The document discusses renewing an interlocal agreement between the cities of Alamo Heights, Olmos Park, and Terrell Hills to provide emergency medical services (EMS). The current agreement expires on September 30th, 2020. If adopted, the new agreement would authorize the city manager to execute a 3-year renewal through September 30th, 2023. The cost sharing arrangement between the cities has been renegotiated for the new term based on historical call volumes.