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File Number: 18-273 <br />Medical Services Agency LIFEPAK 15 systems (7 units) and Physio-Control chest compression <br />systems (7 units) equipment to the City at no cost. <br />The Agreement, as amended, is currently set to expire on June 30, 2018. The proposed third <br />amendment to the Agreement (the “Third Amendment”) would extend the term of the Agreement <br />to June 30, 2019 in order to permit continuance of FRALS Services from the City. Subsequent to <br />the adoption of the Second Amendment the City was notified by the County that the payments <br />from the County for the services provided would no longer be provided beginning in FY2018-19. <br />Those payments were a component of the County’s contract with Paramedics Plus for ambulance <br />services and are no longer applicable. The loss of these payments causes a loss of revenue to <br />the City of approximately $345,000 annually, which will need to be reflected in the City’s budget <br />for the upcoming year. Although the loss of FRALS payments is not a component of the proposed <br />Third Amendment, the Amendment does include some revisions that reflect the fact that the <br />payments will no longer be made. <br />All cities in Alameda County are being asked to execute similar agreements in order to continue <br />FRALS services. The most recent version of the proposed Third Amendment reflects input from <br />the Alameda County Fire Chief. <br />Page 2 City of San Leandro Printed on 5/30/2018 <br />152