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BACKGROUND The County Public Health Department, through its Division of Emergency Medical Services, is the local agency charged with oversight of first responder paramedic services and is also the local agency that administers and manages the contract for the paramedic service providers. To meet its oversight responsibilities, the County depends on local fire departments to provide first responder paramedic assistance at medical emergencies. Cities with fire departments that deliver FRALS services, and meet certain eligibility standards, receive compensation from the County. To ensure consistency throughout the County, Fire representatives from the Alameda County cities providing FRALS services collectively negotiated standards that are outlined in the current agreement. DISCUSSION The existing agreement with the County for the LPFD to provide FRALS services began on July 1, 2004 and is set to expire on June 30, 2009. The proposed amendment would extend the current agreement, Contract No. C2004 -0783, until June 30, 2011. The extension includes a 3% rate increase in the first year of the extension, which is $1,249 above the current per unit compensation rate. Over the two -year extension period, the City can expect to receive a total of $428,932 in revenue from the County. Compensation to the City would continue according to the terms of the existing agreement, which is based on the number of paramedic units available per day. The City is currently approved by the County to receive compensation for 5- paramedic units, and plans to continue providing the same number of units for the extension period. Submitted by: Fiscal Review: Approved qy: DICSSCAlut__ Bill Cody David P. Culver Nelson Fialho Fire Chief Finance Director City Manager Attachments: 1. Amendment to Contract C2004 -783 2. Exhibit B Payment Schedule Page 2 of 2