Subject:
Title
Amendment No. 2 to the Advanced Life Support First Responder Agreement with 8 Municipalities and 3 Independent Fire Districts.
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Recommended Action:
Recommended Action
Sitting as the Pinellas County Emergency Medical Services (EMS) Authority, approve Amendment No. 2 to the Advanced Life Support (ALS) First Responder Agreement with 8 municipalities and 3 independent fire districts.
• Second Amendment to Agreements with 8 municipalities and 3 independent fire districts to provide ALS First Responder services. These amendments continue the 5-year term beginning on October 1, 2024, and ending on September 30, 2029. The agreements are a consolidated and restated agreement that incorporates prior amendments and the current amendments as outlined below.
• Funding in the amount of $45,066,096 is consistent with the Fiscal Year (FY) 27 Adopted Budget for the Emergency Medical Services Fund. In aggregate, the 12 agreements represent a baseline increase of $3,567,742 or 8.6% over FY26. Specific updates include (1) FY27 capital reimbursement caps for rescue units, medic units, and staff vehicles; (2) Increase of the hourly CME instructor reimbursement caps from $75 to $80 per hour; and (3) Authority will provide the Learning Management System and no longer reimburse the Contractor effective FY27.
• Funding for this agreement is included in the FY27 Adopted Budget for Safety and Emergency Services within the EMS Fund. Funding for future years is dependent on approval in the annual County Operating Budget.
Authorize the Chairman to sign and the Clerk of the Circuit Court to attest.
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Strategic Priorities:
Healthy and Safe Communities
2.1 Improve public health.
2.2 Enhance community safety.
Smart Service Delivery
4.2 Achieve and maintain a high level of customer satisfaction.
4.4 Pursue continuous improvement.
Summary:
Summary
Amendment No. 2 to agreements with 8 municipalities and 3 independent fire districts to provide ALS First Responder services. These amendments continue the 5-year term beginning on October 1, 2024, and ending on September 30, 2029.
The agreements are a consolidated and restated agreement that incorporates prior amendments and the current amendments as outlined below. Specific updates include: FY27 capital reimbursement caps for rescue units, medic units, and staff vehicles; Increase of the hourly CME instructor reimbursement caps from $75 to $80 per hour; Authority will provide the Learning Management System and no longer reimburse the Contractor effective FY27.
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Background Information:
The Emergency Medical Services (EMS) Authority has determined that an Advanced Life Support First Responder component is in the best interest of public safety, health, and welfare. The EMS Authority desires to contract with various municipalities and independent special fire districts in the County to provide ALS First Responder Services per the attached agreements. On January 20, 2026, the Board of County Commissioners, sitting as the EMS Authority, approved Amendment No. 1 to the ALS First Responder Agreements.
Fiscal Impact:
Section 701(h) of the Emergency Medical Services ALS First Responder Agreement provides for an extraordinary budget increase which must be negotiated and approved prior to the beginning of the next fiscal year in the event any proposed budget submitted by the Contractor should exceed 3 percent of the prior Fiscal Year’s budget. These funding adjustments include:
Allowable EMS Cost Increases over 3.00%
• East Lake - $216,298 or 8.8%
• Largo Combined (incl. BB and HP West) - $821,635 or 6.9%
• Lealman - $241,029 or 6.2%
• Lealman for Tierra Verde - $97,325 or 12.6%
• Oldsmar - $135,728 or 19.1%
• Palm Harbor - $693,153 or 12.9%
• Pinellas Park - $429,522 or 7.2%
• Safety Harbor - $355,824 or 27.1%
• South Pasadena - $93,840 or 7.0%
• St. Pete Beach - $263,681 or 7.0%
• Tarpon Springs - $163,169 or 5.9%
• Treasure Island - $56,539 or 4.5%
In aggregate, the 12 agreements represent a baseline increase of $3,567,742 or 8.6% over FY26.
Funding in the amount of $45,066,096 is contained within the FY27 Adopted Budget for the Emergency Medical Services Fund. The fiscal impacts of these agreements are sustainable over the 6-year EMS Fund forecast period. These increases are based upon the submitted budgets for FY27 and will be subject to audit for EMS Allowable costs. The cost drivers are driven largely by personnel costs.
Staff Member Responsible:
David Hare, Bureau Director, Safety and Emergency Services
Partners:
Cities of Largo, Oldsmar, Pinellas Park, Safety Harbor, South Pasadena, St. Pete Beach, Tarpon Springs, and Treasure Island; and East Lake Special Fire Control District, Lealman Special Fire Control District & Lealman Special Fire Control District/Tierra Verde, and Palm Harbor Special Fire Control & Rescue District.
Attachments:
ALS First Responder Amendment 2 & 1 - East Lake
ALS First Responder Amendment 2 & 1 - Largo
ALS First Responder Amendment 2 & 1 - Lealman
ALS First Responder Amendment 2 & 1 - Lealman/Tierra Verde
ALS First Responder Amendment 2 & 1 - Oldsmar
ALS First Responder Amendment 2 & 1 - Palm Harbor
ALS First Responder Amendment 2 & 1 - Pinellas Park
ALS First Responder Amendment 2 & 1 - Safety Harbor
ALS First Responder Amendment 2 & 1 - South Pasadena
ALS First Responder Amendment 2 & 1 - St. Pete Beach
ALS First Responder Amendment 2 & 1 - Tarpon Springs
ALS First Responder Amendment 2 & 1 - Treasure Island