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Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board approve and authorize the Chair to sign Amendment I to Agreement for Services 2298 with El Dorado County Emergency Services Authority for prehospital advanced life support, ambulance, and dispatch services in County Service Area 7, extending the term through June 30, 2025 and increasing compensation by $31,692,788 for a new total compensation amount of $91,687,212.
FUNDING: Ambulance Fee Revenue (60%), Ad Valorem Property Tax (27%), Special Tax (12%), Miwok Tribe Contract Revenue (1%).
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DISCUSSION / BACKGROUND
The County currently contracts exclusively with the JPA for the provision of prehospital emergency medical services and ambulance transport and dispatch services in CSA 7 on the West Slope of the County. The term of the current agreement is July 1, 2018, through June 30, 2023. The agreement provides for a flat annual rate that is inclusive of all services (“base rate”) and increases annually by the Ambulance Inflation Factor. The base rate for the first year was $11,300,000. The current rate for Fiscal Year (FY) 2021-22 is $11,687,271. The agreement also provided for an additional payment of $500,000 per year for the first three years of the agreement, for the repair and replacement of capital assets.
On November 16, 2021 (file #21-1669), the Board authorized the Chief Administrative Office to issue a Request for Qualifications (RFQ) to retain a consultant to perform a comprehensive assessment of the ambulance transport system within the County, and to negotiate a two-year extension with the JPA to continue services during the system assessment. The RFQ has been issued and responses are due June 30, 2022. To negotiate the extension, representatives from the JPA met with representatives from the Chief Administrative Office, including Emergency Medical Services Agency staff, and County Counsel. The negotiations have re...
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