Res 2026-041 Approving an agreement for the provisio of services connectin with the proposed owner requested annexation in case NO. AN-26-01 of approximately 1.45 acres of land located at 1904 old Ranch Rd 12

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EXHIBIT D: EMERGENCY MEDICAL SERVICE PLAN 1. Current System Performance San Marcos Hays County EMS currently provides advanced life support (ALS) ambulance services to the City of San Marcos and surrounding jurisdictions. The agency maintains a deployment model designed to meet community demand, including strategically located units, dynamic system status management, and highly trained paramedic staff. Historical system performance demonstrates the ability to achieve competitive response times, maintain high clinical standards,and provide consistent coverage for emergency and non-emergency medical incidents within the City. 2. Operational Capacity and System Integration Under the City's proposed service model, EMS units will operate from all six of the City's existing fire stations, allowing for a geographically distributed deployment strategy that maximizes coverage across the community. These units will be staffed on a continuous basis, operating 24 hours per day, seven days per week, and 365 days per year, ensuring uninterrupted emergency medical response capability. Co-locating EMS units within existing fire stations enhances operational coordination between EMS and fire first responders,supports rapid deployment across the City,and allows resources to be positioned in close proximity to areas of highest call demand. This approach also leverages existing public safety infrastructure,reducing response times and improving system reliability. Both the existing contractual model and a potential future City-operated third-service model provide strong integration with the City's broader public safety system, including police, fire, and emergency management operations. This integration supports coordinated emergency response, shared communications infrastructure, and efficient deployment during large-scale incidents and disasters. 3. Public Safety Communications and Dispatch Integration All emergency calls for police, fire, and EMS services within the City of San Marcos are received and dispatched through the Public Safety Answering Point (PSAP) operated by the San Marcos Police Department. Under the City's EMS service model, EMS units will be dispatched through this same integrated communications center. This unified dispatch structure ensures that all emergency resources—police,fire, and EMS— are coordinated through a single communications center, allowing call takers and dispatchers to immediately triage incidents and deploy the appropriate resources without delay. By maintaining dispatch operations within the City's PSAP, the City avoids potential delays that can occur when emergency calls must be transferred to another agency or communications center, such as the Hays County PSAP or another regional dispatch authority.