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File #: 2026-5619   
Type: Consent Calendar Item
Body: City Council
On agenda: 1/20/2026
Title: Recommendation to Authorize the Interim City Manager to Execute a Fourth Amendment to the Agreement with the Regents of the University of California (UCSF School of Medicine, Department of Emergency Medicine) for Medical Director Services for the Alameda Fire Department by Extending the Term Through February 28, 2028, in an Amount Not-to-Exceed $216,582 for the Two-Year Extension and a Total Agreement Amount of $382,079. (Fire 10032260/10032270)
Attachments: 1. Exhibit 1: Fourth Amendment, 2. Exhibit 2: Original Amendment and Amendments
Title

Recommendation to Authorize the Interim City Manager to Execute a Fourth Amendment to the Agreement with the Regents of the University of California (UCSF School of Medicine, Department of Emergency Medicine) for Medical Director Services for the Alameda Fire Department by Extending the Term Through February 28, 2028, in an Amount Not-to-Exceed $216,582 for the Two-Year Extension and a Total Agreement Amount of $382,079. (Fire 10032260/10032270)
Body

To: Honorable Mayor and Members of the City Council

From: Adam W. Politzer, Interim City Manager

EXECUTIVE SUMMARY

Approval of this item will authorize the Interim City Manager to execute a fourth amendment to an existing Agreement with the Regents of the University Of California, on behalf of its UCSF School of Medicine, Department of Emergency Medicine (UCSF) to provide the services of the Medical Director for the Alameda Fire Department (AFD) and ensure the continuity of required oversight of AFD's controlled substance program, provide clinical education and quality assurance for AFD's Emergency Medical Technicians (EMT) and Paramedics (EMT-P). The Fire Department is required to have a licensed physician serving as the Medical Director to have the ability to provide paramedic services to the City of Alameda (City).

BACKGROUND

On January 1, 2000, AFD began providing Advanced Life Support (ALS) services to the City's residents and visitors. As a requirement of Alameda County for ALS service provision, AFD must retain an Emergency Physician to serve as the Medical Director for its ALS program. Since July 2020, UCSF has provided these professional medical director services.

On July 29, 2020, the City entered into an agreement with UCSF to provide Medical Director services through December 31, 2021, in an amount not to exceed $67,818.24.

On January 1, 2022, the City and UCSF executed a First Amendment to extend the Agreement, allowing both parties additional time to negotiate a longer-term arrangement.
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