10. Recommendation to approve the revised Regional Emergency Medical Services Authority (dba REMSA Health), Amended and Restated Franchise Agreement for Ambulance Service, which includes revisions from the EMS Joint Advisory Committee and the workgroup coordinated by the City of Reno. The recommendation also requests the Board approve the amendment of the current franchise to a perpetual basis, retroactive to July 1, 2025, and approve staff to work with REMSA Health on an updated Comprehensive Compliance Review Checklist and collaborate with REMSA Health and stakeholders to collect data to address the impacts and outcomes to the franchise and participating regional partners, to include but not limited to, franchise governance, interfacility transfers, Hexagon CAD implementation, the fire regionalization and study, and increased service demands by June 30, 2028. (FOR POSSIBLE ACTION) Presented by: Andrea Esp