Several civilian medals and ribbons are now identical, or nearly so, to military ones. We had a joke that the ribbon for the US Coast Guard 9/11 Medal (The personal award, not the 9/11 ribbon) is exactly the same as the red/white/blue banner for the Boy Scouts pine wood derby medal. A few of us called it the pinewod derby medal in jest. I imagine it is cheaper for some police/fire/etc organizations to adopt a ribbon than design a new one.