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File #: 25-3855    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 9/4/2025 In control: BOARD OF SUPERVISORS
On agenda: 9/16/2025 Final action:
Title: APPROVE and AUTHORIZE the Health Services Director, or designee, to execute a contract amendment with Contra Costa County Fire Protection District, to increase the payment limit by $1,928,544 to an amount not to exceed $7,304,913 and extend the term through June 30, 2026 for additional paramedic emergency medical first responder services in coordination with the Contra Costa County Emergency Medical System. (100% Measure H funds)
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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 $1,8...

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