To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Extension #23-585-2 with Contra Costa Fire Protection 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 Contract Extension Agreement #23-585-2 with Contra Costa County Fire Protection District, to extend the termination date from December 31, 2025 to December 31, 2027 for continuation of exclusive provision of emergency ambulance services in Emergency Response Areas (ERA) I, II and V.
FISCAL IMPACT:
There is no increase in the rates set forth in the contract.
BACKGROUND:
On November 17, 2015, the Board of Supervisors approved Contract #23-585 with the Contra Costa Fire Protection District to provide advanced life support (ALS) emergency ambulance services within ERAs I, II, and V, for the period January 1, 2016 through December 31, 2020.
On May 12, 2020, the Board of Supervisors approved Contract amendment #23-585-1 to extend the term to December 31, 2025, and authorized an increase in the emergency ambulance services transport rates.
On February 5, 2025 the Contra Costa EMS Agency (CCCEMSA) submitted the Board approved Request for Proposal (RFP) to the State EMS Authority. The State EMS Authority has not approved the submitted RFP which delays implementation of a local procurement process and necessitates an extension of the current contract for emergency ambulance service in ERAs I, II, and V.
Approval of #23-585-2 will allow the Health Services Department to extend the contract termination date to December 31, 2027 with no changes to the rates.
CONSEQUENCE OF NEGATIVE ACTION:
If this extension is not approved, the County will not have a contract for required emergency ambulance service in ERAs I, II, and V.