TONOPAH VALLEY FIRE DISTRICT.PDF

Last updated: 02/23/2018
General information
Organization Tonopah Valley Fire District
Contact First name Jason
Contact Last name Roosevelt
Contact e-mail jroosevelt@tonopahfire.org
Contact phone number 602 309 4931
Address
Street 35611 W Salome Highway
City Tonopah
State Arizona
ZIP Code 85354
From what tribe is the Gila River Indian Community
organization requesting the
grant?
Total grant amount request 120,123
1 / 2

The Gila River Indian Community offers multi-year awards. If your organization is
requesting a multi-year grant for this project or program from the Gila River Indian
Community, enter the amount to be requested each year.
Amount
Year 1 (Gila River Indian
80082
Community Grants Only)
Year 2 (Gila River Indian
40041
Community Grants Only)
Year 3 (Gila River Indian
Community Grants Only)
Year 4 (Gila River Indian
Community Grants Only)
Year 5 (Gila River Indian
Community Grants Only)
2 / 2

tfnD rns il';"ll$t"ii:ill'i"; l';:li:i) In reply refer to z 0423258262
oGDEN UT 8420 1-0046 Aug. 25, 20I0 LTR 5910C E0
86-000 I961 000000 00
00025932
BODC: N0B0D
TONOPAH VALLEY FIRE DISTRICT
PO BOX 67
TONOPAH AZ 85354
009 63 2
Dean Taxpayer:
Thank you fon the inqulry dated June 28, 20I0.
Your employer.identification number is 85-0001951. PIease keep this
number in your penmanent records. You should enten your name and
EIN, exactly as shown abover on aI1 federal tax forms that require
its use, and on any related correspondence or documents.
If you have any questionsr please call us to11 free at 1-877-829-5500.
If you preferr you may wnite to us at the address shown at the top
of the first page of this letter. If you writer please include a
copy of this letter and indicate your teLephone number and the hours
you can be reached in the spaces below. You shoul-d keep a copy of
this Ietter for your records.
Telephone Number Houns
Sincerely !oul's r
:$1"-l) b**^
Shei 1a Bronson
Dept. Manager, Code & Edit/Entity 3
Enclosure(s):
Copy of this Ietten

Gila River Indian Community Grant Application
Grant Cycle 2018
Cover Sheet
Municipality Information
1. Date of Application: 2/23/2018 (NOTE: Click or use up/down arrow keys to move among fields)
2. Name of City, Town or County: Maricopa County
3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri
4. Mailing Address: 301 W Jefferson St, Suite 960
5. City: Phoenix State: Arizona Zip Code: 85003
6. Acknowledgement of Submission by Authorized Municipality Representative:
Typed Name/Title: Zachary Wolfe, Finance Manager Signature:
Applicant Information
7. Department/Organization Name: Tonopah Valley Fire District
8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter
9. Application Contact Person: Jason Roosevelt Title: Fire Fighter-COML
10. Phone Number: 602-309-4931
11. Mailing Address: 36511 W Salome Highway
12. City: Tonopah State: Arizona Zip Code: 85354
13. Email Address: jroosevelt@tonopahfire.org Website Address: http://www.tonopahfire.org
Project Information
14. Project Name: Tonopah Valley Fire District Cardiac Monitor Replacement
15. Purpose of Grant: Replace 2 end of life expectancy cardiac monitors, and add one spare for training
16. Priority Funding Area Public Safety
17. Annual amount requested $80,082 Year 1, $40,041 year 2
18. Number of years that funding is 2
requested
19. Total amount requested (annual $120,123
amount x number of years)
20. Has your organization received past NO
funding from GRIC? If yes, list each year
and amount
21. Geographic area served Western Maricopa County
For Office Use Only:
Data Entry Receipt Evaluation
Outcome A Approval Recommended/Amount $ A Denial

Gila River Indian Community Grant Application
Grant Cycle 2018
Narrative
Please structure your proposal to provide the following information in the order indicated. Provide the narrative
in paragraph form in the text field provided. Please be thorough but strive for brevity.
1. Briefly describe the organization’s history, mission and goals.
Tonopah Valley Fire District was reestablished in 1999, and covers over 400 square miles. Tonopah
Valley Fire District staffs 1 Advanced Life Support Type 1 Engine, 1 Type 6 Wildland Response
Vehicle with Advanced Life support Capability, one 3000 Gallon Tactical Water tanker, and one
Command response unit. The district is currently staffed by a combination of fill time and reserve
staff. Full time staff includes 1 Fire Chief, 3 Captains, 3 Engineers, 6 Fire Fightters, 5 Reserve Fire
Fighters, and 1 volunteer Chaplain. Crews operate on a 48 hour shift consisting of A, B and C
maintaining constant staffing to our community 24 hours a day, 365 days a year. Engine 341 is
constant staffed with a minimum of 4 firefighters, of which 2 are Paramedic.
Tonopah Fire’s mission is to provide quick, efficient response to all emergencies, and provide the most
advanced care possible to care for all patients while meeting our communities needs. Tonopah Valley Fire
averages 5-6 calls per shift in the Tonopah, Harquahala, and Buckeye Valley area. With funding restricted
to donations and tax collections, with the mostly agricultural area of our district, funding for such large
purchases is hard to budget and find.
2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with
Arizona municipalities including past and present support, whether through partnerships, collaborations,
in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in
this project. If the applying organization is a municipality governmental sub-division please enter the
text “Not applicable.”
Tonopah Valley Fire District provides primary medical and fire service response to the
unincorporated areas of Maricopa County that include the Tonopah Valley, Harquahala Valley, and
parts of Arlington in Arizona. Tonopah Valley Fire District is primarily funded by tax revenues
collected by Maricopa County and then distributed to us. No additional funding is provided by any
local municipal, county or state entities on a reoccurring basis, other than grant monies obtained
through Homeland Defense grants.
3. Describe the proposed project and planned goals and activities.
This project, if funded will replace the current Cardiac Monitor/Defibrillators in use today that are at
the end of their designed service life. Our current devices are frequently requiring repairs and

Gila River Indian Community Grant Application
Grant Cycle 2018
maintenance that removes them from from being able to properly respond and care for the public.
Our goal is to replace our 2 primary cardiac monitors as soon as possible, and then if funding is
available, add a spare cardiac monitor for training and backup purpouses, as well as to use for when
additional staffing is available, and special events. The purchase of these cardiac monitors will allow
us to align with our neighboring fire districts to improve interoperability within the region, as well as
neighboring agencies and hospitals for optimum pre-hospital and definitive care. The fire districts of
this RP are funded independently yet similarly through a secondary property tax assessment levied
on property values within their boundaries. Up to 90% of all revenues are supported through
property taxes and a county fire district assistance tax. Housing in the Phoenix area has suffered
deep reductions in property values since the 2008 recession. A slow recovery began in 2015 with
the passage of Arizona Proposition 117. Prop 117 limits an increase of 5% per year based on a
change to primary from secondary valuation (actual market value vs. projected market value, lower
than secondary). The levy rate has a cap threshold and for the past 4+ years the cap has been
reached. Therefore, the levy rate cannot be increased to compensate for the decrease in funds
through property tax or inflation. It is well documented that Arizona, and specifically Maricopa
County where the RP resides, had decreases in property values of 69% over a 5-year period during
the peak of the recession. Although Arizona is starting to recover with Prop 117, the 5% limit causes
a deficit in revenues needed to meet expenses. Based on this formula, it will be 2028 before the RP
will reach 2008 assessed property values. Due to the 5% annual cap, inflation is outpacing the ability
to stabilize budgets. Based on Prop 117’s restrictions and inflation, fiscal budgets continue to fall
short for capital purchasing. The majority of the RPs budgets is dedicated to personnel/benefits
which exceed 80% leaving the remainder for operational expenses and very little room for capital
expenditures. Capital funding is expected to continue to improve considering that the RP has been
able to sustain firefighters hired with SAFER funding received after staff reductions due to attrition.
The recent economy further required budget cuts for public education, professional development,
discretionary training, and professional memberships. Although not ideal, these are areas that can
be cut without affecting emergency services. Even during the most challenging times the districts of
this RP have remained financially responsible working within their revenues but recognize the need
for additional funding to purchase required equipment. As the nation¿s economy improves, the RPs
are tax capped and do not have the ability to absorb existing inflationary increases. Operating
expense adjustments have required the use of reserve funds, which has the compounding effect to
limit capital purchases. The capital budget over the next several years will remain stagnant or be
reduced due to the growing need to replace equipment and valuable resources necessary to provide
the best service. Without grant funding, these districts will continue to struggle to provide the

Gila River Indian Community Grant Application
Grant Cycle 2018
finances needed to purchase equipment like the 12-lead which are necessary to provide optimal pre-
hospital and
4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the
Gila River Indian Community.
This project satisfies 2 of the priorty funding areas identified, as it covers assistance to public safety
and healthcare. These new cardiac monitors provide new and updated resources to provide better
patient care, and serve our citizens as the primary EMS provider for the Fire District, and mutual aid
areas.
5. Identify the needs/problems to be addressed, target population and number of people to be served by
the project.
This project replaces aged monitors that currently have several recalls and service issues. By
replacing these monitors, we will be able to keep 2 monitors in service at all times to respond to our
emergencies. The target population for this project is the citizens in and around the Tonopah Valley
Fire District response areas, which includes over 500 square miles of response area, servicing parts
of 3 separate Fire District areas, and includes areas along the Gila River in Arlington. There are
over 50,000 people within our primary and secondary response areas.
6. Define the project as a new or continuing program.
This is considered a new project.
7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible.
Purchases would be made as soon as funding is provided. We would like to purchase new monitors
as soon as possible. Timeline is flexible as funding is available, as these are purchased from a
currently available state wide resource sharing contract.
8. Identify other organizations, partners or funders participating in the project and their roles.
No other organizations are participating.

Gila River Indian Community Grant Application
Grant Cycle 2018
9. Would you be able to implement the proposed plan if your organization received partial funding for this
project?
With partial funding of any amount, we would have to prioritize purchases to meet the budget,
including possibly only purchasing one monitor at a time.
10. Describe your plan for project financial sustainability beyond the grant period. If this is a
program/project previously funded by the Gila River Indian Community describe efforts made towards
the previously described sustainability plan.
After the grant period, these cardiac monitors will be covered by a comprehensive maintenance
program to help extend their life. Additional repairs, updates and maintenance after that period is
budgeted as part of our normal budget process.
11. Describe your plan to document progress and results.
Documentation is kept in our grants files to show progress and status of all grant monies and items
purchased and is available to review at any time.
12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community
for state shared revenues for this and any other project for the past five (5) years. If this information is
included in a separate attachment, please indicate that here.
No monies have been provided from any source for this project to date.

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget
Budget Period: 7/1/2018-7/1/2019
For each budget item listed here please provide a narrative description on the following Project Budget Detail
page.
Proposed Budget Expense Amount Amount In Kind Total Budget
(list each budget item) requested from requested or contributions
GRIC secured from
other funders
1. Qty (3) LifePak 15 V4 Cardiac $120,123 $0 $0 $120,123
Monitor/Defibrilator with necessary
accessories, and service plan.
2. Click here to enter text. $0 $0 $0 $0
3. Click here to enter text. $0 $0 $0 $0
4. Click here to enter text. $0 $0 $0 $0
5. Click here to enter text. $0 $0 $0 $0
6. Click here to enter text. $0 $0 $0 $0
7. Click here to enter text. $0 $0 $0 $0
8. Click here to enter text. $0 $0 $0 $0
9. Click here to enter text. $0 $0 $0 $0
10. Click here to enter text. $0 $0 $0 $0
11. Click here to enter text. $0 $0 $0 $0
12. Click here to enter text. $0 $0 $0 $0
13. Click here to enter text. $0 $0 $0 $0
14. Click here to enter text. $0 $0 $0 $0
15. Click here to enter text. $0 $0 $0 $0
16. Click here to enter text. $0 $0 $0 $0
17. Click here to enter text. $0 $0 $0 $0
Total Budget $120,123 $0 $0 $120,123

Gila River Indian Community Grant Application
Grant Cycle 2018
Project Budget Detail
Please provide a narrative description for each of the project budget items listed on the previous page. Include
the dollar figure and how it was derived.
1. Lifepak 15 V4 Cardiac Monitor/Defibrillator. The units include the following features: Manual Defibrillator &
AED, Color LCD, Printer, Noninvasive Pacing, CPR Metronome, Vitals Trending, SpO2, NIBP, 12-Lead ECG,
EtCO2, Carbon Monoxide, Bluetooth, Quik-Combo Electrodes, Battery and Charger, AC Power Adapter/Cord,
Sensors, Cuffs, Carrying Case, WiFi and Cellular Gateway, CODE-STAT Software, 4-Year Service
Maintenance/Parts/Battery Replacement Warranty, and Training as well as a 4-year Lifepak 15 Service. On-
site comprehensive coverage includes services performed at customer's location by a physio-control specialist,
parts and labor necessary to restore device to original specifications, annual preventive maintenance and
inspections including quality assurance documentation, discounts on accessories, disposables, and upgrades,
updates to the latest software version, preconfigured loaner devices as needed, and battery replacement
services.
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Gila River Indian Community Grant Application
Grant Cycle 2018
15. Click here to enter text.
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Other explanation: This RP is requesting the AFG High Priority Funding item of (3) 12-lead cardiac
monitor/defibrillators. An extensive in-house risk assessment was conducted and it was determined that the
above listed items will address not only the needs based on the mission but are also the most economical
without sacrificing capabilities. Several brands were considered and extensively researched by the two largest
PAAC members, Phoenix and Glendale. The Physio Lifepak 15 Cardiac Monitor/Defibrillator is used by most
PAAC agencies. It offers the most up-to-date capabilities for patient care in the pre-hospital setting and for
positive definitive care outcomes. This RP was developed to reduce cost, as well as meeting the priority project
objective of increasing interoperability with other agencies/hospitals. The research and pricing reviewed and
shared by other agencies in the PAAC concluded that the Physio Lifepak 15 would fulfill the protocol/treatment
and documentation needs required by local, state and federal agencies. Additionally, the monitors provide
carbon monoxide (CO) monitoring for firefighter rehab following a structure fire incident. The RP does not
currently have this capability. The RP is requesting grant funding to place a unit on each emergency vehicle to
perform optimum patient care/assessment in the pre-hospital setting and CO monitoring for firefighter rehab as
outlined for compliance in the NFPA 1584 Standard on the Rehabilitation Process for Members During
Emergency Operations and Training Exercises. The protocol requiring the use of a standardized cardiac
monitor/defibrillator is mandatoryunder the medical direction of all base hospitals in the Phoenix Metropolitan
Area, as well as a standard in the PAAC. Current monitors used by the RPs are no longer able to provide
adequate patient therapy needs, communication and documentation requirements that patients demand or the
requirements of the PAAC and hospitals. All current monitors are outdated by at least 2 years. Manufacturers
are unable to service them. With a high number of patients within the RP in retirement age coupled with the
latest patient care protocols, there has been an increase in the expectations and the abilities of pre-hospital
EMS to provide the required specialty care needed well before the arrival at the hospital. Covering over 450
square miles leads to long transport times before receiving definitive care. Communicating with the receiving
hospital is vital. Physio Lifepak 15s will provide the most current, updated technology for EMS personnel to
ensure improved patient outcome. Additionally, with the integration of Electronic Patient Care Reporting
(EPCR), the ability for cardiac monitors to integrate and send critical patient data to these devices is imperative
for accurate documentation and reporting of care rendered during the event, and after transfer of care. The
Physio Lifepak 15 will allow for the continued quick discovery of life-threatening cardiac emergencies, including
identifying the presence of an S-T Elevation Myocardial Infraction (STEMI) and allow for the transmission of an
EKG to the receiving hospital so the patient can get to the CATH lab quicker. The requested funds will

Gila River Indian Community Grant Application
Grant Cycle 2018
adequately purchase the needed 12-lead cardiac monitor/defibrillators to achieve minimum operational and
deployment standards for existing missions. If awarded, the RP will begin a bid process or piggy back on
existing contracts to ensure the most economical purchase price. Upon receipt of grant funds, units will be
requisitioned and purchased. All vendors considered to date can guarantee delivery within 60 days. Within 60
days of receipt, training will be completed and all monitors placed into service. The effects of the equipment will
continue to be monitored throughout the grant performance period and through their lifespan. The cost benefit
to purchasing the Physio Lifepak 15 Cardiac Monitor/Defibrillators cannot be compared in just dollars. Physio is
owned by the reputable Stryker Corporation. Quality cardiac monitors are vital to EMS providers to advocate
for pre-hospital patient care in conjunction with definitive care for improved patient outcome. Without grant
funding, the current budget deficits will negatively affect future EMS service delivery under current medical
direction protocols. As of October 2017, the manufacturer of the RP’s current cardiac monitors was shut down
by the FDA and manufacturing was discontinued leaving users the inability to improve the service or
capabilities as it has been in the past. No purchases of parts, updates to software or maintenance/service is
available. Prior to discontinuing manufacturing and service, many recalls were issues causing frequent out of
service time. Ability to provide continual patient care has been compromised due the availability of serviceable
units. Now the looming threat of having a shortage of monitors and ultimately no monitors at all has this RP
worried. This is an unforeseen capital expense to replace these units since the units themselves were
historically able to receive the necessary maintenance and software updates needed. The RPs selected the
Lifepak 15 following significant market research, the vendors reliability and the impact of the positive effect the
state-of-the-art equipment will have on EMS providers. It will allow for the alignment of resources among the
PAAC improving interoperability and documentation/communication with one another and the hospitals for the
continuity of care before and after the transfer of care. This will ultimately improve patient outcomes. Since the
RPs are members of the PAAC, it is imperative that there be the same standard equipment among partners to
ensure patient care continuity. Current monitors are unable to meet these standards. The Lifepak 15 Cardiac
Monitor/Defibrillators are indeed a significant capital investment at $40,020 each, but each have a wide range
of usage and an expected life span of 10 years. In addition to cardiac arrest calls and cardiac monitoring,
Physio Lifepak 15s are used to obtain vital readings (blood pressure, pulse oximetry, and heart rate) on all
EMS calls..