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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. The City has had such an agreement with the County since 1999. In 2008, the County hired a consultant to review their EMS system and make recommendations for improvement. As a result, the agreement has been rewritten to reflect those recommendations. To ensure consistency throughout the County, Fire representatives from Alameda County cities providing FRALS services collectively negotiated standards that are outlined in the current agreement. The renewed amended and restated agreement continues a reimbursement payment to the City of Pleasanton at the rate of $214,465.80 for the first year of the contract, increased by a 2% COLA for each of the remaining years. 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 term of the agreement. DISCUSSION The existing agreement with the County for the LPFD to provide FRALS services began on July 1, 2004 with Contract C2004-783; followed by a two-year extension ending June 30, 2011 and a second extension ending October 31, 2011. 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 term of the agreement. Submitted by: Fiscal Review: Approved y: a . 'ft' i inkiter lativ,— ames Migu:T Emily Wagner Nelson Fialho Fire Chief Director of Finance City Manager Attachments: 1. Emergency Medical Services First Responder Advanced Life Support Services Agreement Page 2 of 2