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Agenda 04/08/2025 Item #16F1 (Renewing the Annual COPCN for Medtrek Medical Transport, Inc. to provide Class 2 Advanced Life Support ALS inter-facility transport ambulance service for 1 yr)4/8/2025 Item # 16.F.1 ID# 2025-963 Executive Summary Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Medtrek Medical Transport Inc., to provide Class 2 Advanced Life Support (ALS) inter-facility transport ambulance service for a period of one year. OBJECTIVE: To recommend the renewal of Medtrek Medical Transport Inc., Class 2 ALS inter-facility transport services in Collier County. CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Ordinance 24-25, Section 6: Review of Application, and Section 7: Requirement for Board Approval in Granting Certificate, governing medical transportation services. Medtrek Medical Transport Inc., inter-facility transport was granted a Certificate of Public Convenience and Necessity on April 5, 2024, by the Board. Staff has deemed Medtrek Medical Transport Inc., renewal application as complete and recommends that the COPCN be renewed for one year. A Class 2 operator provides post-hospital inter-facility medical transfer services, both within and outside the County. Section 10 of the Ordinance provides: Each non-governmental entity certificate holder shall file within 90 days of expiration, an application for renewal of the 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. If the initial certificate was issued under this Ordinance, the renewal certificate may be approved routinely by the Board, upon advice of the Administrator, or the Board may hold a hearing on same. These requirements have been met and the administrator recommends renewal. The Emergency Medical Authority was unable to convene a quorum on March 12, 2025 to review the routine renewal application. To prevent a lapse in the Certificate and postpone essential interfacility transports, staff is requesting the Board grant the annual renewal. The Department of Public Safety is not aware of any objections to the renewal. This item is consistent with the Collier County strategic plan objective to provide Advanced Life Support in response to medical emergencies and to provide care 24 hours a day, 7 days a week. 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 are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney. A hearing is not required for renewal. If a hearing is held, the Board must find based on competent evidence that each of the following standards set forth in Section 7 of Ordinance No. 24-25 have 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 healthcare facilities. Page 3751 of 5277 4/8/2025 Item # 16.F.1 ID# 2025-963 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. B. That the applicant has sufficient knowledge and experience to properly operate the proposed service. C. That, if applicable, there is an adequate revenue base for the proposed service. D. That the proposed service will have sufficient personnel and equipment to adequately cover the proposed service area. With that said, this item is approved as to form and legality and requires a majority vote for approval. -JAK RECOMMENDATIONS: That the Board awards a Class 2 Certificate of Public Convenience and Necessity to Medtrek Medical Transport Inc., for a period of one year. PREPARED BY: Bruce Gastineau, Chief Collier County EMS ATTACHMENTS: 1. COPCN - signed 2. Permit - Signed Page 3752 of 5277 Page 3753 of 5277 Page 3754 of 5277 Appendix A Medtrek Medical Transport, Inc LIST OF AMBULANCES LIST OF ACTIVE AMBULANCES Unit# Name Relationshlp Profession License Effective Date MT-5 1FOBW2CG3PKB90091 PERMIT VEHICLE PERMIT (ALS) 264114 11/•1/2024 MT-5 1FDBW2CG3PK890091 PERMIT VEHICLE PERMITS (Bl.S) 7572 11/4/2024 MT-1 1GB3G2CGT8Fl16GSG2 PERMIT VEHICLE PERMIT (ALS) 25070 5/10/2023 MT-1 1GB3G2CGT8F11GG562 PERMIT VEHICLE PERMITS (Bl.S) 7014 7/27/2023 MT-4 1GB3GRCL1G1133054 PERMIT VEHICLE PERMIT (ALS) 25066 S/10/2023 MT-4 1GB3GRCL1G1133054 PERMIT VEHICLE PERMITS (BLS) 7010 7/27/2023 MT-3 1GBKG316491l 10442 PERMIT VEHICLE PERMIT (ALS) 25068 S/10/2023 MT-3 1GBKG316491110442 PERMIT VEHICLE PERMITS (Bl.S) 7012 7/27/2023 MT-7 1FDBW2CGXPKB236 8 PERMIT VEHICLE PERMIT (ALS) Pending MT-7 1FDBW2CGXPKB23&18 PERMIT VEHICLE PERMITS IBLSI Pendin UST OF BACKUP AMBULANCE PENDING ARRIVAL OF REPLAMENT UNITS Unit# Name Relationship Profession License [lfective Dale MT-2 1GB3CZCGSFF6G'IGOO PERMIT VEHICLE PERMIT (ALS) 25069 5/10/2023 MT-2 1GB3CZCGSFFGG'IGOO PERMIT VEHICLE PERMITS (BLS) 7013 7/27/2023 MT-G 1GB6GSCLlE1193119 PERMIT VEHICLE PERMIT (ALS) 25067 S/10/2023 MT-G 1GB6GSCLlE1193119 PERMIT VEHICLE PERMITS (Bl.SI 7011 7/27/2023 Page 3755 of 5277