Emergency Medical Services, a division of the Chief Administrative Office, recommending the Board: 1) Make a finding that the Agreement 9651 requires specialty skills and qualifications, not expressly identified in County classifications, that are involved in the performance of the work per El Dorado County Ordinance Chapter 3.13, Contracting Out; 2) Waive formal bid requirements in accordance with Procurement Policy C-17 Section 3.3.1 (g) due to dispatch and Advanced Life Support (ALS) ground ambulance transport services within County Service Area 7 provided by El Dorado County Emergency Services Authority (EDCESA) are included in the EMS Plan and Settlement Agreement with the State, 3) Approve and authorize the Chair to execute Agreement 9651 with EDCESA for dispatch and prehospital ALS ground ambulance transport services within CSA 7 for the initial period of July 1, 2025, through June 30, 2035, in the amount of $93,407,041.92 for the first five years, with an option to extend the term for three additional five-year terms; 4) Establish an Emergency Medical Service (EMS) Ad Hoc committee and appoint two members to the Ad Hoc committee; and 5) Direct staff to work with the EMS Ad Hoc committee to explore countywide EMS System strategic planning. FUNDING: CSA 7 - Ambulance fees, Ad Valorem Property Tax, Special Tax, Tribal Reimbursement.

Agenda Item Approved Introduced May 13, 2025

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