CHANGE OR MODIFICATION: This Agreement constitutes the entire agreement between the parties and any
         changes or modifications of this Agreement shall be made and agreed to in writing. The provisions outlined in
         these ODPS Terms and Conditions shall take priority over any provisions included in the Grantee’s application.




EMS 2086 11/11 Page 19 of 19

								
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