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Agenda 10/27/2020 Item #16E 5 (COPCN & Certificate)16.E.5 10/27/2020 EXECUTIVE SUMMARY Recommendation to renew the annual Collier County's Certificate of Public Convenience and Necessity (COPCN) for Collier County Emergency Medical Services (EMS) to provide Class 1 Advanced Life Support Transport (ALS) for one year and authorize the Chairman to execute the Permit and Certificate. OBJECTIVE: To allow Collier County Emergency Medical Services (EMS) to continue providing Advanced Life Support (ALS) services to the citizens and visitors of Collier County. CONSIDERATIONS: Collier County 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 requirements 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, 2021 and expire on December 31, 2021. The Emergency Medical Authority reviewed the application on October 14, 2020 and unanimously recommended approval. FISCAL IMPACT: There is no fiscal impact associated with this action. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with the 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. Packet Pg. 1701 10/27/2020 16.E.5 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. (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 for approval. -JAB RECOMMENDATION: To accept the Director of the Bureau of Emergency Services' findings and authorize the Chairman to execute a Permit and renewal COPCN for Collier County Emergency Medical Services for Class 1 ALS Transport. Prepared by: Tabatha Butcher, EMS Chief ATTACHMENT(S) 1. CCEMS COPCN Package (PDF) Packet Pg. 1702 16.E.5 10/27/2020 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.5 Doe ID: 13868 Item Summary: Recommendation to renew the annual Collier County's 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: 10/27/2020 Prepared by: Title: Division Director - EMS Operations — Emergency Medical Services Name: Tabatha Butcher 10/07/2020 4:52 PM Submitted by: Title: Division Director - EMS Operations — Emergency Medical Services Name: Tabatha Butcher 10/07/2020 4:52 PM Approved By: Review: Administrative Services Department Administrative Services Department County Attorney's Office Office of Management and Budget County Attorney's Office Budget and Management Office County Manager's Office Board of County Commissioners Paula Brethauer Level 1 Department Reviewer Len Price Level 2 Department Head Review Jennifer Belpedio Level 2 Attorney of Record Review Laura Wells Level 3 OMB Gatekeeper Review Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Mark Isackson Additional Reviewer Nick Casalanguida Level 4 County Manager Review MaryJo Brock Meeting Pending Completed 10/09/2020 1:36 PM Completed 10/14/2020 10:20 AM Completed 10/15/2020 10:38 AM Completed 10/15/2020 11:14 AM Completed 10/16/2020 11:29 AM Completed 10/19/2020 9:36 AM Completed 10/20/2020 3:07 PM 10/27/2020 9:00 AM Packet Pg. 1703 16.E.5.a W x x x N N fYl 3 a� C z t) IL O 0 N 2 W C 7 0 0 O <.i 00 CO M a� Cu V R IL z U a 0 U 2 W C as 0 Q Packet Pg. 1704 16.E.5.a COLLIER COUNTY FLORIDA Renewal of Class 1 COPCN This Permit Expires December 31, 2021 Name of Service: Collier Countv Emergency Medical Services Narne of Owner or Manager: Collier Count Board of Count Commissioners Principal Address of Service: 8075 Lely CultrtraI Parkway. Na les. Florida 341 13 Business Telephone: 239 252-3740 Emergency Telephone: 9-1-1 Description Description of Services Area: The 2,032 square miles encompassing Collier Count Number of Ambulances on 24- hour duty: 26 ground units (ambulances) Number of Ambulances on 12- hour duty: -ing, season taken from reserve fleet). Number of reserve Ambulances: 18 Number of non -transport ALS vehicles 13 Number of Medivac helicopter: I See attachment "A" for description of vehicles. This permit, as provided in Ordinance 04-12, as amended, shall allow the above named Ambulance Service to operate Emergency Medical Services for a fee or charge for the following area(s): Collier County until the expiration date hereon, 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 applicable to the provision of Emergency Medical Services. Issued and approved this day of , 2020. A71TEST: BOARD OF COUNTY COMMISSSIONERS Crystal K. Kinzel, CLERK COLLIER COUNTY, FLORIDA , Deputy Clerk Burt L. Saunders, Chairman Approved as to form & legality: .Jennifer A. Belpedio 6 Cr Assistant County Attorney 0��1 Packet Pg. 1705 Lt I 16.E.5.a Permit # ALS Year Make Model VIN Assiuned 1453 T 1999 EUROCOPTER EC135 N911CK MHQ 22340 T 2019 FORD F550 1FDUF5GT9KDA04460 Truck41 23189 T 2020 FORD F550 1FDUF5GT9LDA03369 Truck? 23192 T 2020 FORD F550 1 FDUF5GT9LDA03372 Truck 22 23190 T 2020 FORD F550 1.FDUF5GT5LDA03370 Truck 8 17255 T 2012 FORD F550 1FDUF5GTSCE923691 Truck 1 17256 T 2012 FORD F550 I FDUF5GTXCEB23692 Truck 25 17257 T 2012 FORD F550 1FDUF5GTICEB23693 Truck27 17258 18087 18088 T T T 2012 FORD 2013 FORD 2013 FORD F550 1 FDUF5GT3CEB23694 F550 1 FDUF5GTODEA35168 F550 1 FDUF5GT7DEA35166 Truck 37 Truck 38 Truck 24 18089 18090 18866 18867 T T T T 2013 FORD 2013 FpRD 2015 FORD 2015 FORD F550 1 FDUF5GT2DEA35169 F550 1 FDUF5GT9DEA35167 F550 1 FDUF5GT7FEA64024 F550 1 FDUF5GT9FEA64025 Truck 15 Truck 5 Truck 14 Truck 31 18868 T 2015 FORD F550 1 FDUF5GTOFEA64026 Truck 39 18869 T 2015 FORD F550 1 FDUF5GT2FEA64027 Truck 40 23191 19044 19046 T T T 2020 FORD 2015 FORD 2015 FORD F550 1 FDUF5GT7LDA03371 F550 IFDUF5GTBFEC82389 F550 1FDUF5GT6FEC82391 Truck 18 Truck 4 Truck43 19047 19048 20437 20443 20444 20445 T T T T T T 2015 FORD 2015 FORD 2015 FORD 2016 FORD 2016 FORD 2016 FORD F550 1FDUF5GTSFEC82392 F550 1FDUF5GTXFEC82393 F650 3FRWFSG71 FV675309 F550 1FDUF5GT8GED28644 F550 1 FDUF5GT6GED28645 F550 1 FDUF5GTXGED28643 Truck 30 Truck 42 Truck 33 Truck 3 Truck 11 Truck 19 20548 20549 20550 22299 22298 21169 T T T T T T 2015 2019 2007 2019 2019 2017 2017 2017 2019 FORD FREIGHTLINER STERLING FORD FORD FORD FORD FORA FORD F550 M2EC ACETERA F550 F550 F550 F550 F550 F550 1 FDUF5GT4FEC82390 2FZACFDJ18AZ51747 2FZACFC517AY33965 1 FDUF50T1 KFE37245 1FDUF5GTXKEE37244 1FDUF5GT5HDA02856 1FDUF5GT9HDA02858 1 FDUF5GT7HDA02857 1FDUF5GT3KEE37246 Truck 20 Truck 35 Truck 34 Truck 44 Truck 9 Truck21 Truck 16 Truck 36 Truck 17 21170 T 21171 T 22300 T 22301 T 2019 2017 2017 2017 2617 2019 FORD FORD FORD FORD FORD FORD F550 F550 F550 F550 F550 F550 1FDUF5GT5KEE37247 1FDUF5GT1HEF21218 1 FDUF5GT1 HEF21221 1 FDUF5GT3HEF21219 1FDUF5GTXHEF21220 1FDUF5GT4KDA01138 Truck 10 Truck 5 Truck 32 Truck 29 Truck 12 Truck 02 21405 T 21403 T 21404 T 21709 T 21709 T N N 2019 2019 2019 2017 2017 FORD FORD FORD FORD FORD F550 F550 F550 EXPLORER EXPLORER IFDUF5GT6KDA01139 i FDUF5GT2KDA01140 I FDUF5GT4KDA01141 IFM5KBAROHGB64925 1 FM5K8AR2HG664926 Truck 23 Truck 26 Truck 28 CC2-1628 CC2 1630 21861 T 21863 T 21864 T 20438 20439 c a� z U d O U U) 2 Uj c 0 U A! 0 U 00 co 00 M m a� c� v cc a z U d O U w U U a� E t U 2 r Q Packet Pg. 1706 16.E.5.a 20440 N 2017 EXPLORER 1FM5K8AR4HGB64927 CC2-1629- 20441 N 2017 EXPLORER 1 FM5K8AR6HGB64928 CC2-1632 19797 19303 N N 2016 2015 EFORD EXPLORER EXPLORER 1 FM5K8ARXGGA08079 1FM5K8AROFGC26952 CC 1130 CC2-1076 19304 N 2015 FORD EXPLORER 1FMSKBAR2FGC26953 CC2-1085 21084 21085MNJCO)IFORD j N 2013 FORD EXPLORER EXPLORER 1FM5K8R80GA18380 1FM5K8AR2GGA46941 CC2-668 CC2-1135 21086FORD 21087FORD1FM5K8AR3HGA36372 EXPLORER 1FM5K8AR7HGC57022 CC2-1631 CC2-1401 21088PORD awaiting permFORD EXPLORER M5K8AR5GGC0785O 1FM5K8AWOLGC13670 CC2-1314 CC2-2547 3 a� c a� z U d O U 2 w c 0 U L 0 U 00 w co M r N aI fC Y V R IL z U a O U N W U U E M u 2 r Q Packet Pg. 1707 16.E.5.a RESOLUTION NO. d8 - 27 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, PROVIDING FOR UP -DATED EMS USER FEES FOR COLLIER COUNTY AMBVLAI4CE SERVICES, UP -DATED BILLING AND COLLECTION PROCEDURE, HOSPITAL TRANSPORT BILLING AND PEES, ADJUSTMENTS OF EMS USER FEES PURSUANT TO COLLIER COUNTY ORDINANCE NO.96-36, WAIVER OF EMS USER FEIKS FOR SPECIAL EVENTS, AND AN UPDATED PROCEDURE FOR APPROVING HARIISHIP CASES AND PAYMENT PLANS; SVPFASEDING RESOLUTION NO.07-19'2; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, Collier County EmttVmzy Medical Services {hereinafter referred to as "EMS") provides ambulance services to the residents and visitors of Collier County; and WHEREAS, the Collier County EMS operating budget is funded exclusively O=ugh ad valorem taxes and ussr fees; and WHEREAS, the Hoard of County Commissioners recently entered into an Agreement with Advanced Data Prucessitlg, Inc. (hereinafter referred to as to "Billing Consultant") to provide collection services for ambulance services and associated fees; and WHEREAS, this Resolution is intended to apply irrespective of whether EMS billing staff, Advanced Data Processing, Inc., ar any, other billing cortsuhaut is responsible for the collection of fees for ambulance services; and WHEREAS, Collier County Ord`mance No. 96-36 § 5 provides that the user fees for ambulance services may be estabiished by Resolttion of the Board of County Commissloners (hereinafter referred to as to "the Board'). NOW THEREFORE, BE IT RESOLVED BY TIIE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: SECTION ONE; EMS USER FEES BASE MU .SERVLCE LBVf&S w't 13ASP CHARD" A. EMS - BLS NON-EMERCENCY A0428 $ 700.00 B. EMS - BLS EMERGENCY A0424 S 700.00 C. EMS - ALS I NON -EMERGENCY A0426 $ 700.00 D. EMS-ALS I EMERGENCY A0427 $ 700.00 E. EMS -- ALS 2 EMERGENCY A0433 $ 750,00 F. EMS - SPECIALTY CARE A0434 S 800.00 G. EMS - TREATMENT W(G TRANSFORT AOM S 175.00 H. EMS - HELICOPTER A0431 S 5,900.00 MILEAGE RAM RV L VE S MILEAGE CHAR-Q A. EMS - GROUND UNIT A0425 $ 12.25 ([Minimum Charge of I mile and no cap) B. EMS - AIR UNIT A0436 S l 10.00 SP8 OU ,ViCELEVELS RATE A TWO (2) MEDICS/ONE ALS VEHICLE (PER HOUR) $ 150.00 Packet Pg. 1708 16.E.5.a B. ONE (1)1vMEDIVNO VERiCLE (PEER HOUR) S 50.00 PIES'• Subject to statutory exemptions, "public records" are rcgWred by Chapter 119, F.S. to be open to inspection and copying. Consistent with Chapter 119, Resolution No. 07-327 establishes copying fees as follows: CQF1M OP DOC[TMEiVTS RATES A. One -aided copy which is 14 inches by B'J2 inches ar Jess S .15 B. Two-sided copy which is 14 inches by 11 % inches or less 5 .20 copy s VICE The actual cost of duplication for all other copies will be charged. The first hour of cost of duplication will not he charged. "Actual cost of duplication" is dtfrned in § 119.070), F.5- as "the cost or the material and supplies used to duplicate the record," but does not include the labor cost and overhead cost associated with such duplication. 'Copying fees are subject to change only to the extent that either Chapter 119. F.S. or Resolution No. 07.327, or both, are amended, replaced, or superseded. A [NTEREST ON PAST DUE ACCOUNTS $ 1% monthly SECTION TWO. BILLING COL.LEMON PROCEDURE The following shall be the minimum guidelines for billing and collection procedures for ambulance service fees and charges; A. Initial fees and charges for ambulance services) shall be assessed either prior to ar following the provision of service, as service dynamics reasonably eeow. Unpaid fees and charges, subsequent to time of service shall be reflected in an aceoants receivable subsidiary ledger system to be maintained by the EMS Deparl anent. B. EMS Billing Stafrwill transmit all data necessary to Billing Consultant: to process the claim. 1. Billing Consultant will send an initial bill to the service recipient's or responsible party's insurance carrier as soon as insurance information has been received, validated, and vntazGd by the ailting Consultant on the account- 2. When a valid patient address is present, the Billing Consultant will follow the patient statement cycle outlined below. i. An initial statement for ambulwre services, including the HIPAA notice of privacy practices shall be sent fourteen (14) or more days aRor the data is entered by the Billing Consultant, but no later than 30 days after service has been provided. ii. if a non -Medicaid account relnairis unpaid, statements will be seat to the patient no later than every 60 days from the last filed date. if a claim is denied, a bill will he sent to the service recipient or responsible party. iil, For Medicaid accounts, if the claim is denied t=aum of no coverage at the time of service, or because it was determined to be not medically necessary to be transported by ambulance, a bill will be sent to the service recipient or responsibly party. Packet Pg. 1709 16.E.5.a iv. In the event the service recipient or responsible party does nol have or does not provide proof of insurance coverage, statements will be sent to the patient no later than every 60 days from the lest statement date. C. The Billing Consultant will provide a file with patients to be sent to collections to the County's contracted collection agency when all attempts to collect on the account have been exhausted by the Billing Consultor. 'Me County may direct the Billing Consultant to trot send a patient to collections at any time. Billing Consultant may send a patient to collections prior to exhaustion of all collection efforts when: i. The patient account has am invalid address. 2. Billing Consultant is directed by County to send a patient to collections, D. Interest will be assessed at 1% per month on all accounts that art sent to the County's contracted collection agency. E. A reasonable and customary payment plan will be made available for all service recipieflts or responsible patties. Should the service recipient or responsible party at the time fail to meet the terms and conditions of the payment plan for a period of (60) sixty days, the unpaid balance shah reanter the collections process set forth in Section C. above at the point in the collections process at which it was taken out for a payment plan to be administered. F. When ambulance service bill(s), at the any stage in this billing and collection ptoccdure, are returned because the Postal service cannot effectuate delivery, the EMS Billing Section shall rn t reasonable effort to ascertain the carrcci trailing address. If reasonable etibrts to ascertain a correct address fail, the accounts) may be considered for other collection aiternatives. & Nothing contained in this Section shall preclude reasonable tciephOne ar other appropriate contact for billing and collection purposes. in accordance with all applicable laws. H- Throughout the fiscal year, the EMS Billing Section shall review all past due accounts and report to the Board of county Commissioners on an annual basis, of all past due accotuits which are believed to be uncollecrlbIc, i. The Board may, after reviewing these past due accounts and after finding that diligent efforts at collection have proven unsuccessflrl, remove these past due accounts from active accounts receivable In accordance with generally accepted accounting procedures and purstmit to law by Resolution. J. tc • Should a decedent have an unpaid balance for ambulance services, the following shall occur: 1. The decedent's Personal Representative will notify EMS Billing Stab' that a probate estate has been filed with the Probate Court. I EMS Siifsng Staff shall ensure that a Notice of a Claim is timely filed with the Probate Court. 3. EMS Billing Staff shall ensure that the Office of the County Attorney is timely notified of such claim and ptbvlded with: 1) a copy of ambulance bill(&), 2) all oomapondenee between EMS Billing 5taff/Bill[ng Consultant) and Pemttal Representative, 3) Notice of Claim filed with the Probate Estate, and any other infarrmion necessary to pursue the claim. Packet Pg. 1710 16.E.5.a 4. The Office of the County Attorney shall take all reasonable actions that are necessary to pursue such claim. including but not limited, to filing a lawsuit in the County Court to pursue such ewT% S. If the estate has assets and $ IO,000 or less is owed for ambulance services, the EMS Director end the County Attorney (or his designee) am authorized to take reasonable actions to reach a settlement with the Personal Representative or his attorney. Should a saiwnent be reached, the EMS Director and the County Attorney (or his designee) an authorized to execute a satisfaction and/or release on behaif of the County. If the estate has assets and in excess of $ l t] 00 is owed for ambulance services, any negotiated settlement/compromise of dw ambulance billing claim shall be approved by the Board of County Commissioners. If the estate has nominal ascots or no assets, the County Manager may waive the rates, fees, and charges as set forth in Ordinance No. 96-36, as it may be amended, replaced, or superseded. K. All accounts with a balance of $10 or less will be written off. sSE r719N THR : HOSPITAL TRANSPORT BILLING AND FEES A. The fees set forth in Section One of this Resolution shall apply to ambulance transports that occur between a hospital's facilities. 6. Should a hospital within the boundaries of collier County have the need for a transport of a patient between hospital facilities located within the boundaries of Collier County, ambulance transport will he provided. C. Should a hospital within the boundaries of Collier County have the rued for a transport of a patient to hospital facilities located oulride the boundaries of Collier County, the County, will subject to cquiprnenr and manpower avQilability, at its sole discretion, utilize Its resources to provide patient transport, D. Hospitals requesting ambulance transports shall be invoiced directly for ambulance transp tt service on a monthly basis. 5ECTION_FOUR: ADJUSTMENT OF EMS USER FEES The following shall be minimum guidelines for adjustments to ambulance service fees. The Hoard of County Commissioners, in accordance with criteria established by the enabling Ordinawc, may author.2C other adjustments. A Medicare ax4 Medicaid AdJR=wA Contractual adjustments under Medicare and/or Medicaid assignment will be made in acicordance with applicable Medicare and/or Medicaid rules and regulations. B. Vietim's Comnerlgatllon Coctual Aditrstm�++t4 Contractual adjustrents will be made in accordance with applicable stoic, federal and local rules and regulations. C. ti+nrtrcr'. f"omnensation Cantractut►1 AdigatmcnnM Contr=tusl adjtisknrnts wi11 be made in accordance with applicable state, federal and local rules and regulations. D, County Employee Adjustments, 13Otu4 of County Commissioners and Constitutional Offrcers' employees that have Primary coverage under Collier County's insureutce policy will be resporraibie for any doductibdas, co -payments or unpaid balances. An employee Packet Pg. 1711 16.E.5.a may dispute hi&%er ambulance charge in accordance with procedures set forth in Ordinance No. 96-36. F. ChpMRu1rTd .c Adjustments. Contmotuai adjustments will be made in accordance with applicable Champus/Tricare rules and regulations. F. Railroad Hettietttcnt Ad'Adju nuts. Contractual adjustments will be made in accordance with applicable state, federal gad local rules and regulations pertaining to Railroad Retirement Adjustments. 0. Swial Services Ad' . Contractual adjustments will be made in accordance with rules established by the County Manager and memorialized by a memcrartdutn of understanding executed by the Social Services Director and the EMS Director. SECTION FIVEt WAIVER OF EMS USER FEE FOR SPECIAL EVENTS. Pursuant to Ordinance No, 95-36, and from the effective date of this Resolution, user fcts for EMS ambulance stand-by services may be waived if the Board finds that a valid public ptuposc has been established in recognition of their charitable contributions to the Community. SECTION SIX: HARDSHIP CASES AND PAYMENT PLANS. The Board recognizes that certain service recipients may need to be identified and processed as hardship cases. Payment plans will be cstabl[Med pursuant to the minimum guidelines set forth in this Resolution. A. Hardship cases will be established in accordance with the Federal Poverty guidelines, as used by the Social Services Deparmxat of Collier County- B. Payment plans for hardship cases will be set up on a monthly basis, with a minimum payment of S10.00 per month. Hardship cases, placed on a payment plan will not acm: interest or be p1med into collection Notwithstanding the 1`orcgaing, if a service recipient has a payment plan and does not make the agreed scheduled payments for a period lauger than two (2) months, the account will be tumcd over to the County`s contrtmctcd collection agency and interest will begin to accrue. SECT I( SEVEN: SUPERCISION OF RESOLUTION 07-192 [his Resolution shall supersede Resolution Nu. 07-192 SECTION EIGHT; EFFECTIVE DATE This Resolution shall become effective on January 29, 2009 PASSED AND DULY ADOPTFD by the Board of County Commissioners of Collier County, Florida, this EF' day of 71 �` `l1 it ` ' 2008, ATTEST' DWIGHT R. BROM-,CLIvBlC y `tthv�l'�►tn farm legal sumciency: lenni r A Belpedi Assistant County Attorney BOARD OF COUNTY CUMMISSIONERS COLLIER COUNTY, F ORIDA By: E jxy� TO NNIN , CHA Packet Pg. 1712 16.E.5.a ATTACHMENT C MEMORANDUM TO: Leo Ochs, County Manager FROM: Dan Summers, Director Bureau of Emergency Services Division DATE: October 1, 2020 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. Packet Pg. 1713 16.E.5.a Memorandum. To: Leo Ochs, County Manager From: Tabatha Butcher, Chief Emergency Medical Services Department Date: October 1, 2020 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 Tarniami Trail Naples, Florida, 34112 The Board of County Commissioners is comprised of the following individuals: Donna Fiala, District l 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. Collier County Emergency Medical Services Department will continue to provide service to the 2,032 square chiles encompassing Collier County. Collier County Emergency Medical Services Department has a total of fifty-six (56) State permitted vehicles. forty-three (43) of these are licensed ground transport ambulances and one (1) air ambulance (helicopter). There are also thirteen (13) licensed ALS vehicles (non - transport). Of the above, twenty-six (26) licensed ground ambulances, and the air ambulance (helicopter) operate 24 hours a day, seven days a week. At least two (2) additional ground transport permitted ambulances may operate 12 hours a day, seven days a week (as needed) during the seasonal months and are taken out of the reserve ambulances. The remaining, seventeen (17) licensed ALS ground transport ambulances are held in reserve. (Attachment A). Emergency Medical Services Packet Pg. 1714 16.E.5.a S. IZ 7. 8. 9 Collier County Emergency Medical Services Department has one main office and twenty-six (26) substations located throughout Collier County at the following locations: Headquarters Station I Station 2 Station 10 Station 20 Station 21 (2 units) Station 22 Station 23 Station 24 Station 25 Station 30 Station 31 Station 32 Station 40 Station 42 Station 43 Station 44 Station 46 Station 48 Station 50 Station 60 Station 70 Station 71 Station 75 Station 76 Station 90 MedFiight 8075 Lely Cultural Pkwy. 835 8`h Avenue South 977 26�" Avenue 14756 Immokalee Road 4799 Davis Blvd. 11121 E. Tamiami Trail 4375 Bayshore Drive 7227 Isle of Capri Road 2795 Airport Road North 8320 Collier Blvd 112 South V 1107 Carson Road 4819 Ave Maria Blvd. 1411 Pine Ridge Rd. 7010 Immokalee Road 16325 Vanderbilt Drive 766 Vanderbilt Beach Road 3010 pine Ridge Road 16280 Livingston Road 1290 San Marco Road. 201 Buckner Avenue 4741 Golden Gate Parkway 95 13"' Street SW 4590 Santa Barbara Blvd. 490 Logan Blvd 175 Isle of Capri Road 2375 Tower Drive Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Immokalee, Florida Immokalee, Florida Ave Maria, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Marco Island, Florida Everglades, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida Naples, Florida 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. Three (3) Collier County residents to act as references: Nancy Laschied 4500 Gulfshcre Blvd. N. - #903 Naples, Florida 34103 Dr. James Hampton 823 Bentwood Drive Naples, Florida 34108 Scott Lowe 6101 Pine Ridge Rd Naples, Florida 34119 Collier County Emergency Medical Services Department schedules of service fees (Attachment B). October 1, 2020 Memorandum from Dan Summers, Director of Bureau of Emergency Services to County Manager Ochs stating no further information required (Attachment Q. Collier County Emergency Medical Services Department financial statement is available in Collier County's Finance Department. Emergency Medical Services Packet Pg. 1715