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Agenda 04/10/2018 Item #16E 104/10/2018 EXECUTIVE SUMMARY Recommendation to renew the Certificate of Public Convenience and Necessity for a Class 1 and Class 2 Advanced Life Service (ALS) Rescue and intra-facility ambulance transport for the Seminole Tribe of Florida Fire Rescue within the boundary of the Seminole Tribe in Immokalee. OBJECTIVE: To renew the Certificate of Public Convenience and Necessity (COPCN) issued to the Seminole Tribe of Florida Fire Rescue for Class 1 and Class 2 ALS intra-facility transport services within the boundary of the Seminole Tribe in Immokalee for a period of one year. CONSIDERATIONS: Seminole Tribe of Florida Fire Rescue is currently operating under a Class 1 and Class 2 COPCN. The renewal of a COPCN may be approved routinely by the Board as provided by Section 50 of the Collier County Code of Laws and Ordinances governing medical transportation services. On February 21, 2018, the Collier County's Bureau of Emergency Services received an application from the Seminole Tribe of Florida to renew a Certificate of Public Convenience and Necessity (COPCN) for a Class 1 ALS Transport and Class 2 ALS Transfers. The current COPCN is expiring on May 1, 2018. Staff has deemed Seminole Tribe of Floida Fire Rescue renewal application as complete and recommends that the COPCN be renewed for one year. A Class 1 and 2 operator provides post-hospital intra-facility medical transfer services, both within and outside the County within the boundary of Seminole Tribe in Immokalee. Seminole Tribe of Florida Fire Rescue employees are dually-certified 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 Tribe’s Medical Director is Wayne Lee, MD. Section 50-60 of the Code of Laws and Ordinances provides: Each certificate holder shall file within 90 days of expiration, an application 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 same. These requirements have been met and the administrator recommends renewal based on his finding that there is a public necessity for Seminole Tribe of Florida Fire Rescue to provide the service and that all other requirements under Chapter 50 have been met. If this item is approved by the Board, the renewal COPCN and Permit will commence on April 30, 2018 and expire on April 29, 2019. FISCAL IMPACT: This redistribution of emergency and non -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 inc rease 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 490. GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action. 16.E.1 Packet Pg. 792 04/10/2018 LEGAL CONSIDERATIONS: Whether the Board grants the renewal is at the discretion of the Board, as this is a legislative, and not quasi -judicial matter . 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: “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 Commissions shall consider, as a minimum, the following factors: The extent to which the proposed service is needed to improve the overall Emergency Medical Services (EMS) capabilities of the County. (1) The effect of the proposed service on existing services with respect to quality of service and cost of service. (2) The effect of the proposed service on the overall cost of EMS service in the County. (3) The effect of the proposed service on existing hospitals and other health care facilities. (4) 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. (5) That the applicant has sufficient knowledge and experience to properly operate the proposed service. B. That, if applicable, there is an adequate revenue base for the proposed service. C. That the proposed service will have sufficient personnel and equipment to adequately cover the proposed service area.” Ordinance No. 04-12, Section 8 provides: “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 as a result of the hearing. Should a Hearing Officer be appointed, said Hearing Officer shall render a wr itten 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. JAB RECOMMENDATION: To approve and authorize the Chairman to execute a Class 1 and Class 2 Permit and Certificate of Pubic Convenience and Necessity to Seminole Tribe of Florida Fire Rescue for one year. Prepared by: Dan E. Summers, Director, Bureau of Emergency Services ATTACHMENT(S) 1. Seminole Tribe CoPCN Permit 2018-19 (PDF) 16.E.1 Packet Pg. 793 04/10/2018 2. Seminole Tribe CoPCN Certificate 2018-19 (PDF) 3. Seminole Tribe CoPCN VIN List 2018-19 (PDF) 16.E.1 Packet Pg. 794 04/10/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.1 Doc ID: 5007 Item Summary: Recommendation to renew the Certificate of Public Convenience and Necessity for a Class 1 and Class 2 Advanced Life Service (ALS) Rescue and intra-facility ambulance transport for the Seminole Tribe of Florida Fire Rescue within the boundary of the Seminole Tribe in Immokalee. Meeting Date: 04/10/2018 Prepared by: Title: Executive Secretary – Emergency Management Name: Kathy Heinrichsberg 03/02/2018 1:19 PM Submitted by: Title: Division Director - Bureau of Emer Svc – Emergency Management Name: Daniel Summers 03/02/2018 1:19 PM Approved By: Review: Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 03/02/2018 2:17 PM Emergency Management Daniel Summers Additional Reviewer Completed 03/05/2018 3:41 PM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 03/05/2018 4:17 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 03/06/2018 2:50 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 03/06/2018 2:58 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 03/06/2018 3:13 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 03/06/2018 5:10 PM County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 03/29/2018 3:27 PM Board of County Commissioners MaryJo Brock Meeting Pending 04/10/2018 9:00 AM 16.E.1 Packet Pg. 795 COLLIER COIINTY FLORIDA Class (1'and Class,.2, COPCN Name of Service: Seminole Tribe of Florida Name of Owner: Seminole Tribe of Florida Principle Address of Service: 6300 Stirlinc Road Hollfvood. FL 33024 Business Telephone: (954) 966-6300 Description of Service: Class "l" Emerqency Medical Transport: Class "2" Intra-facility and out-otcounty transport for tribal members. Number of Ambulances: (2) Two. (l) One Fire Eneine 1250 GMP Pumper. and (l) One Firc/EMS Superviso{v Vehicle. See attachment "A" for description of vehicles. This pemri! as provided by Ordinance No. 2004-12, as amended, shall allow the above named Ambulance Service to opcrate inta-facility and out of county transports for a fee or charge for the following area(s): Seminole Tribe of Florida Fir€ Rescue Departrnent boundaries for one year from the date executed hereorl 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 _ day of ATTEST: DWIGHT E. BROCK CLERK BOARD OF COI.JNTY COMMISSIONERS COLLIER COUNTY, FLORIDA 201 8 ,Deputy Clerk Approved as to form and legality: Jennifer A. Belpedio Assistant County Attorney fuidrew Solis, Chairman .f*'- ,b\ I l 7-EMG-00390/I3337 47 t tl 16.E.1.a Packet Pg. 796 Attachment: Seminole Tribe CoPCN Permit 2018-19 (5007 : Seminole Tribe Annual Renewal COPCN) @ o\ €F-oo(\lN-o\ONf.rEE.T1 EEoo>'E'E attfieEl trl f r,,.Y 91 eI labl5lol{t.eltnlo0 I-9 l>!19E t5s lotlE IE;S IEEe lt.(E ITE E IHg €oco0 (n G) GIo 2r{6r Iu)lEx I>et89 I>1 l_E> IE fr"lgo 4, I'g 3ale [: €eAEE E g .Ear;E EsE$liii ET,$EgEEEEEAd E *RFE z ii rr g:€EEi4E HiE N ts6 EI 6 6 r+t O vct!JUg (JodE rd EU EE<Q oo rdH/&HrdT-** '' 16.E.1.b Packet Pg. 797 Attachment: Seminole Tribe CoPCN Certificate 2018-19 (5007 : Seminole Tribe Annual Renewal COPCN) L xh, b, * 'A" VIN LIST T'OR SEIVINOLE TRIBE OF'FLORIDA FIRE RESCUE (3) The number and brief desuiption of the ambularwes or other vehicles the applicant will have available. . Two (2) Medical Rescue Units (Ambulances) Rescue 3t - Class I &2 ALS Transport and Inter-Facility (FLALS Permit # 19849) Rescue 238 Class l&2 ALS Transport and lnrcr-Facility (FL-ALS Permit # 14456). One (l) Fire Engine 1250 GP^l Pumper Engine 38: Class 3 ALS Non-Transport (FLALS Permit #15633) . One (l) Fire/EMS Supervisory Vehicle Battalion 38: Supervisor, Exempt [Rescue Services (Non-ALS)il Paramedic)] Note: Only permanently assigned vehiclcs listed abovc. STFR has additional spare Firc/EMS vehicles used for temporary maintenance, back-fill or special events pennitted in accordance with Florida Staturcs 401 and FDOH Regulations 64-8. @ 16.E.1.c Packet Pg. 798 Attachment: Seminole Tribe CoPCN VIN List 2018-19 (5007 : Seminole Tribe Annual Renewal COPCN)