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: 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: 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