East Texas Gulf Coast Regional Trauma Advisory Council
CPS/Hospital Preparedness Grant
Letter of Agreement
EMS Organization: _____________________________________________________
Street:_____________________ City & Zip:
______________ Phone:_________________
Representative: ___________________________ Alternate Contact: _____________________
Our facility/agency agrees to:
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Be a participating member of the East Texas Gulf Coast Regional Trauma Advisory Council (RAC-R)
Utilize Communications tools to communicate with Regional Health Care and Governmental Partners in both
planning and disaster response including EMResource and EMTrack.
Agree to comply with NIMS compliance initiative
Agrees to maintain an inventory system for equipment or supplies purchased with HPP funds.
Agrees to scheduled on-site inventory by RAC-R or DSHS regarding equipment received from RAC-R which
was purchased with HPP funds.
Agrees to attend and participate in assigned committee meetings in addition to East Texas Gulf Coast
Regional Trauma Advisory Council General Assembly meetings.
Agrees to complete and submit requested preparedness status reports to the East Texas Gulf Coast Regional
Trauma Advisory Council representative within announced deadlines.
Participate in all actual emergency response activities in the region.
Notify the East Texas Gulf Coast Regional Trauma Advisory Council of major occurrences that impact daily
operations of business and could potentially impact regional partners.
Dispose of equipment as approved by RAC-R and DSHS.
The East Texas Gulf Coast Regional Trauma Advisory Council agrees to the following:
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The finance committee will develop, monitor and modify the OASPR spending priorities and budget, planning
efforts, and preparedness efforts in accordance with OASPR Hospital Preparedness Program guidelines and
allocate regional funds based on Regional Hazardous Vulnerability Assessment.
Will coordinate response activities with jurisdictional partners, Multi Agency Coordination Center, and DSHS.
Includes: Situational awareness, evacuation, repatriation activities and training.
Contract period for the OASPR YR 10 (FY12) funds will be the same as the Department of State Health Services
(DSHS) contract period between East Texas Gulf Coast Regional Trauma Advisory Council and DSHS. Contract
period: July 1, 2011 to June 30 2012.
Administrator/Designee: ________________________________ Date:_______________________
RAC-R Chairman:
__________________________________
Date:_______________________
PO Box 2878 Angleton, Tx 77516-2878
201 E. Mulberry Angleton, TX 77515
Phone: 979-888-8005
Fax: 979-888-8006
www.rac-r.com