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File #: 16-0786    Version:
Type: Agenda Item Status: Approved
File created: 7/18/2016 In control: Board of Supervisors
On agenda: 1/3/2017 Final action: 1/3/2017
Title: Health and Human Services Agency, recommending the Board approve and authorize the Chair to sign Amendment 1 to Agreement 001-S1711 with North Tahoe Fire Protection District, authorizing the location of an Advanced Life Support Engine staffed with at least one (1) Emergency Medical Technician Paramedic in the Meeks Bay area, to serve the designated Tahoe West Shore area of County Service Area 3. FUNDING: The engine will be provided and staffed by the North Tahoe Fire Protection District. There is no fiscal impact to the County or to CSA 3.
Attachments: 1. 2A - 001-S1711, A1, Approved CRS, 01-03-2017, 2. 2B - 001-S1711, Amendment 1, 01-03-2017, 3. Executed Amendment 1 to Agreement 001-S1711, 4. A - Approved CRS 001-S1711 8-16-16, 5. B - Agmt with NoTahoe Fire 001-S1711 8-16-16, 6. Executed Agreement 001-S1711
Related files: 20-0990, 19-1203
Title
Health and Human Services Agency, recommending the Board approve and authorize the Chair to sign Amendment 1 to Agreement 001-S1711 with North Tahoe Fire Protection District, authorizing the location of an Advanced Life Support Engine staffed with at least one (1) Emergency Medical Technician Paramedic in the Meeks Bay area, to serve the designated Tahoe West Shore area of County Service Area 3.

FUNDING: The engine will be provided and staffed by the North Tahoe Fire Protection District. There is no fiscal impact to the County or to CSA 3.
Body
DEPARTMENT RECOMMENDATION:
Health and Human Services Agency (HHSA) is recommending the Board approve and authorize the Chair to sign Amendment 1 to Agreement 001-S1711 with North Tahoe Fire Protection District (North Tahoe) to enhance the provision of Advance Life Support (ALS) First Responder services in the designated Tahoe West Shore area of County Service Area No. 3 (CSA 3).

The County provides ambulance services under a public utility model, and HHSA has determined that in accordance with County Ordinance Section 3.13.030, it is more economical and feasible to engage an independent contractor for ambulance transportation due to special skills and qualifications of the Contractor’s personnel involved in the performance of the work, lack of availability of qualified County employees to perform the work, and that the Contractor will provide equipment, materials, facilities, administration or support services related to providing work that may not be feasibly provided by the County.

DISCUSSION / BACKGROUND:
The Board of Supervisors approved Agreement 001-S1711 (Agreement) on August 18, 2016 (File ID 16-0786, No. 9).

Ambulance transportation services in CSA 3 are primarily subcontracted to California Tahoe Emergency Services Operations Authority (CalTahoe); however, there is an area designated as the Tahoe West Shore which is inaccessible during some portions of the year due to weather and is served ...

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