File #: A 19-105    Name: AMR Agreement Amend. No. 9
Type: BoS Agreement Status: Passed - Health Department
File created: 4/22/2019 In control: Board of Supervisors
On agenda: 5/14/2019 Final action: 5/14/2019
Title: a. Approve an ambulance services rate adjustment of 9.9% as shown on Amendment No. 9 to Agreement A-11610 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey. b. Authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Director to execute Amendment No. 9 to Agreement A-11610 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey.
Attachments: 1. Board Report, 2. Amendment No. 9, 3. Amendment No. 8, 4. Amendment No. 7, 5. Amendment No. 6, 6. Amendment No. 5, 7. Amendment No. 4, 8. Amendment No. 3, 9. Amendment No. 2, 10. Amendment No. 1, 11. AMR Agreement, 12. 20. Completed Board Order
Related files: A 22-012, A 23-005
Title
a. Approve an ambulance services rate adjustment of 9.9% as shown on Amendment No. 9 to Agreement A-11610 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey.
b. Authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Director to execute Amendment No. 9 to Agreement A-11610 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve an ambulance services rate adjustment of 9.9% as shown on Amendment No. 9 to Agreement A116-10 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey.
b. Authorize the Director of Health, the Assistant Director of Health, or the Emergency Medical Services (EMS) Director to execute Amendment No. 9 to Agreement A-11610 between the County of Monterey and American Medical Response West for the provision of Advanced Life Support Ambulance Services for the County of Monterey.

SUMMARY/DISCUSSION:
On December 15, 2009, the Board of Supervisors awarded the Agreement for the provision of Advanced Life Support Ambulance Services for the County of Monterey to American Medical Response West (AMR).

Pursuant to Section 17.2 of the County of Monterey and AMR Agreement (Agreement), AMR is entitled to an annual rate increase, based on the greater of:
1. Two percent (2%) divided by Monterey's average collection rate from the previous 12-month period for which figures are then available; or,
2. Percentage calculated from the following CPI Factors divided by the Monterey's average collection rate from the current year. Department of Labor, Bureau of Labor Statistics CPI as of the previous 12-month period for the publis...

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