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Agenda 02/28/2023 Item #16F 1 (Certificate of Public Convenience and Necessity for Class 2 Advanced Life Support to Just Like Family Concierge Medical Transport Services)16.F.1 02/28/2023 EXECUTIVE SUMMARY Recommendation to renew a Certificate of Public Convenience and Necessity for a Class 2 Advanced Life Support 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. OBJECTIVE: To proceed in the best interest of the 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 Services (D.B.A. Brewster Ambulance Service). These certificates are subject to certain conditions noted below. CONSIDERATIONS: Just Like Family Concierge Medical Transport Services (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, 2023. The renewal application was brought before the Emergency Medical Authority on February 8, 2023, and unanimously recommended to the Board that the Certificate be renewed. Staff has deemed the application complete and recommends that the COPCN be renewed for 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 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 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. d. The effect of the proposed service on existing hospitals and other health care facilities. Packet Pg. 1197 16.F.1 02/28/2023 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. Additionally, then the 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 Board action.-RTT RECOMMENDATION: That the Board of County Commissioners: 1) Accepts the Director of the Bureau of Emergency Services' findings; 2) Approve and authorize the Chairman to execute a Class 2 Certificate of Public Convenience and Necessity to Just Like Family Concierge Medical Transport Services (D.B.A. Brewster Ambulance Service) for one year. PREPARED BY: Dan E. Summers, Director, Bureau of Emergency Services ATTACHMENT(S) 1. BREWSTER AMBULANCE COPCN RENEWAL 2023 VERSION 2 Resubmitted (PDF) 2. Brewster Permit 2023 (PDF) 3. CAD Approved Certificate (PDF) 4. CAD approved VIN (PDF) Packet Pg. 1198 16.F.1 02/28/2023 COLLIER COUNTY Board of County Commissioners Item Number: 16.F.1 Doc ID: 24637 Item Summary: Recommendation to renew a Certificate of Public Convenience and Necessity for a Class 2 ALS non -emergency inter -facility ambulance transport 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: 02/28/2023 Prepared by: Title: Executive Secretary — Emergency Management Name: Kathy Heinrichsberg 02/09/2023 3:18 PM Submitted by: Title: Division Director - Bureau of Emer Svc — Emergency Management Name: Daniel Summers 02/09/2023 3:18 PM Approved By: Review: Emergency Management County Attorney's Office Office of Management and Budget County Attorney's Office Community & Human Services County Manager's Office Board of County Commissioners Daniel Summers Director Review Completed 02/10/2023 9:02 AM Ronald Tomasko Level 2 Attorney of Record Review Completed 02/10/2023 10:52 AM Debra Windsor Level 3 OMB Gatekeeper Review Completed 02/10/2023 11:18 AM Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/10/2023 2:56 PM Maggie Lopez Additional Reviewer Completed 02/16/2023 2:59 PM Amy Patterson Level 4 County Manager Review Completed 02/21/2023 12:32 PM Geoffrey Willig Meeting Pending 02/28/2023 9:00 AM Packet Pg. 1199 16.F.1.a AMBULANCE SERVICE Collier County 2022-2023 Renewal Application for our CLASS "2" TRANSPORT COPCN Just Like Family Concierge Medical Transport Services LLC. DBA: Brewster Ambulance Service Contact: Yohandy Machin 11820 Lacy Lane Fort Myers, FL 33966 239-682-8907 November 3rd, 2022 The enclosed information is the complete 2022-2023 renewal application for a Certificate of Public Convenience and Necessity for Collier County, Florida. Packet Pg. 1200 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application An applicant for a certificate shall obtain form from the department to be completed and returned to the division administrator. Each application shall contain: 1. The name age and address of the owner of the ambulance or ALS provider, or if the owner is a corporation, then of the directors of the corporation and all of the stockholders holding more than 25 percent of the outstanding shares. For governmental units, this information shall be supplied for members of the governing body. Service Owners/ Directors Paul Hobaica MD, 56 — 1061 Collier Center Way Suite #1 42.0% Brewster Ambulance - 25 Main Street, Weymouth MA 35.0% Jeffery Panozzo MD, 62 — 1061 Collier Center Way Suite #1 13.0% Chris Dibona, 48 — 1061 Collier Center Way Suite #1 5.0% Yohandy Machin, 32 — 1061 Collier Center Way Suite #1 5.0% Mark Brewster, 46 — 1061 Collier Center Way Suite #1 0.0% 2. The Boundaries of the area to be served. All area contained within Collier County, Florida boarders. 3. The number and a brief description of the ambulances or other vehicles the applicant will have available. Brewster Ambulance Service currently has (14) licensed ambulances in its Florida division. Brewster Ambulance Service uses the most current technology for staffing units. We staff ambulances to meet the anticipated needs of our service area by using FirstWatch Solutions. FirstWatch turns raw data into meaningful information, helping us improve situational awareness, operational performance and clinical patient outcomes. Our system does this by securely capturing, translating and transmitting information about our callers, patients and systems via FirstWatch triggers all in real-time. A FirstWatch "trigger" is a representation of data based on a set of user -defined data filter criteria using one or more FirstWatch analytical methods. Triggers draw data from one or more data sources, like CAD, ProQA, RIMS and ePCR. Typically, data is consumed as events; each event is uniquely identified and has a date time stamp. Each event can also be supplemented with additional information, such as location and comments. This information is then used to calculate need and location of available ambulances like never done before. Packet Pg. 1201 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application Continued.. . Tracking of vehicles is accomplished with FleetLocate by Spireon, we are able to track (in real time) our vehicles exact location and provide more accurate arrival times to our customers, thus improving the patient flow at the local hospitals. 4. The address of the intended headquarters and any substations. Brewster Ambulance Service Naples location is: 3200 Bailey Lane, Suite 198 Fort Myers FL 34105 4 es G-andeG �0- Our Lee County Location is: 11820 Lacy Lane, Fort Myers FL 33966 19- 1 1 820 Lacy Ln,-Fort 6 Myers, FL 33966 A �J 0.3) s di L i •j e,,,uthwest F Packet Pg. 1202 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 5. The training and experience of the applicant. The management team at Brewster Ambulance Service collectively has over 300 years of experience in the EMS industry with varied experience in Field training, education, management, air medical and critical care transport. With over a' century in the ambulance industry, we can provide the expert leadership needed to run a respectable, high quality service. Our Quality Assurance Department is staffed by 10 full-time Paramedics. All QA staff have a minimum of 10 years with a Paramedic certification. Our QA staff reviews patient care reports for quality assurance and adherence to our medical protocols and standards of care. Brewster Ambulance Service is committed to maintaining compliance with all federal, state and local laws and regulations. We are compliant with Florida Statute 401 and Florida Administrative Code 64J in accordance with standards set forth by the Bureau of EMS and Department of Health. Our state license is valid through May 15, 2024. Brewster Ambulance Service accepts all insurance providers. All billing and collections are done in house with our team of close to 60, to ensure patient confidentiality and a payment plan for all patients with financial difficulty. All BAS field employees maintain their credentials in a proactive manner as well as pursue continuing education tracks so they achieve individual career and certification objectives. During orientation and throughout the year, all employees are required to take a course or refresher course in infection control, airborne pathogens, blood -borne pathogens, HIPAA, injury prevention, and emergency vehicle operations. EMTs and Paramedics are responsible for maintaining their own credentials and certifications. Brewster Ambulance Service sponsors continuing education support in order for employees to maintain their certifications thru CMTI which is an accredited EMS education provider. The required 16-hour Emergency Vehicles Operators Course is handled by our in house EVOC Instructor. We uses a combination of classroom and practical driving to train staff on the proper driving techniques to safely drive an emergency vehicle in the state of Florida. All staff is required to renew this certification every two years by completing an online update course. Packet Pg. 1203 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 6. The name and addresses of three Collier County residents who will act as references for the applicant. Michael V. Reagen — Former president and CEO of the Greater Naples Chamber of Commerce 10391 Regent Circle Naples, Florida 34109 Nicole Bishop-Tregea BSN, RN — NCH Nursing Director 13523 Pond Apple Drive E Naples, FL 34119 Jim S. Bloom — CCSO Undersheriff 3319 Tamiami Trail East Naples, FL 34112 Packet Pg. 1204 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 7. Schedule of rates, which the service intends to charge. Code Service Description A0428 BLS Non- Emergency A0429 BLS Emergency Rate $450A0 $500.00 A0426 ALS Non- Emergency $525.00 A0427 ALS Emergency Level 1 $575.00 $725.00 $950.00 1 A0433 ALS Level 2 A0434 SCT A0425 + Mileage (PLM) $15.00 Packet Pg. 1205 16.F.1.a Brewster Ambulance Service — Collier County 22-23 COPCN Renewal Application 8. Such other pertinent information as the administrator may require. At this time, we are unaware of any other mandatory information required by the administrator for this application. We have included copies of all pertinent information. 9. An application or renewal fee of $250.00 (Exception Collier County EMS). Enclosed check 10. Financial data including assets and liabilities of the operator. A schedule of all debts encumbering any equipment shall be included. Attached Packet Pg. 1206 16.F.1.a 0 �I 0 0 •o s. V) a N v • s°. 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L L L C G cc G 0 w 0 w O w 0 LL 0 LL 0 w 0 w 0 LL- 0 LL 0 LL O LL 0 LL Ol 01 00 r-I Lai n M N r-I r-IN r-I rNI LPL ^ M N Lr' Ln Q Y r-I V w 00 00 Q Y X 5 `- U O O 00 Q Y N 5 U � O 10 Q Y N X 0 rn Y Y iC N m pNj "I Q Y (.0O 5 ` X } zT N CO 2 X N m � N CO 2 N X N m M lD Q p N Ln LL. M 0 Q O ^ Ln LL_ cn `) Ql ri U O O Z LL M 00 Ql r-I U O r-I Z w rn >j O LL 0 U- O LLw LL O LLL. LL O LL O w LL LL LL LL 0 LL O w ri r-I �-{ ri r-I ri c-I r-I ri ri c-I ri N Q M a a Ln a lD Q I- a 00 a Ol a O� Q r-I a r-I a r-I a -1 Q � Q M 3 a� c d a! z U a 0 U E c c Q N L a.+ 3 Q) m f- M 04 N Q) Q' N z O n w LLI M N O N J w z W w z U d O U w U z Q J m Q W H cn W w m C a) E t C1 to r� Q Packet Pg. 1208 16.F.1.a AcoRO� CERTIFICATE OF LIABILITY INSURANCE DATEIMMDD/YYYY) 10121 /2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ie>;) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anna Seymour C & S Insurance Agency, Inc. PHONE {506) 339-2951 F (506) 339�811 wrc o Ea -C. No): 190 Chauncy St t-MAILanna@candsins.com ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC M Mansrield MA 0204E INWRERA: Landmark American Insurance Company INSURED INSURERS: Old Republic Insurance Company 24147 Just Like Family Concierge Medical Transport LLC INSURER C , Coverys Specialty Insurance Company 15686 11820 Lacy Lane INSURER D INSURER E I Fort Myers FL 34105 INSURER F COVERAGES CERTIFICATE NUMBER: 22-23 JLF Master REVISION NUMBER• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONCITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LNTR TYPE OF INSURANCE I WVD POLICYNUMBER POLICY EFF 4INIlOLIMITSTS POLICY LIMITS X COAAMERCIALGENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISES Ea occ �I 3 100,000 CLAIMS -MADE OCCUR .ei ME➢ FXP (Am aria parson) y 5,000 PERSON4&A0VINJURY SS 1,000,000 A LHC799186 11/09/2022 11/09/2023 LIMITAPPLIES PER: ❑ GENMALAGGREGAT£ % 3,000,000 GENLAGOREGATE PROD UCTS-COPAP,OPAGG ; 1,000,000 POLICY JECTT LOC OTHER S AUTOMOBILE LIABILITY OM ED SINGLE LfMI 5 AAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS MWTB 31356922 06/0112022 06/01/2023 BODILY INJURY (Per accident) f HIRED NON -OWNED AUTOS ONLY AUTOS ONLY O OAtaAGE 1i PeraaWanR 5 X UMBRELLALUI9 OCCUR EACH OCCURRENCE s 4,000,000 C EXCESS LIAR LLAIN4SAWE 005MA000026155 06/01/2022 06/0112023 AGGREGATE t 4,000,000 DED RETENTION s WORKERS COMPENSATION 5 _ ..__ AND EMPLOYERS' LIABILITY �, f N PER �, STATUTE ER AHYPROPRIRIPARTNER]EXECUTIVE ❑ OF:�TCERlIiEM8EMaER EXCLUDED? NIA F-LFACHACCIOENT i (Nendamry In NH) 11 Yas, dc:crlGe undar EL DISEASE - EA ID.WLOVEI_ $ DESCRIPTION OF. OPERATIONS below EL.DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Ramw** Schedule, may be attached If more space is required) CERTIFICOTF Finl nFR rION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Collier County Board of Commissioners ACCORDANCE WITH THE POLICY PROVISIONS, 3299 Tamiami Trail East Suite 303 AUTHORIZED REPRESENTATIVE Naples FL 34112 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Packet Pg. 1209 16.F.1.a A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDoryYYY) 9/9/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT, If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endarsemenl s . PRODUCER MICHAEL GEE INC 786 S Orange Ave, North Unit Sarasota, FL 34236 CQNTACTMICHAEL C GEE PHFAA "ONE 941 907-0914 a; .(941)907-0916 P-MAJLs tron verizon.net INSURERS AFFORDING COVERAGE NALCA R RETAILFIRST INSURANCE CO 10700 INSURED JUST LIKE FAMILY CONCIERGE MEDICAL INSURERS: TRANSPORT SERVICES, LLC 11820 LACY LANE - FORT MYERS, FL 33966-1345 INSURER ' INSURERD. 239 682-8907 INSURER F, COVERAGES CERTIFICATE NUMBER REVISION NU E— MID THIS 6 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL rHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE. BEEN REDUCED BY PAID CLAIMS, Jus LiR TY? - OF INSURANCE 'YW P I 'YN M R M M POUf Y Err- W.. .LRr I YnE�� LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE S P n a1 S MED EXP onb c PERSONAL d ADV INJURY 5 :;,'NL AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT LOC H P GENERAL AGGREGATE 5 PRODUCTS - COLSPrOP AGG 3 3 AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B �iiLEillJl' 'r�n S , BODILYINJURY(Perperson) S BODILY INJURY (Per accidenq S c r n ar S S UMBRELLA LIAR EXCESS LIAR OCCUR r0tNIS-MADE EACH OCCURRENCE S _AGGREGATE S RETr-NTIONS A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN OFFICERiMEMANY IBER EXCLUDED? INandstary In NH) If . *MCnba andnr CAII-TION OF A7 NIA NIA 520-57989 7/09/22 /09/23 ER l - cT Ti R E.L. EACH ACCIDENT S 1,000,000 .EL DLSE,SE_cp,EMPLOYEE t , ,00 ELi_ ] c,c - POLICY LIMIT 1r0 0,000 DESCRIPTIONOF OPERATIONS/LOCATIONS/VEHICLES (ACORD101 Additional Remadcs Schadde, maybe attached it more space is required) f'1=RT1F V'A= ury rl o INSUREDS COPY ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVIS*NS AUTHORIZED REPRESENTATIVE w I arsts-zUT D AGUF<U GURPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Packet Pg. 1210 16.F.1.a Brewster Ambulance Service Balance Sheet As of December 1, 2022 TOTAL ASSETS Current Assets Bank Accounts $1,657,935.71 Other Current Assets $2,A22'607,75 Iotal EuaantAssets M080,74346 Fixed Assets $WG34_44 Other Assets $212.UQA4 IOIALASSEIS $a,978,76 .04 LIABILITIES AND EQUITY Liabilities Current Liabilities Accounts Payable $249,ML26 Credit Cards $-fi,964-69 Other Current Liabilities $228.0v-ee Iotal f uaent11 s $479.=Z7 Long -Term Liabilities $197 48&67 _ IotaW'abmn $6G07,804-64 Equity - $%3lk96i40 IOIAL LIAR l 02 AND EddITY ,978,768.94 Accrual Basis Monday, December 12, 2022 10:54 AM GMT-05:00 III Packet Pg. 1211 16.F.1.b COLLIER COUNTY FLORIDA Class "2" COPCN ALS Transfer Services Effective Date: March 7, 2023 Expiration Date: March 7, 2024 Name of Service: Just Like Family Concierge Medical Transport Services LLC D.B.A. Brewster Ambulance Service Name of Owner: Paul Hobaica Brewster Ambulance Jeffery Panozzo Chris Dibona Yohandy Machin Mark Brewster Principle Address of Service 1061 Collier Center Way Suite 1 Naples, FL 34110 Business Telephone: (239) 682-8907 Description of Service: Inter -facility for Collier County Number of Ambulances: (14) Fourteen (As referenced in the application) This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above named Ambulance Service to operate intra-facility, inter -facility and out of county transports for a fee or charge for the following area(s): Collier County for the term set forth herein, 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 ATTEST: CLERK CRYSTAL K. KINZEL ,Deputy Clerk Approved as to form and legality: Assistant County Attorney day of , 2023 BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Rick LoCastro, Chairman •1� D Packet Pg. 1212 aaa A b O m p O 'b w c� G O U o Q7 Al v N z •� .� p .14 o O a� E a� w o N 0 a-� � N ❑ p a� N a •� La w O 4C U � Q Q Q W W W 3 3 3 W 0 GO c Q 00 U w O� 0 W 000 a A CIA has Packet Pg. 1213 16.F.1.d Ln e-1 O ri O I` c-I O 00 ri O W H O G1 r-I O 01 01 r-I r-I O O 00 r-I O 00 H O Ln r-I O Ln N H N O O N N O C N (N N N N N _....... N N ....... N N N N N _ N Z C) IL 0 o X G mn r Z Cn 3 w LD >" L1J :e L.n >- LU le Tr 3 Z rn � N 3 Q J Z " i } D. LL Q LT > U m m > Ln U O m m m I� Cono CO 00 U 3 C C L O O O Ln N L N N L lU Ln s1 a_. e--L a_+ r-I +_ Ln r-I 41 Ln Ln N r" I = � Ln r-I _+ Ln r-I �+ y L m Q Ln C CL vi fA C i F- N C i H N C i H 7 C i F- CIA LA C C L- i F- _.... — N C L- F• .� C L- CD Ln m W Ln p Ln m m LL! LU _ ...... p Lf) m LL _ ......... _. to —.. � C/ tL Z i CC L CCi C L LL L LL- L U- L LA- L L LL- LL L L L. L LL L LL L L LL LL. L LLL > 0 - - Q Q m 0 Q U c Cn Ln ILLL O V N O N � T-4 N LPL O ULn ^ O N Cn LnOp e- I Y `c-L c U O O 00 0^0 C� G U O O p O 00 == fS� ` U O LT �t w cN L X O LND p m Y ]C X N O N LT Q Y 1CD L X O rl t M M: X N O � ct Y = X N O n M Q O LNL m 0 Ln 'ITM Q O II W O a 4 e-i U O Z LL W C 00 0 r-I U z LL m O Q LL LL LL LL LL LL LL LL LL LL LL LL c N m v Ln tD N m 0) � . q � .m-I rr-I .�-I Q Q a Q Q Q, Q Q Q Q Q Q Q Q Packet Pg. 1214