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File #: A 26-051    Name: Salinas Valley Health Medical Center
Type: BoS Agreement Status: Health Department - Consent
File created: 2/5/2026 In control: Board of Supervisors
On agenda: 3/10/2026 Final action:
Title: a. Approve and authorize the Director of Health Services or designee to execute a non-standard agreement between the County of Monterey and Salinas Valley Health Medical Center for the designation of Salinas Valley Health Medical Center as a Base Hospital for the provision of medical control and direction to advanced life support (ALS) prehospital Emergency Medical Services (EMS) personnel, for the term of execution through June 30, 2030, with no exchange of funds; b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not significantly change the scope of services.
Attachments: 1. Board Report, 2. 2025-12-23 Base Hospital Designation Agreement SVH - Final
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Title
a. Approve and authorize the Director of Health Services or designee to execute a non-standard agreement between the County of Monterey and Salinas Valley Health Medical Center for the designation of Salinas Valley Health Medical Center as a Base Hospital for the provision of medical control and direction to advanced life support (ALS) prehospital Emergency Medical Services (EMS) personnel, for the term of execution through June 30, 2030, with no exchange of funds;
b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) 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 non-standard agreement between the County of Monterey and Salinas Valley Health Medical Center for the designation of Salinas Valley Health Medical Center as a Base Hospital for the provision of medical control and direction to advanced life support (ALS) prehospital Emergency Medical Services (EMS) personnel, for the term of execution through June 30, 2030, with no exchange of funds;
b. Approve non-standard indemnification and insurance provisions as recommended by the Director of Health Services; and
c. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not significantly change the scope of services.

SUMMARY:
This item seeks approval of a non-standard agreement between the County of Monterey and Salinas Valley Health Medical Center to designate the hospital as a Base Hospital within the County’s EMS system. The agreement formalizes a longstanding designation and outlines responsibilities for both parties, including compliance, performance standards, and reporting req...

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