File #: 23-0729    Version: 1
Type: Agenda Item Status: Approved
File created: 3/30/2023 In control: Board of Supervisors
On agenda: 5/16/2023 Final action: 5/16/2023
Title: Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board consider the following: 1) Make a finding that the provision of prehospital advanced life support, transport, and dispatch services requires specialty skills and qualifications that are not expressly identified in County classifications per County Ordinance Code Chapter 3.13, Contracting Out, Section 3.13.030; 2) Approve and Authorize the Chair to execute Amendment I to Agreement 5873 with California Tahoe Emergency Services Operations Authority to revise the language in Sections 2.1.7 and 2.3 of the current Agreement, with no change to the term or total compensation; and 3) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 5873, excluding term extensions and increases to the not-to-exceed amount, contingent upon approval by County Counsel and Risk Management. FUNDING: CSA 3 - Ambulance service fees and benefit a...
Attachments: 1. A - 5873 Amd I PE, 2. B - 5873 Amd I Blue Route - Approved, 3. C - 5873 FE Agreement, 4. Executed Amd I to Agreemet 5873
Related files: 21-0953, 21-1197, 23-1913
Title
Chief Administrative Office, Emergency Medical Services and Emergency Preparedness and Response Division, recommending the Board consider the following:
1) Make a finding that the provision of prehospital advanced life support, transport, and dispatch services requires specialty skills and qualifications that are not expressly identified in County classifications per County Ordinance Code Chapter 3.13, Contracting Out, Section 3.13.030;
2) Approve and Authorize the Chair to execute Amendment I to Agreement 5873 with California Tahoe Emergency Services Operations Authority to revise the language in Sections 2.1.7 and 2.3 of the current Agreement, with no change to the term or total compensation; and
3) Authorize the Purchasing Agent to execute any necessary amendments relating to Agreement 5873, excluding term extensions and increases to the not-to-exceed amount, contingent upon approval by County Counsel and Risk Management.

FUNDING: CSA 3 - Ambulance service fees and benefit assessment revenue.
Body
DISCUSSION / BACKGROUND
The County is responsible for ensuring the provision of prehospital Advanced Life Support (ALS) services to the residents of the County and does so by contracting for these services through County Service Areas. The County is divided into two County Service Areas (CSAs) for the provision of ambulance services. CSA 3 includes the Lake Tahoe Basin, the City of South Lake Tahoe, Meeks Bay, and Tahoma. California Tahoe Emergency Services Operations Authority (CTESOA) has been the contracted ambulance operator in the CSA 3 South Shore operating area for 20 years.

The County’s Emergency Medical Services (EMS) System is authorized by County Ordinance Code Chapter 8.74 - County Emergency Medical Service and Medical Transportation Ordinance (“EMS Ordinance”), under the provisions of Title 22 of the California EMS Act and the California Health and Safety Code.

On June 22, 2021, the Board awarded RFP 21-990-036 to CTESOA and authorize...

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