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File #: 25-5070    Version: 1 Name:
Type: Consent Item Status: Agenda Ready
File created: 10/6/2025 In control: BOARD OF SUPERVISORS
On agenda: 12/9/2025 Final action:
Title: Acting as the governing board of the Contra Costa County Fire Protection District; APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract amendment with American Medical Response West, to increase the payment limit by $135,000,000 for a new payment limit of $570,000,000, and to extend the termination date from December 31, 2025 to December 31, 2027, to update the current service plan in compliance with Contra Costa Emergency Medical Services Agency regulations. (100% CCCFPD EMS Transport Fund)
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To: Board of Supervisors
From: Lewis Broschard, Chief, Contra Costa County Fire Protection District
Report Title: AMR Contract Amendment and Extension
?Recommendation of the County Administrator ? Recommendation of Board Committee


RECOMMENDATIONS:
Acting as the governing board of the Contra Costa County Fire Protection District, APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a contract amendment with American Medical Response West, increasing the payment limit by $135,000,000 to a new payment limit of $570,000,000, and extending the term through December 31, 2027, to update the current service plan for compliance with Contra Costa EMS Agency regulations that become effective on January 1, 2026.

FISCAL IMPACT:
The ongoing costs of this contract extension will be funded through the collection of transport fees as approved by the Board of Supervisors for the duration of the contract. The revenues collected and the subsequent expenses are paid from the Fire District EMS Transport Fund.


BACKGROUND:

The District has been providing ambulance services in the Alliance model with American Medical Response West, Inc. (AMR) since January 1, 2016. This model has been successful in the County and other agencies throughout the State are also starting to implement similar models. The contract is currently set to expire on December 31, 2025.
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