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File #: 26-0092    Version: 1
Type: Agenda Item Status: Approved
File created: 1/5/2026 In control: Board of Supervisors
On agenda: 2/10/2026 Final action: 2/10/2026
Title: Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board: 1) Make findings that it is appropriate to engage ImageTrend, Inc. to provide Signature Customer Success services, as Agreement 258-S1711 requires specialty skills and qualifications not expressly identified in County classifications; 2) Approve and authorize the Purchasing Agent to sign Amendment III to Agreement 258-S1711 (FENIX 496) with ImageTrend, Inc., adding Signature Customer Success services and increasing the compensation by $25,000, for a revised total of $822,441.08 for the ten-year term of the agreement, ending on February 23, 2027, contingent upon approval by County Counsel and Risk Management; and 3) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 496, excluding term extensions and increases to compensation, contingent upon approval by County Counsel and Risk Management. FUNDING: Maddy Emergency Medical Services Fund.
Attachments: 1. A - 496 Amd III DRAFT, 2. B - Executed Agreement 258-S1711 (FENIX 496).pdf, 3. C - Executed Amd I for Agreement 496.pdf, 4. D - Executed Amd II to Agreement 496.pdf
Related files: 21-1578, 16-0873, 24-0564
Title
Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board:
1) Make findings that it is appropriate to engage ImageTrend, Inc. to provide Signature Customer Success services, as Agreement 258-S1711 requires specialty skills and qualifications not expressly identified in County classifications;
2) Approve and authorize the Purchasing Agent to sign Amendment III to Agreement 258-S1711 (FENIX 496) with ImageTrend, Inc., adding Signature Customer Success services and increasing the compensation by $25,000, for a revised total of $822,441.08 for the ten-year term of the agreement, ending on February 23, 2027, contingent upon approval by County Counsel and Risk Management; and
3) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 496, excluding term extensions and increases to compensation, contingent upon approval by County Counsel and Risk Management.

FUNDING: Maddy Emergency Medical Services Fund.
Body
DISCUSSION / BACKGROUND
On September 13, 2016, the Board approved the Agreement 258-S1711 (FENIX 496) with ImageTrend, LLC as a result of an RFP for an Electronic Patient Care Report (ePCR) software system (Legistar file 16-0873). On February 22, 2022, the Board approved Amendment I for Agreement 496, extending the contract term through February 23, 2027 (Legistar File 21-1578). The ImageTrend software meets the County's obligations under Health and Safety Code 1797.227 to maintain electronic patient records and eliminates the requirement for paper data filing, in accordance with Federal and State standards.
On November 4, 2025, the Board approved Amendment II adding Emergency Medical License Management software to Agreement 496 (Legistar File 24-0564). Under Health and Safety Code (HSC) 1797.206 - 1797.217, the local Emergency Medical Services (EMS) agency shall be responsible for training and licensing/certification of Emergency Medical personnel. Prior to the amendment, the ...

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