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Agenda 04/14/2026 Item #16F1 (To renew the annual COPCN for Medtrek Medical Transport, Inc. Class 2 ALS inter-facility transport services in CLL by a private provider)4/14/2026 Item # 16.F.1 ID# 2026-715 Executive Summary Recommendation to renew the annual Certificate of Public Convenience and Necessity (COPCN) for Medtrek Medical Transport, Inc., to provide Class 2 Advanced Life Support (ALS) inter-facility transport ambulance service for a period of one year. OBJECTIVE: To recommend the renewal of Medtrek Medical Transport, Class 2 ALS inter-facility transport services in Collier County by a private provider. CONSIDERATIONS: A COPCN may be approved routinely by the Board as provided by Ordinance No. 24-25, Section 6: Review of Application, and Section 7: Requirement for Board Approval in Granting Certificate, governing medical transportation services. Medtrek Medical Transport, Inc., an inter-facility transport company, was granted a Certificate of Public Convenience and Necessity on April 8, 2025, by the Board. Staff has deemed the Medtrek Medical Transport, Inc., renewal application as complete and recommends the COPCN be renewed for one year. A Class 2 operator provides post-hospital inter-facility medical transfer services, both within the County and outside the County. Section 10 of the Ordinance provides: Each non-governmental entity certificate holder shall file within 90 days of expiration, an application for renewal of the 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. If the initial certificate was issued under this Ordinance, 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 and recommended approving their renewal application on March 11, 2026. Staff recommends the Board grant the annual renewal. The Department of Public Safety is not aware of any objections to the 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 (4050) the $250.00 application fee with the corresponding application. GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: A hearing is not required for renewal. If a hearing is held, the Board must find based on competent evidence that each of the following standards set forth in Section 7 of Ordinance No. 24-25 have been satisfied: A. 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: 1. The extent to which the proposed service is needed to improve the overall emergency medical services (EMS) capabilities of the County. 2. The effect of the proposed service on existing services with respect to quality of service and cost of service. 3. The effect of the proposed service on the overall cost of EMS service in the County. 4. The effect of the proposed service on existing hospitals and other health care facilities. 5. 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. B. That the applicant has sufficient knowledge and experience to properly operate the proposed service. C. That, if applicable, there is an adequate revenue base for the proposed service. D. That the proposed service will have sufficient personnel and equipment to adequately cover the proposed service area. Page 2537 of 3203 4/14/2026 Item # 16.F.1 ID# 2026-715 This item is approved as to form and legality and requires majority vote for approval. – CMG RECOMMENDATION(S): That the Board award a Class 2 Certificate of Public Convenience and Necessity to Medtrek Medical Transport, Inc., for a period of one year. PREPARED BY: Bruce Gastineau, Chief Collier County EMS ATTACHMENTS: 1. MedTrek COPCN Application 2. COPCN Permint - stamped 3. COPCN Certificate - Stamped Page 2538 of 3203 Page 2539 of 3203 Page 2540 of 3203 Page 2541 of 3203 Page 2542 of 3203 Page 2543 of 3203 Page 2544 of 3203 Page 2545 of 3203 Page 2546 of 3203 Page 2547 of 3203 Page 2548 of 3203