To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Rescind Board action which pertained to an Interagency Amendment/Extension with the City of El Cerrito for its Fire Department
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
RESCIND Board action of June 24, 2025 (C.97), which pertained to an Interagency Amendment/Extension with City of El Cerrito for its Fire Department; and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Interagency Amendment/Extension #23-299-17 with the City of El Cerrito for its Fire Department, a municipal corporation, effective June 24, 2025, to amend Interagency Agreement #23-299-16, to increase the payment limit by $77,142 from $231,426 to a new payment limit of $308,568 and extend the termination date from June 30, 2025 to June 30, 2026, for additional paramedic emergency medical first responder services within the City of El Cerrito and the Kensington Fire Protection District.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional annual expenditures of up to $77,142 and is 100% funded by CSA EM-1 (Measure H). (No rate increase)
BACKGROUND:
County Service Area EM-1 was established in 1989 to provide enhanced emergency medical services, including rapid paramedic-staffed ambulance response, to the residents of Contra Costa County. On May 14, 2013, the Board of Supervisors authorized the County’s Health Services Emergency Medical Services Division approval of CSA EM-1 fire agency funding, based on a population-based funding formula, to partially offset cost to the to fire agencies providing first responder Paramedic services in Zone B.
On July 12, 2022, the Board of Supervisors approved Interagency Agreement #23-299-16 with the City of El Cerrito for its Fire Department, in an amount not to exceed $231,426 to provide funding for first responder fire paramedic services within the City of El Cerrito and the Kensington Fire Protection District, for the period July 1, 2022 through June 30, 2025.
On June 24, 2025 the Board of Supervisors approved C.97 Interagency Amendment/Extension #23-299-17 with the City of El Cerrito for its Fire Department, to increase the payment limit by $109,851, to an amount not to exceed $341,477 and extend the term through June 30, 2026 for additional paramedic emergency medical first responder services, however the dollar amounts were incorrect. This Board Order will rescind that incorrect Board Order and reflect the intent of both parties and correct the payment limit and payment limit increase. This will allow the Agency to be paid for prehospital emergency medical first responder services.
CONSEQUENCE OF NEGATIVE ACTION:
If the recommendation is not approved, the prior incorrect Board action will stand and the department will not have Board authorization to increase the payment limit for FY 2025/2026 allowing payment to the City of El Cerrito for its Fire Department.