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
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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.
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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 ...
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