Agenda 04/14/20 Item # 5 (Agenda ID 12188) 04/27/2020
EXECUTIVE SUMMARY
Recommendation to renew the annual Class 1 (ALS Transport/ALS Rescue) and Class 2 (ALS intra-
facility ALS Ambulance Transport) Certificate of Public Convenience and Necessity (COPCN) and
Permit for the Seminole Tribe Fire Rescue Department within the boundaries of the Seminole Tribe in
Immokalee.
OBJECTIVE: To proceed in the best interest of the public health, safety and welfare by granting an ALS
Class I and Class 2 COPCN and Permit to the Seminole Tribe Fire Rescue Depal lment (Department or
Seminole Tribe). The Seminole Tribe Fire Rescue Department operates exclusively for and on the
Seminole Reservation in Immokalee. The certificate is subject to certain conditions noted below.
CONSIDERATIONS: On January 8, 2020,the Collier County's Bureau of Emergency Services received
the renewal application from the Seminole Tribe for a COPCN and Penn it for an ALS Class 1 and Class
2. A COPCN renewal may be approved routinely by the Board as provided by Section 50-60 of the
Collier County Code of Laws and Ordinances(Code)governing medical transportation services.
The Board's Emergency Medical Authority reviewed the application and voted unanimously on February
12, 2020 to recommend granting both the COPCN and Permit for a period of one (I) year. The Seminole
Tribe operates numerous fire rescue and ambulance services across the state within the boundaries of
various reservations in a highly cooperative manner with other local county governments and EMS
operations. It is the opinion and findings of the Bureau of Emergency Services that this Class I and Class
2 COPCN and Permit be granted.
The Department will be operating and providing services exclusively within the geographical boundaries
of the Reservation. Collier County EMS and the Department entered into a memorandum of
understanding to provide for rare situations where concurrent calls for service at, near, or within the
geographical boundaries of both providers occurs and providing mutual emergency medical services
assistance is in the best interest of patient care. Each agency will work under its respective emergency
medical services protocol, dispatch system, billing, and medical direction. The number of calls for
emergency service on the Seminole Reservation in Immokalee is broadly estimated to be approximately
50 calls for service annually.
Department employees are ce 1 tified as Paramedic's, EMTs, and fire rescue personnel licensed by the
State of Florida. The Department's Medical Director has adopted the Greater Broward Emergency
Medical Director's Association (GBEMDA) Regional Medical Protocols, which follow the State of
Florida's standards for medical oversight. The Depaltment is licensed by the State of Florida, and its
Medical Director is Wayne Lee, MD.
Conditions of the COPCN and Permit renewal are as follows:
1. The issuance of a Class 2 ALS intra-facility transport ce ltificate is limited to transport to tribal
members only as requested by the Seminole Fire Rescue Department application.
2. If renewed,the COPCN application will be renewed for one-year with an expiration date of April
2021 and renewed annually. Its renewal application is to be received by the County no later than
90 days prior to its expiration.
3. The Department is required to work cooperatively with Collier County EMS, Bureau of
Emergency Services, Collier County Sheriffs 911 dispatch personnel, local licensed facilities and
04/27/2020
other responders to ensure that its entry into local and regional ambulance transportation is
properly coordinated and services are appropriately represented. Collier County EMS shall be
allowed to conduct any reasonable inspections or site visits and receive in a timely manner any
statistical call volume information needed to evaluate services, monitor complaints and address
any quality of care issues.
FISCAL IMPACT: This redistribution of emergency and non-emergency transports on the Seminole
Reservation in Immokalee by authorizing the Seminole Fire and Rescue Department to receive a Class 1
and Class 2 certificate is expected to be minimal. There is no increase to the Collier County EMS budget
for granting this Class 1 and Class 2 COPCN if approved. The Board shall also recognize and accept the
$250 application fee within Fund 001.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this
action.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote
for Board action. -JAB
Additionally,regarding the consideration of this item, Section 50-57 of the Code states:
Sec. 50-57. -Requirement for board approval in granting certificate.
The Board of County Commissioners shall not grant a ce1tificate unless it shall find, after public hearing
and based on competent evidence that each of the following standards has been satisfied:
(1) That there is a public necessity for the service. In making such detelmination, the Board of
County Commissioners shall consider, at 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.
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
sufficient qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has sufficient 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 sufficient personnel and equipment to adequately cover the
proposed service area.
The matter may be referred to a hearing officer as stated in Section 50-58 of the Code as follows:
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 repolt 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.
04/27/2020
RECOMMENDATION: To authorize/accept:
1. Renew the Celtificate of Public Convenience and Necessity and Permit for the Seminole Tribe of
Florida and their listed vehicles: (2) Two Medical Rescue Units (Ambulances), (1) One Fire
Engine 1250 GMP Pumper, (1) One Fire Brush Truck/Utility Vehicle, (1) One Squad Truck and
(1)One Fire/EMS Supervisory Vehicle.
2. Authorize the Chairman to execute the Permit and Celtificate.
3. To recognize and accept the $250 application fee within Fund 001.
Prepared by: Dan E. Summers, Director,Bureau of Emergency Services
ATTACHMENT(S)
1. Seminole COPCN Certificate (PDF)
04/27/2020
COLLIER COUNTY
Board of County Commissioners
Item Number:
Doc ID: 12188
Item Summary: Recommendation to renew the annual Class 1 (ALS Transport/ALS Rescue) and
Class 2 (ALS intra-facility ALS Ambulance Transport) Certificate of Public Convenience and Necessity
(COPCN) and Permit for the Seminole Tribe Fire Rescue Department within the boundaries of the
Seminole Tribe in Immokalee.
Meeting Date: 04/27/2020
Prepared by:
Title:—Administrative Services Department
Name: Paula Brethauer
04/08/2020 5:03 PM
Submitted by:
Title: Department Head-Administrative Svc—Administrative Services Department
Name: Len Price
04/08/2020 5:03 PM
Approved By:
Review:
Administrative Services Department Paula Brethauer Department Review Completed 04/08/2020 5:04 PM
Administrative Services Department Paula Brethauer Dept Head Review Skipped 04/08/2020 4:44 PM
County Attorneys Office Paula Brethauer Level 2-Attorney Review Skipped 04/08/2020 4:44 PM
County Attorney's Office Paula Brethauer Level 3 CAO Review Skipped 04/08/2020 4:42 PM
Office of Management and Budget Paula Brethauer Level 3 OMB Gatekeeper Review Skipped 04/08/2020 4:42 PM
County Manager's Office Leo E.Ochs Level 4 County Manager Review Completed 04/10/2020 11:14 AM
Board of County Commissioners MaryJo Brock Meeting Pending 04/27/2020 10:00 PM
Co ler C01411tY
Administrative Services Department
DATE: April 1, 2020
• TO: Leo E Ochs,Jr., County 4anager
FROM: Len Golden Pric nistrative Services Department Head
SUBJECT: Approval prior to 4/28/2020 BCC meeting
The annual renewal of the Seminole Tribe's COPCN for ALS and Inter-Facility transport was originally
scheduled for Board approval on April 14,2020(MinuteTraq Item#11783)and was moved to the April
28, 2020 meeting when the April 14 meeting was cancelled. This is a courtesy application,as the Tribe is
not subject to Board jurisdiction. Their current COPCN expires on April 28, 2020. It is unlikely that we
could executive the documents and have them filed with the State the day of the Board meeting. This is
a routine matter planned for the Consent Agenda. While the Seminole Tribe is not required to obtain
Board approval for their operations, they have chosen to do so as a courtesy. I am requesting your
approval of the attached documents so that there is no lapse in COPCN approval for the Seminoles. If
approved, I will modify the agenda item on April 28, 2020 to reflect ratification of your approval. Your
consideration is appreciated.
GPr.rN
C'0 7,A
Administrative Services Department.3299 Tamiami Trail East'Naples,Florida 34112-6746'239.252-8721•www.colliergov.net
COLLIER COUNTY FLORIDA
Class "1" and Class "2" COPCN
ALS
Name of Service: Seminole Tribe Fire Rescue Department
Name of Owner: Seminole Tribe Fire Rescue Department
Principle Address of Service: 6300 Stirling Road
Hollywood, FL 33024
Business Telephone: (954) 966-6300
Description of Service: ALS Transport/ALS Rescue and Intra-facility out of county
transport for Collier County
Number of Ambulances: See application for description of 6 vehicles
This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above
named Ambulance Service to operate intra-facility and out of county transports for a fee or
charge for the following area(s): Collier County for one year from the date executed
hereon, except that this permit may be revoked by the Board of County Commissioners of
Collier County at any time the service named herein shall fail to comply with any local,
state or federal laws or regulation application to the provisions of Emergency Medical
Services.
Issued and approved this day of _ ,2020
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ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K.Kinz91;
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04/28/2020
EXECUTIVE SUMMARY
Recommendation to renew the annual Class 1 (ALS Transport/ALS Rescue) and Class 2 (ALS
intra-facility ALS Ambulance Transport) Certificate of Public Convenience and Necessity
(COPCN) and Permit for the Seminole Tribe Fire Rescue Department within the boundaries of
the Seminole Tribe in Immokalee.
OBJECTIVE: To proceed in the best interest of the public health, safety and welfare by
granting an ALS Class 1 and Class 2 COPCN and Permit to the Seminole Tribe Fire Rescue
Department (Department or Seminole Tribe). The Seminole Tribe Fire Rescue Department operates
exclusively for and on the Seminole Reservation in Immokalee. The certificate is subject to certain
conditions noted below.
CONSIDERATIONS: On January 8, 2020, the Collier County's Bureau of Emergency Services
received the renewal application from the Seminole Tribe for a COPCN and Permit for an ALS Class 1
and Class 2. A COPCN renewal may be approved routinely by the Board as provided by Section 50-60
of the Collier County Code of Laws and Ordinances(Code)governing medical transportation services.
The Board's Emergency Medical Authority reviewed the application and voted unanimously on
February 12,2020 to recommend granting both the COPCN and Permit for a period of one(1)year. The
Seminole Tribe operates numerous fire rescue and ambulance services across the state within the
boundaries of various reservations in a highly cooperative manner with other local county governments
and EMS operations. It is the opinion and findings of the Bureau of Emergency Services that this Class 1
and Class 2 COPCN and Permit be granted.
The Department will be operating and providing services exclusively within the geographical boundaries
of the Reservation. Collier County EMS and the Department entered into a memorandum of
understanding to provide for rare situations where concurrent calls for service at, near, or within the
geographical boundaries of both providers occurs and providing mutual emergency medical services
assistance is in the best interest of patient care. Each agency will work under its respective emergency
medical services protocol, dispatch system, billing, and medical direction. The number of calls for
emergency service on the Seminole Reservation in Immokalee is broadly estimated to be approximately
50 calls for service annually.
Department employees are certified as Paramedic's, EMTs, and fire rescue personnel licensed by the
State of Florida. The Department's Medical Director has adopted the Greater Broward Emergency
Medical Directors Association (GBEMDA) Regional Medical Protocols, which are in compliance with
the State of Florida's standards for medical oversight. The Department is licensed by the State of
Florida,and its Medical Director is Wayne Lee, MD.
Conditions of the COPCN and Permit renewal are as follows:
1. The issuance of a Class 2 ALS intra-facility transport certificate is limited to transports to tribal
members only as requested by the Seminole Fire Rescue Department application.
2. If renewed,the COPCN application will be renewed for one-year with an expiration date of April
2021 and renewed annually. Its renewal application is to be received by the County no later than
90 days prior to its expiration.
04/28/2020
3. The Department is required to work cooperatively with Collier County EMS, Bureau of
Emergency Services, Collier County Sheriffs 911 dispatch personnel, local licensed facilities
and other responders to ensure that its entry into local and regional ambulance transportation is
properly coordinated and services are appropriately represented. Collier County EMS shall be
allowed to conduct any reasonable inspections or site visits and receive in a timely manner any
statistical call volume information needed to evaluate services, monitor complaints and address
any quality of care issues.
FISCAL IMPACT: This redistribution of emergency and non-emergency transports on the
Seminole Reservation in hnmokalee by authorizing the Seminole Fire and Rescue Department to receive
a Class 1 and Class 2 certificate is expected to be minimal. There is no increase to the Collier County
EMS budget for granting this Class 1 and Class 2 COPCN if approved. The Board shall also recognize
and accept the$250 application fee within Fund 001.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from
this action.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority
vote for Board action. -JAB
Additionally, regarding the consideration of this item,Section 50-57 of the Code states:
Sec. 50-57.-Requirement for board approval in granting certificate.
The Board of County Commissioners shall not grant a certificate unless it shall find, after public
hearing and based on competent evidence that each of the following standards has been satisfied:
(1) That there is a public necessity for the service. In making such determination, the Board of
County Commissioners shall consider, at 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.
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
sufficient qualified personnel in the local area to adequately staff all existing services.
(2) That the applicant has sufficient 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 sufficientpersonnel and equipment to adequately cover the
p' P e9 P q Y
proposed service area.
The matter may be referred to a hearing officer as stated in Section 50-58 of the Code as follows:
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,
04/28/2020
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.
RECOMMENDATION: To authorize/accept:
1. Renew the Certificate of Public Convenience and Necessity and Permit for the Seminole
Tribe of Florida and their listed vehicles: 2) Two Medical Rescue Units(Ambulances), (1) One
Fire Engine 1250 GMP Pumper,(1)One Fire Brush Truck/Utility Vehicle,(1)One Squad Truck
and(1)One Fire/EMS Supervisory Vehicle.
2. Authorize the Chairman to execute the Permit and Certificate.
3. To recognize and accept the$250 application fee within Fund 001.
Prepared by: Dan E. Summers,Director, Bureau of Emergency Services
ATTACHMENT(S)
1. 2020 SemTribe Application (PDF)
2. Stamped Permit(PDF)
3. Stamped Certificate (PDF)
04/28/2020
COLLIER COUNTY
Board of County Commissioners
Item Number:
Doc ID: 11783
Item Summary: Recommendation to renew the annual Class 1 (ALS Transport/ALS Rescue)and
Class 2 (ALS intra-facility ALS Ambulance Transport) Certificate of Public Convenience and Necessity
(COPCN) and Permit for the Seminole Tribe Fire Rescue Department within the boundaries of the
Seminole Tribe in Immokalee.
Meeting Date: 04/28/2020
Prepared by:
Title: Executive Secretary—Emergency Management
Name: Kathy Heinrichsberg
02/21/2020 9:43 AM
Submitted by:
Title: Division Director- Bureau of Emer Svc—Emergency Management
Name: Daniel Summers
02/21/2020 9:43 AM
Approved By:
Review:
Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 02/21/2020 10:36 AM
Emergency Management Daniel Summers Additional Reviewer Completed 02/21/2020 11:17 AM l�
Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 02/21/2020 3:37 PM
Emergency Management Christine Boni Additional Reviewer Completed 02/24/2020 8:16 AM
Administrative Services Department Len Price Level 2 Division Administrator Review Pending
County Attorney's Office Jennifer Belpedlo Level 2 Attorney of Record Review Completed 02/28/2020 2:24 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Pending
County Attorneys Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Pending
County Manager's Office Level 4 County Manager Review Pending
Board of County Commissioners MaryJo Brock Meeting Pending 04/28/2020 9:00 AM
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COLLIER COUNTY FLORIDA
Class"1" and Class "2" COPCN
ALS
Name of Service: Seminole Tribe Fire Rescue Department
Name of Owner: Seminole Tribe Fire Rescue Department
Principle Address of Service: 6300 Stirling Road
Hollywood FL 33024
Business Telephone: (954) 966-6300
Description of Service: ALS Transport/ALS Rescue and Intra-facility out of county
transport for Collier County
Number of Ambulances: See application for description of 6 vehicles
See attachment"A" for description of vehicles.
This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above
named Ambulance Service to operate intra-facility and out of county transports for a fee or
charge for the following area(s): Collier County for one year from the date executed
hereon,except that this permit may be revoked by the Board of County Commissioners of
Collier County at any time the service named herein shall fail to comply with any local,
state or federal laws or regulation application to the provisions of Emergency Medical
Services.
Issued and approved this day of , 2020
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY,FLORIDA
,Deputy Clerk Burt L. Saunders, Chairman
Approved as to form and legality:
Jennifer A. Belpedio 0\
Assistant County Attorney ,�
[20-EMa•00440/1521829/11
0