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CITY COUNCIl REPORT Item 2 LW' VKmm^i /♦/ '*/ e Meeting Date: General Plan Element: General Plan Goal: March 03.2026 Public Services & Facilities Provide a safe environment for all citizens, visitors and private interests ACTION Adopt Resolution No. 13606 authorizing: 1. The Mayor to execute, on behalf of the City, Contract No. 2016-016-COS-A3, the Third Amendment to the Professional Services Contract with HonorHealth Inc., for Medical Director Services. 2r The City Manager or designee to execute such other documents and take such other actions as necessary to carry out the intent of this Resolution. 3,. A FY 2025/26 budget transfer of up to $277,061 from personnel services expense category to contractual services expense category in the Ambulance Emergency Transport Program to ensure proper recording of the contract expenses. BACKGROUND Arizona Administrative Code Title 9, Chapter 25 requires emergency medical services providers to designate a qualified physician to administer medical direction. This includes the development of off line medical control protocols, standard operating guidelines, documentation standards, and continuous quality improvement (CQI) processes. These services enable the Scottsdale Fire Department (SFD) to deliver high quality medical treatment to patients. HonorHealth was selected through a competitive procurement process (Request for Proposal No. 16RP018), and the City entered into Professional Services Contract No. 2016-016-COS on February 9, 2016, authorized by Resolution No. 10337. The parties subsequently executed Contract Amendments 2016-016-COS-A1 and 2016-016-COS-A2, extending the contract term through March 9,2026. The City and HonorHealth now desire to further amend the Contract to extend the term for one additional year and add one optional one-year extension, as set forth in Contract No. 2016-016-COS-A3. AcOen Taken. Bluelnk Bundle ID:Jbd6MVI0RN City Council Report | Medical Director Services Contract Extension ANALYSIS & ASSESSMENT SFD continues to rely on medical direction services to support its emergency medical response and ambulance operations. Extending the existing contract with HonorHealth ensures continuity of medical oversight, compliance with state requirements, and alignment with established clinical protocols. HonorHealth serves as SFD’s medical director, administrative base station, pharmaceutical supplier, and provider of on-line medical direction. Because approximately 90 percent of emergent and non-emergent transports are delivered to HonorHealth emergency departments, maintaining this relationship is essential for operational consistency and patient care coordination. The Third Amendment extends the contract term for one year and adds an optional one-year extension, allowing the city to maintain uninterrupted medical direction services while preserving flexibility for future procurement or contract adjustments. RESOURCE IMPACTS Available Funding The FY 2025/26 Fire Division, Ambulance Emergency Transport program operating budget includes $277,061 in the Ambulance Services Fund for a Medical Director position that was not approved. The transfer requested will move available budget to the appropriate expense category to record contract expenses in compliance with Financial Policy No. 1.11. Staffing, Workload Impact No additional staff required or impact to current workload. Future Budget Implications For FY 2026/27, $266,680 of additional ongoing funding was requested during the budget development process for the increase in contract costs. Cost Recovery Options None OPTIONS & STAFF RECOMMENDATION Recommended Approach Adopt Resolution No. 13606 authorizing: 1,. The Mayor to execute, on behalf of the City, Contract No. 2016-016-COS-A3 the Third Amendment to the Professional Services Contract with HonorHealth Inc., for Medical Director Services. 2i. The City Manager or designee to execute such other documents and take such other actions as necessary to carry out the intent of this Resolution. Page 2 of 3 Blueink Bundle ID: Jbd6MVI0RN City Council Report | Medical Director Services Contract Extension i A FY 2025/26 budget transfer of up to $277,061 from personnel services expense category to contractual services expense category in the Ambulance Emergency Transport Program to ensure proper recording of contract expenses. RESPONSIBLE DEPARTMENT(S) Fire Department, Emergency Medical Services STAFF CONTACT(S) Tom Shannon, Fire Chief tshannonlo&scQttsdaleaz.gQv Adam Hoster, Deputy Fire Chief ahostertc&scottsdaleaz.gov APPROVED BY TomSka/vian, 2/13/26 19:31 MST Tom Shannon, Fire Chief 480-312-1821 tshannon(Siscottsdaleaz.gov Date Scott SelU 2/15/26 21:08 MST Scott Selin, Budget Director Date (For Financial Policies Compliance and Budget Appropriation) (480) 312-2603, sselinOscottsdaleaz.gov 2/16/26 08:50 MST Greg Caton, City Manager (480) 312-7759, gcaton@scottsdalea2.gov Date ATTACHMENTS 1. Resolution No. 13606 2. Contract No. 2016-016-COS-A3 Page 3 of 3 Blueink Bundle ID; JbdBMVIORN RESOLUTION NO. 13606 A RESOLUTION OF THE COUNCIL OF THE CITY OF SCOTTSDALE. MARICOPA COUNTY, ARIZONA, AUTHORIZING A THIRD AMENDMENT TO CONTRACT NO. 2016- 016-COS WITH HONORHEALTH, INC. FOR MEDICAL DIRECTOR SERVICES, EXTENDING THE CONTRACT TERM, ADDING AN OPTIONAL EXTENSION, AND AUTHORIZING FY2025/26 BUDGET TRANSFER BETWEEN EXPENSE CATEGORIES. WHEREAS, the City of Scottsdale (“City”) and HonorHealth, Inc. (“Consultant”) entered into Professionai Services Contract No. 2016-016-COS on February 9, 2016, for Medical Director Services for the Scottsdale Fire Department; and WHEREAS, the City and Consultant previously executed Contract Amendments 2016-016-COS-A1 and 2016-016-COS-A2: and WHEREAS, the parties now desire to further amend the Contract to extend the term for one (1) additional year and to add one (1) optional one (1) year extension, as set forth in Contract No. 2016-016-C0S-A3 (the “Third Amendment”); and WHEREAS, the MayOr is authorized by the City Charter to execute contracts and amendments on behalf of the City; and WHEREAS, Article 6, Section 11 of the Scottsdale City Charter permits the transfer of unencumbered appropriation balances between expenditure classifications with City Council approval. NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Scottsdale, Maricopa County, Arizona, as follows: Section 1. The City Council authorizes and directs the Mayor to execute Contract No. 2016-016-COS-A3, the Third Amendment to the Professional Services Contract with HonorHealth, Inc., to extend the contract term and to add an optional one-year extension. Section 2. The City Manager or designee is authorized to execute such other documents and take such other actions as necessary to carry out the intent of this Resolution. Section 3. The City Councii authorizes a FY 2025/26 budget transfer of up to $277,061 from the personnel services expense category to the contractuai services expense category in the Ambulance Emergency Transport Program to ensure proper recording of contract expenses. PASSED AND ADOPTED by the Council of the City of Scottsdale, Maricopa County, Arizona this __________day of_____________________2026. ATTEST: CITY OF SCOTTSDALE, an Arizona municipal corporation Lisa Borowsky, Mayor Ben Lane, City Clerk APPROVED AS TO FORM: ____________ Luik'ET Santaella, Interii^ City Attorney By: Jennifer Fernandei/Assistant City Attorney 18873859 Resolution No. 13606 ATTACHMENT 1 Page 1 of 1 Scottsdale No. 2016-016-COS-A3 Contract #16RP018 CITY OF SCOTTSDALE THIRD AMENDMENT TO PROFESSIONAL SERVICES CONTRACT This THIRD AMENDMENT TO PROFESSIONAL SERVICES CONTRACT (the “Third Amendment”) is entered into this_____day of_________ , 2026 by and between the City of Scottsdale, an Arizona municipal corporation (the “City”), and HonorHealth, Inc. (the “Consultant”) to amend Contract No. 2016-016-COS. RECITALS A. The Mayor of the City of Scottsdale is authorized by provisions of the City Charter to execute contracts and contract amendments. B. City and Consultant entered into that certain Professional Services Contract, Contract No. 2016-016-COS dated February 9, 2016, for the provision of Medical Director Services for the Fire Department by Consultant to City (the “Original Contract”). C. City and Consultant subsequently amended the Original Contract by that certain Contract No. 2016-016-COS-A1 dated March 16, 2021 (the “First Amendment”), and by Contract No. 2016- 016-COS-A2, adopted February 18, 2025 (the “Second Amendment”). The Original Contract, as amended, is referred to collectively as the “Contract.” D. City desires to amend the Contract to extend the term for one (1) additional year and to add one (1) optional one (1) year extension. E. City and Consultant mutually agree to amend the Contract as set forth in this Third Amendment. NOW, THEREFORE, in corisideration of the mutual promises and obligations set forth herein and for good and valuable consideration, the parties agree as follows: 1.0 The Recitals above are incorporated herein by reference. 2.0 MODIFICATIONS 2.1 Section 3.1 of the Contract is supplemented with the following: The parties agree to extend the Contract for one (1) year, commencing March 10, 2026, and expiring March 9, 2027. The parties may, by mutual written agreement made on or before March 9, 2027, extend the Contract for one (1) additional year, commencing March 10, 2027, and expiring March 9, 2028. The optional one-year extension may be exercised by a written document executed by the City Contract Administrator, with the approval of the Purchasing Director, and by the Consultant, without returning to the City Council. 18882331 I Page1_of2 ATTACHMENT 2 Scottsdale No: 2016-016-COS-A3 Contract #16RP018 3.0 CONTINUED EFFECT Except as expressly amended herein, all terms, provisions, and conditions of the Contract are ratified and remain in full force and effect. IN WITNESS WHEREOF, the Parties have executed this Third Amendment as of the date first set forth above. CONSULTANT HpnorHealth, Inc. By: __ __________________ ^_________ ATTEST: Authorized Representative Signature Name Title CITY OF SCOTTSDALE an Arizona municipal corporation Lisa Borowsky, Mayor Ben Lane, City Clerk APPROVED AS TO FORM: jiejE. Sahta^arr^rim City Attorney By: Jennifer Feman^z; Assistant City Attorney 18882331 Page 2 of 2