Legislation Details

File #: 25-1805    Version: 1
Type: Agenda Item Status: Approved
File created: 10/16/2025 In control: Board of Supervisors
On agenda: 6/23/2026 Final action: 6/23/2026
Title: Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board: 1) Approve and authorize the Chair to sign Resolution 116-2026, to comply California Health and Safety Code, Division 2.5., Chapter 4., Section 1797.230 by establishing policy related to County contracts for emergency ambulance services; 2) Make findings that it is appropriate to engage an independent contractor to provide pre-hospital emergency medical and ambulance transport services, as Agreement 10009 is with or among another governmental entity or agency; 3) Make findings in accordance with Procurement Policy C-17 Section 3.4.3, to exempt Agreement 10009 from the competitive bidding process as North Tahoe Fire Protection District is the only provider in the Tahoe West Shore zone of County Service Area (CSA) 3 who can provide pre-hospital emergency medical and ambulance transport services in compliance with Health and Safety Code and the EMS Plan, so competitive bidding would produce...
Attachments: 1. A - Agreement 10009 Draft, 2. B - Agreement 10009 Counsel Review, 3. C - Resolution for HSC1797.230, 4. D - CRS for Resolution
Related files: 23-1138, 20-0990, 16-0786, 19-1203
Title
Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board:
1) Approve and authorize the Chair to sign Resolution 116-2026, to comply California Health and Safety Code, Division 2.5., Chapter 4., Section 1797.230 by establishing policy related to County contracts for emergency ambulance services;
2) Make findings that it is appropriate to engage an independent contractor to provide pre-hospital emergency medical and ambulance transport services, as Agreement 10009 is with or among another governmental entity or agency;
3) Make findings in accordance with Procurement Policy C-17 Section 3.4.3, to exempt Agreement 10009 from the competitive bidding process as North Tahoe Fire Protection District is the only provider in the Tahoe West Shore zone of County Service Area (CSA) 3 who can provide pre-hospital emergency medical and ambulance transport services in compliance with Health and Safety Code and the EMS Plan, so competitive bidding would produce no economic benefit to the County;
4) Approve and authorize the Chief Administrative Officer to sign the finalized Agreement 10009 with North Tahoe Fire Protection District for the provision of pre-hospital emergency medical and ambulance transport services in the Tahoe West Shore zone of CSA 3, for the period of July 1, 2026, through June 30, 2029, contingent upon approval by County Counsel, Risk Management, and the North Tahoe Fire Protection District’s Board on June 23,2026; and
5) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 10009, excluding term extensions and increases to compensation, contingent upon approval by County Counsel and Risk Management.

FUNDING: Majority of the funding for this agreement is from the CSA 3 Special Tax (Tahoe West Shore area) and ambulance service fees; CSA 3, which includes the Tahoe South Shore and the Tahoe West Shore, receives supplemental funding from the General Fund to support ambulance servi...

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