To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Interagency Amendment/Extension #23-228-15 with Moraga Orinda Fire District
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Interagency Amendment/Extension #23-228-15 with Moraga Orinda Fire District (MOFD), a public agency, effective June 24, 2025, to increase the payment limit by $92,933 from $268,524 to a new payment limit of $361,457 and extend the termination date from June 30, 2025 to June 30, 2026 for additional paramedic emergency medical first responder services within the cities of Moraga and Orinda.
FISCAL IMPACT:
Approval of this Interagency Amendment/Extension will result in additional expenditures of up to $92,933 and will be funded 100% by CSA EM-1 (Measure H) revenues. (No rate increase)
BACKGROUND:
Moraga Fire Protection District has provided paramedic ambulance services in Emergency Response Area 3 continuously since 1971 and has provided this service at the paramedic level since initiation of paramedic services in Contra Costa County in 1977. In July 1997, Moraga and Orinda Fire Districts consolidated into one new district.
On October 4, 2022, the Board of Supervisors approved Interagency Agreement #23-228-14 with MOFD in an amount not to exceed $268,524 to provide prehospital emergency medical paramedic first responder services, for the period from October 1, 2022 through September 30, 2025.
Approval of Interagency Amendment/Extension Agreement #23-228-15 will allow Contractor to provide additional services within the cities of Moraga and Orinda through June 30, 2026. This Contract includes mutual indemnification to hold harmless both parties for any claims arising out of the performance of this Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment/Extension is not approved, additional funding and extended service through June 30, 2026 will not be provided to County residents.