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First Amended Agreement With Care Ambulance Service For Emergency Transportation Services September 5, 2017 Page 2 Code 2 (Non -life threatening) i. Target: Under 15 minutes, 93% of the time ii. Actual in 2016: Under 15 minutes, 98% of the time 2. Average Calls in 2016: a. All Calls: i. Annually: 21,421 ii. Avg. Monthly: 1,785 b. Code 3 (Life threatening) Calls: i. Annually: 1,113 c. Code 2 (Non -life threatening) Calls: i. Annually: 20,308 Additionally, CARE has worked in conjunction with the Orange County Fire Authority (OCFA) in order to provide effective emergency ambulatory services. Specifically, CARE operates seven (7) dedicated and fully equipped ambulances in accordance with all industry standards and requirements of the City of Santa Ana and OCFA, with full and complete backup services, if needed. Ambulance station locations are as follows: • Santa Ana Station One —1108 N. Harbor Blvd, Santa Ana • Santa Ana Station Two —1209 N. Broadway Street, Santa Ana • Santa Ana Station Three — 2701 Hotel Terrace Drive, Santa Ana • Santa Ana Station Four — 2913 Warner Ave, Santa Ana CARE has staffed certified Emergency Medical Technicians (EMT) at the above -referenced locations utilizing the same shift schedules as OCFA firefighters. Staffing of EMT with similar OCFA staffs allows for continuity and improved efficiency and effectiveness in providing emergency services to Santa Ana residents via a coordinated teamwork and cooperative strategy. At a minimum fourteen (14) EMT's are staffed per shift for the City. In addition, each EMT is licensed and qualified as an emergency ambulance driver, and have received over 160 hours of training along with multiple EMT courses. To ensure continuous knowledge and cutting- edge emergency services is provided, CARE has partnered with OCFA monitoring proper training and certification standards are adhered to and maintained by CARE EMT staff. As an added benefit, CARE is also the Ambulatory Services provider for surrounding Cities and also maintains partnership with local Emergency and/or Acute medical facilities. CARE has been able to leverage these partnerships to ensure residents and/or visitors of the City receive the necessary medical attention in a prompt and efficient manner. Given the significance of the emergency transportation services and in order to ensure that the City receives proposals from qualified and experienced 9-1-1 providers, OCFA has recommended that the City extend the current agreement through the conclusion of the current 25C-2