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Agenda 01/12/2021 Item #16E4 (COPCN Renewal)01/12/2021 EXECUTIVE SUMMARY Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for non-emergency Class 2 - Basic Life Support (BLS) to Care Med Transportation, L.L.C., for the purpose of providing post-hospital and inter-facility medical ambulance transfer services. OBJECTIVE: To r e n e w t h e COPCN for Class 2 BLS post-hospital, interfacility ambulance transports to Care Med Transportation, L.L.C., hereinafter referred to as “Care Med.” CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Section 50- 60 of the Collier County Code of Laws and Ordinances (Code) governing medical transportation services. The Board granted Care Med a COPCN on February 25, 2020 which is required to be renewed annually to continue service. Staff deemed Care Med’s renewal application complete and recommends that the COPCN be renewed for one year. A BLS Class 2 operator provides post -hospital and inter-facility medical transfer services, both within and transports originating in-county to outside of the County. Section 50-60 of the Code 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. The Emergency Medical Authority reviewed the application on December 9, 2020, and by a majority vote (3 in favor, 1 abstained) recommended renewal with the current number of two ambulance vehicles providing services. FISCAL IMPACT: There is no fiscal impact to the Board for the granting of the COPCN. 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: Regarding the consideration of this item, Section 50-57 of the Code states: “Sec. 50-57 - Requirement for Board approval in granting certificate. 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: (1) 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: a. The extent to which the proposed service is needed to improve the overall Emergency Medical Services (EMS) capabilities of the County. 16.E.4 Packet Pg. 1670 01/12/2021 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. (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 Board approval. - JAB RECOMMENDATION: To approve the COPCN for Care-Med Transportation L.L.C., Inc. for up to two Basic Life Support ambulances during the term of the permit; authorize the Chairman to execute the Permit and Certificate; and approve a Budget Amendment to recognize and appropriate the $250.00 application fee. PREPARED BY: Dan E. Summers, Director, Bureau of Emergency Services ATTACHMENT(S) 1. Application 2021-2022 Care Med Transportation COPCN (PDF) 2. CAO Permit (PDF) 3. CAO Certificate (PDF) 4. Attachment A Vehicles (PDF) 16.E.4 Packet Pg. 1671 01/12/2021 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.4 Doc ID: 14542 Item Summary: Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for non-emergency Class 2 – Basic Life Support (BLS) to Care Med Transportation, L.L.C., for the purpose of providing post-hospital and inter-facility medical ambulance transfer services. Meeting Date: 01/12/2021 Prepared by: Title: Executive Secretary – Emergency Management Name: Kathy Heinrichsberg 12/17/2020 4:59 PM Submitted by: Title: Division Director - Bureau of Emer Svc – Emergency Management Name: Daniel Summers 12/17/2020 4:59 PM Approved By: Review: Emergency Management Daniel Summers Additional Reviewer Completed 12/17/2020 5:00 PM Administrative Services Department Len Price Level 1 Department Reviewer Completed 12/18/2020 7:59 AM Administrative Services Department Len Price Level 2 Department Head Review Completed 12/18/2020 7:59 AM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 12/21/2020 4:02 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 12/22/2020 8:27 AM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/22/2020 1:54 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 01/04/2021 10:13 AM County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 01/04/2021 11:18 AM Board of County Commissioners MaryJo Brock Meeting Pending 01/12/2021 9:00 AM 16.E.4 Packet Pg. 1672 16.E.4.aPacket Pg. 1673Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1674Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1675Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1676Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1677Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1678Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1679Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1680Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1681Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1682Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1683Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1684Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1685Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1686Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1687Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1688Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1689Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1690Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1691Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1692Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1693Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1694Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1695Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.aPacket Pg. 1696Attachment: Application 2021-2022 Care Med Transportation COPCN (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.b Packet Pg. 1697 Attachment: CAO Permit (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.c Packet Pg. 1698 Attachment: CAO Certificate (14542 : Care Med Transportation, LLC CoPCN) 16.E.4.dPacket Pg. 1699Attachment: Attachment A Vehicles (14542 : Care Med Transportation, LLC CoPCN)