Amendment to Purchase Order Number 6053584 to Crestline Coach Ltd., for the Provision of a Ministry of Health Certified Multi-Patient Ambulance for Toronto Paramedic Services

In addition, the expiration date of the Purchase Order will be extended from March 31, 2026 to December 31, 2027. The amendment is requested to accommodate an increase in unit pricing due to a change in chassis requirements, as well as higher costs resulting from project delays, inflation, and prevailing market conditions. The amendment also reflects a change in quantity from one (1) unit to two (2) units, to support Toronto Paramedic Services' operational needs. The amended Purchase Order will authorize the procurement of two (2) Ministry of Health-certified Multi-Patient Ambulances to add to Toronto Paramedic Services' emergency response fleet and will enhance response to calls with multiple patients (e.g. planned and unplanned events, apartment building or nursing home fires, etc.). Toronto Paramedic Services currently operates and maintains a fleet of two (2) ambulance buses (one from 2007 and the other from 2009). These aging buses are deployed to support incidents involving multiple patients, or the potential for multiple patients and prolonged scene times. The new Multi-Patient Ambulance design provides functionality similar to the buses and can accommodate up to 3 stretcher patients per vehicle ensuring operational efficiencies that better meet the needs of the community and staff, including improved safety and ergonomics, better maneuverability and reduced environmental impact. Additionally, these new vehicles support flexible deployment, and enhance the Division's ability to provide care to the bariatric patient population. As a result of these operational efficiencies, the annual operating cost of the Multi-Patient Ambulance over four (4) years (2026-2030) is estimated to be approximately 80 percent less than the current buses. Crestline Coach Ltd., is the only manufacturer currently certified to produce Multi-Patient Ambulances in accordance with Ontario Provincial Land Ambulance and Emergency Response Vehicle Standard requirements due to the highly specialized design requirements of these vehicles. Hence, the award of a non-competitive contract is required with Crestline Coach Ltd.

for the provision of two (2) Ministry of Health certified Multi-Patient Ambulances for Toronto Paramedic Services, increasing the value of the Purchase Order by a value of $2,406,813 net of all taxes and charges ($2,449,173 net of harmonized sales tax recoveries) from $685,105 net of all taxes and charges to $3,091,918 net of all taxes and charges ($3,146,335 net of Harmonized sales tax recoveries). In addition, to recommend to extend the expiry date from March 31, 2026 to December 31, 2027.