Agenda 02/23/2021 Item #16E2 (COPCN w/Just Like Family Concierge Medical Transport Services)02/23/2021
EXECUTIVE SUMMARY
Recommendation to renew a Certificate of Public Convenience and Necessity for Class 2 ALS non-
emergency inter-facility ambulance transports to Just Like Family Concierge Medical Transport
Services, LLC (D.B.A. Brewster Ambulance Service) to allow post-hospital inter-facility medical
ambulance transfer services.
_____________________________________________________________________________________
OBJECTIVE: To proceed in the best interest of the public health, safety and welfare by
renewing a Certificate of Public Convenience and Necessity (COPCN), Class 2 Advanced Life Support
(ALS) inter-facility ambulance transport certificate(s) to Just Like Family Concierge Medical Transport,
LLC (D.B.A. Brewster Ambulance Service). These certificates are subject to certain conditions noted
below.
CONSIDERATIONS: Just Like Family Concierge Medical Transport, LLC (D.B.A. Brewster
Ambulance Service) was originally granted a Certificate of Public Convenience and Necessity on March
8, 2018, by the Board. The certificate requires annual renewal, and the current COPCN expires on March
7, 2021. The new application was brought before the Emergency Medical Authority on January 13, 2021
which unanimously approved the applications and recommends a renewal of one year with the condition
that they provide a third-party certification letter from a professional accounting firm validating and
clarifying the information that was presented at the January 13, 2021 meeting within 30 days from the
meeting date.
Section 50-60 of the Code of Laws and Ordinances provides:
Each certificate holder shall file within 90 days of expiration applications 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 the same.
These requirements have been met, and the administrator recommends renewal.
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 is no Growth Management Impact resulting from this
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.
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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.
Additionally, the Board has the option to appoint a hearing officer as provided by Section 50-58 of the
Collier County Code of Laws and Ordinances.
Sec. 50-58. - Appointment of hearing officer.
In making the determinations provided for in section 50-57 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 written 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.
Accordingly, this item is approved for form and legality and requires a majority vote for Board action. -
JAB
RECOMMENDATION: To accept the Director of the Bureau of Emergency Services’ findings and to
approve, and authorize the Chairman to execute, a Class 2 Certificate of Public Convenience and
Necessity to Just Like Family Concierge Medical Transport (D.B.A. Brewster Ambulance Service) for
one year.
Prepared by: Dan E. Summers, Director, Bureau of Emergency Services
ATTACHMENT(S)
1. Brewster CoPCN Application (PDF)
2. CAO Approved Permit (PDF)
3. CAO approved Certificate (PDF)
4. VIN List (PDF)
5. EMA Brewster Renewal Financial Letter (003) (PDF)
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 14822
Item Summary: Recommendation to renew a Certificate of Public Convenience and Necessity for
Class 2 ALS non-emergency inter-facility ambulance transports to Just Like Family Concierge Medical
Transport Services, LLC (D.B.A. Brewster Ambulance Service) to allow post-hospital inter-facility
medical ambulance transfer services.
Meeting Date: 02/23/2021
Prepared by:
Title: Executive Secretary – Emergency Management
Name: Kathy Heinrichsberg
01/21/2021 3:55 PM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
01/21/2021 3:55 PM
Approved By:
Review:
Administrative Services Department Paula Brethauer Level 1 Department Reviewer Completed 01/21/2021 4:28 PM
Emergency Management Daniel Summers Additional Reviewer Completed 01/25/2021 10:08 AM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 01/25/2021 2:09 PM
Administrative Services Department Len Price Level 2 Department Head Review Completed 02/08/2021 4:18 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 02/09/2021 8:22 AM
Office of Management and Budget Laura Wells Additional Reviewer Completed 02/09/2021 12:06 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/10/2021 9:50 AM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 02/10/2021 3:16 PM
Board of County Commissioners MaryJo Brock Meeting Pending 02/23/2021 9:00 AM
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16.E.2.a
Packet Pg. 1068 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1069 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1070 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1071 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1072 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1073 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1074 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1075 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
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Packet Pg. 1076 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1077 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1078 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1079 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1080 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.a
Packet Pg. 1081 Attachment: Brewster CoPCN Application (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.b
Packet Pg. 1082 Attachment: CAO Approved Permit (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.c
Packet Pg. 1083 Attachment: CAO approved Certificate (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.d
Packet Pg. 1084 Attachment: VIN List (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)
16.E.2.e
Packet Pg. 1085 Attachment: EMA Brewster Renewal Financial Letter (003) (14822 : Conceriege Medical Transportation LLC CoPCN Renewal)