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Board of County Commissioners Meeting Minutes - Final August 19, 2025 Attachments: T0428 Indian River County 25-26 HA Agreement IRC Grant Form-HazMat Approved staffs recommendation 9.U. 25-0766 Request from National Health Transport, Inc. for a Class "B" Certificate of Public Convenience and Necessity to Provide Non -Emergency Ambulance Inter -Facility Transports Originating from Indian River County Recommended Action: Staff recommends that the Board of County Commissioners approve the Class `B" Certificate Renewal to National Health Transport, Inc. to be effective for a period of two (2) years from August 20, 2025 to August 19, 2027. Attachments: National Health Transport Application Approved staffs recommendation SIM. 25-0787 Approval for Advance Purchase of Fire Rescue Apparatus Recommended Action: Staff recommends the Board authorize the Procurement Division to issue a Purchase Order in the amount of $2,400,000. Attachments: Indian River - PL Custom Proposal 2027 REV 1 Approved staffs recommendation 9.W. 25-0772 Approval County's Stop Loss Policy Renewal with Highmark for Fiscal Year 25/26 Recommended Action: Staff recommends and respectfully requests that the Board approve staff's recommendation to accept the stop loss insurance proposal from HM Insurance Group for the 2025/2026 plan year with the current $300K ISL and $100K ASD at an 8.1 % increase in premiums at a PEPM rate of $56.67, reflecting an increase of $87,924, and authorize the Chairman to execute the proposal acceptance after review and approval by the County Attorney as to form and legal sufficiency. Attachments: FY25-26 Stop Loss Marketing Analysis FY25-26 Stop Loss Proposal HM Approved staffs recommendation 9.X. 25-0786 Coastal Technology Corporation Final Boat Ramp Study — Work Order Number 1 Recommended Action: Staff respectfully request that the Board approve the Coastal Technology Corporation Final Boat Ramp Study. Indian River County, Florida Page 10