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DESCRIPTION AND CONDITIONS On April 6, 1988, an application for a Certificate of Public Convenience and Necessity for EMS prehospital emergency trans- port was received from the Town of Indian River Shores. The municipality is seeking renewal of an existing certificate for BLS transport. The service area designated in the existing certificate in- cludes the North Beach area of the barrier island. During the certificate renewal process, the Town of Indian River Shores expressed an interest in reducing the primary response services to the incorporated area. This resulted in several meetings and discussions which produced positive results in terms of an agreement. The Town of Indian River Shores Public Safety Department pro- vides the EMS transport services for the populace in the de- signated service area. Each staff person is cross trained in the emergency response areas including fire, EMS, and law enforcement. Certifications are on file with the Town Manager at the Town Hall. Currently, the Public Safety Department employs a staff of twenty (20) employees. In terms of EMS., all officers are EMT's and three (3) have obtained the advanced certification of Paramedic. The Town of Indian River Shores total budget is approximately $1,500,000 of which approximately $1,000,000 is allocated to the Public Safety Department. A new transport vehicle has been ordered by the municipality. Delivery is anticipated within sixty (60) days at which time the Town plans to make the older vehicle available to the Fells - mere Volunteer Ambulance Service. The vehicle is properly equipped per state statutes and administrative rules. No fees are charged for the service provided to the populace. ALTERNATIVES AND ANALYSIS As stated above, the Town of Indian River Shores had proposed during the renewal process to limit primary response EMS service to the incorporated area of the town. This issue has now been resolved and the municipality appears willing to continue to provide primary response EMS service to the North Beach area of the barrier island for a period not to exceed June 30, 1989. This will give the county sufficient time to stabilize the EMS transport services on a countywide basis. It is also pro- posed that the Town of Indian River Shores will be relieved of primary responder calls to the South Beach area except on a mutual aid basis. A proposal will be presented in the short term as to the primary responder for the South Beach area at a subsequent date. RECOMMENDATION Staff recommends the Board of County Commissioners renew the Town of Indian River Shores Certificate of Public Convenience and Necessity for a period of two years as specified in Ordin- ance #87-66 with a primary responder service area to include the municipality and the North Beach area. Prior to June 30, 1989, the EMS Director will bring the matter back before the Board to amend the certificate in terms of the service area to exclude the North Beach area. The matter of coverage for the South Beach area will remain the responsibility of IRCVAS for the interim period until an evaluation is made and a re- commendation presented to the Board of County Commissioners. AU7X988 46 BOOK 72 mE 545