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File #: 19-1102    Version: 1
Type: Agenda Item Status: Approved
File created: 7/11/2019 In control: Board of Supervisors
On agenda: 8/27/2019 Final action: 8/27/2019
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board: 1) Make findings that it is more economical and feasible to contract out for prehospital advanced life support, ambulance, and dispatch services in accordance with County Ordinance Code Section 3.13.030; and 2) Approve and authorize the Chair to execute an agreement with the California Tahoe Emergency Services Operations Authority for the period of September 1, 2019 through August 31, 2021, in the base amount of $6,975,576, for the provision of prehospital advanced life support, ambulance, and dispatch services within the South Shore zone of County Service Area (CSA) 3. FUNDING: CSA 3 ambulance service fees and special tax revenue.
Attachments: 1. A - Contract, 2. B - Counsel Approval, 3. Executed Agreement #4238
Related files: 19-0303, 21-0953, 20-0713
Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board:
1) Make findings that it is more economical and feasible to contract out for prehospital advanced life support, ambulance, and dispatch services in accordance with County Ordinance Code Section 3.13.030; and
2) Approve and authorize the Chair to execute an agreement with the California Tahoe Emergency Services Operations Authority for the period of September 1, 2019 through August 31, 2021, in the base amount of $6,975,576, for the provision of prehospital advanced life support, ambulance, and dispatch services within the South Shore zone of County Service Area (CSA) 3.

FUNDING: CSA 3 ambulance service fees and special tax revenue.
Body
DISCUSSION / BACKGROUND
CTESOA has been the contracted ambulance operator in the CSA 3 South Shore operating area for 18 years; however, the EMS Act provides for periodic competition for ambulance operations contractors. The County issued RFP 19-918-037 in November, 2018 and responses were due on February 1, 2019. The RFP sought a contractor for a ten-year term, with a potential for a five-year extension. CTESOA was the only respondent, and the Board awarded the RFP to CTESOA on March 12, 2019 (Legistar #19-0303). Following the award of the RFP, the County and the State Emergency Medical Services Agency (EMSA) entered into settlement agreement to resolve the County's appeal of EMSA's denial of the County's EMS Plan. Under the Agreement, the County agreed to conduct a new competitive process to establish an exclusive operating area in CSA 3 before August 31, 2021. The need for a shorter term contract necessitated some adjustments to the budget that CTESOA proposed in its RFP response; however, the scope of services and general terms remain unchanged.

Under this contract, CTESOA will continue its current operations model, which includes both civilian EMTs and paramedics as well as firefighter-p...

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