Legislation Details

File #: A 26-145    Name: Renewal and Amendment No.1 to FHL Paramedic Service Provider Agreement
Type: BoS Agreement Status: Health Department - Consent
File created: 4/22/2026 In control: Board of Supervisors
On agenda: 5/19/2026 Final action:
Title: a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 1 to the Paramedic Service Provider Agreement between the County of Monterey and Fort Hunter Liggett Fire and Emergency Services to extend the term of the agreement for two years, for an aggregate term of March 15, 2023 to June 30, 2028 for the provision of paramedic services in the County of Monterey; and b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.
Attachments: 1. Board Report, 2. Amendment No. 1, 3. Paramedic Service Provider Agreement with Fort Hunter Liggett Fire and Emergency Services
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Title

a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 1 to the Paramedic Service Provider Agreement between the County of Monterey and Fort Hunter Liggett Fire and Emergency Services to extend the term of the agreement for two years, for an aggregate term of March 15, 2023 to June 30, 2028 for the provision of paramedic services in the County of Monterey; and

b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.

Report

RECOMMENDATION:

It is recommended that the County of Monterey Board of Supervisors:

a. Approve and authorize the Director of Health Services or designee to execute a retroactive Renewal and Amendment No. 1 to the Paramedic Service Provider Agreement between the County of Monterey and Fort Hunter Liggett Fire and Emergency Services to extend the term of the agreement for two years, for an aggregate term of March 15, 2023 to June 30, 2028 for the provision of paramedic services in the County of Monterey; and

b. Approve and authorize the Director of Health Services or designee to execute up to three future amendments that do not significantly change the scope of services.

 

SUMMARY:

The Director of Health Services seeks authorization to execute a retroactive Renewal and Amendment No. 1 to the Paramedic Service Provider Agreement with Fort Hunter Liggett Fire and Emergency Services to extend the term of the agreement to June 30, 2028 for the provision of paramedic services in the County of Monterey.

 

DISCUSSION:

The Emergency Medical Services (EMS) Agency is designated under California law by the County of Monterey as the local Emergency Medical Services Agency responsible for planning, implementing, and evaluating the local EMS system throughout the County of Monterey. Under California law, no person or organization may provide “advanced life support,” also known as “paramedic services,” unless that person or organization is an authorized part of the emergency medical service system of the local EMS agency.

 

Accordingly, under California law, a paramedic service provider must have a written agreement with the local EMS agency to participate in the EMS system and to comply with all applicable state regulations and local policies and procedures, including participation in the local EMS agency’s Continuous Quality Improvement (“CQI”) program.

 

This work supports the County of Monterey Health Department 2025-2028 Strategic Plan Goal(s): Provide Exceptional Person-Centered Care through Accessible, Community-Focused Health Services. It also supports the following of the ten essential public health services, specifically: Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

 

OTHER AGENCY INVOLVEMENT:

The Office of the County Counsel has reviewed and approved this agreement as to legal form.

This item was reviewed and supported by the EMS Agency leadership team.

 

FINANCING:

There is no impact on the General Fund with this action. This agreement does not involve an exchange of funds but supports EMS system operations.

 

BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:

This agreement supports the Board of Supervisors Strategic Plan Goals of Well‑Being and Quality of Life and Safe and Resilient Communities by ensuring that residents and visitors have continued access to authorized and compliant paramedic services within the County of Monterey.

 

Mark a check next to the related Board of Supervisors Strategic Plan Goals:

   X   Well-Being and Quality of Life

____ Sustainable Infrastructure for the Present and Future

   X   Safe and Resilient Communities

____ Diverse and Thriving Economy

 

Prepared by: Kimberley Hernandez, Emergency Medical Services Analyst, 755-4738

Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526

 

Attachments:

Board Report

Amendment No. 1

Paramedic Service Provider Agreement with Fort Hunter Liggett Fire and Emergency Services