To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Rescind Prior Board Action Pertaining to Contracted Services with Contra Costa County Fire Protection District
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND Board action of June 24, 2025 (C.96), which pertained to a contract with Contra Costa County Fire Protection; and APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Interagency Amendment/Extension #23-367-15 with the Contra Costa County Fire Protection District (CCCFPD), effective June 24, 2025, to increase the payment limit by $1,928,544, from $5,376,369 to a new payment limit of $7,304,913 and extend the termination date from June 30, 2025 to June 30, 2026 for additional paramedic emergency medical first responder services in coordination with the Conta Costa County Emergency Medical System.
FISCAL IMPACT:
Approval of this Interagency Amendment/Extension will result in additional expenditures of up to $1,928,544 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. In May 2013, the Board of Supervisors adopted the population-based allocation formula (CSA-EM1 Zone B fire agencies).
On September 20, 2022, the Board of Supervisors approved Contract #23-367-14 with Contra Costa County Fire Protection District, in an amount not to exceed $5,376,369 to provide prehospital emergency medical first responder services of its First Responder Paramedic Program, for the period of July 1, 2022 through June 30, 2025.
On June 24, 2025, the Board of Supervisors approved C.96, Interagency Amendment/Extension #23-367-15 with Contra Costa County Fire Protection District (CCCFPD), to increase the payment limit by $1,897,287, from $5,376,369 to a new payment limit of $7,273,656 and extend the termination date from June 30, 2025 to June 30, 2026, however, the dollar amounts were incorrect. This Board Order will rescind that incorrect Board Order and reflect the intent of both parties and correct 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 with the correct amounts for FY 2025-26 allowing payment to the Contra Costa County Fire Protection District.