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HomeMy WebLinkAboutMINUTES - 10082019 - Fire Protection DistrictCALENDAR FOR THE BOARD OF DIRECTORS CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT BOARD CHAMBERS ROOM 107, ADMINISTRATION BUILDING, 651 PINE STREET MARTINEZ, CALIFORNIA 94553-1229 JOHN GIOIA, CHAIR CANDACE ANDERSEN, VICE CHAIR DIANE BURGIS KAREN MITCHOFF FEDERAL D. GLOVER DAVID J. TWA, CLERK OF THE BOARD AND COUNTY ADMINISTRATOR, (925) 335-1900 LEWIS T. BROSCHARD III , FIRE CHIEF PERSONS WHO WISH TO ADDRESS THE BOARD DURING PUBLIC COMMENT OR WITH RESPECT TO AN ITEM THAT IS ON THE AGENDA, WILL BE LIMITED TO TWO (2) MINUTES. The Board Chair may reduce the amount of time allotted per speaker at the beginning of each item or public comment period depending on the number of speakers and the business of the day. Your patience is appreciated. A closed session may be called at the discretion of the Board Chair. Staff reports related to open session items on the agenda are also accessible on line at www.co.contra-costa.ca.us. SPECIAL MEETING ANNOTATED AGENDA & MINUTES October 8, 2019 ***Note Time Change***   Present: John Gioia, Director; Candace Andersen, Director; Diane Burgis, Director; Karen Mitchoff, Director; Federal D. Glover, Director Staff Present:David Twa, County Administrator Lewis Broschard, Fire Chief                  10:00 A.M. Convene and call to order.   CONSIDER CONSENT ITEMS (Items listed as C.1 through C.9 on the following agenda) – Items are subject to removal from Consent Calendar by request of any Director or on request for discussion by a member of the public. Items removed from the Consent Calendar will be considered with the Discussion Items.   PRESENTATIONS October 8, 2019 Fire Protection District Minutes 1   PR.1 PRESENTATION of CAASE Awards to American Medical Response (Lewis T. Broschard III, Fire Chief and Michael Johnson, AMR Regional Director)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover DISCUSSION ITEMS   D. 1 CONSIDER Consent Items previously removed.    There were no items removed from consent.    AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover D. 2 PUBLIC COMMENT (2 Minutes/Speaker)    There were no requests to speak at public comment.   D.3 CONSIDER approving and authorizing the Fire Chief, or designee, to accept a FY 2018 Staffing for Adequate Fire and Emergency Response (SAFER) grant through the U.S. Department of Homeland Security, Federal Emergency Management Agency, in an amount not to exceed $3,100,000 over a three-year period and adopt Position Adjustment Resolution No. 22532 to add nine Firefighter-Paramedic Recruit (represented) positions in the Contra Costa County Fire Protection District. (Lewis Broschard, Fire Chief)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover D.4 CONSIDER accepting a report from the Fire Chief providing a status summary for Contra Costa County Fire Protection District fire station construction projects. (Lewis T. Broschard III, Fire Chief)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover D.5 CONSIDER accepting a report from the Fire Chief providing a status summary for ongoing Fire District activities and initiatives. (Lewis T. Broschard III, Fire Chief)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover CONSENT ITEMS   C.1 APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a change order    October 8, 2019 Fire Protection District Minutes 2 C.1 APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a change order amendment with Golden State Fire Apparatus, Inc., to increase the payment amount by $14,805 to a new payment total of $373,355, for the manufacture and purchase of a Type I tactical water tender for fire suppression. (100% CCCFPD General Operating Fund Balance) (Consider with C.7)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.2 DENY claim filed by Francisca Rivero.      AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.3 ADOPT Resolution No. 2019/582 approving the Side Letter between the District and IAFF, Local 1230 regarding the 2018 Staffing for Adequate Fire and Emergency Response (SAFER) Grant, as recommended by the County Administrator.       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.4 APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in the amount of $518,402 for the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports in the second quarter of 2019. (100% CCCFPD EMS Transport Fund)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.5 APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in the amount of $16,450 for the balance due on the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports in the first quarter of 2019. (100% CCCFPD EMS Transport Fund)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.6 AUTHORIZE the Fire Chief, or designee, to apply to the Centers for Medicare & Medicaid Services to participate in the Emergency Triage, Treat, and Transport Model. (No Fiscal Impact)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.7 APPROVE Appropriation and Revenue Adjustment No.005005 authorizing revenue    October 8, 2019 Fire Protection District Minutes 3 C.7 APPROVE Appropriation and Revenue Adjustment No.005005 authorizing revenue in the amount of $14,805 from CCCFPD General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District (7300) for the purchase of a Type 1 tactical water tender (100% CCCFPD General Operating Fund Balance) (Consider with C.1)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.8 APPROVE Appropriation and Revenue Adjustment No.005006 authorizing new revenue in the amount of $400,200 from the Federal Emergency Management Agency, U.S. Department of Homeland Security, Urban Area Security Initiative Grants Program and $32,800 from the Contra Costa County Fire Protection District's General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District for the purchase of a mobile repeater vehicle. (92% Federal; 8% Special District Funds)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover C.9 APPROVE Appropriation and Revenue Adjustment No.005007 authorizing new revenue in the amount of $347,805 from the Federal Emergency Management Agency, U.S. Department of Homeland Security, California Governor's Office of Emergency Services, State Homeland Security Grant Program and $42,195 from Contra Costa County Fire Protection District's General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District for the purchase of a Type 1 tactical water tender. (89% Federal, 11% Special District Funds)       AYE: Director John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover   GENERAL INFORMATION The Board meets in its capacity as the Board of Directors of the Contra Costa County Fire Protection District pursuant to Ordinance Code Section 24-2.402. Persons who wish to address the Board of Directors should complete the form provided for that purpose and furnish a copy of any written statement to the Clerk. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the Clerk of the Board to a majority of the members of the Board of Directors less than 72 hours prior to that meeting are available for public inspection at 651 Pine Street, First Floor, Room 106, Martinez, CA 94553, during normal business hours. All matters listed under CONSENT ITEMS are considered by the Board of Directors to be routine and will be enacted by one motion. There will be no separate discussion of these items unless requested by a member of the Board or a member of the public prior to the time the Commission votes on the motion to adopt. Persons who wish to speak on matters set for PUBLIC HEARINGS will be heard when the Chair calls for comments from those persons who are in support thereof or in opposition thereto. After persons have spoken, the hearing is closed and the matter is subject to discussion and action October 8, 2019 Fire Protection District Minutes 4 by the Board. Comments on matters listed on the agenda or otherwise within the purview of the Board of Directors can be submitted to the office of the Clerk of the Board via mail: Contra Costa County Fire Protection District Board of Directors, 651 Pine Street Room 106, Martinez, CA 94553; by fax: 925-335-1913. The District will provide reasonable accommodations for persons with disabilities planning to attend Board meetings who contact the Clerk of the Board at least 24 hours before the meeting, at (925) 335-1900; TDD (925) 335-1915. An assistive listening device is available from the Clerk, Room 106. Copies of recordings of all or portions of a Board meeting may be purchased from the Clerk of the Board. Please telephone the Office of the Clerk of the Board, (925) 335-1900, to make the necessary arrangements. Applications for personal subscriptions to the Board Agenda may be obtained by calling the Office of the Clerk of the Board, (925) 335-1900. The Board of Directors’ agenda and meeting materials are available for inspection at least 96 hours prior to each meeting at the Office of the Clerk of the Board, 651 Pine Street, Room 106, Martinez, California. Subscribe to receive to the weekly Board Agenda by calling the Office of the Clerk of the Board, (925) 335-1900 or using the County's on line subscription feature at the County’s Internet Web Page, where agendas and supporting information may also be viewed: www.co.contra-costa.ca.us ADVISORY COMMISSION The Contra Costa County Fire Protection District Advisory Fire Commission is scheduled to meet next on Monday, October 14, 2019 at 7:00 p.m. at the Administrative Offices, 4005 Port Chicago Highway, Suite 250, Concord, CA 94520. AGENDA DEADLINE: Thursday, 12 noon, 12 days before the Tuesday Board meetings. Glossary of Acronyms, Abbreviations, and other Terms (in alphabetical order): The Contra Costa County Fire Protection District has a policy of making limited use of acronyms, abbreviations, and industry-specific language in its Board of Supervisors meetings and written materials. Following is a list of commonly used language that may appear in oral presentations and written materials associated with Board meetings: AB Assembly Bill ABAG Association of Bay Area Governments ACA Assembly Constitutional Amendment ADA Americans with Disabilities Act of 1990 AFSCME American Federation of State County and Municipal Employees ARRA American Recovery & Reinvestment Act of 2009 BAAQMD Bay Area Air Quality Management District October 8, 2019 Fire Protection District Minutes 5 BART Bay Area Rapid Transit District BayRICS Bay Area Regional Interoperable Communications System BGO Better Government Ordinance BOC Board of Commissioners CALTRANS California Department of Transportation CAER Community Awareness Emergency Response CAL-EMA California Emergency Management Agency CAO County Administrative Officer or Office CCE Community Choice Energy CBC California Building Code CCCPFD (ConFire) Contra Costa County Fire Protection District CCHP Contra Costa Health Plan CCTA Contra Costa Transportation Authority CCRMC Contra Costa Regional Medical Center CCWD Contra Costa Water District CFC California Fire Code CFDA Catalog of Federal Domestic Assistance CEQA California Environmental Quality Act CIO Chief Information Officer COLA Cost of living adjustment ConFire (CCCFPD) Contra Costa County Fire Protection District CPA Certified Public Accountant CPF – California Professional Firefighters CPI Consumer Price Index CSA County Service Area CSAC California State Association of Counties CTC California Transportation Commission dba doing business as EBMUD East Bay Municipal Utility District ECCFPD East Contra Costa Fire Protection District EIR Environmental Impact Report EIS Environmental Impact Statement EMCC Emergency Medical Care Committee EMS Emergency Medical Services et al. et alii (and others) FAA Federal Aviation Administration FEMA Federal Emergency Management Agency FTE Full Time Equivalent FY Fiscal Year GIS Geographic Information System HCD (State Dept of) Housing & Community Development HHS (State Dept of ) Health and Human Services HOV High Occupancy Vehicle HR Human Resources HUD United States Department of Housing and Urban Development IAFF International Association of Firefighters ICC International Code Council IFC International Fire Code October 8, 2019 Fire Protection District Minutes 6 Inc. Incorporated IOC Internal Operations Committee ISO Industrial Safety Ordinance JPA Joint (exercise of) Powers Authority or Agreement Lamorinda Lafayette-Moraga-Orinda Area LAFCo Local Agency Formation Commission LLC Limited Liability Company LLP Limited Liability Partnership Local 1 Public Employees Union Local 1 Local 1230 Contra Costa County Professional Firefighters Local 1230 MAC Municipal Advisory Council MBE Minority Business Enterprise MIS Management Information System MOE Maintenance of Effort MOU Memorandum of Understanding MTC Metropolitan Transportation Commission NACo National Association of Counties NEPA National Environmental Policy Act NFPA National Fire Protection Association OES-EOC Office of Emergency Services-Emergency Operations Center OPEB Other Post Employment Benefits OSHA Occupational Safety and Health Administration PACE Property Assessed Clean Energy PARS Public Agencies Retirement Services PEPRA Public Employees Pension Reform Act RFI Request For Information RFP Request For Proposal RFQ Request For Qualifications SB Senate Bill SBE Small Business Enterprise SEIU Service Employees International Union SUASI Super Urban Area Security Initiative SWAT Southwest Area Transportation Committee TRANSPAC Transportation Partnership & Cooperation (Central) TRANSPLAN Transportation Planning Committee (East County) TRE or TTE Trustee TWIC Transportation, Water and Infrastructure Committee UASI Urban Area Security Initiative UCOA United Chief Officers Association vs . versus (against) WAN Wide Area Network WBE Women Business Enterprise WCCTAC West Contra Costa Transportation Advisory Committee October 8, 2019 Fire Protection District Minutes 7 October 8, 2019 Fire Protection District Minutes 8 RECOMMENDATION(S): PRESENTATION of two 2019 California Ambulance Association Service Excellence (CAASE) Awards to American Medical Response. FISCAL IMPACT: No fiscal impact. BACKGROUND: American Medical Response, the Contra Costa County Fire Protection District's ambulance alliance partner, has been named winner of two prestigious 2019 California Ambulance Association Service Excellence (CAASE) awards. CAASE awards recognize excellence, resourcefulness, and ground-breaking ideas being implemented by California ambulance operators; and they showcase the best practices of the ambulance business in the State. Awards were presented on September 25, 2019, at the CAASE annual convention in San Diego, California. American Medical Response was recognized in two categories: APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lewis T. Broschard III, Fire Chief (925) 941-3300 x1100 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: PR.1 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Presentation of CAASE Awards to American Medical Response October 8, 2019 Fire Protection District Minutes 9 BACKGROUND: (CONT'D) > 1. Community Impact for its enhanced bystander CPR (EBCPR) program designed to increase lay rescuer comfort with performing CPR and improve familiarity with how to properly use an AED. In the year prior to the program, bystander CPR rates for sudden cardiac arrest were 41.9% and public AED usage was 6.6%. Following EBCPR, bystander CPR rates increased to 49%, and public AED usage increased to 11.3%. 2. Clinical Service/Patient Outcomes for its CPR Highly Defined (CPR-HD) program that created a uniform approach and system for cardiac arrest management that could be replicated throughout the service area. October 8, 2019 Fire Protection District Minutes 10 RECOMMENDATION(S): 1. APPROVE and AUTHORIZE the Fire Chief, or designee, to accept a FY 2018 Staffing for Adequate Fire and Emergency Response (SAFER) grant through the U.S. Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA), in an amount not to exceed $3,100,000 over a three-year period. 2. ADOPT Position Adjustment Resolution No. 22532 to add nine (9) Firefighter-Paramedic Recruit (RP7A) (represented) positions at salary plan and grade 4N5 1583 ($7,168.41) in the Contra Costa County Fire Protection District. FISCAL IMPACT: The SAFER grant budget is approximately $5 million over three years. The Federal share is approximately $3.1 million and the District's share is approximately $1.9 million. The cost share requirement for the grant is significant. During the three-year grant period, the District will be responsible for providing a 25% cost share in the first and second years and a 65% cost share in the third year. Additionally, the grant award limits position costs to the annual cost of a first-year firefighter at the time of the grant application. The District will also be responsible for funding 100% of merit increments and negotiated wage increases over three-year period. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Jackie Lorrekovich, Chief Admin Svcs (925) 941-3300 x1300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.3 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:FY 2018 Staffing for Adequate Fire and Emergency Response (SAFER) Grant October 8, 2019 Fire Protection District Minutes 11 BACKGROUND: On September 13, 2019, the Federal Emergency Management Agency awarded the Contra Costa County Fire Protection District (District) the Staffing for Adequate Fire and Emergency Response (SAFER) grant, a three-year federal grant in the amount of $4,973,589 to fill nine (9) Firefighter or Firefighter-Paramedic positions. This action will authorizes the District to accept the fiscal year (FY) 2018 SAFER grant. The purpose of SAFER grants is to provide funding directly to fire departments to assist them in increasing the number of firefighters to help communities meet industry minimum standards and attain 24-hour staffing to provide adequate protection from fire and fire-related hazards. A fire company is typically staffed with a captain, an engineer, and a firefighter, at least one of which is a paramedic. With funding from a FY 17 SAFER grant, the District added a fourth firefighter position to three ladder truck companies on July 13, 2019. With this grant, the District intends to add a fourth position, a Firefighter or Firefighter-Paramedic classification, to three additional companies. Period of Performance: The period of performance for this grant is three years. Extensions to the period of performance are not available. Cost Share: SAFER grant recipients are required to contribute a cost share toward the actual cost of hiring firefighters under this program. No Supplanting Allowed: SAFER grant funds may only be used to hire new, additional firefighters and may not be used to supplant funds that would otherwise be available from State or local sources. Minimum Budget Requirement: At the time of application, SAFER grant applicants are required to certify that their annual budget for fire-related programs and emergency response has not been reduced below 80% of the average funding level in the three years prior to February 28, 2019. Position Cost Limit: SAFER grant funds may not exceed a certain percentage of the usual annual cost of a first-year firefighter in that department at the time of the grant application. There is no waiver available for this requirement. The amount of Federal funding provided to a recipient for hiring a firefighter in any fiscal year may not exceed: in the first year of the grant, 75% of the usual annual cost of a first-year firefighter in the District at the time the grant application is submitted; in the second year of the grant, 75% of the usual annual cost of a first-year firefighter in in the District at the time the grant application was submitted; and in the third year of the grant, 35% of the usual annual cost of a first-year firefighter in the District at the time the grant application was submitted. “Usual annual costs” includes the base salary and standard benefits package (including the average health, dental, and vision costs, FICA, life insurance, retirement/pension, etc.) offered by the District to first-year firefighters. Since the grant will only cover a portion of salary and benefits costs, the District would be responsible for funding the cost share indicated above plus the additional costs of merit increments and negotiated wage increases over three years. October 8, 2019 Fire Protection District Minutes 12 Throughout the performance period of the grant, the District will need to maintain the total number of authorized and funded firefighter positions at the time of award plus the total number of SAFER-funded firefighter positions. The District cannot lay off firefighters during the period of performance, and vacancies that arise through attrition – such as openings created by retirements – must be filled within a reasonable time period. The SAFER grant budget is $4,973,589 over three years. The Federal share is $3,067,047, and the local agency match is $1,906,542. This action will also add nine (9) Firefighter-Paramedic Recruit positions in the Contra Costa County Fire Protection District. After completion of the fire academy, successful recruits will graduate and be placed in fully operational front line positions. The classifications of Firefighter Recruit and Firefighter-Paramedic Recruit are flexibly staffed. Upon successful completion of the District's fire academy, recruits are promoted to Firefighter or Firefighter-Paramedic (depending on the EMS certification they hold). CONSEQUENCE OF NEGATIVE ACTION: The District would not accept the SAFER grant and staffing levels would remain as is. AGENDA ATTACHMENTS P300 No. 22532 MINUTES ATTACHMENTS Signed P300 22532 October 8, 2019 Fire Protection District Minutes 13 POSITION ADJUSTMENT REQUEST NO. 22532 DATE 9/27/19 Department No./ Department CCC Fire Protection District Budget Unit No. 7300 Org No. 7300 Agency No. 70 Action Requested: Add nine (9) Firefighter-Paramedic Recruit (RP7A) positions at salary 7,168.41 Proposed Effective Date: 10/9/2019 Classification Questionnaire attached: Yes No / Cost is within Department’s budget: Yes No Total One-Time Costs (non-salary) associated with request: 0 Estimated total cost adjustment (salary / benefits / one time): Total annual cost 1700000 Net County Cost 0 Total this FY 800,000 N.C.C. this FY $0.00 SOURCE OF FUNDING TO OFFSET ADJUSTMENT 75% Federal Grant Award; 25% District Match (General Fund) Department must initiate necessary adjustment and submit to CAO. Use additional sheet for further explanations or comments. Paul Reyes ______________________________________ (for) Department Head REVIEWED BY CAO AND RELEASED TO HUMAN RESOURCES DEPARTMENT Paul Reyes 9/27/19 ___________________________________ ________________ Deputy County Administrator Date HUMAN RESOURCES DEPARTMENT RECOMMENDATIONS DATE 10/1/19 Add nine (9) Firefighter-Paramedic Recruit (RP7A) (represented) positions at salary plan and grade 4N5 1583 ($7,168.41) Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic / Exempt salary schedule. Effective: Day following Board Action. (Date) Gladys Scott Reid 10/1/2019 ___________________________________ ________________ (for) Director of Human Resources Date COUNTY ADMINISTRATOR RECOMMENDATION: DATE 10/2/19 Approve Recommendation of Director of Human Resources Disapprove Recommendation of Director of Human Resources Paul Reyes Other: ____________________________________________ ___________________________________ (for) County Administrator BOARD OF SUPERVISORS ACTION: David J. Twa, Clerk of the Board of Supervisors Adjustment is APPROVED DISAPPROVED and County Administrator DATE BY APPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL / SALARY RESOLUTION AMENDMENT POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION Adjust class(es) / position(s) as follows: P300 (M347) Rev 3/15/01 October 8, 2019 Fire Protection District Minutes 14 REQUEST FOR PROJECT POSITIONS Department Date 10/2/2019 No. xxxxxx 1. Project Positions Requested: 2. Explain Specific Duties of Position(s) 3. Name / Purpose of Project and Funding Source (do not use acronyms i.e. SB40 Project or SDSS Funds) 4. Duration of the Project: Start Date End Date Is funding for a specified period of time (i.e. 2 years) or on a year-to-year basis? Please explain. 5. Project Annual Cost a. Salary & Benefits Costs: b. Support Costs: (services, supplies, equipment, etc.) c . Less revenue or expenditure: d. Net cost to General or other fund: 6. Briefly explain the consequences of not filling the project position(s) in terms of: a. potential future costs d. political implications b. legal implications e. organizational implications c. financial implications 7. Briefly describe the alternative approaches to delivering the services which you have considered. Indicate why these alternatives were not chosen. 8. Departments requesting new project positions must submit an updated cost benefit analysis of each project position at the halfway point of the project duration. This report is to be submitted to the Human Resources Department, which will forward the report to the Board of Supervisors. Indicate the date that your cost / benefit analysis will be submitted 9. How will the project position(s) be filled? a. Competitive examination(s) b. Existing employment list(s) Which one(s)? c. Direct appointment of: 1. Merit System employee who will be placed on leave from current job 2. Non-County employee Provide a justification if filling position(s) by C1 or C2 USE ADDITIONAL PAPER IF NECESSARY October 8, 2019 Fire Protection District Minutes 15 October 8, 2019 Fire Protection District Minutes 16 RECOMMENDATION(S): ACCEPT a report from the Fire Chief providing a status summary for Contra Costa County Fire Protection District fire station construction projects. FISCAL IMPACT: Status report only. No fiscal impact. BACKGROUND: At the request of the Contra Costa County Fire Board of Directors, the Fire Chief is providing a report on the status and progress of District fire station construction projects. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lewis T. Broschard III, Fire Chief (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.4 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Update on Fire Station Construction Projects - October 8, 2019 October 8, 2019 Fire Protection District Minutes 17 ATTACHMENTS Construction Project Update October 8, 2019 October 8, 2019 Fire Protection District Minutes 18 October 8, 2019 TO: Board of Directors FROM: Lewis T. Broschard III, Fire Chief RE: Update on Fire Station Construction Projects ______________________________________________________________________ Fire Station 9 – Pacheco Planning reviews have been completed by County Department of Conservation and Development planning staff, and the District is working to address any issues identified during planning. The CEQA documents are being finalized. The District intends on submitting plans to the County Department of Conservation and Development for review prior to year-end. Fire Station 9 will be presented to the Pacheco Municipal Advisory Council at its next meeting on Wednesday, October 9, 2019. Fire Station 70 – San Pablo Construction is proceeding. Underground utilities are being installed, and piers are being set for the major structural support. The elevator pit has been excavated, and the walls have been formed for concrete. Following much debate, the PG&E power meter and panel were relocated outside the building. However, they will be in a fully locked enclosure behind a secured perimeter fence. Fire Station 86 – Bay Point Planning reviews have been completed by County Department of Conservation and Development planning staff, and the District is working to address any issues identified during planning. The CEQA documents are being finalized. The District intends on submitting plans to the County Department of Conservation and Development for review prior to year-end. On October 1, 2019, Fire Station 86 was presented for the second time to the Bay Point Municipal Advisory Council. This time, the MAC took a formal vote on its support for the station. October 8, 2019 Fire Protection District Minutes 19 RECOMMENDATION(S): ACCEPT a report from the Fire Chief providing a status summary for ongoing Fire District activities and initiatives. FISCAL IMPACT: No fiscal impact. BACKGROUND: At the request of the Contra Costa County Fire Board of Directors, the Fire Chief is providing a report on the status and progress of the various District initiatives. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lewis T. Broschard III, Fire Chief (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 , County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: D.5 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard, III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Fire Chief's Report - October 8, 2019 October 8, 2019 Fire Protection District Minutes 20 ATTACHMENTS Fire Chiefs October Report October 8, 2019 Fire Protection District Minutes 21 October 8, 2019 TO: Board of Directors FROM: Lewis T. Broschard III, Fire Chief RE: Fire Chief’s Report ______________________________________________________________________  Fire Season. We weathered the late September heat waves well, and the total vegetation fires to date number almost the same as compared to this time in 2018. We have succeeded in keeping all but two of these fires to less than 10 acres. This is a considerable accomplishment given we have dispatched to some 165 such fires since the beginning of fire season in early May. We can attribute some of this success to pre-planning, including up-staffing for the most risk-prone periods, and rapid, multi-unit responses. Another reason is what seems to be somewhat increased property owner attention to weed abatement and defensible space creation. A great example of this occurred on a late September fire in the Rossmoor community at the site of a 2018 fire that very nearly involved structures. This year, the essentially similar fire was much more easily and quickly controlled because of the diligence and attention to detail of the Rossmoor grounds-keeping team and the work of Fire Marshal Bachman, Fire Prevention Captain Laing, and Fire Prevention Technician Woofter with PG&E to mitigate power-line related risks. While we are hopeful that sustained rains will put an end to this season in the next few weeks, we are now in what is normally the most active and dangerous period of our local fire season but with a higher fuel load than in recent years. We all should be reminded there is still considerable potential for large and destructive wildfires until consistent rains begin to fall.  Academy 54 Update. October 1 was the first day of training for our 25 new recruits, and they are off to a strong start. We hosted a family night event on September 26 where we introduced the academy and fire service life to family members and began the transition for these recruits from civilians to firefighters.  Apparatus Update. We took delivery of our second fire bulldozer, Dozer 220, in late September and are planning an event to introduce it to the community later this month. This powerful firefighting tool joins its more seasoned brother, Dozer 221. The new addition effectively doubles our fire dozer capability with more power, capabilities, and safety features; and it includes a new prime mover semi-truck and trailer. October 8, 2019 Fire Protection District Minutes 22  REACH Partnership. The new Con Fire-branded medical transport helicopter went into service on September 28, as planned. A media event is planned for October 10 to introduce this important new program and capability to the public and to preview the addition, expected near year’s end, of an additional larger and more capable helicopter.  Facility Maintenance. Significant progress has been made on our training tower repair and renovation project. W ith the completion of the exterior surfaces repairs and recoating, the result is a safer and more attractive structure with increased functionality and durability. Staircase repairs have been delayed due to permitting requirements, but this final portion of the project is now expected to be completed by the end of November.  American Medical Response Awards. Our emergency ambulance contractor, American Medical Response (AMR) has been named winner of two prestigious 2019 California Ambulance Association Service Excellence (CAASE) Awards. CAASE awards recognize excellence, resourcefulness, and ground‐breaking ideas being implemented by California ambulance operators and showcase the best practices of the ambulance business in the State. Awards were presented at the organization’s annual convention on September 25 in San Diego. AMR was recognized in two categories: o Community Impact for its enhanced bystander CPR (EBCPR) program designed to increase lay rescuer comfort with performing CPR as well as improve familiarity with how to properly use an AED. In the year prior to the program, bystander CPR rates for sudden cardiac arrest were 41.9% and public AED usage was 6.6%. Following EBCPR, bystander CPR rates increased to 49%, and public AED usage increased to 11.3%. o Clinical Service/Patient Outcomes for its CPR Highly Defined (CPR‐HD), a program that created a uniform approach and system for cardiac arrest management that could be replicated throughout the service area.  Staffing for Adequate Fire and Emergency Response (SAFER) Grant Award. On September 18, the District was awarded a three-year federal grant in the amount of $4.9M to fill nine firefighter or firefighter-paramedic positions. The grant was awarded by the Federal Emergency Management Agency. With Board approval, the District intends to use this grant to add a fourth firefighter to three additional companies.  Hurricane Dorian Deployment. In early September, we deployed four paramedics and four EMTs from AMR as well as two FEMA Urban Search & Rescue Team members from the Fire District.  North Orinda Shaded Fuelbreak. All work is reported as complete within the Lafayette area of the Fire District. Work remains in the hills above San Pablo Dam Road near Wildcat Canyon Regional Park. For updates, the public can visit http://www.mofd.org/shadedfuelbreak. October 8, 2019 Fire Protection District Minutes 23 RECOMMENDATION(S): APPROVE Appropriation and Revenue Adjustment No.005007 authorizing new revenue in the amount of $347,805 from the Federal Emergency Management Agency, U.S. Department of Homeland Security, California Governor's Office of Emergency Services, State Homeland Security Grant Program (SHSGP) and $42,195 from CCCFPD General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District (7300) for the purchase of a Type 1 tactical water tender. FISCAL IMPACT: $347,805 Federal grant, $42,195 CCCFPD General Operating Fund Balance BACKGROUND: On April 9, 2019, the Contra Costa County Fire Protection District (District) Board of Directors approved the purchase of a Type 1 tactical water tender. Water tenders are used to supply large volumes of water, typically to areas without fire hydrants. The most common application for this specialty equipment is in rural areas during wildland fire events. Water tenders may also be used to deliver large amounts of water to highways, airports, hazardous materials incidents APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lizz Patterson, Fiscal Officer 925-941-3300 x 1302 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.9 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Appropriation and Revenue Adjustment - FY18 SHSGP Water Tender October 8, 2019 Fire Protection District Minutes 24 BACKGROUND: (CONT'D) and industrial fires. The District currently owns one water tender that is in excess of 20 years of age. This older vehicle has exceeded its anticipated life span. In 2018, the District was awarded a separate FEMA Assistance to Firefighters Grant for the purchase a water tender. This purchase will be the second grant-funded water tender in the fleet. The State Homeland Security Grant Program will provide $347,805 towards the purchase, and the District is responsible for the amount that exceeded the grant award. AGENDA ATTACHMENTS TC24/27 AP005007 MINUTES ATTACHMENTS Signed Appr Adj 5007 October 8, 2019 Fire Protection District Minutes 25 October 8, 2019Fire Protection District Minutes26 October 8, 2019Fire Protection District Minutes27 October 8, 2019 Fire Protection District Minutes 28 October 8, 2019 Fire Protection District Minutes 29 RECOMMENDATION(S): APPROVE Appropriation and Revenue Adjustment No.005006 authorizing new revenue in the amount of $400,200 from the Federal Emergency Management Agency, U.S. Department of Homeland Security, Urban Area Security Initiative Grants Program and $32,800 from CCCFPD General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District (7300) for the purchase of a mobile repeater vehicle. FISCAL IMPACT: $400,200 Federal grant. The District is responsible for the amount that exceeded the grant award, $32,800. BACKGROUND: On May 21, 2019, the Contra Costa County Fire Protection District (District) Board of Directors approved the purchase of a mobile repeater vehicle. The District has been been awarded funding from the Federal Emergency Management Agency, U.S. Department of Homeland Security, Urban Area Security Initiative (UASI) Grants Program in an amount not to exceed $400,200 to purchase this vehicle. The mobile repeater vehicle will be equipped with a repeater, satellite data/voice/phone backhaul capability, and EBRCS/VHF/UHF patching for use in support of the VHF/UHF/EBRCS, phone, APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lizz Patterson, Fiscal Officer 925-941-3300 x 1302 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.8 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Appropriation and Revenue Adjustment - Mobile Repeater Vehicle October 8, 2019 Fire Protection District Minutes 30 BACKGROUND: (CONT'D) and data communications systems of Alameda County and Contra Costa County. The vehicle will be deployable to any operational area and the Bay Area Region as needed. This vehicle can be deployed to provide increased radio system coverage and redundancy for planned large scale events as well as provide continuity of communications with the remote/mobile repeater capability in the result of damaged/destroyed radio communication infrastructure. AGENDA ATTACHMENTS TC24/27 AP005006 MINUTES ATTACHMENTS Signed Appr Adj 5006 October 8, 2019 Fire Protection District Minutes 31 October 8, 2019Fire Protection District Minutes32 October 8, 2019Fire Protection District Minutes33 October 8, 2019 Fire Protection District Minutes 34 October 8, 2019 Fire Protection District Minutes 35 RECOMMENDATION(S): APPROVE Appropriation and Revenue Adjustment No.005005 authorizing revenue in the amount of $14,805 from CCCFPD General Operating Fund Balance and appropriating it in the Contra Costa County Fire Protection District (7300) for the purchase of a Type 1 tactical water tender. FISCAL IMPACT: 100% CCCFPD General Operating Fund Balance. BACKGROUND: On November 13, 2018, the Contra Costa County Fire Protection District (District) Board of Directors approved the purchase of a Type 1 water tender. The purchase price at that time was $358,550. During construction of the water tender, the District needed to change the specifications of the vehicle. The changes included adjusting water ports on the front and rear bumpers, adding a metal cover to protect the fuel cap, reinforcing the top of the vehicle to hold hose, and adding a handle to the ladder to the hose bed. The changes resulted in an increased cost of $14,805. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lizz Patterson, Fiscal Officer 925-941-3300 x 1302 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.7 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Appropriation and Revenue Adjustment - Type I Tactical Water Tender October 8, 2019 Fire Protection District Minutes 36 AGENDA ATTACHMENTS TC24/27 AP005005 MINUTES ATTACHMENTS Signed Appr Adj 5005 October 8, 2019 Fire Protection District Minutes 37 October 8, 2019Fire Protection District Minutes38 October 8, 2019Fire Protection District Minutes39 October 8, 2019 Fire Protection District Minutes 40 October 8, 2019 Fire Protection District Minutes 41 RECOMMENDATION(S): AUTHORIZE the Fire Chief, or designee, to apply to the Centers for Medicare & Medicaid Services to participate in the Emergency Triage, Treat, and Transport (ET3) Model. FISCAL IMPACT: Application only. If the District is selected to participate in the ET3 Model, the District will return to the Board with a more detailed report and analysis, including a fiscal impact statement. BACKGROUND: Emergency Triage, Treat, and Transport (ET3) is a voluntary, five-year payment model that will provide greater flexibility to ambulance care teams to address emergency health care needs of Medicare beneficiaries following a 911 call. Under the ET3 model, the Centers for Medicare & Medicaid Services (CMS) will pay participating ambulance suppliers and providers to 1) transport an individual to a hospital emergency department (ED) or other destination covered under the regulations; 2) transport to an alternative destination (such as a primary care doctor’s office or an urgent care clinic); or 3) provide treatment in place with a qualified health care practitioner, either on the scene or connected using telehealth. The model will allow beneficiaries to access the most appropriate emergency services at the right time and place. The model will also encourage local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches to promote successful model implementation by establishing a medical triage line for low-acuity 911 calls. As a result, the ET3 model aims to improve quality and lower costs by reducing avoidable transports to the ED and unnecessary hospitalizations APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lewis T. Broschard, III, Fire Chief (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.6 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Centers for Medicare & Medicaid Services Emergency Triage, Treat, and Transport (ET3) Model October 8, 2019 Fire Protection District Minutes 42 following those transports. This program can assist with Ambulance Patient Off-Loading Time (APOT) by delivering patients to the right location for the right care, lessening the demand at hospital emergency rooms. Contra Costa County Fire Protection District estimates that approximately 4,000 out of 73,000 annual transports can be redirected to alternative destinations (AD) through this program. The District would use a combination of Emergency Medical Dispatch (EMD) as well as field assessments to determine which patients may be candidates for AD intervention. Currently, Medicare regulations only allow payment for emergency ground ambulance services when individuals are transported to hospitals, critical access hospitals, skilled nursing facilities, and dialysis centers. Most beneficiaries who call 911 with a medical emergency are therefore transported to one of these facilities, and most often to a hospital ED, even when a lower-acuity destination may more appropriately meet an individual’s needs. With the support of local governments, their designees, or other entities that operate or have authority over one or more 911 dispatches, ambulance suppliers and providers will triage people seeking emergency care based on their presenting needs. The model aims to ensure Medicare Fee-For-Service beneficiaries receive the most appropriate care, at the right time, and in the right place. The model may help make EMS systems more efficient and will provide beneficiaries broader access to the care they need. Beneficiaries who receive treatment from alternative destinations may also save on out-of-pocket costs. An individual can always choose to be brought to an ED if he/she prefers. The ET3 Model aims to reduce expenditures and preserve or enhance quality of care by: October 8, 2019 Fire Protection District Minutes 43 The ET3 Model aims to reduce expenditures and preserve or enhance quality of care by: October 8, 2019 Fire Protection District Minutes 44 BACKGROUND: (CONT'D) 1- Providing person-centered care, such that beneficiaries receive the appropriate level of care delivered safely at the right time and place while having greater control of their healthcare through the availability of more options; 2- Encouraging appropriate utilization of services to meet health care needs effectively; and 3- Increasing efficiency in the EMS system to more readily respond to and focus on high-acuity cases, such as heart attacks and strokes. October 8, 2019 Fire Protection District Minutes 45 RECOMMENDATION(S): DENY claim filed by Francisca Rivero. FISCAL IMPACT: No fiscal impact. BACKGROUND: Francisca Rivero: Personal injury claim arising out of a fall in the amount of $1,000,000. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Scott Selby 925.335.1400 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: Stacey M. Boyd, Deputy cc: C.2 To:Contra Costa County Fire Protection District Board of Directors From:David Twa, County Administrator Date:October 8, 2019 Contra Costa County Subject:Claims October 8, 2019 Fire Protection District Minutes 46 RECOMMENDATION(S): APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in the amount of $16,449.72 for the balance due on the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports provided by the Contra Costa County Fire Protection District in the months of January, February, and March (Quarter 1) of 2019. 1. APPROVE and AUTHORIZE the Auditor-Controller to expedite the above-referenced payment. 2. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Jackie Lorrekovich, Chief Admin Svcs (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.5 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:GEMT QAF Payment to California Department of Health Care Services CY 2019 Q1 October 8, 2019 Fire Protection District Minutes 47 FISCAL IMPACT: The Ground Emergency Medical Transportation (GEMT) / Quality Assurance Fee (QAF) program increases the historic base rate of Medi-Cal reimbursement by $220.80 per transport. The GEMT/QAF program, therefore, increases the per transport reimbursement from the historic base rate of $118.20 to $339.00. To fund this program, the State of California Department of Health Care Services (DHCS) began assessing all transport providers within the State of California a fee of $25.23 per transport effective July 1, 2018. The fee was increased (retroactively) to $26.07 for payments due on or after July 1, 2019. The increased fee was approved by the Centers for Medicare & Medicaid Services (CMS) on September 6, 2019. The District received the attached invoice from DHCS on September 18, 2019. The payment is due on or before October 1, 2019. The fiscal impact will be revenue generating for the District due to the significant number of Medi-Cal transports within the District’s ambulance operating area. Medi-Cal is the second highest payer type (second to Medicare). The net revenue the District receives will be calculated by multiplying the $220.80 per transport uplift for Medi-Cal fee-for-service and Medi-Cal managed care transports less the (revised) $26.07 QAF the District is required to pay on all transports. The net revenue estimate (uplift less QAF) for the District for 2019 is approximately $2 million under the current funding and fee parameters. BACKGROUND: CMS approved State Plan Amendment (SPA) 18-004 authorizing the GEMT/QAF program in March 2019. The Quality Assurance Fee (QAF) is an add-on fee used to increase Medi-Cal funding. Essentially, emergency medical transportation providers in California must pay this fee on all transports, and in return, providers will receive an uplift that increases the Medi-Cal reimbursement base rate for Medi-Cal fee-for-service and managed care recipients. Transport providers were provided with very little advanced notice by the State to make quarterly payments after CMS approved SPA 18-004. Nevertheless, the Contra Costa County Fire Protection District (District) was able to get Board approval and make its 2019 Q1 QAF payment in a timely manner (i.e., on June 11, 2019). The amount of that payment was $494,079.09. The payment was due on or before July 1, 2019. CMS approved SPA 19-0020 on September 6, 2019. SPA 19-0200 increases the QAF from $25.23 per transport to $26.07 per transport on all payments due July 1, 2019, and thereafter. This action retroactively increased the amount of the District's 2019 Q1 payment from $494,079.09 to $510,528.81. The balance due is $16.449.72. This payment is due October 1, 2019. The District received the attached invoice on September 18, 2019. This request is for the balance due on 2019 quarter one fees (for January-March 2019 transports). CONSEQUENCE OF NEGATIVE ACTION: The QAF payment is mandatory for all providers (public and private) within the State. If not paid, the State can assess late payment penalties and withhold provider payments for ambulance services provided to Medi-Cal recipients. ATTACHMENTS Revised 2019 Q1 GEMT QAF Invoice October 8, 2019 Fire Protection District Minutes 48 October 8, 2019 Fire Protection District Minutes 49 State of California—Health and Human Services Agency Department of Health Care Services JENNIFER KENT GAVIN NEWSOM DIRECTOR GOVERNOR Third Party Liability and Recovery Division, General Collection Section, MS 4720 P.O. Box 997425, Sacramento, CA 95899-7425 Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) – Quarterly Payment Provider Invoice Rate Adjustment Provider Information: Due Date: Payment Details: Year: ___________ QTR: _______ Invoice Number: Amount Due: $ Amount Paid: $ Balance Due:_$______________ Fiscal Year Reporting Structure Account App Ref Service Location Activity Program Alt Account Fund Project 9990 Emergency Transport Type: Quantity: Medi-Cal Fee-for-Service Medi-Cal Managed Care Medicare Other Dual Medicare/Medi-Cal Amount Due = Sum of Total Transports x QAF Rate ( ) Payment Instructions: 1.Please use the invoice number provided above to pay via Electronic Funds Transfer (http://dhcs.ca.gov/epay). OR 2. Please submit this invoice and payment to: Department of Health Care Services Accounting Section/Cashiers Unit, MS1101 GEMT QAF P.O. Box 997415 Sacramento, CA 95899-7415 2019-20 980 80005 3323 Name: Provider Name:____________________ DHCS Account Number: 4260KB0B 4129200 Balance Due Amount Due = Amount Due ( ) - Amount Paid ( ) = $ CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT 10/1/2019 GEM1316339609 2019 Q1 GEM05192HD9 510,528.81 826 4340 6443 5228 2746 510,528.81 $26.07 494,079.09 16,449.72 494,079.09 16,449.72 October 8, 2019 Fire Protection District Minutes 50 RECOMMENDATION(S): APPROVE and AUTHORIZE the Auditor-Controller, on behalf of the Contra Costa County Fire Protection District, to make a payment to the State of California Department of Health Care Services in the amount of $518,401.95 for the Ground Emergency Medical Transportation Quality Assurance Fee for ambulance transports provided by the Contra Costa County Fire Protection District in the months of April, May, and June (Quarter 2) of 2019. FISCAL IMPACT: The Ground Emergency Medical Transportation (GEMT) / Quality Assurance Fee (QAF) program increases the historic base rate of Medi-Cal reimbursement by $220.80 per transport. The GEMT/QAF program, therefore, increases the per transport reimbursement from the historic base rate of $118.20 to $339.00. To fund this program, the State of California Department of Health Care Services (DHCS) began assessing all transport providers within the State of California a fee of $25.23 per transport effective July 1, 2018. The fee was increased (retroactively) to $26.07 for payments due on or after July 1, 2019. The increased fee was approved by the Centers for Medicare & Medicaid Services (CMS) on September 6, 2019. The District received the attached invoice from DHCS on September 13, 2019. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Jackie Lorrekovich, Chief Admin Svcs (925) 941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.4 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:GEMT QAF Payment to California Department of Health Care Services CY 2019 Q2 October 8, 2019 Fire Protection District Minutes 51 FISCAL IMPACT: (CONT'D) The fiscal impact will be revenue generating for the District due to the significant number of Medi-Cal transports within the District’s ambulance operating area. Medi-Cal is the second highest payer type (second to Medicare). The net revenue the District receives will be calculated by multiplying the $220.80 per transport uplift for Medi-Cal fee-for-service and Medi-Cal managed care transports less the (revised) $26.07 QAF the District is required to pay on all transports. The net revenue estimate (uplift less QAF) for the District for 2019 is approximately $2 million under the current funding and fee parameters. BACKGROUND: CMS approved State Plan Amendment (SPA) 18-004 authorizing the GEMT/QAF program in March 2019. The Quality Assurance Fee (QAF) is an add-on fee used to increase Medi-Cal funding. Essentially, emergency medical transportation providers in California must pay this fee on all transports, and in return, providers will receive an uplift that increases the Medi-Cal reimbursement base rate for Medi-Cal fee-for-service and managed care recipients. CMS approved SPA 19-0020 in September 2019. SPA 19-0200 increases the QAF from $25.23 per transport to $26.07 per transport on all payments due July 1, 2019, and thereafter. This request is for 2019 quarter two fees (for April-May 2019 transports). The payment is due on or before November 1, 2019. State program representatives indicated there would be no exceptions and late fees may be assessed by the State for payments not received by the due date. CONSEQUENCE OF NEGATIVE ACTION: The QAF payment is mandatory for all providers (public and private) within the State. If not paid, the State can assess late payment penalties and withhold provider payments for ambulance services provided to Medi-Cal recipients. ATTACHMENTS 2019 Q2 GEMT QAF Invoice October 8, 2019 Fire Protection District Minutes 52 State of California—Health and Human Services Agency Department of Health Care Services JENNIFER KENT GAVIN NEWSOM DIRECTOR GOVERNOR Third Party Liability and Recovery Division, General Collection Section, MS 4720 P.O. Box 997425, Sacramento, CA 95899-7425 Ground Emergency Medical Transport (GEMT) Quality Assurance Fee (QAF) – Quarterly Payment Provider Invoice Provider Information: Due Date: Payment Details: Year: ___________ QTR: _______ Invoice Number: Amount Due: $_____________________ Fiscal Year Reporting Structure Account App Ref Service Location Activity Program Alt Account Fund Project 9990 Emergency Transport Type: Quantity: Medi-Cal Fee-for-Service Medi-Cal Managed Care Medicare Other Dual Medicare/Medi-Cal Amount Due = Sum of Total Transports x QAF Rate ( ) = $ Payment Instructions: 1.Please use the invoice number provided above to pay via Electronic Funds Transfer (http://dhcs.ca.gov/epay). OR 2. Please submit this invoice and payment to: Department of Health Care Services Accounting Section/Cashiers Unit, MS1101 GEMT QAF P.O. Box 997415 Sacramento, CA 95899-7415 2019-20 980 80005 3323 Name: Provider Name:____________________ DHCS Account Number: 4260KB0B 4129200 CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT 11/1/2019 GEM1316339609 2019 Q2 GEM11198154 518,401.95 907 4465 6608 5224 2681 518,401.95 $26.07 October 8, 2019 Fire Protection District Minutes 53 RECOMMENDATION(S): APPROVE and AUTHORIZE the Fire Chief, or designee, to execute a change order amendment with Golden State Fire Apparatus, Inc., to increase the payment amount by $14,805 to a new payment total of $373,355, for the manufacture and purchase of a Type I tactical water tender for fire suppression. FISCAL IMPACT: Increased cost of $14,805. This agenda includes a revenue and appropriation adjustment for use of fund balance. The purchase of this vehicle is partially funded by FEMA's 2017 Assistance to Firefighters Grant program. The Federal share is $318,341 and the District will contribute $55,014. BACKGROUND: On November 13, 2018, the Contra Costa County Fire Protection District (District) Board of Directors approved the purchase of a Type I water tender in an amount not to exceed $365,000. The purchase price at that time was $358,550, and an additional $6,450 was included in APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Aaron McAlister, Deputy Chief 925-941-3300 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: C.1 To:Contra Costa County Fire Protection District Board of Directors From:Lewis T. Broschard III, Chief, Contra Costa Fire Protection District Date:October 8, 2019 Contra Costa County Subject:Purchase Contract Change Order for a Type 1 Tactical Water Tender October 8, 2019 Fire Protection District Minutes 54 BACKGROUND: (CONT'D) the purchasing authority to allow for potential change orders. During construction of the water tender, the District needed to change the specifications of the vehicle. The changes included adjusting water ports on the front and rear bumpers, adding a metal cover to protect the fuel cap, reinforcing the top of the vehicle to hold hose, and adding a handle to the ladder to the hose bed. The changes resulted in an increased cost of $14,805. October 8, 2019 Fire Protection District Minutes 55 RECOMMENDATION(S): ADOPT Resolution No. 2019/582 approving the Side Letter between the District and IAFF, Local 1230 regarding the 2018 Staffing for Adequate Fire and Emergency Response (SAFER) Grant. FISCAL IMPACT: The SAFER grant budget is approximately $5 million over three years. The Federal share is $3.1 million, and the District's match is $1.9 million. The cost share requirement for the grant is significant. During the three year grant period, the District will be responsible for paying a 25% cost share in the first and second years and a 65% cost share in the third year. Additionally the grant award limits position costs to the annual cost of a first-year firefighter at the time of the grant application; therefore, the District will be responsible for funding 100% of merit increments and negotiated wage increases over the three year period. This action is the administrative/staffing agreement. BACKGROUND: On September 18, 2019, the Contra Costa County Fire Protection District Board of Directors was awarded a APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 10/08/2019 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYE:John Gioia, Director Candace Andersen, Director Diane Burgis, Director Karen Mitchoff, Director Federal D. Glover, Director Contact: Lisa Driscoll, County Finance Director (925) 335-1023 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Dianne Dinsmore, Human Resources Director, Robert Campbell, Auditor-Controller, Lewis Broschard, CCCFPD Chief C.3 To:Contra Costa County Fire Protection District Board of Directors From:David Twa, County Administrator Date:October 8, 2019 Contra Costa County Subject:Resolution No. 2019/582 – IAFF Local 1230 SAFER Grant Side Letter October 8, 2019 Fire Protection District Minutes 56 BACKGROUND: (CONT'D) three-year federal grant to fill nine firefighter and firefighter-paramedic positions. The District Board is expected to approve and authorize the Fire Chief to accept the 2018 Staffing for Adequate Fire and Emergency Response (SAFER) grant through the U.S. Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA). This action provides the side letter that outlines the use of the nine grant funded firefighter positions. CONSEQUENCE OF NEGATIVE ACTION: The District will not have an agreement regarding the addition of a fourth firefighter to certain engine or truck companies. AGENDA ATTACHMENTS Resolution 2019/582 Side Letter - IAFF Local 1230 MINUTES ATTACHMENTS Signed Resolution No. 2019/582 October 8, 2019 Fire Protection District Minutes 57 THE BOARD OF DIRECTORS OF THE CONTRA COSTA COUNTY FIRE PROTECTION DISTRICT Adopted this Resolution on 10/08/2019 by the following vote: AYE:5 John Gioia Candace Andersen Diane Burgis Karen Mitchoff Federal D. Glover NO: ABSENT: ABSTAIN: RECUSE: Resolution No. 2019/582 In the Matter of: The Side Letter between the Contra Costa County Fire Protection District and IAFF Local 1230, regarding the 2018 Staffing for Adequate Fire and Emergency Response (SAFER) Grant The Contra Costa County Fire Protection District Board of Directors acting solely in its capacity as the governing board of the Contra Costa County Fire Protection District RESOLVES THAT: Effective upon receipt of notice of the award and subsequent acceptance by the District Board of Directors of the 2018 SAFER grant, the attached Side Letter dated September 24, 2019, between the Contra Costa County Fire Protection District and IAFF Local 1230, be ADOPTED. Contact: Lisa Driscoll, County Finance Director (925) 335-1023 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: October 8, 2019 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Dianne Dinsmore, Human Resources Director, Robert Campbell, Auditor-Controller, Lewis Broschard, CCCFPD Chief October 8, 2019 Fire Protection District Minutes 58 October 8, 2019 Fire Protection District Minutes 59 October 8, 2019Fire Protection District Minutes60