Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board approve and authorize the Chair to sign a budget transfer reducing the appropriation for contingency and increasing the appropriation for payments to other government agencies in County Service Area 3 by $425,000 for payments for ambulance services on the East Slope. (4/5 vote required)
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DISCUSSION / BACKGROUND
On March 12, 2019, the Board awarded Request for Proposals (RFP) 19-918-037 for prehospital advanced life support, ambulance transport, and dispatch services in the South Shore zone of County Service Area (CSA) #3 to the California Tahoe Emergency Services Operations Authority (Cal Tahoe) with Legistar 19-0303. On August 27, 2019 the Board approved resulting agreement #4238 with Cal Tahoe. The agreement provides for base compensation, which is subject to the Ambulance Inflation Factor, capital equipment funding, funding for tenant improvements, and pass-through of revenue received for inter-facility transfers. The agreement took effect on September 1, 2019, and replaced a previous agreement with Cal Tahoe. At the time of the award of the RFP, it was determined that there would be sufficient funding in CSA #3 for the agreement; however, the program transferred from the Health and Human Services Agency to the Chief Administrative Office July 1, 2019 and the budget as transferred did not reflect the increased appropriations needed for the 2019-20 fiscal year.
For Fiscal Year 2019-20, it is estimated that the cost of ambulance services in the South Shore zone provided by Cal Tahoe will be approximately $3,480,000, inclusive of all base compensation, pass-through payments, and tenant improvement reimbursements under both agreements. The approved Fiscal Year 2019-20 budget includes $3,000,000 in CSA #3 for ambulance services in the South Shore zone. After accounting for savings within the budget class, it is requested that the Board increase this budget line by $425,000 to allow full payment of compensation under Cal Tahoe Agreement #4238.
ALTERNATIVES
N/A
PRIOR BOARD ACTION
On August 27, 2019 the Board approved item #19-1102, as noted above.
OTHER DEPARTMENT / AGENCY INVOLVEMENT
N/A
CAO RECOMMENDATION
Approve as recommended.
FINANCIAL IMPACT
Approval of this budget transfer will result in the reduction of the CSA #3 Appropriations for Contingency. The approval of the agreement included consideration that fund balance would partially be used to fund the agreement.
CLERK OF THE BOARD FOLLOW UP ACTIONS
Forward the budget transfer document signed by the Chair to the Chief Administrative Office.
STRATEGIC PLAN COMPONENT
Public Safety
CONTACT
Sue Hennike, Deputy CAO