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that the cities of Oakland, Hayward, Fremont, and Livermore-Pleasanton (represented by their Fire Department Joint Powers Authority) execute a letter of intent with ACFD. The Letter of Intent recommended in this report (Attachment 2) is based on the City of Hayward model, and it will enable the City of Pleasanton and the Livermore-Pleasanton Fire Department JPA to enter into negotiations with the Alameda County Fire Department to develop the commitments and obligations that meet the service delivery needs of our community. Other Alameda County fire agencies intend to use the same Letter of Intent to provide consistency throughout the county. This letter of intent provides the opportunity for the JPA to discuss the needs of our communities and to have language included in the ACFD proposal that will address these needs. The key elements of these negotiations will include, but will not be limited to: 1. Development of the countywide ambulance deployment model to be proposed in response to the Alameda County EMS Agency RFP, including identification of alternate transport locations 2. ACFD's plan for deploying ambulances within the Exclusive Operating Area (EOA), including system status management strategies and ambulance numbers, types, response times, and posting locations; this may include whether, to what extent, and on what terms the city or JPA will provide ambulance services as an ACFD subcontractor 3. The extent to which ACFD and the city or JPA will provide cross-jurisdictional automatic and mutual aid for first response advanced life support (FRALS) and/or ambulance services 4. In-kind contributions of and/or access to facilities necessary to implement the deployment model (e.g., locating ACFD's or its subcontractors' ambulance units within the City of Pleasanton and associated fees) 5. Staffing obligations and/or requirements of the JPA 6. Shared use of technology, including access and sharing of data across the agencies 7. Amounts and mechanisms for ACFD for recover the city or JPA costs from payors, including administration fees to be charged by ACFD. ACFD is proceeding with this model and intends to submit a proposal in response to the Alameda County RFP for ambulance services in Spring/Summer 2023. If the cities do not engage in these negotiations, there would be limited city input into the proposal and the terms and conditions of this model would be dictated exclusively by ACFD and its proposal. If negotiations are unsuccessful, there would be no obligation for a city to participate in the ultimate proposal, and the Alameda County EMS Agency would still be obligated to provide 911 ambulance response services to that community. However, the current service concerns and response time delays would likely continue. This letter of intent provides the opportunity for the JPA to discuss the needs of our communities and to have language included in the ACFD proposal that will address our needs. A similar resolution will be presented for consideration to the City of Livermore Council on January 23, 2023. If authorized, the City Managers of Livermore and Pleasanton will execute the Letter of Intent both in their roles as City Manager and as Joint Executive Page 3 of 4