Agenda 11/14/2023 Item #16F 6 (COPCN Certificate of Public Convenience and Nesessity for Advanced Life Support w/City of Naples Fire-Rescure)11/14/2023
EXECUTIVE SUMMARY
Recommendation to renew the Certificate of Public Convenience and Necessity for Advanced Life
Support (ALS) non-transport services for one year to the City of Naples Fire-Rescue and authorize the
Chairman to execute the Permit and Certificate.
OBJECTIVE: To Renew the Certificate of Public Convenience and Necessity (COPCN) issued to the
City of Naples Fire -Rescue for Class 3 Advanced Life Support (ALS) non-transport services in Collier
County for a period of one year with a staffing stipulation noted below.
CONSIDERATIONS: City of Naples Fire -Rescue is currently operating under a COPCN for ALS non-
transport services. Section 10 of Collier County Ordinance No. 04-12, as amended, allows renewal
certificates to be approved routinely by the Board upon advice of the County Manager or designee. The
Director of the Bureau of Emergency Services is the County Manager’s designee.
In addition, Section 10 provides that renewals are based on the same standards as the granting of the original
COPCN along with such other factors as may be relevant. The minimum requirements for an application to be
deemed complete are set forth in Collier County Ordinance No. 04-12, as amended, Section 5. The application is
back-up to this item.
In accordance with Section 10 of Ordinance No. 04-12, as amended, the Director of the Bureau of Emergency
Services recommends approval based on his finding that there is a public necessity for the City of Naples to
provide the service and that all other requirements under Ordinance No. 04-12 have been met. The Emergency
Medical Authority voted unanimously at their October 11, 2023, meeting to recommend a one-year renewal.
References and list of apparatuses have been updated. All other information from the past application remains the
same.
If this item is approved by the Board, the renewal COPCN and Permit will commence on January 5, 2024,
and will expire on January 5, 2025.
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 General Fund (001) the $250.00 application fee with the
corresponding application.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact.
LEGAL CONSIDERATIONS:
Ordinance 04-12 provides in relevant part as follows:
7. 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:
A. 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:
1. The extent to which the proposed service is needed to improve the overall emergency medical
services (EMS) capabilities of the County.
2. The effect of the proposed service on existing services with respect to quality of service and
cost of service.
3. The effect of the proposed service on the overall cost of EMS service in the County.
4. The effect of the proposed service on existing hospitals and other health care facilities.
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5. 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.”
In making the determinations provided for in Section 7 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.
This item is approved as to form and legality and requires a majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners approves the renewal of and authorizes the
Chairman to execute a Permit and COPCN to City of Naples Fire-Rescue for ALS Non-Transport.
Prepared by: Dan E. Summers, Director of Bureau of Emergency Services
ATTACHMENT(S)
1. 2023 NFD COPCN Renewal WORD (DOCX)
2. CAO Approved Permit (PDF)
3. CAO approved Certificate (PDF)
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11/14/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.6
Doc ID: 27057
Item Summary: Recommendation to renew the Certificate of Public Convenience and Necessity for Advanced
Life Support (ALS) non-transport services for one year to the City of Naples Fire -Rescue and authorize the
Chairman to execute the Permit and Certificate.
Meeting Date: 11/14/2023
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
10/20/2023 12:59 PM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
10/20/2023 12:59 PM
Approved By:
Review:
Emergency Management Daniel Summers Director Review Completed 10/20/2023 3:02 PM
Emergency Management Michael Choate Executive Director Review Completed 10/24/2023 10:13 AM
County Attorney's Office Jeffrey A. Klatzkow Level 2 Attorney Review Completed 10/25/2023 9:39 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 10/25/2023 10:01 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/26/2023 1:07 PM
Office of Management and Budget Agnieszka Chudy Additional Reviewer Completed 10/30/2023 1:58 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 10/31/2023 1:50 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 11/14/2023 9:00 AM
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CITY OF NAPLES FIRE-RESCUE DEPARTMENT
Fire-Rescue Headquarters
835 8th Avenue South • Naples, FL 34102 • 239-213-4900
Phillip Pennington, Fire Chief | ppennington@naplesgov.com
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October 16, 2023
RE: Renewal of the City of Naples Fire-Rescue Department Class 3 ALS Non-Transport COPCN
Collier County Board of County Commissioners and Collier County Emergency Management,
Thank you for taking the time to review the attached information for the renewal of our Class 3
Advanced Life Support Non-Transport Certificate of Public Convenience and Necessity
(COPCN). The City of Naples Fire-Rescue Department looks forward to a continued partnership
with our County partners to provide excellence in All-Hazards responses for public safety. The
only changes to this year’s application is to our response fleet. We currently have three (3)
replacement vehicles on order or awaiting final preparations prior to being placed in service.
Each of these vehicles will be placed in service as Advanced Life Support capable. Therefore, we
will provide VIN numbers and State ALS sticker numbers when these individual units are ready
for service.
All the Best,
Phillip Pennington, Fire Chief
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The following information is for consideration for the renewal of the current Class 3: Advanced
Life Support Non-Transport Certificate of Public Convenience and Necessity (COPCN) for the City
of Naples Fire-Rescue Department. The goals and objective of this request is to document that
the City of Naples Fire-Rescue Department meets the requirements specified in the Collier
County, Florida Code of Ordinances, Chapter 50 – Emergency Services.
The quintessential objective of pre-hospital care is to quickly respond to an emergency, provide
enough resources to effectively stabilize a patient and continue that care while enroute to a
medical facility. The City of Naples Fire-Rescue Department currently benefits the community by
augmenting the EMS system with both ALS and BLS resources to enhance public safety to those
citizens that are ill or injured. An Engine, Squad, or Ladder often has a quicker turn around and
could be the first unit on scene to begin the patient assessment and provide early interventions.
These same units can be utilized by the EMS transport units to provide additional personnel to
assist with care of unstable patients while enroute to the hospital.
Renewal of the current COPCN will allow the City of Naples Fire-Rescue Department to continue
to provide the highest level of All-Hazards support to our jurisdictional partners and Collier
County EMS. During the last year, through partnership and team collaboration, we all have
demonstrated the ability to reduce the impact to the community when eme rgencies occur.
In conclusion, we appreciate the time and consideration for this application. The City of Naples
Fire-Rescue Department looks forward to continuing providing this level of service to the
community at large.
(1) The name, age, and address of the owner of the ambulance or ALS Operator, or if the
owner is a corporation, then of the directors of the corporation and of all the
stockholders holding more than 25% of the outstanding shares. For governmental units,
this information shall be supplied for members of the governing body.
The current members of the Governing body for the City of Naples are:
• Mayor Teresa Heitmann
Address 735 8th Street South, Naples, Fl 34102
• Vice Mayor Michael McCabe
Address 735 8th Street South, Naples, Fl 34102
• Council Member Terry Hutchison
Address 735 8th Street South, Naples, Fl 34102
• Council Member Ted Blankenship
Address 735 8th Street South, Naples, Fl 34102
• Council Member Paul Perry
Address 735 8th Street South, Naples, Fl 34102
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• Council Member Raymond Christman
Address 735 8th Street South, Naples, Fl 34102
• Council Member Beth Petrunoff
Address 735 8th Street South, Naples, Fl 34102
(2) The boundaries of the territory desired to be served.
The territory to be served includes the incorporated boundaries of the City of Naples. The
City of Naples Fire-Rescue Department will continue to honor the current automatic aid
and closest unit response agreements to provide care and service to its jurisdictional
partners.
(See appendix item 1; GIS Map)
(3) The number and brief description of the ambulances or other vehicles the applicant
will have available.
This request is for Class 3 Advanced Life Support Non -Transport Services within the
boundaries described previously. The City of Naples Fire -Rescue will provide both Basic
Life Support and Advanced Life Support to all patients encountered through State
Certified Emergency Medical Technicians and State Certified Paramedics until transfer
of care occurs with Collier County Emergency Medical Services personnel. Fire -Rescue
will continue to ensure that all staffing meets the State requirements to maintain the
level of service as listed below. The vehicles that will be utilized by the City to provide
care are as follows:
• Three (3) Advanced Life Support fire apparatus
o Engine 01 2022 Pierce Impel XM VIN 4P1BAAFF0MA023776
o Engine 02 Awaiting replacement, possibly en d of September 2023
o Ladder 01 Awaiting replacement, possibly end of December 2023
• Two (2) Squad Trucks (Fire and EMS response vehicles)
o Squad 01 Awaiting replacement, currently in the bidding process.
(This unit is Seasonal/Staffing dependent)
o Squad 02 2015 Ford F550 VIN 1FDOW5GT9FED30688
• Three (3) Basic Life Support fire apparatus
o Tower 02 2006 E-One Cyclone VIN 4EN3AAA8061001513
o Crash Fire 03 2021 E-One Titan VIN 4ENMAAA80M1004431
o Crash Rescue 03 2008 Ford F450 (ARFF) VIN 1FDXX47R68EE35332
• One Fire/EMS Supervisory vehicle
o Battalion 01 2008 Ford F250 VIN1FTSW21Y38ED92767
• Specialty Vehicles
o Fire Boat 01 2015 Brunswick Guardian FL4418PW
o Brush 01 1994 Stewart & Stev LMTV VIN AT0531BDC
• Two reserve fire apparatus
o Pumper 01 1997 Pierce Saber VIN 4P1CT02U4V000354
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o Pumper 02 2003 E-One Typhoon VIN 4ENRAAA8631006964
o Crash Fire 02 2006 Oshkosh Striker (ARFF) VIN 10TBKAK146S088896
(4) The address of the intended headquarters and any substations
Naples Fire-Rescue Headquarters
Fire Station 1
835 8th Avenue South
Naples, Fl 34102
Naples Fire-Rescue Substations
Fire Station 2
977 26th Avenue North
Naples, Fl 34103
Fire Station 3
2433 Tower Drive
Naples, Fl 34104
(5) The training and experience of the applicant
The City of Naples Fire -Rescue Department was founded in 1935. The first Emergency
Medical Technicians were introduced into the system in 1975. We have worked in
coordination with Collier County Emergency Medical Services since that time to provide
both Basic Life Support and Advanced Life Support medical care.
The management staff for Naples Fire -Rescue have a well-rounded and deep depth of
experience as either an Emergency Medical Technician or Paramedic. Credentials for
the Staff include AHA CPR Instruc tor/Provider, AHA Advanced Cardiac Life Support
Instructor/Provider, AHA Pediatric Advanced Life Support Instructor/Provider, Trauma
Emergency Casualty Care, Rescue Task Force Instructor and Tox -Medic.
The City of Naples Fire -Rescue training staff includ es the following members:
• Dr. Benjamin N Abo, DO PMD EMTT FAWM
o Dr. Abo is the City’s Medical Director and Associate Medical Director with
Collier County EMS.
o Dr. Abo’s credentials include:
▪ Certifications: NREMT-P, CCEMT-P, USAR medical specialist, AHA
CPR/AED/ACLS Instructor -Trainer and Provider, IPMBA for EMS,
ITLS Instructor and Provider, PALS Instructor and Provider, PEPP,
AMLS, AMLS Instructor, AWLS, AWLS instructor, ATLS, ATLS
Instructor, EVOC, CEVO, ICS 100, ICS 200, ICS 700, ICS 8 00, ICS for
EMS, CISM Basic, Hazmat Awareness, Hazmat Ops, SCUBA, BVR.
AVR, EMT Instructor, Tactical EMT (EMTT), Wilderness Lifeguard
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▪ Post Graduate Education includes: EMS Fellowship UF Health,
Shands Gainesville; PGY1-4 Emergency Medicine Residency
Mount Sinai Medical Center, Miami FL; Wilderness Medicine
Fellowship Wilderness Medical Society Academy of Wilderness
Medicine
▪ Formal Education includes: Touro University College of
Osteopathic Medicine, California Student Doctor of Osteopathic
Medicine; Touro University College of Health Sciences, California
Masters in Public Health; U Pittsburgh/College of General Studies,
Pennsylvania Post-baccalaureate studies; U Pittsburgh/Graduate
School of Public Health, Pennsylvania Started Masters in Public
Health with International Focus; U Pittsburgh/Center for
Emergency Medicine, Pennsylvania B.S. in Emergency Medicine;
Cherry Hill High School East, New Jersey
• Phillip Pennington, Fire Chief FF/PMD
• Corey Adamski, Deputy Chief FF/PMD
• Steven Kofsky, Division Chief of Emer gency Management and Training FF/EMT
• Erick Baltodano, Battalion Chief of Training FF/PMD
In addition, Naples Fire-Rescue has the following:
• Ten (10) Departmental CPR Instructors
• Five (5) Departmental PALS Instructors
• Three (3) Departmental ACLS Instructors
The Training Bureau works in conjunction with the Departmental Medical Director, Dr. Abo, to
produce monthly in-service training for all members. All medical training has continued to be
vetted and approved by the Collier County Medical Director Dr. Tober or the Deputy Medical
Director Dr. Lee.
(6) Names and Address of three Collier County residents who are references for this
applicant:
David Feight
4255 Gulf Shore Blvd North Unit 205
Naples, Fl 34103
Donna Krall
2190 Sheepshead Dr
Naples, Fl 34102
Richard Del Bello
921 Galleon Drive
Naples, Fl 34102
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(7) Schedule of rates for services
The City of Naples Fire -Rescue Department is requesting a COPCN for ALS
non-Transport. The Department currently does not charge for these services and has
no plans on changing this policy.
(8) Other pertinent information
The City of Naples Fire -Rescue Department currently works under the Collier County
EMS & Fire Department Comm on Medical Protocols. Our department will continue to
follow Medical Direction as provided through the Office of Collier County Medical
Director Dr. Robert B. Tober and Dr. Douglas S. Lee. In addition to and in alignment of
Sec. 50-62, the City of Naples h as contracted the services of Dr. Benjamin N. Abo to
serve as the Class 3 Operator Medical Director. Dr. Abo will work in cooperatively with
the Collier County’s Medical Directors to ensure continuity of care and provide guidance
to the City of Naples Fire-Rescue Department personnel with training, continued
CQI/CQA, certification/re -certification of personnel, performance standards, and
planning of employee health and safety.
(See appendix item 2; Dr. Abo Contract)
The City of Naples Fire-Rescue Department currently provides EMS recertification
training through a combination of State approved online medical courses via Vector
Solutions (Target Solutions) and other in -person training classes. The in-person trainings
are pre-approved by the Office of the Col lier County Medical Director with a written
class syllabus. The in-person training has been a combination of courses designed by
the Naples Fire-Rescue Training Chief and the Departmental Medical Director and/or
programs put together by Collier County EMS Training Bureau. If it is classes put on
during the EMS in-service; Naples Fire-Rescue Training Chief attends and instructs at
the in-service prior to reproducing the material for Naples Fire -Rescue personnel. Crews
on duty, attend the in -person trainings and these training sessions occur over three
consecutive days, once monthly. The Department has also used company officer lead
scenario-based training for review of protocols. With Vector Solutions (Target Solutions)
we also have the capability to produce training videos that can be issued as mandatory
training for all members. The attached training outline shows that there is one monthly
online self-study EMS based training assigned to all personnel each month. The total
hours can vary from cycle to cycle. However, this training alone always exceeds the
minimum hours of continuing contact hours for recertification of both EMT’s and
paramedics. This does not include additional hours via other training courses and in -
service trainings. CPR, ACLS, and PALS are provided in-house and follow AHA guidelines.
All Fire-Rescue personnel are required to complete CPR training and all paramedic
certified personnel are required to complete ACLS and PALS training.
(See appendix item 3; Example of a Two -year online EMS training schedule)
(See appendix item 4; Example of an approved EMS training syllabus)
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The City of Naples Fire-Rescue currently has forty -one (41) State certified Paramedics
and Twenty-one (21) State certified Emergency Medical Technicians Department wide.
The City of Naples Fire-Rescue Department currently attends County meetings and
provides information regarding Quality Assurance and Quality Improvement to Collier
County EMS and the Office of the Collier County Medical Director. The addition of our
Medical Director and Associate County Medical Director allows continued improvement
in these areas by our Department. The Naples Fire -Rescue Department and Collier
County EMS both use Image Trend for ePCR’s and data collection.
The City of Naples Fire-Rescue Department currently attends Collier County EMS
protocol meetings. We will continue to attend these meetings and look forward to
continued collaboration to improve pre -hospital care within Collier County.
The City of Naples Fire-Rescue Department currently conducts in-house EMS orientation
training for all new employees. Employees receive hands on training covering
introduction to the Common Medical Protocols, equipment utilized by the Department,
familiarization with Collier County transport units, operation of the stretcher, HIPPA,
and ePCR writing.
(See appendix item 5; Collier County EMS skills competency sheet)
(9) Application fee
The City of Naples Fire -Rescue will be providing the $250.00 fee as required .
(10) Financial data
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Document Appendix
Item number 1- GIS Map City of Naples boundaries
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Item number 2- Dr. Benjamin N Abo contract with the City of Naples
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Item number 3- Example of a Two-year online EMS training outline
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Item number 4- Example of approved EMS training syllabus
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Item number 5- Collier County EMS skills competency sheet
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Packet Pg. 1558 Attachment: 2023 NFD COPCN Renewal WORD (27057 : City of Naples COPCN)
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Packet Pg. 1559 Attachment: CAO Approved Permit (27057 : City of Naples COPCN)
16.F.6.cPacket Pg. 1560Attachment: CAO approved Certificate (27057 : City of Naples COPCN)