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File #: 17-0560    Version: 1
Type: Agenda Item Status: Approved
File created: 5/15/2017 In control: Board of Supervisors
On agenda: 6/6/2017 Final action: 6/6/2017
Title: Health and Human Services Agency recommending the Board approve and authorize the Chair to sign Agreement 077-F1811 with Shingle Springs Band of Miwok Indians for the term effective July 1, 2017 through June 30, 2022, to pay the County for prehospital Advanced Life Support emergency medical services, at a base rate of $200,000 per year for the first one hundred (100) calls for services, and an additional $2,000 per call for service calls in excess of one hundred (100) calls per year, excluding responses made to any residences on the Rancheria. This Agreement also includes an additional $5,000 per year payment for services provided to residences on the Rancheria. (Est. Time: 15 Min.) FUNDING: Shingle Springs Band of Miwok Indians (revenue-generating).
Attachments: 1. A - Approved Contract Routing Sheet 6-6-17, 2. B - Miwok ALS Agmt 6-6-17, 3. Executed Agreement 077-F1811
Title
Health and Human Services Agency recommending the Board approve and authorize the Chair to sign Agreement 077-F1811 with Shingle Springs Band of Miwok Indians for the term effective July 1, 2017 through June 30, 2022, to pay the County for prehospital Advanced Life Support emergency medical services, at a base rate of $200,000 per year for the first one hundred (100) calls for services, and an additional $2,000 per call for service calls in excess of one hundred (100) calls per year, excluding responses made to any residences on the Rancheria. This Agreement also includes an additional $5,000 per year payment for services provided to residences on the Rancheria. (Est. Time: 15 Min.)

FUNDING: Shingle Springs Band of Miwok Indians (revenue-generating).
Body
DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the Chair to sign Agreement 077-F1811 with Shingle Springs Band of Miwok Indians for the term effective July 1, 2017 through June 30, 2022, to pay the County for prehospital Advanced Life Support (ALS) emergency medical services. Approval of this Agreement will ensure citizens visiting the Rancheria have access to ALS ambulance services in the event of a life-threatening situation.

DISCUSSION / BACKGROUND
The Shingle Springs Band of Miwok Indians (Tribe) is the beneficiary of trust land entitled the Shingle Springs Rancheria, which is located within the geographical boundaries of El Dorado County. Historically, the Tribe has contracted with the County to provide prehospital ALS emergency services on tribal land, specifically within County Service Area No. 7, where the Rancheria is located, and the areas surrounding the Rancheria. The existing Agreement, 200-F1511, between the County and the Tribe, was approved by the Board on September 9, 2014 (File 14-1194, Item 14) and has a term of September 9, 2014 through September 9, 2017. Per the terms of the existing Agreement, the Tribe paid an...

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