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THE CITY OF 16 CITY COUNCIL AGENDA REPORT pLEASANTON June 19, 2018 Fire TITLE: APPROVE THE THIRD AMENDMENT TO THE EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT SERVICES AGREEMENT (FRALS) BETWEEN THE CITY AND THE COUNTY OF ALAMEDA SUMMARY In November 2011, the City of Pleasanton, along with all other agencies/cities in Alameda County that provide First Responder Advanced Life Support (FRALS) services, entered into a five (5) year agreement with Alameda County that defined FRALS standards, detailed the reimbursement funding schedule and memorialized other pertinent matters as related to the delivery of FRALS services. The initial agreement expired on October 31, 2016 and, in May 2016, the City signed the First Amendment to the agreement extending the term to October 31, 2017. The Second Amendment, signed by the City on September 22, 2017, extended the term eight (8) months to June 30, 2018, kept the same reimbursement formula and transferred ownership of ten (10) pieces of Emergency Medical Services (EMS) equipment formally owned and maintained by the County to the City. The Third Amendment extends the term through June 30, 2019 and discontinues the payments made to the participating Cities intended to offset some of the costs of providing paramedic services effective July 1, 2018. RECOMMENDATION Pending the outcome of the scheduled June 20, 2018 meeting between the participating FRALS cities and the County, approve and authorize the City Manager to sign the Third Amendment to the FRALS agreement extending the term to June 30, 2019, and recognize the revenue impacts in the City budget due to the discontinued payments from the County effective July 1, 2018. FINANCIAL STATEMENT In consideration for the services provided in support of the agreement, the County had subsidized each agency/city a specified amount for each FRALS unit maintained, with a 2% annual escalator. The City maintains five (5) FRALS units and the annual reimbursement per the Second Amendment for the past year totaled $241,523.28. Per the Third Amendment, these reimbursement payments will terminate effective July 1, 2018. These revenue reductions are reflected in the City's FY2018/19 budget.