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Agenda 11/12/2019 Item #16E 7 (COPCN & ALS)11/12/2019 EXECUTIVE SUMMARY Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Collier County Emergency Medical Services to provide Class 1 Advanced Life Support Transport (ALS) for one year and authorize the Chairman to execute the Permit and Certificate. OBECTIVE: To allow Emergency Medical Services to continue to provide Advanced Life Support (ALS) services to the citizens and visitors to Collier County. CONSIDERATIONS: Collier County Emergency Medical Services (EMS) is currently operating under a COPCN for ALS transport. Section 50-60 of Collier County Code of Laws and Ordinances 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 50-60 provides that renewals be based on the same standards as the granting of the original COPCN along with such other factors as may be relevant. The minimum require ments for an application to be deemed complete are set forth Section 50-57 of the Code of Laws and Ordinances. The application is back-up to this item. 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. The Director of the Bureau of Emergency Services recommends approval based on his finding that there is a public necessity for EMS to provide the service and that all other requirements have been met. If this item is approved by the Board, the renewal COPCN and Permit will commence on January 1, 2020 and expire on December 31, 2020. FISCAL IMPACT: There is no fiscal impact associated with this action. GROWTH MANAGEMENT IMPACT: None 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. 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. 16.E.7 Packet Pg. 2029 11/12/2019 (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. This item is approved as to form and legality and requires a majority vote fo r approval. -JAK RECOMMENDATION: To accept the Director of the Bureau of Emergency Services’ findings; and approve and authorize the Chairman to execute a Permit and renewal COPCN to Collier County Emergency Medical Services for Class 1 ALS Transport. Prepared by: Tabatha Butcher, EMS Chief ATTACHMENT(S) 1. Attachment A-EMS Truck List COPCN Renewal (PDF) 2. Attachment B-EMS Billing Rates (PDF) 3. Attachment C-Memo to County Manager 2020 (PDF) 4. 2020 Certificate - CCEMS (PDF) 5. Permit 2020 Certificate (PDF) 6. Memo from Chief Butcher to Manager Ochs for 2020 COPCN Renewal (PDF) 16.E.7 Packet Pg. 2030 11/12/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.7 Doc ID: 10577 Item Summary: Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Collier County Emergency Medical Services to provide Class 1 Advanced Life Support Transport (ALS) for one year and authorize the Chairman to execute the Permit and Certificate. Meeting Date: 11/12/2019 Prepared by: Title: Accounting Technician – Emergency Medical Services Name: Erin Page 10/17/2019 2:24 PM Submitted by: Title: Division Director - EMS Operations – Emergency Medical Services Name: Tabatha Butcher 10/17/2019 2:24 PM Approved By: Review: Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 10/21/2019 1:43 PM Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 10/21/2019 4:24 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 10/23/2019 1:32 PM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 10/23/2019 1:42 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/23/2019 1:44 PM Budget and Management Office Mark Isackson Additional Reviewer Completed 10/23/2019 4:05 PM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 11/03/2019 10:48 PM Board of County Commissioners MaryJo Brock Meeting Pending 11/12/2019 9:00 AM 16.E.7 Packet Pg. 2031 Permit #ALS Year Make Model VIN Assigned 1453 AT 1999 EUROCOPTER EC135 N911CK MHQ 12441 T 2004 STERLING ACETERA 2FZACFCSX4AM52868 Truck 9 12442 T 2004 STERLING ACETERA 2FZACFCS84AM52867 Truck 10 13312 T 2003 INTERNATIONAL 4400 1HTMRAAMX3H573348 Truck 7 13313 T 2005 INTERNATIONAL 4300 1HTMNAAM85H689274 Truck 22 14635 T 2008 STERLING ACETERA 2FZACFDJ78AZ51753 Truck 18 17255 T 2012 FORD F550 1FDUF5GT8CEB23691 Truck 1 17256 T 2012 FORD F550 1FDUF5GTXCEB23692 Truck 25 17257 T 2012 FORD F550 1FDUF5GT1CEB23693 Truck 27 17258 T 2012 FORD F550 1FDUF5GT3CEB23694 Truck 37 18087 T 2013 FORD F550 1FDUF5GT0DEA35168 Truck 38 18088 T 2013 FORD F550 1FDUF5GT7DEA35166 Truck 24 18089 T 2013 FORD F550 1FDUF5GT2DEA35169 Truck 15 18090 T 2013 FORD F550 1FDUF5GT9DEA35167 Truck 6 18866 T 2015 FORD F550 1FDUF5GT7FEA64024 Truck 14 18867 T 2015 FORD F550 1FDUF5GT9FEA64025 Truck 31 18868 T 2015 FORD F550 1FDUF5GT0FEA64026 Truck 39 18869 T 2015 FORD F550 1FDUF5GT2FEA64027 Truck 40 18870 T 2015 FORD F550 1FDUF5GT8FEA98764 Truck 41 18881 T 2008 STERLING ACETERA 2FZACFDJ58AZ51749 Truck 8 19044 T 2015 FORD F550 1FDUF5GT8FEC82389 Truck 4 19046 T 2015 FORD F550 1FDUF5GT6FEC82391 Truck 43 19047 T 2015 FORD F550 1FDUF5GT8FEC82392 Truck 30 19048 T 2015 FORD F550 1FDUF5GTXFEC82393 Truck 42 19303 N 2015 FORD EXPLORER 1FM5K8AR0FGC26952 CC2-1076 19304 N 2015 FORD EXPLORER 1FM5K8AR2FGC26953 CC2-1085 19305 T 2004 STERLING ACETERA 2FZACFCS44AM52865 Truck 17 19797 N 2016 FORD EXPLORER 1FM5K8ARXGGAO8079 CC2-1130 20437 T 2015 FORD F650 3FRWF6GZ1FV675309 Truck 33 20438 N 2017 FORD EXPLORER 1FM5K8AR0HGB64925 CC2-1628 20439 N 2017 FORD EXPLORER 1FM5K8AR2HGB64926 CC2-1630 20440 N 2017 FORD EXPLORER 1FM5K8AR4HGB64927 CC2-1629 20441 N 2017 FORD EXPLORER 1FM5K8AR6HGB64928 CC2-1632 20443 T 2016 FORD F550 1FDUF5GT8GED28644 Truck 3 20444 T 2016 FORD F550 1FDUF5GT6GED28645 Truck 11 20445 T 2016 FORD F550 1FDUF5GTXGED28643 Truck 19 20548 T 2015 FORD F550 1FDUF5GT4FEC82390 Truck 20 20549 T 2008 STERLING ACETERA 2FZACFDJ18AZ51747 Truck 35 20550 T 2007 STERLING ACETERA 2FZACFCS17AY33965 Truck 34 21084 N 2013 FORD EXPLORER 1FM5K8R8DGA18380 CC2-668 21085 N 2016 FORD EXPLORER 1FM5K8AR2GGA46941 CC2-1135 21086 N 2017 FORD EXPLORER 1FM5K8AR7HGC57022 CC2-1631 21087 N 2017 FORD EXPLORER 1FM5K8AR3HGA36372 CC2-1401 21088 N 2016 FORD EXPLORER 1FM5K8AR5GGC07850 CC2-1314 21169 T 2017 FORD F550 1FDUF5GT5HDA02856 Truck 21 16.E.7.a Packet Pg. 2032 Attachment: Attachment A-EMS Truck List COPCN Renewal (10577 : EMS COPCN Renewal 2020) 21170 T 2017 FORD F550 1FDUF5GT9HDA02858 Truck 16 21171 T 2017 FORD F550 1FDUF5GT7HDA02857 Truck 36 21405 T 2017 FORD F550 1FDUF5GT1HEF21218 New Truck 05 21403 T 2017 FORD F550 1FDUF5GT1HEF21221 New Truck 32 21404 T 2017 FORD F550 1FDUF5GT3HEF21219 New Truck 29 21709 T 2017 FORD F550 1FDUF5GTXHEF21220 Truck 12 21861 T 2019 FORD F550 1FDUF5GT4KDA01138 Truck 02 21862 T 2019 FORD F550 1FDUF5GT6KDA01139 Truck 23 21863 T 2019 FORD F550 1FDUF5GT2KDA01140 Truck 26 21864 T 2019 FORD F550 1FDUF5GT4KDA01141 Truck 28 22298 T 2019 FORD F-550 1FDUF5GTXKEE37244 Truck 09 22299 T 2019 FORD F-550 1FDUF5GT1KEE37245 Truck 44 22300 T 2019 FORD F-550 1FDUF5GT1KEE37246 Truck 17 22301 T 2019 FORD F-550 1FDUF5GT1KEE37247 Truck 10 22340 T 2019 FORD F-550 1FDUF5GT9KDA06464 Truck 41 16.E.7.a Packet Pg. 2033 Attachment: Attachment A-EMS Truck List COPCN Renewal (10577 : EMS COPCN Renewal 2020) 16.E.7.b Packet Pg. 2034 Attachment: Attachment B-EMS Billing Rates (10577 : EMS COPCN Renewal 2020) 16.E.7.b Packet Pg. 2035 Attachment: Attachment B-EMS Billing Rates (10577 : EMS COPCN Renewal 2020) 16.E.7.b Packet Pg. 2036 Attachment: Attachment B-EMS Billing Rates (10577 : EMS COPCN Renewal 2020) 16.E.7.b Packet Pg. 2037 Attachment: Attachment B-EMS Billing Rates (10577 : EMS COPCN Renewal 2020) 16.E.7.b Packet Pg. 2038 Attachment: Attachment B-EMS Billing Rates (10577 : EMS COPCN Renewal 2020) ATTACHMENT C M E M O R A N D U M TO: Leo Ochs, County Manager FROM: Dan Summers, Director Bureau of Emergency Services Division DATE: October 16, 2019 REF: Certificate of Convenience and Necessity for Collier County Emergency Medical Services Department After review of the application to renew this certificate for Collier County Emergency Medical Services Department, no further information is required at this time. The application is complete and sufficient. 16.E.7.c Packet Pg. 2039 Attachment: Attachment C-Memo to County Manager 2020 (10577 : EMS COPCN Renewal 2020) 16.E.7.dPacket Pg. 2040Attachment: 2020 Certificate - CCEMS (10577 : EMS COPCN Renewal 2020) 16.E.7.ePacket Pg. 2041Attachment: Permit 2020 Certificate (10577 : EMS COPCN Renewal 2020) Emergency Medical Services Memorandum To: Leo Ochs, County Manager From: Tabatha Butcher, Chief Emergency Medical Services Department Date: October 16, 2019 Subject: Certificate of Convenience and Necessity for Collier County Emergency Medical Services Department Per Collier County Ordinance Number 04-12, as amended, please accept the following information for renewal of this required certificate: 1. Collier County Emergency Medical Services Department is operated by the County’s Board of County Commissioners located at: 3299 East Tamiami Trail Naples, Florida, 34112 The Board of County Commissioners is comprised of the following individuals: Donna Fiala, District 1 Andy Solis, District 2 Burt Saunders, District 3 Penny Taylor, District 4 William L. McDaniel, Jr., District 5 The age of each member may be located at the Board of County Commissioner’s Office. 2. Collier County Emergency Medical Services Department will continue to provide service to the 2,032 square miles encompassing Collier County. 3. Collier County Emergency Medical Services Department has a total of sixty (60) State licensed vehicles. forty-seven (47) of these are licensed ground transport ambulances and one (1) air ambulance (helicopter). There are also twelve (12) licensed ALS vehicles (non-transport). Of the above, twenty-six (26) licensed ground ambulances, and the air ambulance (helicopter) operate 24 hours and day, seven days a week. At least two (2) additional ground transport licensed ambulance may operate 12 hours a day, seven days a week (as needed) during the seasonal months and is taken out of the reserve ambulances. The remaining, twenty-one (21) licensed ALS ground transport ambulances are held in reserve. (Attachment A). 16.E.7.f Packet Pg. 2042 Attachment: Memo from Chief Butcher to Manager Ochs for 2020 COPCN Renewal (10577 : EMS COPCN Renewal 2020) Emergency Medical Services 4. Collier County Emergency Medical Services Department has one main office and twenty-five (25) substations located throughout Collier County at the following locations: Headquarters 8075 Lely Cultural Pkwy. Naples, Florida Station 1 835 8th Avenue South Naples, Florida Station 2 977 26th Avenue Naples, Florida Station 10 14756 Immokalee Road Naples, Florida Station 20 4798 Davis Blvd. Naples, Florida Station 21 (2 units) 11121 E. Tamiami Trail Naples, Florida Station 22 4375 Bayshore Drive Naples, Florida Station 23 7227 Isle of Capri Road Naples, Florida Station 24 2795 Airport Road North Naples, Florida Station 25 8320 Collier Blvd Naples, Florida Station 30 112 South 1st Immokalee, Florida Station 31 1107 Carson Road Immokalee, Florida Station 32 4819 Ave Maria Blvd. Ave Maria, Florida Station 40 1411 Pine Ridge Rd. Naples, Florida Station 42 7010 Immokalee Road Naples, Florida Station 43 16325 Vanderbilt Drive Naples, Florida Station 44 766 Vanderbilt Beach Road Naples, Florida Station 46 3010 Pine Ridge Road Naples, Florida Station 48 16280 Livingston Road Naples, Florida Station 50 1280 San Marco Road. Marco Island, Florida Station 60 201 Buckner Avenue Everglades, Florida Station 70 4741 Golden Gate Parkway Naples, Florida Station 71 95 13th Street SW Naples, Florida Station 75 4590 Santa Barbara Blvd. Naples, Florida Station 76 490 Logan Blvd Naples, Florida Station 90 175 Isle of Capri Road Naples, Florida Med-Flight1 2375 Tower Drive Naples, Florida 5. Collier County Emergency Medical Services Department has been licensed and certified to provide Advanced Life Support ambulance service in Collier County since April 6, 1981. 6. Three (3) Collier County residents to act as references: Nancy Laschied 4500 Gulfshore Blvd. N. - #903 Naples, Florida 34103 Dr. James Hampton 823 Bentwood Drive Naples, Florida 34108 Scott Lowe 6101 Pine Ridge Rd Naples, Florida 34119 7. Collier County Emergency Medical Services Department schedules of service fees (Attachment B). 8. October 16, 2019 Memorandum from Dan Summers, Director of Bureau of Emergency Services to County Manager Ochs stating no further information required. 9. Collier County Emergency Medical Services Department financial statement is available in Collier County’s Finance Department. 16.E.7.f Packet Pg. 2043 Attachment: Memo from Chief Butcher to Manager Ochs for 2020 COPCN Renewal (10577 : EMS COPCN Renewal 2020)