Agenda 03/23/2021 Item #16E1 (COPCN Seminole Tribe Fire Rescue Department)03/23/2021
EXECUTIVE SUMMARY
Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN)
and Permit for a Class 1 (ALS Transport/ALS Rescue) and Class 2 (ALS intra-facility ALS
Ambulance Transport) 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 (“Reservation”). The certificate is subject to certain
conditions noted below.
CONSIDERATIONS: On November 20, 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 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 has reviewed the application and voted unanimously on
December 9, 2020, in the affirmative to grant both the COPCN and Permit for a period of one (1) year
following the approval of the Board. 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. Calls for service on the
Reservation for emergency services is broadly estimated to be approximately 50 calls for service
annually.
Department employees are certified as Paramedics, 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 it ’s
Medical Director is Harry Wayne Lee, MD, FACEP.
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 his 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 advic e of the
administrator, or the Board may hold a hearing on the same.
These requirements have been met, and the Administrator recommends renewal.
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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 be renewed for one year with an expiration date of April 2022 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 Sheriff's 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 -emergenc y 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 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.
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(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 because 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 renew, authorize and recognize the following:
1. Renew the Certificate of Public Convenience and Necessity and Permit for the Seminole
Tribe of Florida and its 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. Application (PDF)
2. Certificate (PDF)
3. Permit (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 15110
Item Summary: Recommendation to renew the annual Certificate of Public Convenience and
Necessity (COPCN) and Permit for a Class 1 (ALS Transport/ALS Rescue) and Class 2 (ALS intra -
facility ALS Ambulance Transport) for the Seminole Tribe Fire Rescue Department within the boundaries
of the Seminole Tribe in Immokalee.
Meeting Date: 03/23/2021
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
02/19/2021 11:29 AM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
02/19/2021 11:29 AM
Approved By:
Review:
Administrative Services Department Paula Brethauer Level 1 Department Reviewer Completed 02/19/2021 4:00 PM
Emergency Management Daniel Summers Additional Reviewer Completed 02/23/2021 1:32 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 02/23/2021 1:45 PM
Administrative Services Department Len Price Level 2 Department Head Review Completed 03/08/2021 10:00 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 03/08/2021 10:06 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 03/10/2021 8:09 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 03/10/2021 3:34 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 03/11/2021 3:02 PM
Board of County Commissioners MaryJo Brock Meeting Pending 03/23/2021 9:00 AM
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