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Agenda 04/12/2022 Item #16E 1 (Annual COPCN for the Seminole Tribe Fire Rescue District)04/12/2022 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 January 4, 2022, the Collier County's Bureau of Emergency Services received the renewal application from the Seminole Tribe for a COPCN and Permit for a 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 March 9, 2022, 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 advice of the administrator, or the Board may hold a hearing on the same. These requirements have been met, and the office of the County Manager recommends renewal. 16.E.1 Packet Pg. 1296 04/12/2022 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 2023 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 n on-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 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. 16.E.1 Packet Pg. 1297 04/12/2022 (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 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: That the Board of County Commissioners: 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. 2022 Application (PDF) 2. CAO approved 2022 Certificate (PDF) 3. 2022 Permit CAO approved (PDF) 16.E.1 Packet Pg. 1298 04/12/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.1 Doc ID: 21668 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: 04/12/2022 Prepared by: Title: Executive Secretary – Emergency Management Name: Kathy Heinrichsberg 03/11/2022 11:19 AM Submitted by: Title: Division Director - Bureau of Emer Svc – Emergency Management Name: Daniel Summers 03/11/2022 11:19 AM Approved By: Review: Agenda Clerk Preview Michael Cox Agenda Item Preview Completed 03/11/2022 12:21 PM Emergency Management Daniel Summers Director Review Completed 03/24/2022 4:41 PM Facilities Management Jennifer Belpedio Level 2 Attorney of Record Review Completed 03/25/2022 1:09 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 03/25/2022 1:35 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 03/25/2022 2:39 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 03/25/2022 3:32 PM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 03/30/2022 4:25 PM Board of County Commissioners Geoffrey Willig Meeting Pending 04/12/2022 9:00 AM 16.E.1 Packet Pg. 1299 16.E.1.a Packet Pg. 1300 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1301 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1302 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1303 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1304 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1305 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1306 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1307 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1308 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1309 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1310 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1311 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1312 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1313 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1314 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1315 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1316 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1317 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1318 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1319 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1320 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1321 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1322 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1323 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1324 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1325 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1326 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1327 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1328 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1329 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1330 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1331 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1332 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1333 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1334 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1335 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1336 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1337 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1338 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1339 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.a Packet Pg. 1340 Attachment: 2022 Application (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.b Packet Pg. 1341 Attachment: CAO approved 2022 Certificate (21668 : Annual Renewal of Seminole Tribe CoPCN) 16.E.1.c Packet Pg. 1342 Attachment: 2022 Permit CAO approved (21668 : Annual Renewal of Seminole Tribe CoPCN)