Legislation Details

File #: 26-1017    Version: 1 Name:
Type: Approval Status: Consent Agenda
File created: 11/2/2026 In control: Health Services
On agenda: 11/17/2026 Final action:
Title: Approval of First Amendment to BOS Agreement No. 24-138 with County of Sonoma Department of Health Services to Decrease the Total Amount Payable by $110,682 for a New Agreement Total of $1,236,042 for Emergency Medical Services (EMS) Agency Administration, Effective July 1, 2024, through June 30, 2027 Vote Requirement: Majority
Attachments: 1. Interim Agreement

To:  BOARD OF SUPERVISORS

From:  Health Services

Meeting Date:  November 17, 2026

 

Department Contact:  

Jenine Miller

Phone: 

707-472-2341

 

Item Type:   Consent Agenda

 

Time Allocated for Item: N/A

 

 

Agenda Title:

title

Approval of First Amendment to BOS Agreement No. 24-138 with County of Sonoma Department of Health Services to Decrease the Total Amount Payable by $110,682 for a New Agreement Total of $1,236,042 for Emergency Medical Services (EMS) Agency Administration, Effective July 1, 2024, through June 30, 2027

 

Vote Requirement:  Majority

End

 

Recommended Action/Motion:

recommendation

Approve first amendment to BOS Agreement No. 24-138 with County of Sonoma Department of Health Services to decrease the total amount payable by $110,682 for a new Agreement total of $1,236,042 for emergency medical services (EMS) agency administration, effective July 1, 2024, through June 30, 2027; and authorize Chair to sign same.

End

 

Previous Board/Board Committee Actions:

September 10, 2024 Item 3f) Approval of: BOS 24-138                     

 

Summary of Request: 

The County of Mendocino designated the County of Sonoma, Coastal Valleys EMS Agency as its Local Emergency Medical Services Agency (LEMSA) to oversee regional EMS responsibilities pursuant to California Health and Safety Code Section 1797.200, a regional partnership that has been in place for approximately 15 years.  This amendment updates the terms and budget under Section 4 and Exhibit A.

 

Total Obligation Reduction: Lowers the contract from $1,346,724 to $1,236,042.

 

FY 26-27 Adjustments: Modifies the final financial fiscal year parameters by waiving the standard 8% automatic increase cap.  The final year cap is $373,183, which integrates the local Mendocino County approved base hospital fee of $48,308.15. 

 

Reduction of Staff Time: The total regional FTE allocation dedicated to Mendocino drops from 2.5 to 1.5, which eliminates the Disaster Preparedness FTE and reduces the local Mendocino EMS Coordinator from 0.8 FTE to 0.2 FTE.

 

Operational Mandates: Mendocino County Public Health EMS staff will take over all local Medical Health Operational Area Coordinator (MHOAC) operational mandates, disaster preparedness coordination, and local administrative oversight.

 

Scope of Work: Extracts legal services from the regional shared cost pool, stipulating the Mendocino County Counsel provides direct local legal support with zero responsibility for Sonoma County legal fees.  In-kind support for staff dedicated workspace is refined.

 

 

Alternative Action/Motion:

Return to staff for alternative handling                        

 

Strategic Plan Priority Designation: A Prepared and Resilient County

 

Supervisorial District:  All

                                                                                    

 

 

Supplemental Information Available Online At: N/A

 

Fiscal Details:

source of funding: EM4014

current f/y cost: $373,183

budget clarification: No

annual recurring cost: No

budgeted in current f/y (if no, please describe): Yes

revenue agreement: No

AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes

CEO Liaison: Megan Shandel, Deputy CEO                                                               

CEO Review: Yes                                            

CEO Comments:

 

FOR COB USE ONLY

Executed By: Deputy Clerk

Final Status: Item Status

Date: Date Executed

Executed Item Type: item

 

Number: