BCC Agenda 02/27/2024 Item #16F 2 (Renew a Certificate of Public Convenience for inter facility ambulance transport to Just Like Family Concierge Medical Transport Services002/27/2024
EXECUTIVE SUMMARY
Recommendation to renew a Certificate of Public Convenience and Necessity for a Class 2 ALS 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
of County Commissioners (Board). The certificate requires annual renewal, and the current COPCN expires on
March 7, 2024. The renewal application was brought before the Emergency Medical Authority on January 10,
2024, 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.
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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.-JAK
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. 2024 Application (PDF)
2. Permit 2024 CAO Approved (PDF)
3. Certificate 2024 CAO Approved (PDF)
4. VIN List (PDF)
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02/27/2024
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.2
Doc ID: 27905
Item Summary: Recommendation to renew a Certificate of Public Convenience and Necessity for a Class 2 ALS
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.
Meeting Date: 02/27/2024
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
02/05/2024 9:39 AM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
02/05/2024 9:39 AM
Approved By:
Review:
Emergency Management Daniel Summers Director Review Completed 02/05/2024 9:52 AM
County Attorney's Office Jeffrey A. Klatzkow Level 2 Attorney Review Completed 02/05/2024 10:04 AM
Emergency Management Michael Choate Executive Director Review Completed 02/05/2024 1:30 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 02/05/2024 1:38 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/05/2024 1:55 PM
Office of Management and Budget Agnieszka Chudy Additional Reviewer Completed 02/05/2024 4:43 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 02/20/2024 10:17 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 02/27/2024 9:00 AM
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16.F.2.a
Packet Pg. 830 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 831 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 832 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 833 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
16.F.2.a
Packet Pg. 834 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 835 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
16.F.2.a
Packet Pg. 836 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 837 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 838 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
16.F.2.a
Packet Pg. 839 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
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Packet Pg. 840 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
16.F.2.a
Packet Pg. 841 Attachment: 2024 Application (27905 : Brewster Annual Renewal CoPCN)
16.F.2.b
Packet Pg. 842 Attachment: Permit 2024 CAO Approved (27905 : Brewster Annual Renewal CoPCN)
16.F.2.c
Packet Pg. 843 Attachment: Certificate 2024 CAO Approved (27905 : Brewster Annual Renewal CoPCN)
16.F.2.d
Packet Pg. 844 Attachment: VIN List (27905 : Brewster Annual Renewal CoPCN)