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1 RiversideCA.gov
1 City Council
October 20, 2026
AMR Agreement Addendum
Response-Time Compliance
Fire Department
RiversideCA.gov
2 BACKGROUND
• The City regulates ambulance transportation services pursuant to RMC Chapter
5.66 - Ambulances. • The City has historically exercised local authority over the scope and manner of ambulance services provided within the City. • California Health and Safety Code Section 1797.201 preserves this authority. 1 2
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2 RiversideCA.gov
3 BACKGROUND
• The City and AMR are parties to an Agreement for ALS First Responder and Ambulance Services dated July 16, 2024. • The Agreement establishes ambulance response-time standards and monetary penalties when applicable standards are not met. • Administration of the Agreement identified a need for clearer exemption, correction, documentation, and calculation rules.
RiversideCA.gov
4 DISCUSSION
The proposed Addendum
• Establishes defined response-time penalty exemptions for some delayed responses that are beyond AMRs control. • Permits time correction requests when AMR submits verifiable evidence. • Removes the “Pager Queue” time credits. • Railroad Crossing Delays • Extraordinary Traffic Delays • Unanticipated Road Closures • Severe Weather • Additional Ambulance Requests • Unusual Circumstances 3 4
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3 RiversideCA.gov
5 DISCUSSION
The proposed Addendum (continued)
• Confirms that any changes within the AMR/County Agreement will not affect the current City/AMR agreement or Addendum. • Approval of the Addendum will provide a consistent, documented, and auditable process for administering response-time compliance and related penalties.
RiversideCA.gov
6 FISCAL IMPACT
Fiscal Impact: • There is no new expenditure associated with this action. • The Addendum clarifies administration of response-time penalties under the existing Agreement. • Any fiscal effect will depend on AMR’s performance and the City’s review of documented exemption and correction request.
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4 RiversideCA.gov
7 RECOMMENDATIONS
That the City Council:
1. Approve the Addendum to the Agreement with American Medical Response Ambulance Service, Inc. for ALS First Responder and Ambulance Services; and
2. Authorize the City Manager, or designee, to execute the Addendum, including making minor and non-substantive changes.
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