Agenda 01/14/2020 Item #16E2 (COPCN w/Just Like Family Concierge Medical Transport Services)01/14/2020
EXECUTIVE SUMMARY
Recommendation to renew a Certificate of Public Convenience and Necessity for Class 2 ALS non-
emergency inter-facility ambulance transports to Just Like Family Concierge Medical Transport
Services (D.B.A. Brewster Ambulance Service), to allow post-hospital inter-facility medical
ambulance transfer services and to approve all necessary budget amendments.
OBJECTIVE: To proceed in the best interest of Public Health, Safety and Welfare by renewing a
Certificate of Public Convenience and Necessity (COPCN), Class 2 Advanced Life Support (ALS) inter -
facility ambulance transport certificate(s) to Just Like Family Concierge Medical Transport (D.B.A.
Brewster Ambulance Service). These certificates are subject to certain conditions noted below.
CONSIDERATIONS: Just Like Family Concierge Medical Transport (D.B.A. Brewster Ambulance
Service) was originally granted a Certificate of Public Convenience and Necessity on March 8, 2018 by
the Board. The certificate requires annual renewal and the current COPCN expires on March 7, 2020. A
renewal application submitted by Concierge Medical Transport, now registered as doing business as
Brewster Ambulance Service, has been reviewed as a new application due to a change in ownership. The
new application was brought before the Emergency Medical Authority on December 11, 2019 and was
unanimously approved with the requested name change and a renewal of one year.
Section 50-60 of the Code of Laws and Ordinances provides:
“Each certificate holder shall file within 90 days of expiration, applications for renewal of this certificate.
Renewals shall be based upon the same standards as the granting of the original certificate along with
such other factors as may be relevant. The renewal application shall be accompanied by a $250.00
renewal fee. The renewal certificate may be approved routinely by the board, upon advice of the
administrator, or the Board may hold a hearing on the same.”
These requirements have been met and the administrator recommends renewal.
FISCAL IMPACT: There is no fiscal impact to the board for the granting of this certificate. The
Board is requested to accept and recognize as revenue in Fund (001) the $250.00 application fee with the
corresponding application.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this
action.
LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board
must find that the standards set forth in Section 50-57 of the Code of Laws and Ordinances have been
satisfied based on competent evidence as follows:
(1) That there is a public necessity for the service. In making such determination, the Board of
County Commissioners shall consider, as a minimum, the following factors:
a. The extent to which the proposed service is needed to improve the overall emergency
medical services (EMS) capabilities of the County.
b. The effect of the proposed service on existing services with respect to quality of service
and cost of service.
c. The effect of the proposed service on the overall cost of EMS service in the county.
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d. The effect of the proposed service on existing hospitals and other health care facilities.
e. The effect of the proposed service on personnel of existing services and the availability of
enough qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has enough knowledge and experience to properly operate the proposed service.
(3) That, if applicable, there is an adequate revenue base for the proposed service.
(4) That the proposed service will have enough personnel and equipment to adequately cover the
proposed service area.
Additionally, then Board has the option to appoint a hearing office as provided by Section 50-58 of the
Collier County Code of Laws and Ordinances.
Sec. 50-58. - Appointment of hearing officer:
“In making the determinations provided for in section 50-57 above, the board may, in its sole discretion,
appoint a hearing officer to hold a public hearing and to make factual findings and conclusions as a result
of the hearing. Should a Hearing Officer be appointed, said hearing officer shall render a written report to
the board within 30 days of the hearing, which report shall contain the officer's findings and conclusions
of fact, and a recommended order. The findings and conclusions of fact shall be binding upon the board,
but the recommended order shall be advisory only.”
Accordingly, this item is approved for form and legality and requires a majority vote for Boar d action. -
JAB
RECOMMENDATION: To accept the Director of the Bureau of Emergency Services’ findings; and
approve, and authorize the Chairman to execute, a Class 2 Certificate of Public Convenience and
Necessity to Just Like Family Concierge Medical Transport (D.B.A. Brewster Ambulance Service) for
one year and approve all necessary budget amendments.
Prepared by: Dan E. Summers, Director, Bureau of Emergency Services
ATTACHMENT(S)
1. Application with corrected Insurance Certificate (PDF)
2. Final Permit CAO Stamped (PDF)
3. Concierge Medical CAO signed Certificate pdf (PDF)
4. 2019-2020 CoPCN Brewster VIN List (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 11171
Item Summary: Recommendation to renew a Certificate of Public Convenience and Necessity for
a Class 2 ALS non-emergency inter-facility ambulance transports to Just Like Family Concierge Medical
Transport Services (D.B.A. Brewster Ambulance Service), to allow post-hospital inter-facility medical
ambulance transfer services.
Meeting Date: 01/14/2020
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
12/19/2019 2:10 PM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
12/19/2019 2:10 PM
Approved By:
Review:
Emergency Management Daniel Summers Additional Reviewer Completed 12/19/2019 2:17 PM
Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 12/19/2019 2:53 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 12/20/2019 9:11 AM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 12/23/2019 8:42 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/23/2019 11:11 AM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 12/26/2019 8:00 AM
Budget and Management Office Mark Isackson Additional Reviewer Completed 01/02/2020 11:24 AM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 01/02/2020 3:11 PM
Board of County Commissioners MaryJo Brock Meeting Pending 01/14/2020 9:00 AM
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Packet Pg. 1601 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1602 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1603 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1604 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1605 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1606 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1607 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1608 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1609 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1610 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1611 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1612 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1613 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1614 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1615 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1616 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1617 Attachment: Application with corrected Insurance Certificate (11171 : Just Like Familiy Concierge Medical)
16.E.2.bPacket Pg. 1618Attachment: Final Permit CAO Stamped (11171 : Just Like Familiy Concierge Medical)
16.E.2.cPacket Pg. 1619Attachment: Concierge Medical CAO signed Certificate pdf (11171 : Just Like Familiy Concierge Medical)
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Packet Pg. 1620 Attachment: 2019-2020 CoPCN Brewster VIN List (11171 : Just Like Familiy Concierge Medical)